This form will allow you to determine the cost to you to maintain your benefits during a leave. Please select the benefits you currently have and would like to keep during your leave. Uncheck those you do not wish to keep.
**If you choose to maintain any or all of these items you must also make the monthly premium payment for your Basic Group Life Insurance. If you elect not to maintain any of these and then later wish to rejoin, you will need to re-apply for coverage, submitting a health questionnaire and a medical examination may be necessary at your own expense.
***If you elect not to maintain IRP, your coverage will be automatically reinstated the date you return to work from leave. After your return to work, IRP benefits will not be paid for any disability resulting directly or indirectly from an impairment before your coverage is reinstated (pre-existing condition). If you have not had continuous IRP coverage for 12 months prior to submitting a claim, the claim may be subject to an investigation by Sun Life regarding a pre-existing condition.