Page 35 - 2022 Insurity OE Guide FINAL
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Reliance Standard – Employee Paid

        Supplemental Life and Accidental Death

        & Dismemberment





         Supplemental Life Insurance & Accidental Death      Evidence of Insurability
         & Dismemberment (AD&D)
         •  Employee maximum $650k elected in increments of $5k  None required when you are in your new hire eligibility
         •  AD&D: Automatically included and equal to your Supplemental   period up to the following Guaranteed Issue (GI) limits:
           Life election                                     •  Employee: GI up to $300k
         •  Spouse maximum $250k elected in increments of $5k up to age 70.   •  Spouse: GI up to $25k
           Spousal coverage cannot exceed 100% of Employee Supplemental    •  Child: GI is $10k
           Life coverage
                                                             Evidence of Insurability is required for any amounts requested above
         •  AD&D: Automatically included and equal to your Supplemental   the Guaranteed Issue or if you are a late entrant. Reliance Standard
           Life election                                     will review the Evidence of Insurability and can approve OR decline
         •  Child(ren) flat $10k amount, includes all eligible child(ren) age 14 days    the benefit requested.
           to 26 years                                       Please see below for additional information.
         •  AD&D: Automatically included and equal to your Supplemental
           Life election
         If you enroll yourself, you can choose to enroll your legal spouse
         and/or child(ren).

        Evidence of Insurability (EOI) is an application process   Evidence of Insurability is not required when:
        in which you provide information on the condition of   O   Qualifying Life Events (marriage, birth, etc.) with
        your health and/or your dependents’ health, in order to    elections made up to the Guaranteed Issue amount
        be considered for certain types of insurance coverage.     that are submitted within 31 days of the Life Event
        Additional medical information may be required based   O   Newly eligible employee (New Hire, Status change,
        upon completion of form and elected amounts.               etc.) with elections made up to the Guaranteed Issue

        EOI is used by insurance companies to determine whether    amount that are submitted within 31 days of the
        a person meets the definition of good health and is an     Life Event
        acceptable risk. Additional information may be required   O   Employee Supplemental Life elections up to $300k
        based upon the completion of the form and/or elected       during Open Enrollment, so long as already enrolled
        amounts.                                                   in the plan
        Evidence of Insurability is required when:             Please note:

        O   Supplemental Life and AD&D amounts exceed the      O   If you are required to submit EOI, it must be
            Guaranteed Issue                                       completed within 60 days
        O   An employee, spouse or child is a Late Entrant (did not   O   The increase in benefit is not in effect until after
            elect benefits when first eligible)                    the EOI is approved by Reliance Standard
        O   Employee Supplemental Life and AD&D amount is      O   The effective date of the increased amount is
            increased during Open Enrollment or a Qualifying Life   provided by Reliance Standard at the time of the
            Event above the Guaranteed Issue amount of $300k       approval and is not retroactive back to when it
        O   Any increase in Spousal Supplemental Life and AD&D     was elected
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