Retiree Optional Life Insurance and Dependent Life Insurance Enrollment Form - West Virginia

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.

Retiree Optional Life Insurance and Dependent Life Insurance Enrollment Form - West Virginia

Retiree Optional Life Insurance and Dependent Life Insurance Enrollment Form is a legal document that was released by the West Virginia Public EmployeesInsurance Agency - a government authority operating within West Virginia.

FAQ

Q: What is the Retiree Optional Life Insurance and Dependent Life Insurance Enrollment Form?
A: It is a form used for enrolling in optional life insurance and dependent life insurance as a retiree in West Virginia.

Q: Who is eligible to use this form?
A: Retirees in West Virginia who want to enroll in optional life insurance and dependent life insurance.

Q: What is optional life insurance?
A: Optional life insurance is additional coverage that retirees can elect to have.

Q: What is dependent life insurance?
A: Dependent life insurance provides coverage for the spouse and/or children of the retiree.

Q: Why would a retiree need life insurance?
A: Retirees may want life insurance to provide financial protection for their loved ones in case of their death.

Q: Does using this form guarantee approval for life insurance coverage?
A: No, approval for life insurance coverage is subject to the insurance provider's underwriting guidelines.

Q: Are there any age restrictions for enrolling in life insurance as a retiree?
A: Specific age restrictions may vary by insurance provider, so it is best to check with the provider for their requirements.

Q: Are there any deadlines for submitting this form?
A: Deadlines for submitting the form may vary, so it is important to check with your employer or the insurance provider for specific deadlines.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2019;
  • The latest edition currently provided by the West Virginia Public Employees Insurance Agency;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the West Virginia Public Employees Insurance Agency.

Download Retiree Optional Life Insurance and Dependent Life Insurance Enrollment Form - West Virginia

4.8 of 5 (22 votes)
  • Retiree Optional Life Insurance and Dependent Life Insurance Enrollment Form - West Virginia

    1

  • Retiree Optional Life Insurance and Dependent Life Insurance Enrollment Form - West Virginia, Page 2

    2

  • Retiree Optional Life Insurance and Dependent Life Insurance Enrollment Form - West Virginia, Page 1
  • Retiree Optional Life Insurance and Dependent Life Insurance Enrollment Form - West Virginia, Page 2
Prev 1 2 Next
ADVERTISEMENT