Form preview

Get the free Election of Portable Coverage Form For Group Life Insurance Coverage - ohr gatech

Get Form
This document outlines the process and options for continuing Group Life Insurance coverage through MetLife after employment termination, including the minimum and maximum coverage amounts, steps
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign election of portable coverage

Edit
Edit your election of portable coverage form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your election of portable coverage form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit election of portable coverage online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in to your account. Click on Start Free Trial and sign up a profile if you don't have one.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit election of portable coverage. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out election of portable coverage

Illustration

How to fill out Election of Portable Coverage Form For Group Life Insurance Coverage

01
Obtain the Election of Portable Coverage Form from your employer or insurance provider.
02
Begin by filling out your personal information including your name, address, and contact details.
03
Indicate the group policy number related to your life insurance coverage.
04
Select the type of coverage you wish to elect based on the options provided in the form.
05
Review the premium rates associated with the portable coverage and indicate your payment method.
06
Sign and date the form to certify that you understand your options and are electing for portable coverage.
07
Submit the completed form to your employer or designated insurance representative.

Who needs Election of Portable Coverage Form For Group Life Insurance Coverage?

01
Employees who are leaving their job but want to maintain their life insurance coverage.
02
Individuals who have had their group life insurance coverage terminated due to changes in employment status.
03
Members of a group life insurance plan who qualify for portability options under their policy.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
59 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Election of Portable Coverage Form for Group Life Insurance Coverage is a document that allows an employee or covered member to maintain their life insurance benefits after leaving employment or upon a qualifying event, often without going through additional underwriting.
Typically, employees who are losing their group life insurance coverage due to termination of employment, retirement, or reduction in work hours are required to file the Election of Portable Coverage Form.
To fill out the Election of Portable Coverage Form, individuals must provide their personal information, details about their group life insurance coverage, and any required signatures. They may also need to indicate the coverage amount they wish to continue.
The purpose of the Election of Portable Coverage Form is to enable individuals to convert their group life insurance into an individual policy, ensuring that they can continue to have life insurance coverage even after leaving their employer.
The information that must be reported includes the individual's name, contact information, policy number, details of the group life insurance coverage, and any indicated choices regarding the continuation or conversion of that coverage.
Fill out your election of portable coverage online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.