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Group Life Continuation Form Employee Benefits You should complete this form if: You would wish to continue your Group Life coverage to age 65. When completing this form you should be aware that:
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How to fill out group life continuation form

How to fill out a group life continuation form:
01
Begin by carefully reading and understanding the instructions provided with the form. Familiarize yourself with the purpose of the form and the information required.
02
Make sure to gather all the necessary personal information and supporting documents beforehand. This may include your basic details such as name, address, and contact information, as well as any relevant policy numbers or identification numbers.
03
Start by filling out the top section of the form, which typically asks for your personal information. Be sure to double-check and ensure accuracy in providing the requested details.
04
Proceed to the next section, which might ask for your employment information, such as the name of the company or organization providing the group life insurance policy.
05
Provide any policy-related information, such as the policyholder's name, policy number, or any other details necessary for identification.
06
Fill out the beneficiary section, properly identifying the individuals or entities you wish to receive the life insurance benefits in the event of your death. If there are multiple beneficiaries, ensure that the proportions or percentages allocated to each are clearly indicated.
07
Carefully review all the information you have provided to ensure accuracy and completeness.
08
Once you are satisfied with the form, sign and date it in the designated areas. If required, you may need to obtain additional signatures from witnesses or authorized individuals.
09
Keep a copy of the filled-out form for your records before submitting it to the designated recipient. Some forms may require you to send them directly to the insurance company, while others may need to be submitted through your employer.
10
Remember to adhere to any specified deadlines for form submission, if applicable.
Who needs a group life continuation form:
01
Employees who are covered by a group life insurance policy.
02
Individuals who wish to continue their life insurance coverage under the same policy after leaving a group or changing employment.
03
Policyholders who want to designate or update beneficiaries for their life insurance benefits.
04
Those who require documentation for the continuation of their life insurance coverage.
Overall, filling out a group life continuation form is essential for individuals who want to maintain their life insurance coverage and ensure that their designated beneficiaries are protected in case of unfortunate events.
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What is group life continuation form?
The group life continuation form is a document that allows employees to continue their life insurance coverage after leaving a job.
Who is required to file group life continuation form?
Employees who are leaving their job and wish to continue their life insurance coverage may be required to file a group life continuation form.
How to fill out group life continuation form?
To fill out a group life continuation form, employees typically need to provide personal information, details about their current coverage, and payment information.
What is the purpose of group life continuation form?
The purpose of the group life continuation form is to ensure that employees have the option to maintain their life insurance coverage even after they leave their job.
What information must be reported on group life continuation form?
The group life continuation form may require information such as the employee's name, contact information, date of termination, current coverage details, and payment information.
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