If an individual ceases to be insured for group term life insurance, he/she may be able to convert some or all of the coverage to permanent whole life insurance depending on the terms of the booklet/certificate. To convert coverage, you will need:
Additional form(s) available:
Please Note:
- Bring your completed application and other required items to a Prudential Financial Representative or send them directly to us at the address noted on the application. Although you can apply for the conversion without a consultation, we recommend that you contact a Prudential Financial Representative who can assist you, without cost or obligation. Locate a Prudential Financial Representative
- An application, Notice and 1st premium payment must be received by Prudential Financial to evaluate the conversion request. Refer to the terms of the booklet /certificate regarding time frames allowed for the conversion privilege. If you need a booklet/certificate, contact your employer.
- Minnesota, New York and West Virginia residents may be able to apply for a term life insurance policy. For information please contact us toll free at 877-889-2070.
- Canadian residents should contact Manion Wilkins & Associates, Ltd. for rate and product information and an application for coverage.
Manion Wilkins & Associates, Ltd.
230 Norseman Street, Etobicoke, Ontario M8Z6A2.
Toll free number @ 1 (877) 242-8632, then press #2.
Fax number @ 1 (416) 234-2071
- We are providing these materials to you for informational purposes and to assist you in making a decision relative to converting your coverage. These materials do not constitute a contract to provide insurance and coverage is not guaranteed. Conversion can only be provided if you comply with all the steps outlined above and if supported by the terms of your booklet/certificate.
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