Symetra Financial Home Symetra Financial Home
Symetra NavigationEmployers & Plan Sponsors HomeRetirement ProgramsStop Loss

Group Benefits

Group Life Forms


Enrollment and Claim Forms

Conversion Forms

Portability Forms


Enrollment and Claim Forms

Your Symetra representative can help facilitate the enrollment process and work with you and the beneficiary in the event of a claim.

State-specific enrollment, evidence of insurability, and claim forms can be found here.


Conversion Forms

The Conversion Right enables an eligible employee, whose coverage under a Symetra Group Life policy is terminating, to request to continue all, or part, of their life Basic or Supplemental insurance coverage. Benefits may continue under an individual conversion policy and employees do not have to provide Evidence of Insurability.


Portability Forms

The Portability Continuation Privilege allows an eligible, terminated employee to continue the coverage that was in-force under the Symetra Supplemental Group Life policy at group rates as long as the portability option is included in the policy.

If you are unsure which portability form to use, please contact your Symetra Group
Life representative.