Get Optional Group Life Insurance Reduction Or Cancellation - Kpers

This guide provides a clear and comprehensive overview of how to fill out the Optional Group Life Insurance Reduction Or Cancellation form, tailored for online submission. Whether you want to reduce or cancel your coverage, follow these instructions to complete the form accurately.

Follow the steps to complete the form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Part A, enter your Employee Information. Provide your Social Security Number and your full name (first, middle initial, last).
3. Move to Part B for the Request for Reduction/Cancellation. Select one of the options according to your intention: either specify your desired reduction amount for employee coverage, or indicate if you wish to cancel your employee coverage.
4. If applicable, choose a reduction amount for spouse coverage from the available options: $10,000, $25,000, $50,000, or $100,000. Alternatively, indicate if you wish to cancel your spouse coverage.
5. Complete the Member Signature section with your signature and the date of submission. Ensure that the date is formatted as month/day/year.
6. Part C requires completion by your employer’s designated agent. They will fill in the Employer name and Employer number and provide their signature along with the date.
7. Once you have filled out all necessary sections, review the form for accuracy. You can then save any changes, download a copy for your records, print the completed form, or share it as needed.

Take action now and complete your Optional Group Life Insurance Reduction Or Cancellation form online.