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
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