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Group Term Life Insurance

Through Church Life Insurance Corporation 

Enroll your employees now

If you are currrently providing this Group Term Life Insurance to your employees, new hires enrolling within 31 days of employment are guaranteed acceptance.

To enroll your staff, download the data collection form below or email us to request a form.

*This benefit is available for employees working at least 20 hours a week

Contact us

For low rates and coverage details:
Call (800) 480-9967

Monday - Friday
8:30 a.m. to 5:30 p.m. (Eastern)
Or email us

 

Forms View
Group Life Enrollment Data Collection Form
Note: requires Adobe v. 8 (see link at the end of this page)
View PDF

Instructions for completing the online form:

  • Enter your institution's billing information for Group Term Life Insurance in the appropriate boxes.
  • Click "Add New Hire" in the gray box in the lower left corner of the form.
  • Complete employee information.
  • To add another employee, click "Add New Hire" again.
  • When your information is complete, print the form and fax it to (212)592-8250 or mail it to:
    Church Pension Fund
    Attn: Policy Service Administration
    445 Fifth Avenue
    New York, NY 10016

Life Insurance and Other Insurance Disclaimer

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