Plans and Forms
Greenbush Health
PO Box 127
947 W 47 Highway
Girard, KS 66743
1 800 595-2955
1 620 724-6287 (fax)
Bret Howard
Plan Administrator
Life & Health Insurance Agent
NPN: 21105251
Sun Life Financial - formerly Assurant Employee Benefits
March 2016, Assurant announced Sun Life's acquisition of Assurant Employee Benefits from Assurant, Inc. Since then, we've been working diligently to bring the two businesses together under the Sun Life brand.
Greenbush Health plan features competitive group rates, convenient payroll deductions, coverage for you and your dependents and a guaranteed issue amount up to $100,000 for employees at first opportunity.
***In order to print brochures and / or forms please download them first.***
Sun Life Financial BENEFITS SUMMARY - ENROLLMENT FORM - RATES 2021 & 2022
Sun Life Financial BENEFITS SUMMARY - ENROLLMENT FORM - RATES 2023 & 2024
Sun Life Financial Evidence of Insurability
Sun Life Financial Employee Beneficiary Tips
Sun Life Financial Employee Beneficiary Designation Form
Sun Life Financial Life Claim Employee Statement & Form (Claimant)
Sun Life Financial Life Claim Employer Statement & Form ( Employer)
Sun Life Life and Disability Claim Packet (Employee)
Portability and Conversion Form
Sun Life advises group leaders fill out the Conversion and Portability Notice below for the employee that is losing their Sun Life coverage, give the notice to the employee and tell them to call Sun Life for more information. Sun Life will send them the appropriate application, please make sure your employee knows they only have 31 days to apply and make payment if they are wanting to "convert" or "port" their Sun Life policy.
Sun Life Financial Employee Conversion and Portability Notice
Forms below are for:
USD 286 Chautauqua County Community (Sedan)
Sun Life Financial BENEFITS SUMMARY - ENROLLMENT FORM - RATES 2023 & 2024
Employee Application Voluntary Life Coverage Only
The above Benefit Summary is a brief summary of the coverage available under this program. It is not a legal document and the exact provisions of the benefits and exclusion are contained in the actual policy certificates.