1. K-State home
  2. »Human resources
  3. »Forms
  4. »Optional Group Life Enrollment Form

Human Resources

Human Resources
Kansas State University
103 Edwards Hall
1810 Kerr Drive
Manhattan, KS 66506-4801


Directions to HR

HR Staff Directory

Contact HR
785-532-6095 fax

Kansas Public Employees Retirement System (KPERS) Optional Group Life Enrollment Form

Fill out the Optional Group Life Enrollment Form (pdf)

Benefits-eligible employees may purchase from $5,000 to $250,000 in optional group life insurance coverage. Coverage of $50,000 is guaranteed, regardless of health, when the insurance company receives the employee’s application within the first 30 days of employment. Premiums are paid through payroll deduction.

Related KSU Policy and Procedures Manual Chapter:  4820.070 Insurance Programs-Supplemental Life Insurance Plans