Page 13 - 2018 BH Management Guide
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BH Management Services, LLC



Life and Disability Insurance The Hartford



Life and disability insurance is provided through The Hartford. Policy #696980
www.thehartfordatwork.
Basic Life and Accidental Death and com/thaw/
800.523.2233
Dismemberment (AD&D) Insurance

The company automatically provides you this beneit. The beneit is paid
to the beneiciary (or beneiciaries) you designate, in writing. Remember
to designate a beneiciary for your basic life insurance policy for life

insurance and accidental death and dismemberment (AD&D) insurance.


Employee Voluntary Life and AD&D Insurance

You are eligible to purchase voluntary life insurance in increments of
$10,000 up to a maximum beneit of $500,000. You can elect up to
$150,000 in coverage without submitting evidence of insurability (or
proof of good health). The same coverage options exist for voluntary
AD&D insurance. The beneit is paid to the beneiciary (or beneiciaries)
you designate, in writing. Remember to designate a beneiciary for your
voluntary life insurance policy.



Spouse and Dependent Voluntary Life and AD&D
Insurance

If you elect voluntary life coverage for yourself, you can also elect

voluntary life coverage for your spouse in coverage increments of $5,000 Evidence of
up to a maximum beneit of $250,000 or 50% of your elected coverage. Insurability (EOI)
You can elect up to $50,000 in coverage for your spouse without
submitting proof of good health. If you are newly eligible and
have not previously waived
Dependent child life coverage is also available if you have elect coverage your opportunity to elect
for yourself. Dependent children from 15 days to 6 months old are coverage, you can elect up to
eligible for a $1,000 beneit. Dependent children from 6 months to age the guaranteed issue amounts
without submitting EOI, also
19 (extended to age 25 for full-time students) are eligible for a $10,000 known as proof of good health.
beneit. All dependent child elections are guaranteed issue without If you are a late entrant
needing to submit proof of good health. If your spouse or dependent and have previously waived
dies while covered by this plan, the beneit is paid to their designated the opportunity to purchase
additional coverage, you may
beneiciary (or beneiciaries). Remember to elect a beneiciary for this be required to submit EOI.
coverage.



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