Group Life Insurance
Group policy structure, contributory and noncontributory plans, certificates, eligibility, conversion privileges, and taxation concepts.
Master Policy and Certificate
In , the policyholder—often an employer—holds the . Covered employees receive a describing their coverage.
Contributory vs. Noncontributory Plans
In a plan, employees pay part of the premium and minimum participation requirements may apply. In a plan, the employer pays the entire premium and eligible employees are generally covered automatically.
Contributory
- Employees share premium cost
- Participation requirement commonly applies
Noncontributory
- Employer pays full premium
- Eligible employees generally covered automatically
Eligibility and Probationary Periods
Group plans may define eligibility based on employment status, hours worked, class, or waiting/probationary periods. Coverage begins according to the plan's eligibility rules.
Evidence of Insurability
Employees enrolling when first eligible may receive coverage without individual up to plan limits. Late enrollment or excess coverage may require evidence.
Conversion Privilege
When group coverage terminates because employment ends or eligibility changes, an insured may have a limited period—commonly 31 days under many group-life provisions—to convert to an individual policy without new .
Conversion is time-limited. Do not assume the privilege lasts indefinitely.
Dependent Coverage
Group plans may provide dependent life coverage for spouses or children according to plan terms and applicable law.
Group Term Tax Concepts
Employer-provided can have federal income-tax consequences above certain statutory coverage levels. Exam questions may test the basic concept rather than detailed tax calculations.
Lesson 6 Quick Review
- Employer usually holds the .
- Employees receive certificates of insurance.
- plans share cost; plans are employer-paid.
- Conversion can allow individual coverage without new if timely.
- Eligibility and participation rules are defined by the group plan.
Quick Knowledge CheckWho normally receives the certificate of insurance under a group life plan?
Covered employees receive certificates describing their benefits.
Source: PTH Life Insurance study framework — 8 General/National Lessons plus Massachusetts State Specific Laws