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Standard Insurance Company CALIFORNIA STATE UNV. GROUP LIFE INSURANCE PORTABILITY FORM Group Policy Administration 920 SW 6th Avenue Portland Oregon 97204-1203 800. 378. 5745 National Accounts CSU INSTRUCTIONS - PLEASE READ CAREFULLY Portability Of Insurance You may continue your Life Insurance and other insurance eligible for portability as shown in the Coverage Features section of your Certificate for up to 24 months if your employment with the Employer terminates subject to the following...
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How to fill out group life insurance portability

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How to fill out Group Life Insurance Portability Form

01
Obtain the Group Life Insurance Portability Form from your employer or insurance provider.
02
Fill in your personal details like name, address, and contact information.
03
Provide information about the group policy number and your employment details.
04
Indicate the coverage amount you wish to port.
05
Complete any necessary health information or medical questions required.
06
Review the form for accuracy and completeness.
07
Sign and date the form to affirm the information provided.
08
Submit the form to the insurance company before the specified deadline.

Who needs Group Life Insurance Portability Form?

01
Employees who are leaving an employer and want to continue their life insurance coverage.
02
Individuals who have had a significant life change (e.g., divorce or retirement) and wish to maintain their benefits.
03
Members of a group insurance plan who qualify for portability under the terms of their policy.
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People Also Ask about

Porting is available with Basic, Optional, and Voluntary Life and AD&D plans. Other eligibility and state restrictions may apply. Conversion means you change—or “convert”—your group coverage to an individual policy without having to answer any medical questions.
If you leave your job or your hours are reduced, you may lose your eligibility for Group Term Life Insurance coverage through your employer. Portability allows you to continue your coverage under the same group policy by paying your premiums directly to the insurance company (age limitations may apply).
Lack of flexibility Because the employer chooses group insurance, employees don't have a say in what network they'll be on, the deductible they'll need to meet, or the premium they'll have to pay. Samuel Greene, insurance broker and CEO of Blue Insurance said, “Sometimes, group coverage can be limited.
Don't convert unless you are ill and can't qualify for your own insurance at favorable rates. Most carriers use standard as their best rating for employer sponsored life coverage and some even have special policies for conversion with higher than standard rates.
Portability is a benefit that you get with health insurance plans, and is not offered by life insurance plans. Portability means that you can port a plan from one insurance provider to another. In the case of a life insurance plan, you may wish to change your provider, but you will have to surrender your current plan.
There are no tax consequences if the total amount of such policies does not exceed $50,000. The imputed cost of coverage in excess of $50,000 must be included in income, using the IRS Premium Table, and is subject to Social Security and Medicare taxes.

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The Group Life Insurance Portability Form is a document that allows individuals to maintain their group life insurance coverage after leaving their employer or changing jobs, enabling them to convert their policy to an individual one without losing benefits.
Employees who are covered under a group life insurance policy and wish to continue their coverage after leaving their employer are required to file the Group Life Insurance Portability Form.
To fill out the Group Life Insurance Portability Form, individuals must provide their personal information, including name, address, and policy number, as well as details about their previous employment and the reason for leaving the job.
The purpose of the Group Life Insurance Portability Form is to enable individuals to retain their life insurance coverage when they leave an employer, ensuring they do not lose the benefits they had under the group policy.
The information that must be reported on the Group Life Insurance Portability Form includes the insured's personal details, previous employer information, policy details, and any relevant health information as required by the insurance provider.
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