The Board moved forward with the 5% increase to the employee premium rates effective April 1, 2024. For rates effective April 1, 2023 - March 31, 2024, please see Group Life Insurance Plan Monthly Rates (ET-2164).
The Basic group life insurance plan became available to state employees in 1958 and to local government employees in 1960. Spouse & Dependent, Supplemental and Additional coverage is also available.
You may be able to convert your Basic group life insurance coverage to pay premiums for health insurance or long‑term care insurance. This brochure explains who is eligible and how conversion works.
This application is intended for insured employees who are terminating private pension employment, who may qualify to continue life insurance coverage.
ET-2305
Form
Active Employee /
Local Employer /
State Employer
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.
Audited schedules as of, and for the year ended, December 31, 2023 are now available for state and local employers participating in the WRS, state and local employers participating in the Group Life Insurance Program, and state employers participating in the SHICC Program.