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Group Life Insurance

Basic Life Insurance and Accidental Death and Dismemberment Insurance of $20,000 are provided to you free of charge, by the Commonwealth of Kentucky. Additional coverage for you and family members is optional.

Select the following links for additional information regarding your benefits.

Plan Details

Rates (PDF - 17 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 UPDATING
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)