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Tor s Instructions for Group Life Conversion 1. Complete sections 1 and 2. Only complete section 3 if a covered dependent wishes to convert. Sign and date this form. 2. Present this form to the employee. Inform employee he or she has 31 days from the date of termination to apply for individual coverage. 3. After the employee has completed page 3 of this form (premium calculation), provide him or her with the Employee s Kit for Group Life Conversion (publication number GR/413). 4. Review the.

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Agencies give this form to employees and assignees when the employee's life insurance coverage ends due to separation, resignation, retirement, death, or the end of 12 months in non-pay status. The form notifies employees or assignees of their rights to convert to an individual insurance policy.

A conversion privilege guarantees coverage and set premium payments for a certain number of years regardless of the insured's health status. A conversion privilege allows an employee under a group plan to convert their plan to an individual life insurance policy.

A conversion clause is a section of a life insurance contract that allows policyholders to convert their term life insurance policy to a permanent form of life insurance. Conversion clauses may allow a policyholder to maintain coverage without presenting new evidence of their insurability.

What is the conversion privilege? The right of an individual insured under the Group Life Insurance policy to replace all or part of his/her Life Insurance Benefit with an individual policy if all or part of his/her coverage under the group policy terminates.

This notice provides you with information about Group Life Conversion offered as part of your Employer Benefits Program. If any portion of your Group Life Insurance coverage terminates or reduces you may be able to convert your life insurance protection.

All group life insurance policies must be convertible. The conversion period is 31 days. Any death within the conversion period is covered. Industrial life policies that total $3,000 or more in face value can be converted into an ordinary life policy without evidence of insurability.

A conversion clause is a section of a life insurance contract that allows policyholders to convert their term life insurance policy to a permanent form of life insurance. Conversion clauses may allow a policyholder to maintain coverage without presenting new evidence of their insurability.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232