Basic Group Term Life
Designation of Beneficiary Form
Termination of Coverage
PORTABILITY – You can apply to continue your terminated Life and AD&D Insurance until age 80 if certain conditions are met. AD&D insurance may only be ported if the Life Insurance is ported, and before you reach age 70. You must apply for portability within 31 days of the date your insurance terminates. You may elect to decrease your ported coverage, but you will not be eligible to increase your ported coverage. The minimum amount of your Life Insurance that you can apply to port is $5,000.
Group Life Portability
Group Life Portability Application
Your application for portability is subject to approval by Reliance Standard. If you are not approved or you do not want to apply for portability you may still be eligible for conversion.
CONVERSION RIGHTS – You may convert this insurance by applying and paying the first premium for an individual policy within 31 days after any part of your Life Insurance under the Group Policy stops. Proof of good health is not required. Premiums for the new policy are based on your age on the date of the conversion.
Death Claim Form
The Death Claim Form is available at the Cedar Rapids Community School District’s Benefits Office.