Group Life Insurance

The Basic Life Insurance and your Accidental Death and Dismemberment Insurance of $20,000 are provided to you by the Commonwealth of Kentucky at no cost to you. Although this basic coverage may be sufficient for some, for many, additional coverage may be necessary to provide essential financial protection to you and your family. That is why we are pleased to offer you Optional Life Insurance and Dependent Life Insurance for your family. You have the option of enrolling in both of these coverages.

Select the following links for additional information regarding your benefits.

Plan Details

Rates (PDF - 16 KB)	Enrollment Brochure and Booklet Certificate (PDF - 539 KB)
Highlights
Frequently Asked Questions	Converting your state sponsored Group Term Life Insurance to an Individual Whole Life Insurance Plan (PDF - 171 KB)
General Information (PDF - 42 KB)	Group Life Insurance Administration Details for New Groups (PDF - 37 KB)

Group Life Insurance Forms

Enrollment Brochure and Booklet Certificate (PDF - 539 KB)	Sample Conversion Letter (PDF - 18 KB)
Designation of Beneficiary Form (PDF - 61 KB)	Employee Change Request (PDF - 11.1 KB)
Enrollment / Change / Termination Form (PDF - 49 KB)	Refund Request Form (PDF - 23.1 KB)
Sample Leave Without Pay Instructions(PDF - 26 KB)	Supply Request - Prudential (PDF - 32.5 KB)