AG Employee Benefits has sent you a mail because you no longer meet the conditions for group insurance, without terminating your employment contract. This situation is particularly possible if you have recently changed your job with your employer.

If you decide to leave your acquired reserves in your group insurance and at the same time receive a death cover equal to your acquired reserves, then you must return the duly completed and signed form to AG Employee Benefits at the address mentioned on this one. Do not forget to include your references (as shown on the mail that AG Employee Benefits sent you).

If you would like further information when filling out the form, do not hesitate to consult the key moment 'I leave my employer'