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Employer Forms

All Forms Disability Retirement Forms Health Insurance Credit Forms Group Life Insurance Forms Miscellaneous Forms Non-VRS Forms Optional Retirement Forms Payroll Forms Purchase of Prior Service Forms Retirement Forms Virginia Sickness & Disability Forms (state only)

employer Group Life Insurance Forms

Form #	Description	Last Updated	Non-fill	Fillable
N/A	Minnesota Life/VRS Life Insurance Forms Page
VRS-2	Designation of Beneficiary To designate more than 4 beneficiaries, a continuation form, the VRS-2A, is also required.	07/2009	42kb	169kb
VRS-2A	Designation of Beneficiary - Continuation	07/2009	30kb	153kb
VRS-11A	Employer Certification of Basic Group Life Insurance Coverage Under Workforce Transition Act	02/2009	27kb	106kb
VRS-27	Waiver of Life Insurance Coverage	12/2003	82kb	171kb
VRS-31	Accidental Dismemberment and Loss of Sight	06/1999	17kb
VRS-32	Group Life Evidence of Insurability	02/2006	90kb
VRS-35E	Conversion of Group Life Insurance Enrollment	09/2008	186kb
VRS-37	Absolute Assignment of Group Life Insurance	02/2008	44kb
VRS-38	Assignees Change of Beneficiary	02/2008	46kb
VRS-39	Application for Optional Life Insurance	12/2006	79kb
VRS-39A	Request for Change Under Optional Group Life Insurance Plan	04/2004		54kb
VRS-39R	Retiree Optional Life Continuation	05/2001	45kb

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Last Modified: 8/21/2009 10:45:51 AM    © Copyright Virginia Retirement System - 2009