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DA Memo - January 5, 2004
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New Form for Optional Group Life Insurance

Beginning January 1, 2004, employees who have optional insurance coverage and become disabled can continue their coverage at the group premium rates. Employees will pay their premiums directly to Minnesota Life Insurance Company.

Employees who left active employment before January 1, 2004, due to disability will continue to have their premiums waived. The waiver of premium on basic life insurance will continue.

What Employees Need to Do
Employees who want to continue their coverage while on disability need to complete the new "Optional Group Life Insurance Continuation While on Disability" form (KPERS-79C). See enclosed sample. The form must be submitted to the Retirement System within 30 days of the last day an employee is on the payroll. Once employees have submitted the form, Minnesota Life will communicate directly with the employee.

Other Important Life Insurance Changes Effective January 1, 2004

  • Start or Increase Coverage Anytime. Members can enroll at any time or increase their coverage, up to the plan maximum of $250,000, with proof of good health.
  • Family Status Change. A member can enroll for or increase their coverage by up to $25,000 (subject to the plan maximum of $250,000) without proof of good health, within 30 days of marriage, change in marital status, or the birth or adoption of a child.
  • Guaranteed Issue for New Hires. Newly hired employees can receive up to $50,000 of optional life insurance coverage without providing proof of good health.

KPERS Questions?

Minnesota Life Questions?

  • Toll-free (877) 215-1476

Enclosure (KPERS-79C form)