Madison National Life and Long Term Disability Insurance

Group Term Life and Voluntary Supplemental Life Insurance Certificates

Life Class 1
Life Class 2
Life Class 3
Life Class 4

Group Long Term Disability Insurance

Contact Benefits office for applicable class

LTD Class 1
LTD Class 2
LTD Class 3
LTD Class 4

Upon separation of employment, our Life Insurance plan has a conversion option. If you wish to take advantage of this option, you must make a written application for this provision within 31 days of your last date of eligibility. If you fail to elect this provision within the given 31 day time period, you will not be
able to take advantage of this provision at a later date. You may also use their website www.lifeconvmnl.com to get an instant quote for conversion and find answers to frequently asked questions. If you have any questions or need further information, please contact National Insurance Services at 800-627-3660.

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