Life and AD&D Insurance
If You Leave the School District
If you leave the School District, your life insurance and AD&D benefits stop. You may convert all or part of your life insurance and AD&D benefits to an individual policy during the 31 days following the date your employment ends. You will not need a medical exam or evidence of insurability to convert your coverage but you will need to complete a written application. If you die within the 31 days after your employment ends, your life insurance benefit through the School District will be paid to your beneficiary. The benefit is equal to the same amount you would be entitled to if you had not left the School District.
The premium for the individual policy will be based on your age at the time you convert and for an amount that does not exceed your coverage in effect before your employment ended. Special conversion rules apply if coverage is terminated for all participants in your class. You must pay the first premium by the 31st day after your employment ends.
The life insurance converted policy’s Principal Sum will be an amount not over what you had at your time of termination. The AD&D converted policy’s Principal Sum will be the lower of: the Amount of Principal Sum applicable under the Policy or $250,000.
When you retire, you can convert all or part of your life insurance to an individual policy just as you could have had you left the School District for any reason.
Life and AD&D
Life and AD&D Insurance
Life Insurance Benefits
AD&D Benefits
Beneficiaries/Payment of Benefits
If You Become Disabled
If You Leave the School District
Related Forms and Documents
Local Life Insurance Beneficiary Form
Group Life Conversion
Life and AD&D
Certificate of Insurance
Additional Prudential Forms
Prudential Forms Library