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GROUP LIFE CONVERSION APPLICATION Reliance Standard Life Insurance CompanyResetThis 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

01

Obtain the group life conversion application form from the insurance company.

02

Carefully read and fill out all personal information such as name, address, social security number, and contact details.

03

Provide details of the group life insurance policy being converted, including policy number, coverage amount, and date of termination.

04

Indicate the type of life insurance coverage desired for conversion.

05

Sign and date the application form before submitting it to the insurance company.

Who needs group life conversion application?

01

Individuals who are no longer eligible for group life insurance coverage due to leaving their job or changing employers.

02

Individuals who want to continue their life insurance coverage after their group policy has terminated.

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What is group life conversion application?

Group life conversion application is a form that allows employees to convert their group life insurance coverage to an individual policy upon leaving the group plan.

Who is required to file group life conversion application?

Employees who are leaving or are no longer eligible for group life insurance coverage are required to file a group life conversion application.

How to fill out group life conversion application?

To fill out a group life conversion application, employees need to provide personal information, details of their group life insurance policy, and select the individual policy they wish to convert to.

What is the purpose of group life conversion application?

The purpose of the group life conversion application is to allow employees to continue their life insurance coverage on an individual basis after leaving the group plan.

What information must be reported on group life conversion application?

Information such as personal details, policy details, coverage amount, beneficiary information, and choice of individual policy must be reported on the group life conversion application.

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