Page 253 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat
P. 253
OTHER PROVISIONS
Limits on Right To Convert if
Group Policy terminates
or is amended:
Minimum Time Insured: 5 years
Maximum Conversion Amount: $2,000
Suicide Exclusion: Applies to:
a. Plan 2 Life Insurance
b. Plan 2 Dependents Life Insurance on your Spouse
c. AD&D Insurance
Leave Of Absence Period: 60 days
Insurance Eligible For Portability:
For you:
Life Insurance Yes
Minimum amount: $10,000
Maximum amount: $300,000
AD&D Insurance Yes
Minimum amount: $10,000
Maximum amount: $300,000
For your Spouse:
Dependents Life Insurance Yes
Minimum amount: $5,000
Maximum amount: $100,000
For your Child:
Dependents Life Insurance Yes
Minimum amount: $1,000
Maximum amount: $5,000
Annual Earnings based on: Partners, L.L.C. Owner-Employees, Sole Proprietors, S-
Corporation Shareholders and P.C. Partners: Annual
compensation during the Employer's prior tax year (or the
Policyholder's prior tax year if you are a P.C. partner).
All other Members: Earnings in effect on your last full day
of Active Work.
Revised 08/10/2021 - 7 - 151138-D
