Help your family cover your final expenses, including funeral costs - life insurance helps your family during a difficult time by providing additional financial resources when they need it most.
Updated October 2021: Cigna Life Insurance acquired by New York Life Insurance
Over the next several months, employees may notice rebranded brochures or forms with
the New York Life logo. The benefits are not changing nor the rates associated with
these benefits.
Who is Eligible?
VGLIP coverage is available to active, permanent full-time or permanent part-time employee who works at least 50% of the full-time work week or a temporary full-time or part-time faculty member working at least 50% of full-time for one full academic year.
Benefits elected within the first 31 days of eligibility will be issued without evidence
of good health (subject to applicable coverage limits). If you wish to elect at any
other time or elect coverage in excess of the guaranteed issue limits, evidence of
good health will be required.
How much coverage can I get?
Employee - increments of $10,000; guaranteed coverage $150,000; maximum coverage $500,000
Spouse - increments of $5,000; guaranteed coverage $25,000; maximum coverage $100,000
Children- amounts of $5,000 or $10,000, guaranteed coverage $10,000
Programs offered with enrollment in VGLIP:
- Survivor Assurance Services
Beneficiary support services, including bereavement counseling, legal and financial guidance. - My Secure Advantage
Will preparation, identify theft and money coaching services.
Forms and Information
- VGLIP Certificate
- VGLIP Conversion Application
- VGLIP Family Portability Form
- VGLIP Dependent Child Portability Form
- Portability vs. Conversion
- VGLIP Waiver of Premium Form
- VGLIP Proof of Loss Form
- VGLIP Affidavit of Disabled Child Form
Enrollment and Evidence of Insurability (EOI)
Bloomsburg - Enrollment / EOI
California - Enrollment / EOI
Cheyney - Enrollment / EOI
Clarion - Enrollment / EOI
East Stroudsburg - Enrollment / EOI
Edinboro - Enrollment / EOI
Indiana - Enrollment / EOI
Kutztown - Enrollment / EOI
Lock Haven - Enrollment / EOI
Mansfield - Enrollment / EOI
Millersville - Enrollment / EOI
Shippensburg - Enrollment / EOI
Slippery Rock - Enrollment / EOI
West Chester - Enrollment / EOI
Office of the Chancellor - Enrollment / EOI