Group Life Insurance Conversion
Administered by HRMP,LLC
Application Information:
- Conversion life insurance is not group term insurance; it is individual whole life insurance without accidental death, disability or other supplementary benefits.
- Conversion insurance is guaranteed issue. If eligible, coverage cannot be denied for health reasons.
- Premium is an estimate; if any information provided is incorrect, the premium will be incorrect.
- Premium is for one person only; it does not include all the premium for the employee and any dependent coverage that may be available.
- If you still have questions, please contact HRMP.
- If you are no longer interested in converting you may exit the web site now.
- I am an employer. One of my employees is losing coverage:
- I am an employee who is losing coverage:
- Questions about this expiring coverage?
I want to convert:
I have an individual Life Conversion Request for information Form with Part A completed and signed by my employer:
I do not have an individual Life Conversion Request for information Form with Part A completed and signed by my employer:
- Complete Part B of the Request for Information form and return it to HRMP within the conversion period,which is usually 31 days from the date the group life insurance terminated. If you do not return the form within the conversion period, you may lose the right to convert.
- You may mail, fax or e-mail the form to HRMP
To Mail: To Fax: To E-mail: HRMP Life Conversion Facility 300 Rosewood Drive, Suite 250 Danvers, MA 01923 978-762-4767 conversions@hrmp.com
- You do not need to do anything else.
- You may exit the web site now.
Rates are not available for this option. Please contact HRMP at 888-999-4767 to obtain a quote.