Page 18 - Ruby Tuesday 2014 Life Enrollment
P. 18
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Ruby Tuesday, Inc. (#737552) - Full Time
Your Summary of Group Life and AD&D Ultra® Benefits
Basic and Supplemental Term Life
Basic and Supplemental Accidental Death and Personal Loss Coverage (AD&D Ultra®)
Coverage Effective Date: 01/01/2015

Your Group Life Insurance Benefits
Protecting your greatest asset - your family

Am I eligible for Coverage?

You qualify if you are an active Hourly Paid Non-exempt Team Member; except an employee included in any other class,
reasonably expected to work 30 or more hours per week

When does my coverage begin?

Your coverage up to the The "Guaranteed Issue Amount" is the most coverage you can get without having to
Guaranteed Issue Amounts will provide proof of good health, known as "EOI".
begin on 01/01/2015, if you are
actively at work.* *Please review your policy documents for more information.

Coverage that requires proof of You will have to provide proof of good health (EOI) for amounts over the "Guaranteed
good health will begin after Aetna Issue Amounts". If Aetna does not approve your Evidence of Insurability (EOI) form, your
reviews and approves your "EOI" coverage will be limited to the "Guaranteed Issue Amount". If you enroll late, you will need
form. to provide proof of good health and be approved by Aetna to get any coverage.

Can I buy coverage and how much will it cost?

You can buy additional coverage called Supplemental Life insurance for yourself and your spouse and children. You can
also purchase Supplemental AD&D Ultra® coverage for yourself and your spouse and children.

Life, AD&D Ultra, STD and LTD policies have limitations and exclusions. The purpose of this Benefit Summary and any additional enrollment materials or brochures is to give
a general overview of the policies. Complete coverage information can be found in the policy documents issued by Aetna to your employer. Please review the policy
documents to familiarize yourself with the terms of coverage. If there is a discrepancy between the policy documents and these materials, the terms of the policy documents
will apply.
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