Life/AD&D
WKU Coverage End Date:
Last day of the month of separation.
Continuation, Portability or Conversion Options of Existing Coverage:
Optional Life and AD&D Only Continuation of Coverage: Such insurance may be continued for up to 36 months, by paying the required premiums, when: 1) an Insured person’s employment with the employer ends for a reason other than sickness or injury or retirement; and 2) the insurance has been in force for at least 12 months in a row just prior to the date employment ends. Continuation of insurance under this provision will follow any state required continuation or other continuation allowed under the Ceasing Active Work section of the Policy. To continue insurance, written application and the first premium payment must be made to Lincoln Financial, within 31 days of the date insurance would otherwise end. .
Continuation of Coverage Form for Group Life Insurance
Contact WKU-HR, Employee Wellness & Benefits, to complete the Employer section
Insurer/Administrator's Contact Information:
Lincoln Financial Group
Website: www.lfg.com
Phone: 800-423-2765
Life Policy # 000010179082-00000
Group ID: WESTKENTUC
WKU Coverage End Date:
Last day of the month of separation.
Continuation, Portability or Conversion Options of Existing Coverage:
Basic Life and Optional Life Conversion Benefits – An individual life policy, known as a conversion policy, may be purchased from Lincoln Financial without evidence of insurability if all or part of anyone’s life insurance, provided by this Policy, terminates. To purchase a conversion policy, application and payment of the first premium must be made within 31 days after the life insurance is terminated. Any policy issued under the General Conversion Benefit will: 1) be for an amount not to exceed the amount of the life insurance which was terminated; 2) be in any form (except term) then issued by Lincoln Financial at the age and amount for which application is made; 3) be issued at the Insured Person’s age at nearest birthday; 4) be issued without disability or other supplemental benefits; and 5) require premiums based on the class of risk to which the person then belongs
[Request for Quote – Lincoln Group Conversion]
Contact WKU-HR, Employee Wellness & Benefits, to complete the Employer section
Insurer/Administrator's Contact Information:
Lincoln Financial Group
Website: www.lfg.com
Phone: 800-423-2765
Life Policy # 000010179082-00000
Group ID: WESTKENTUC
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