Portability
Maximum Age of Portability
100 as of the date of porting Coverage continues to age 100 100% of inforce coverage amount
Portable Period
Amount of Portable Coverage Coverage(s) that may be ported Benefit(s) that may be ported
Employee
All Voluntary Critical Illness Coverage and Optional Benefits
CRITICAL ILLNESS BENEFITS FOR SPOUSE
SPOUSE BENEFITS Critical Illness Benefit Benefit Type
Benefit Amount
Voluntary Critical Illness Coverage Initial Benefit Amounts
50% of Employee Benefit Amount
Maximum Benefit
$10,000
New Enrollees Guaranteed Issue Amount
Initial Group Enrollment Annual Group Enrollment
$10,000 $10,000 $10,000 $10,000
Life Status Change
New Hire
Current Insureds Guaranteed Issue Amount
Initial Group Enrollment Annual Group Enrollment
$10,000 $10,000 $10,000
Life Status Change
Benefit Waiting Period:
None
Portability
Maximum Age of Portability
100 as of the date of porting Coverage continues to age 100 100% of inforce coverage amount
Portable Period
Amount of Portable Coverage Coverage(s) that may be ported Benefit(s) that may be ported
Spouse
All Voluntary Critical Illness Coverage and Optional Benefits
CRITICAL ILLNESS BENEFITS FOR DEPENDENT CHILD(REN)
DEPENDENT CHILD(REN) BENEFITS Critical Illness Benefit Benefit Type Voluntary Critical Illness Coverage Initial Benefit Amounts
Benefit Amount
50% of Employee Benefit Amount
Maximum Benefit
$10,000
3
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