Page 5 - Enrollment Guide

5

Newly Eligible Participant Open Enrollment
Short Term No EOI required EOI required
Disability
Long Term No EOI required EOI required
Disability
Basic Life No EOI required Not Applicable
(Company
Paid)
AD&D No EOI required Not Applicable
(Company
Paid)
Voluntary No EOI up to Guarantee Issue Can increase $10,000 up to
Life of $300,000; EOI required at Guarantee Issue of $300,000
$300,000+; Special Guarantee during Open Enrollment
Issue rules apply at age 65+ without EOI; increases more
than $10,000 or any increase
exceeding $300,000 will require
EOI
Voluntary No EOI required up to Can increase spousal life
Dependent Guarantee Issue of $30,000 insurance by $5,000 up to the
Life for spousal life insurance; $30,000 Guarantee Issue during
EOI required at $30,000+ for Open Enrollment without EOI;
spousal life insurance; No EOI Increases more than $5,000
required for dependent child life or any increase exceeding the
insurance $30,000 Guarantee Issue will
require EOI for spouse life
insurance; no EOI required for
child(ren)

Termination of Benefits

All beneits end on the day of termination.

Benefit Guide 2016