Page 160 - 2022 Washington Nationals Flipbook
P. 160
Class 2: Members covered under the Minor League Health &
Class 3: Welfare Plan
Eligibility Waiting Period: Members covered under the Major League Baseball Benefit
Plan
Evidence Of Insurability: You are eligible on one of the following dates, but not
before the Group Policy Effective Date:
Life Insurance: If you are a Member on the Group Policy Effective Date,
AD&D Insurance: you are eligible on the first day of the calendar month
coinciding with or next following 30 consecutive days as a
Member: Member.
Dependents Life Insurance: If you become a Member after the Group Policy Effective
Date, you are eligible on the first day of the calendar
Spouse: month coinciding with or next following 30 consecutive
Child: days as a Member.
Required:
a. For late application for Contributory insurance.
b. For reinstatements if required.
c. For Members and Dependents eligible but not insured
under the Prior Plan.
d. For any Plan 2 Life Insurance Benefit in excess of the
Guarantee Issue Amount of $80,000.
e. For any Plan 2 Dependents Life Insurance Benefit for
your Spouse in excess of the Guarantee Issue Amount
of $10,000.
f. For any increase resulting from a plan or option
change you elect.
PREMIUM CONTRIBUTIONS
Plan 1: Noncontributory
Plan 2: Contributory
Plan 1: Noncontributory
Plan 2: Contributory
Plan 2: Contributory
Plan 2: Contributory
Plan 1: Noncontributory
Plan 2: Contributory
Plan 1: Noncontributory
Plan 2: Contributory
Printed 01/29/2015 -2- 151138-D

