Page 14 - Guide
P. 14
2017 New Hire Guide
Basic Life and AD&D
Evidence of
Insurability
(EOI) Basic group term life and accidental death and dismemberment (AD&D)
Requirements insurance is provided to you at no cost through The Hartford. This beneit
is equal to one times your annual salary, up to $50,000. In addition, you may
EOI is medical underwriting purchase supplemental life coverage in $10,000 increments up to three times
for supplemental life
coverage. It is required if your annual earnings or $300,000.
amounts over the guarantee
issue are requested or if you Your basic AD&D coverage amount equals your basic life beneit.
are enrolling outside the
normal enrollment periods. Supplemental Life Insurance Specifics
Your supplemental life You must be enrolled for supplemental beneits in order to be eligible for
purchases which exceed supplemental dependent life coverage
$100,000 require EOI. No
EOI is required for spouse or Supplemental dependent life insurance coverage may be purchased in the
children if timely enrolled. following amounts
Life insurance purchase Spouse—$10,000 increments to a maximum beneit of $150,000; the
amounts requiring EOI do amount cannot exceed 50% of the employee’s supplemental coverage
not become effective (and Children
therefore premiums are not
deducted from your pay) 14 days to six months—$500
until approval is obtained
from The Hartford or the Six months to 19 years; 25 years if a full-time student—in $2,500
effective date of your units to $10,000
beneits, whichever comes On the date you attain age 65, the beneit is reduced by 35%; a 25%
later.
reduction occurs at age 80
If you have applied for You must name a beneiciary—the person or persons who would receive
supplemental life insurance
and you do not provide a your life insurance beneit; if you do not name a beneiciary, the beneit
statement of good health, will be paid to your estate
or if such evidence is not
accepted by The Hartford as During your initial new hire eligibility period, The Hartford will allow you
satisfactory, the amount of to elect coverage up to the guaranteed issue amounts without submitting
your supplemental coverage evidence of insurability. If you want to increase your election beyond the
will not be more than the guaranteed issue amounts, evidence of insurability will be required before The
amount for which you were
covered immediately prior to Hartford will inalize and approve your election.
the date on which any such
increase would have become The guaranteed issue amounts are as follows.
effective.
Employee guaranteed issue amount = 3x earnings to $100,000
Spouse guaranteed issue amount = $50,000
14 Child(ren) guaranteed issue amount = $10,000
Basic Life and AD&D
Evidence of
Insurability
(EOI) Basic group term life and accidental death and dismemberment (AD&D)
Requirements insurance is provided to you at no cost through The Hartford. This beneit
is equal to one times your annual salary, up to $50,000. In addition, you may
EOI is medical underwriting purchase supplemental life coverage in $10,000 increments up to three times
for supplemental life
coverage. It is required if your annual earnings or $300,000.
amounts over the guarantee
issue are requested or if you Your basic AD&D coverage amount equals your basic life beneit.
are enrolling outside the
normal enrollment periods. Supplemental Life Insurance Specifics
Your supplemental life You must be enrolled for supplemental beneits in order to be eligible for
purchases which exceed supplemental dependent life coverage
$100,000 require EOI. No
EOI is required for spouse or Supplemental dependent life insurance coverage may be purchased in the
children if timely enrolled. following amounts
Life insurance purchase Spouse—$10,000 increments to a maximum beneit of $150,000; the
amounts requiring EOI do amount cannot exceed 50% of the employee’s supplemental coverage
not become effective (and Children
therefore premiums are not
deducted from your pay) 14 days to six months—$500
until approval is obtained
from The Hartford or the Six months to 19 years; 25 years if a full-time student—in $2,500
effective date of your units to $10,000
beneits, whichever comes On the date you attain age 65, the beneit is reduced by 35%; a 25%
later.
reduction occurs at age 80
If you have applied for You must name a beneiciary—the person or persons who would receive
supplemental life insurance
and you do not provide a your life insurance beneit; if you do not name a beneiciary, the beneit
statement of good health, will be paid to your estate
or if such evidence is not
accepted by The Hartford as During your initial new hire eligibility period, The Hartford will allow you
satisfactory, the amount of to elect coverage up to the guaranteed issue amounts without submitting
your supplemental coverage evidence of insurability. If you want to increase your election beyond the
will not be more than the guaranteed issue amounts, evidence of insurability will be required before The
amount for which you were
covered immediately prior to Hartford will inalize and approve your election.
the date on which any such
increase would have become The guaranteed issue amounts are as follows.
effective.
Employee guaranteed issue amount = 3x earnings to $100,000
Spouse guaranteed issue amount = $50,000
14 Child(ren) guaranteed issue amount = $10,000
