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GROUP LIFE CONVERSION APPLICATION Reliance Standard Life Insurance Company Reset This form is to be used only when an eligible person desires to convert his Group Life insurance to an Individual policy.
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How to fill out group life conversion application

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How to fill out group life conversion application

01
First, gather all the necessary information and documents required for the application.
02
Carefully read the instructions and guidelines provided with the application form.
03
Start by filling out your personal details such as name, contact information, and social security number.
04
Next, provide information about the group life insurance policy you had before, such as policy number, coverage amount, and termination date.
05
Indicate the reason for the conversion and provide any additional information requested.
06
If you had any dependents covered under the group policy, provide their names, dates of birth, and relationship to you.
07
Review the completed application for accuracy and completeness.
08
Sign and date the application form.
09
Submit the application along with any supporting documents according to the instructions provided.
10
Wait for the confirmation or response from the insurance company regarding your application.

Who needs group life conversion application?

01
Individuals who had a group life insurance policy but are no longer part of the group, such as employees leaving a company or retirees.
02
People who want to convert their group life insurance policy into an individual policy to maintain coverage after leaving the group.
03
Those who prefer to have a personal life insurance policy instead of relying on group coverage.
04
Individuals who want to ensure continuous life insurance coverage for themselves or their dependents without any gaps.
05
Anyone who believes that converting their group life insurance policy is a better option than applying for a new individual policy.
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Group life conversion application is a form that allows members of a group life insurance plan to convert their group coverage into an individual policy upon termination of their group coverage.
Participants in a group life insurance plan who wish to continue their coverage after leaving the group are required to file a group life conversion application.
To fill out a group life conversion application, individuals must provide personal information, details of their group coverage, and select the type and amount of individual coverage they wish to convert to.
The purpose of a group life conversion application is to allow individuals to maintain life insurance coverage after leaving a group plan, typically at higher premium rates.
Information such as personal details (name, address, etc.), group policy number, coverage options, and beneficiary information must be reported on a group life conversion application.
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