2020 LFG Life Certificate

SECTION 3 - ELIGIBILITY AND EFFECTIVE DATES

What are the Eligibility Requirements for Employee and Dependent Insurance Benefits? The eligibility requirements for insurance benefits are shown in the Schedule of Benefits. What is your Eligibility Date for Insurance Benefits? Employee Coverage: If you are in an eligible class you will qualify for insurance on the later of: 1. this plan's effective date; or 2. the day after you complete the Eligibility Waiting Period shown in the Schedule of Benefits. Dependent Coverage: If you are eligible for Employee coverage you will be eligible for Dependent coverage on the later of: 1. the date you are eligible for Employee coverage if on that date you have a Dependent; or 2. the date you acquire a Dependent if on that date you are eligible for Employee coverage. If both parents are Employees, only one will be eligible for Dependent coverage with respect to their Dependent children. What Happens During the Annual Enrollment Period? During each Annual Enrollment Period, you may keep your coverage at the same level or make any one of the following changes in coverage for the next plan year, subject to any Evidence of Insurability Requirements as shown in the Schedule of Benefits: 1. decrease your coverage; 2. increase your coverage including enrolling for the first time. If you fail to enroll for a change in your coverage option during any Annual Enrollment Period you will continue to be insured for the same coverage option during the next plan year, unless you experience a Family Status Change.

GLC-ELG-1

Eligibility and Effective Dates

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