Convert a plan member’s group insurance to a personal policy
Download a form
You can go paperless and return the completed forms by email.
-
Plan administrators must complete this form so that plan members can apply to convert their terminated or reduced group life insurance to an individual policy.
-
Plan administrators must complete this form for plan members to convert their terminated or reduced group life insurance to an individual policy.
Not forms you're looking for? Go back to the find a form page.