When leaving Walsh, you will have an exit discussion with Human Resources. This discussion covers items from the Separation and Benefits checklist. You will also be provided an opportunity to complete an Exit Interview Questionnaire. Human Resources will review the information provided by you in the exit discussion should you choose to complete the questionnaire.

Life & Critical Care Portability Forms

Accident Insurance Request for Portability (PDF)

Critical Illness Request for Portability (PDF)

Life Insurance Conversion (PDF)

Life Insurance Portability (PDF)

Supplemental Employee & Dependent Life Insurance Portability (PDF)

Election to Continue Group Long Term Care Insurance (PDF)

Individual Life Conversion Request (PDF)