In addition, submit the Evidence of Insurability (EOI) form if you are:
- a newly-eligible employee who applies after the initial 60-day deadline for guarantee-issue coverage, OR
- a PEBB insurance-eligible employee who applies for more insurance than is guarantee-issue, OR
- a PEBB insurance-eligible employee who wants to increase coverage amounts at a later date.
Download and complete the appropriate EOI form:
| Group Life Insurance Conversion or Portability
Conversion: Within 60 days of your or your dependents' coverage termination date, you may apply to convert your group term life insurance to individual whole life insurance.To receive information regarding Conversion Rights, check the Conversion Box on page two of the Group Life Portability Application Form. ReliaStar Life Insurance Company will send you a description of the conversion plan, premiums rates, and an application form. Separating or retiring employees may also contact the Benefits Office for information.
Portability: To apply for life insurance portability, contact the Benefits Office within 31 days of your or your dependents' coverage termination date.