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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/her Group Life insurance to an Individual
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How to fill out group life conversion application

01
Contact your HR department or insurance provider to inquire about the group life conversion application process.
02
Gather necessary information such as personal details, current insurance policy information, and any additional documents that may be required.
03
Fill out the group life conversion application form accurately and completely.
04
Submit the completed application form along with any supporting documents to the designated office or address.
05
Wait for confirmation of receipt and processing of your application.
06
Review the terms and coverage of the converted policy once approved.

Who needs group life conversion application?

01
Employees who are transitioning out of a company that provided group life insurance coverage.
02
Individuals who want to continue their life insurance coverage after leaving a job.
03
Beneficiaries who wish to convert group life insurance policy into an individual policy after the policyholder's death.
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A group life conversion application is a request made by an insured individual to convert their group life insurance policy into an individual policy upon termination of their group coverage.
Individuals who are losing their group life insurance coverage, typically due to employment termination, are required to file a group life conversion application.
To fill out a group life conversion application, the insured individual should provide personal information, details about the original policy, and any other required documentation as specified by the insurance provider.
The purpose of the group life conversion application is to allow individuals to maintain life insurance coverage after leaving a group plan, without having to undergo a medical examination.
The information that must be reported includes personal details of the insured, the original group's policy number, the amount of coverage desired, and any beneficiaries.
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