Form preview

Get the free Group Life Insurance Conversion Request

Get Form
We are not affiliated with any brand or entity on this form
Illustration
Fill out
Complete the form online in a simple drag-and-drop editor.
Illustration
eSign
Add your legally binding signature or send the form for signing.
Illustration
Share
Share the form via a link, letting anyone fill it out from any device.
Illustration
Export
Download, print, email, or move the form to your cloud storage.

Why pdfFiller is the best tool for your documents and forms

GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

End-to-end document management

From editing and signing to collaboration and tracking, pdfFiller has everything you need to get your documents done quickly and efficiently.

Accessible from anywhere

pdfFiller is fully cloud-based. This means you can edit, sign, and share documents from anywhere using your computer, smartphone, or tablet.

Secure and compliant

pdfFiller lets you securely manage documents following global laws like ESIGN, CCPA, and GDPR. It's also HIPAA and SOC 2 compliant.
Form preview

What is Life Insurance Conversion

The Group Life Insurance Conversion Request is a form used by individuals to convert their group life insurance into an individual policy with Union Security Insurance Company.

pdfFiller scores top ratings on review platforms

Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Show more Show less
Fill fillable Life Insurance Conversion form: Try Risk Free
Rate free Life Insurance Conversion form
4.5
satisfied
47 votes

Who needs Life Insurance Conversion?

Explore how professionals across industries use pdfFiller.
Picture
Life Insurance Conversion is needed by:
  • Individuals seeking to convert group life insurance.
  • Beneficiaries of group life insurance policies.
  • HR departments managing employee benefits.
  • Insurance agents assisting clients with conversions.
  • Employees with group life insurance plans.
  • Financial advisors guiding clients in insurance decisions.

How to fill out the Life Insurance Conversion

  1. 1.
    To access the Group Life Insurance Conversion Request form on pdfFiller, visit the site and log into your account. If you don't have one, create a free account to begin.
  2. 2.
    Once logged in, use the search bar to locate the form by entering its name. Click on the form to open it in the pdfFiller editor.
  3. 3.
    Before starting, gather necessary information including the proposed insured's name, birthdate, social security number, and residence address. Also prepare details about the insurance to be converted.
  4. 4.
    In the pdfFiller interface, navigate through the fillable fields one at a time. Click on each field to enter the required information. Use the instructions provided in the form to fill in checkbox options correctly.
  5. 5.
    After filling in all fields, review the form thoroughly for accuracy. Ensure that all personal information and insurance details are correct.
  6. 6.
    To finalize the form, check that the proposed insured and a witness can sign it electronically. Look for the signature fields and follow the prompts to add signatures.
  7. 7.
    Once completed, save the filled form. You can do this by clicking the save button in the toolbar. To download a copy, click on the download icon and select your preferred format.
  8. 8.
    If submission is required, follow the provided instructions in the form for how to submit it to Union Security Insurance Company or your insurance provider.
Regular content decoration

FAQs

If you can't find what you're looking for, please contact us anytime!
Any individual who holds a group life insurance policy and wishes to convert it into an individual policy with Union Security Insurance Company is eligible to use this form.
You need to provide the proposed insured's name, birthdate, social security number, residence address, details about the insurance to be converted, and beneficiary information.
It is advisable to submit the Group Life Insurance Conversion Request as soon as possible after the eligibility event. Check your existing policy for specific deadlines associated with conversions.
The completed form can typically be submitted by mailing it to the specified address for Union Security Insurance Company. Ensure to follow any submission instructions provided in the form.
Ensure that all information is accurate, particularly social security numbers and dates. Avoid leaving mandatory fields blank and double-check for signature requirements.
Processing times may vary, but it generally takes a few weeks for Union Security Insurance Company to process the conversion request once submitted. Follow up if you do not receive confirmation.
No, notarization is not required for this form. However, signatures from the proposed insured and a witness are mandatory.
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.