Page 13 - WJ Bradley 2015 Annual Enrollment
P. 13
W.J. Bradley





Elections requiring EOI will not become effective until The Hartford

has approved your EOI. If your election requires EOI, you will During this Annual Re-enrollment cycle
only, employees and spouses currently
receive an email from The Hartford after your on-line enrollment has enrolled in supplemental life can elect
been submitted. The email will include instructions and a link to The additional coverage without EOI, subject
Hartford site where you will complete the medical questionnaire. It is to the overall maximum.
important to note that if you do not sign up for this beneit as a new Employees may elect up to an additional
hire, you will be subject to a personal health evaluation prior to being $50,000 (in $10,000 increments), subject to
approved for future beneits, regardless of the amount you elect. a maximum of $350,000.

Spouses can elect up to an additional
Life and AD&D insurance beneits will be reduced by 35%, 60%, and $25,000 (in $5,000 increments), subject to
75% of the original amount at ages 65, 70, and 75, respectively, and will a maximum of $55,000.

terminate upon retirement.


Dependent Spouse Life Insurance
You can elect coverage for your spouse in $5,000 increments not to
exceed 50% of the supplemental employee life amount to a maximum
beneit of $175,000. You must elect Supplemental Employee Life/
AD&D insurance in order to purchase Dependent Spouse Life.

Evidence of Insurability (EOI) will be necessary if the dependent
spouse amount elected exceeds $55,000, or if you are a late entrant to
the plan.


Example: If the current spouse life beneit is $50,000 and an additional
$10,000 is elected during annual re-enrollment, the spouse would need
to submit EOI to be approved for the remaining $5,000 beneit.


New hires electing spousal voluntary life coverage for the irst time may
elect up to $55,000 in coverage without submitting EOI.


Dependent Child Life Insurance

Dependent Child coverage is also available in $2,500 increments to
a maximum of $10,000. You must elect Supplemental Employee
Life/AD&D insurance in order to purchase Dependent Child Life.
Dependents are eligible from 6 months to age 26. Dependent children
over 15 days of age but under 6 months of age are eligible for a lat
$250 of coverage.







13
   8   9   10   11   12   13   14   15   16