Group Conversion

On termination of your employment, you may be eligible to convert the following Group Benefits to individual plan(s) without health evidence.

• Life Insurance, Accidental Death & Dismemberment benefit
• Extended Health and Dental benefit
• Critical Illness (subject to continuous coverage for 24 months)

Policies will be issued only if application is made within certain time limits:

• 31 days after your termination date for Life, AD&D and Critical Illness
• 60 days after your termination date for Extended Health and Dental

Please contact us for more information and consult your Group Insurance employee booklets for further information.

To Convert My Extended Health And Dental Benefits

Use this link to connect to the ManuLife "Follow Me" conversion website to view your choice of conversion plans, rates and even sign up on-line!

• Manulife Financial FollowMe

To Convert My Life, AD&D and / or Critical Illness Benefits

Use this form to send an E-Mail to a BBD Administrator with the details necessary to convert your group Life Insurance, AD&D and / or Critical Illness benefits.

Convert My Life, AD&D and / or Critical Illness Benefits request E-Mail
Employee Name:
E-Mail Address:
Subject:	Convert My Life, AD&D and /or Critical Illness Benefits request
Employer Name:
Phone Number:
Termination Date:
Smoker:	Yes No
Convert:	Life AD&D CI
Comment *:

*Note: Optional field.