SECTION 1 - SCHEDULE OF BENEFITS (Continued)
What are the Evidence of Insurability Requirements?
Non-Medical Maximum: Employee Optional Life Insurance Benefits:
$300,000.00
Dependent Spouse Optional Life Insurance Benefits:
$50,000.00
Any amounts of insurance in excess of the amount shown above that are due solely to salary increases are not subject to Evidence of Insurability.
Annual Enrollment: Employee Optional Life Insurance Benefits:
Any increases of more than one level above the current benefit level will be subject to Evidence of Insurability.
Any increases elected during Annual Enrollment will be subject to Evidence of Insurability if an Employee has previously been denied coverage. The Non-Medical Maximum will apply to any changes made during the Annual Enrollment Period. Dependent Spouse Optional Life Insurance: Any increases of more than one level above the current benefit level will be subject to Evidence of Insurability.
Family Status Change: Employee Optional Life Insurance Benefits:
Any increases of more than one level above the current benefit level will be subject to Evidence of Insurability.
Any increases elected due to a Family Status Change will be subject to Evidence of Insurability if an Employee or Spouse has previously waived or been denied coverage. The Non-Medical Maximum will apply to any changes made due to a Family Status Change. Dependent Spouse Optional Life Insurance: Any increases of more than one level above the current benefit level will be subject to Evidence of Insurability.
GLC-SCH-5
Schedule of Benefits
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