ET-2306
Form Active Employee / Local Employer / State Employer

Conversion Information - Life Insurance

If any portion of your group life insurance coverage terminates, you may be able to continue your life insurance protection. Your right to do this is called a conversion privilege, and its features are described here.

Employer News
Apr 28, 2021 12:00am

American Rescue Plan Act of 2021: COBRA Subsidy

The American Rescue Plan of 2021 (ARP) was signed into law by President Biden on March 11, 2021. The bill provides an enrollment opportunity for individuals who would have been eligible for, but did not elect, COBRA at the time of their termination, as well as individuals who had COBRA but let it lapse before their full 18 months of eligibility was complete.

ET-2305
Form Active Employee / Local Employer / State Employer

Evidence of Insurability

Employees who did not enroll for group life insurance coverage during their initial enrollment period, or insured employees who wish to apply for more insurance for themselves or their spouse or dependents, may apply using this form.