Page 17 - OE Guide
P. 17
17











Voluntary Spouse Life
If you elect voluntary life insurance coverage for yourself, you may

also purchase coverage for your spouse. You can purchase coverage in
increments of $5,000 up to a maximum of $150,000 *. The cost per each
$5,000 of coverage is the same as the employee cost and is based on the
employee’s age. If you elect spouse coverage during this open enrollment
period, you will be required to complete an EOI form and be approved by
CIGNA. If you do not elect spouse coverage during this open enrollment
period, you may not elect at a later date unless you or your spouse has
a qualifying event, at which time your spouse must submit evidence of
insurability and be approved before coverage will be effective.



Voluntary Dependent Life

If you elect coverage for yourself, you can also elect dependent child
life coverage. This coverage is available in a lat payment of $10,000. *
If you do not elect coverage when initially eligible, you may not elect
coverage at a later date unless you or your dependent has a qualifying
event. Dependent life coverage is guaranteed, with no medical questions
required.


* Coverage will not be effective unless your spouse and/or dependent child(ren) are performing
the functions of similarly situated spouses/dependent children.

Dependents are eligible from 14 days old up until 26 years of age. The
rate for dependent child coverage is $0.92 per pay period. One premium
will insure all your eligible children, regardless of the number of children
you have.





















2016 Open Enrollment
   12   13   14   15   16   17   18   19   20   21   22