Stop Loss Applications for Presidential Life Insurance Company

Click on the state name of the group to open information about the stop loss application used for that state.
A list of the states where Presidential Life currently does not offer coverage is also below for your reference.

Group 1 Applications
(GSL3000App)
Group 2 Applications
(GSL4000App)
Group 3 Applications
(GSL3100P)
Alabama
Alaska
Arizona
California
Delaware
Idaho
Illinois
Indiana
Iowa
Maine
Minnesota
Mississippi
Missouri
Nevada
New Jersey
North Carolina
North Dakota
Ohio
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Utah
Washington
Wisconsin
Wyoming
Arkansas
Colorado
Connecticut
District of Columbia
Maryland
Michigan
Montana
Nebraska
New Mexico
Oklahoma
West Virginia
Georgia
Kansas
Louisiana
Massachusetts
Oregon
South Dakota
  States Currently
Not Offered
Group 4 Applications
(State Specific)
 
Hawaii
Vermont
New Hampshire
Virginia
Florida Kentucky New York
Most of EBU's forms are in PDF format. You can download a PDF reader from Adobe:

This page updated June 2009.