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CONVERSION OF GROUP OR EMPLOYEE LIFE INSURANCE TO AN INDIVIDUAL POLICY Life Insurance Company of North America 874178 05/2014 What is the conversion privilege? The right of an individual insured under
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How to fill out cigna conversion of group

01
Step 1: Obtain the Cigna conversion of group form from the official Cigna website or through your employer.
02
Step 2: Fill out the personal information section, including your name, address, and contact details.
03
Step 3: Provide your group details, such as the group name, policy number, and effective date of the group coverage.
04
Step 4: Specify the reason for conversion and provide any additional details required.
05
Step 5: Review the completed form for accuracy and ensure all necessary information is provided.
06
Step 6: Sign and date the form.
07
Step 7: Submit the filled-out form to Cigna through the designated channel, as mentioned in the instructions.
08
Step 8: Keep a copy of the filled-out form for your records.

Who needs cigna conversion of group?

01
Employers who want to convert their existing group health insurance policy with Cigna.
02
Employees covered under a group health insurance policy who wish to continue their coverage with Cigna after leaving the group.
03
Individuals who were previously covered under a group health insurance policy and want to transfer their coverage to a Cigna individual health insurance plan.
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Cigna conversion of group refers to the process of converting a group health insurance policy to an individual policy.
Employers or policyholders are typically required to file cigna conversion of group.
To fill out cigna conversion of group, you would need to provide information about the group policy and the individuals covered under it.
The purpose of cigna conversion of group is to allow individuals to continue their health insurance coverage after leaving a group plan.
Information such as policy details, coverage dates, and individual information must be reported on cigna conversion of group.
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