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This form is used by employees of Penn State University to enroll in, change, or discontinue their Group Term Life Insurance coverage. It includes sections for enrollment, changing coverage levels,
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How to fill out PENN STATE UNIVERSITY GROUP TERM LIFE INSURANCE EMPLOYEE ENROLLMENT/CHANGE FORM

01
Obtain the PENN STATE UNIVERSITY GROUP TERM LIFE INSURANCE EMPLOYEE ENROLLMENT/CHANGE FORM from the HR department or the university website.
02
Fill in your personal information including your full name, employee ID, and contact details.
03
Indicate the type of enrollment or change you are requesting (new enrollment, change in coverage, etc.).
04
Provide details about your beneficiary including their name, relationship to you, and contact information.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to your HR representative by the specified deadline.

Who needs PENN STATE UNIVERSITY GROUP TERM LIFE INSURANCE EMPLOYEE ENROLLMENT/CHANGE FORM?

01
Employees of Penn State University who want to enroll in or make changes to their group term life insurance coverage.
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People Also Ask about

Insurance Options Lion Advantage Plan. Lion Traditional Plan. Health Savings Account. 1095 FAQ.
Health Plans There are three health plan options for employees to choose from, based on their employee eligibility status; Lion Traditional, Lion Advantage HSA, and the Lion Advantage Flex plans.
It's a good idea to take advantage of a group life insurance benefit if one is available to you — but it may not take care of all of your life insurance needs. In some cases, you might need additional coverage on top of the group policy.
Group term policies are not portable: When you leave your employer, you'll lose your coverage, However, you may have the option to convert your policy into an individual policy as long as you apply with the insurer within 31 days.
You may be able to convert term to permanent coverage within the limits set by your insurer. You'll first need to check if you have convertible term life insurance. Read your policy documents or ask your financial advisor if your term life policy can be converted. Then, check when the conversion is available.
Public Health Certificate Programs The graduate certificate programs offered through the Department of Public Health Sciences at Penn State College of Medicine provide strong foundational graduate-level coursework to students seeking career advancement and lifelong learning opportunities.
Average Penn State University hourly pay ranges from approximately $9.75 per hour for Tour Guide to $44.72 per hour for Registered Nurse - Medical/Surgical. The average Penn State University salary ranges from approximately $28,488 per year for Teaching Assistant to $144,557 per year for Professor.
How Much Do Benefits Cost? Employees enrolled in in health benefits pay an employee contribution of 5.5% of their biweekly base gross though payroll deduction. However, if an employee participates in the annual Get Healthy Wellness Screening, the biweekly contribution is reduced to 2.75%.

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The PENN STATE UNIVERSITY GROUP TERM LIFE INSURANCE EMPLOYEE ENROLLMENT/CHANGE FORM is a document used by employees to enroll in or make changes to their group term life insurance policies offered by Penn State University.
Employees who wish to enroll in or modify their existing group term life insurance coverage are required to file the PENN STATE UNIVERSITY GROUP TERM LIFE INSURANCE EMPLOYEE ENROLLMENT/CHANGE FORM.
To fill out the form, employees need to provide their personal information, the desired coverage options, and any changes to their current insurance plan. Instructions are typically included with the form.
The purpose of the form is to enable employees to enroll in group term life insurance or make changes to their coverage, ensuring that their insurance needs are met.
The form requires personal information such as the employee's name, social security number, date of birth, the amount of coverage requested, and any previously elected coverage details.
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