Kansas City Life Group Forms & Directories Library
ENROLLMENT FORMS
Employer Application Bundle & Checklist
Employee Application
| kcl_employee_application_ga175.pdf |
Health Statement (Use if applying for more than the GI amount)
| kcl_health_statement_ga176.pdf |
Verification of Dependent Status
| kcl_verification_of_dependent_eligibility_g30.pdf |
Employee Census Enrollment (Optional)
| kcl_excel_enrollment_census.xls |
Beneficiary Designation (Use for documentation when a paper application is not taken)
| kcl_beneficiary_designation_12351.pdf |
MISCELLANEOUS FORMS
Change of Information Form
| kcl_change_of_information_-_g129.pdf |
Portability Enrollment Form
| kcl_portability_enrollment_form_-_ga162.pdf |
Conversion Application Forms
| kcl_application_for_conversion_-_ga107.pdf |
| kcl_notice_of_conversion_right_-_g125.pdf |
CLAIM FORMS
Dental
| kcl_dental_claim_form_-_j400.pdf |
Long-Term Disability
| kcl_ltd_claim_form.pdf |
Short-Term Disability
| kcl_std_claim_form.pdf |
VSP Vision (Out-of-Network)
| vsp_oon_claim_form.pdf |
All other Forms and Directories for Group Products can be found HERE.