SECTION 1 - SCHEDULE OF BENEFITS
ELIGIBILITY REQUIREMENTS FOR INSURANCE BENEFITS
What is the Minimum Hourly Requirement?
Employees working a minimum of 30 regularly scheduled hours per week
What is the Classification of Covered Employees? Class 1 All active, full-time Employees Note: This policy does not cover the following Employees: Temporary and Seasonal Employees, and Employees who are not legal residents working in the United States.
What is the Eligibility Waiting Period? 1.
If you are employed by the Sponsor on the plan effective date - First of the month following 90 days of continuous, Active Employment If you begin employment for the Sponsor after the plan effective date - First of the month following 90 days of continuous, Active Employment
2.
Are Employee Contributions Required? Employee Basic Life Insurance Benefits: Employee Optional Life Insurance Benefits:
No Yes No Yes Yes Yes
Employee Basic Accidental Death and Dismemberment Insurance Benefits: Employee Optional Accidental Death and Dismemberment Insurance Benefits:
Dependent Optional Life Insurance Benefits:
Dependent Optional Accidental Death and Dismemberment Insurance Benefits:
GLC-SCH-1
Schedule of Benefits
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