||In increments of $10,000 up to 7X-salary to a maximum of $750,000.
||Note: Salary is defined as your base salary plus other taxable income.
|Guaranteed Issue Amount:
||The guaranteed issue amount is the amount of insurance that you may
elect without providing evidence of good health. The guaranteed issue
amount is the lesser of 3X Base Salary Amount of Employee (BAE), or
||Benefits will not be reduced for active employees based upon age.
Retirees' benefits will be reduced by 35% at ages 70 and 75.
||You may also elect coverage on the lives of your spouse and/or dependent
children. To qualify, children must be unmarried and less than 19 years
(24 years if a full-time student). Also, unmarried children over the
age of 19 who are disabled may be eligible if certain conditions are
met. A Personal Health Application will not be required for your
spouse or child unless you are a late enrollee or your spouse coverage
exceeds the spouse's guaranteed issue amount. Dependent coverage is
available only when you elect coverage for yourself.
||If your spouse or dependent child is confined in a hospital or
elsewhere because of disability on the date his or her insurance would
normally have become effective, coverage (or an increase in coverage)
will be deferred until that dependent is no longer confined and has
performed all the normal activities of a healthy person of the same age
for at least 15 consecutive days.
||Spouse's Benefit Amount: May be purchased in increments of $10,000
to a maximum of $250,000. You may not elect coverage for your spouse if
your spouse is covered as an employee under this policy. A spouse's
benefit amount cannot exceed the amount of the employee's Supplemental
Life amount. Spouse's guaranteed issue amount: $50,000.
||Child's Benefit Amount: May by purchased in increments of $1,000
to a maximum of $25,000 per child. Child's amount cannot exceed the
employee's Supplemental Life amount. Child's guaranteed issue amount:
|Portability or Conversion
|If you leave your employer, portability is a continuation option
that allows you to continue your coverage for you. To be eligible you must
terminate your employment while you are under the Social Security
definition of retirement age (age 65 or older based on your year of
birth) and you must be porting a minimum of $5,000. The option allows
you to continue all or a portion of your Supplemental Life insurance
under a separate portability term policy. Portability is subject to a
maximum of $250,000. If portability is also offered on spouse and child
coverage, it is subject to a maximum of $50,000 spouse and $10,000
child. To elect portability, you must apply and pay the premium within
31 days of the termination of your Supplemental Life insurance. Proof of
good health will not be required.
||If your Supplemental Life insurance terminates, the plans Conversion
Privilege allows you to convert all or a portion of your group coverage
to an individual policy from Hartford Life. The conversion amount will
depend on the reason coverage is terminating. You must request
conversion and pay the required premium within 31 days of the date your
Supplemental Life insurance ends. No evidence of good health will be
||PORTABILITY OR CONVERSION MAY BE ELECTED UPON TERMINATION OF
||Living Benefits Option:
||Should you be diagnosed as terminally ill with a 12-month life
expectancy, the Living Benefits Option allows you to receive an
accelerated payment of a portion of your life insurance proceeds. The
option is available to individuals with at least $10,000 in group
coverage from Hartford Life, subject to any maximum age limit described
in the policy.
||You may request a minimum accelerated payment of $3,000 up to a
maximum of 80% of the insured's coverage or $500,000 whichever is less.
Funds are paid directly to you, with no policy restrictions on how you
use them. The remaining benefit is then payable to the beneficiary.
|Waiver of Premium:
||This provision applies if you become totally disabled before age 60
and your disability lasts for at least 6 months. You must provide proof
of your condition within one year of your last day of work and once we
approve, your coverage will continue without payment of premium up to
your Normal Retirement Age, as long as you remain totally disabled. The
premium for your dependent's coverage will also be waived if you are
disabled and approved for waiver of premium. Coverage for your
dependent's will end if the policy terminates. Payment of premium is
required until waiver is approved by Hartford Life.