Termination

For termination/resignation, complete the forms below.

• GROUP COVERAGE CHANGE FORM
• LIFE INSURANCE COVERAGE WHEN LEAVING EMPLOYMENT (optional – you can convert your group life insurance to an individual plan upon termination of employment for EEs below 67)

REMINDER: If You Have Enrolled In Voluntary Critical Illness, Please Contact Industrial Alliance To Cancel The Coverage And Premium Deduction.

• MEDICAL SERVICES PLAN INFORMATION