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Option to Port Term Life Insurance Coverage For Employees of the Benefits Life & Their Dependents Underwritten by Minnesota Life Insurance Company What coverage is portable? Employees of the Benefits

How to fill out minnesota life portability form

Who needs minnesota life portability form?

1. Employees who are leaving their current job and want to transfer their life insurance coverage to a new employer or individual policy.
2. Employees who want to continue their current life insurance coverage after leaving their job or retirement.
3. Employees who want to convert their group life insurance coverage to an individual whole life policy.

How to fill out minnesota life portability form?

1. Obtain the form: Contact your HR department or insurance provider to request the Minnesota Life Portability Form. They may provide it in paper or electronic format.
2. Read the instructions: Carefully review the instructions provided with the form to understand the requirements and any supporting documents needed.
3. Personal Information: Fill in your personal details such as your full name, date of birth, social security number, and contact information.
4. Employer Information: Provide the name of your current employer and your previous job title.
5. Insurance Coverage Details: Enter the policy number, coverage amount, and type of coverage you wish to port or convert.
6. Beneficiary Designation: Indicate if you want to maintain the existing beneficiary designation or make changes. Provide the full name and relationship of the beneficiary/beneficiaries.
7. Signature and Date: Sign and date the form to acknowledge the accuracy of the provided information.
8. Submit the form: Submit the completed form to your HR department or insurance provider as instructed. Make sure to keep a copy for your records.
9. Follow up: If necessary, follow up with your HR department or insurance provider to confirm receipt of the form and inquire about the next steps in the portability process.

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