Page 197 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat

• Click Employee Supplemental Life/Employee Supplemental Life Spouse or decline Employee
Supplemental Life/Employee Supplemental Life Spouse
• Select a coverage amount, in $10,000 increments, from $10,000 to $300,000 for employee
supplemental Life. Select a coverage amount, in $10,000 increments from $10,000 to $150,000
for Employee Supplemental Life Spouse.
o Your per pay period costs will appear. Rates are based on your /your spouse’s age as of
January 1.
• If electing coverage over $80,000 for yourself, or over $50,000 for your spouse, you or your
spouse will need to complete the Evidence of Insurability form.
o Click EOI_FAQ link in the right column, highlighted in yellow. Read the document and
follow the links to complete the EOI.
• Identify your Beneficiary(s)
• Identify Primary or Secondary designations as well as percentage of benefit distribution (total
must equal 100%).
Click Next

Employee Supplemental Life-Child
Click Child Supplemental Life or decline Child Supplemental Life
Coverage amount is a flat $10,000. Your per pay period cost will appear.

Click Next

Accidental Death/Dismemberment (AD&D) Insurance Employee/Spouse/Child
Click AD&D Employee/Spouse/Child or decline AD&D Employee Life/Spouse/Child

Select a coverage amount, in $10,000 increments, from $10,000 to $300,000 for you, the employee,
from $10,000 to $150,000 for spouse, and a flat $10,000 for child/children. Your per pay period costs
will appear. Rates are based on your age or your spouse’s age as of January 1.

If electing coverage over $80,000 for yourself or over $50,000 for your spouse, you/your spouse will
need complete the Evidence of Insurability form. Click EOI_FAQ link in the right column, highlighted in
yellow. Read the document and follow the links to complete the EOI.

Identify your Beneficiary(s).

Identify Primary or Secondary designations as well as percentage of benefit distribution (totals must
equal 100%).

Click Next