You - If you are an active, full-time employee and work at least 32 hours per week for your employer, you will be eligible to elect insurance for you and your dependents on the first of the month on or after 30 days of active service.
 

Your Spouse - Up to age 70 is eligible provided that you apply for and are approved for coverage for yourself.
 

Your Unmarried, Dependent Children - Under age 25, as long as you apply for and are approved for coverage for yourself. One low premium will insure all your eligible children, regardless of the number of children you have.
 

No one may be covered more than once under this plan. If covered as an employee, you can not also be covered as a dependent.

You - You can select life insurance coverage in units of $10,000. The maximum for any employee is the lesser of 5 times your annual salary or $500,000. The guaranteed coverage amount for you is $100,000.
 

Your Spouse - You may select coverage for your spouse in units of $5,000 to a maximum of $250,000. The cost of coverage will be based on your spouse's age. The guaranteed coverage amount for your spouse is $25,000.
 

Your Unmarried, Dependent Children - You may select coverage for your unmarried, dependent children in units of $1,000 to a maximum of $10,000. The maximum benefit for children under six months is $500. The guaranteed coverage amount for your child(ren) is $10,000.

If you and your dependents are eligible and you apply during the initial enrollment period, or within 45 days after you are eligible to elect coverage, you are entitled to choose any of the offered amounts of coverage up to the guaranteed coverage amount, as shown on your application, without having to complete proof of good health.
 

If you apply for an amount of coverage for yourself or your spouse greater than the guaranteed coverage amount, coverage in excess of the guaranteed coverage amount will not be issued until the insurance company approves acceptable proof of good health. Proof of good health may include a paramedical exam or physician's statement.
 

If you apply for coverage for yourself or your spouse more than 45 days from the date you become eligible to elect coverage under this plan, the guaranteed coverage amounts will not apply. Coverage will not be issued until the insurance company approves acceptable proof of good health. Proof of good health may include a paramedical exam or physician's statement.

The monthly cost of insurance for you and your spouse will depend on your ages and the amount of insurance you wish to purchase. As shown in the following chart, the cost of insurance increases with the age of the insured. Note that at age 65, your benefits are reduced. Spouse coverage ceases at age 70.
 

Employee/Spouse Age	Employee Monthly Cost per $10,000 Unit	Spouse Monthly Cost per $5,000 Unit
Under 20	$.00	$.00
20 to 24	.00	.00
25 to 29	.00	.00
30 to 34	.00	.00
35 to 39	0.00	.00
40 to 44	0.00	.00
45 to 49	0.00	0.00
50 to 54	0.00	0.00
55 to 59	0.00	0.00
60 to 64	00.00	0.00
65 to 69	00.00	0.00
70 to 74	00.00	—
75 to 79	00.00	—
80 to 84	000.00	—
85 to 89	000.00	—
90 to 94	000.00	—
95 to 99	000.00	—

The monthly cost for children is $.XX per $1,000 of coverage. One premium will insure all your eligible children, regardless of the number of children you have.
 

Maximum coverage: Employee- the lesser of 5 times your annual salary or $500,000; Spouse-$250,000; Children-$10,000 (under 6 months $500).

 

Costs are subject to change.

By the time you reach age 65, chances are that your children will be grown and your mortgage paid. At age 65, providing you are still employed, your coverage will decrease to 65% of the benefit amount. It will decrease to 50% at age 70. Premiums and coverage for your spouse will end at age 70; at that time your spouse may choose to convert this coverage to a permanent life insurance policy.

Accelerated Death Benefit - Terminal Illness

If you or your spouse is diagnosed by two unaffiliated physicians as terminally ill with a life expectancy of 12 months or less, the accelerated payment benefit for terminal illness provides for up to 75% of the life insurance coverage amount in force or $250,000, whichever is less, to be paid to the insured. This benefit is payable only once in the insured's lifetime, and will reduce the life insurance death benefit.
 

The terminal illness benefit may be taxable. As with all tax matters, an insured should consult with a personal tax advisor to assess the impact of this benefit.
 

Continuation for Disability for Employees Age 60 or over

If your active service ends due to disability, this plan provides a continuation of coverage feature. If you are disabled at age 60 or over, your coverage will continue while you are disabled. This benefit will remain in force until the earliest of the following dates: the date you are no longer disabled, the date the policy terminates, the date you are Disabled for 12 consecutive months, or the day after the last period for which premiums are paid.
 

You are considered disabled if, because of injury or sickness, you are unable to perform all the material duties of your Regular Occupation, or you are receiving disability benefits under your Employer's plan. "Regular Occupation" means your occupation, as routinely performed in the general labor market, at the time your disability begins.
 

Extended Death Benefit with Waiver of Premium

If you become Disabled - The extended death benefit ensures that if you become disabled prior to age 60, and die before you qualify for Waiver of Premium, we will pay the life insurance benefit if you remain disabled during that period. If you qualify for this benefit and have insured your spouse or children, their coverage is also extended.
 

You are considered disabled if, because of injury or sickness, you are unable to perform all the material duties of your Regular Occupation, or you are receiving disability benefits under your Employer's plan. "Regular Occupation" means your occupation, as routinely performed in the general labor market, at the time your disability begins.
 

Waiver of Premium

If you become totally disabled - To make sure you can keep the life insurance protection you need during a difficult period of your life, this plan provides a waiver of premium feature. If you are totally disabled prior to age 60 and can't work for at least 9 months, you won't need to pay premiums for your coverage while you are disabled, provided the insurance company approves you for this benefit. You are considered totally disabled when you are completely unable to engage in any occupation for wage or profit because of injury or sickness. This benefit will remain in force until age 65, subject to proof of continuing disability each year. If you qualify for this benefit and have insured your spouse or children, the premium for their coverage is also waived.

Each year, during your enrollment period, you have the opportunity to enroll in the plan or increase your voluntary coverage. We do require proof of good health for all new coverage selections.

To help you keep your life insurance coverage during the years when your family needs financial protection, the plan allows you to continue all of your voluntary coverage if you leave your employer. Premiums may change at this time. Just make arrangements to pay your premiums directly to the insurance company after you leave your current employer. Coverage may be continued for you and your spouse until age 70. Coverage may also be continued for your children. As long as the group policy remains in force, the option of continuing this coverage is available.

The plan will not pay benefits if loss of life is the result of suicide that occurs within the first two years of coverage.

The date your coverage begins is called its "effective date." Your employer will let you know the effective date of your coverage. If you are not actively at work on the effective date of coverage, your coverage will not begin until you return to work.
 

For coverage for your spouse and/or children to be effective, they must not be hospitalized or confined at home under the care of a doctor.
 

Your coverage cannot be terminated as long as you remain eligible, the premium is paid and the group policy remains in force.
 

For your spouse and children, coverage ends when your coverage ends, when their premiums are not paid or when they are no longer eligible.

If group life insurance coverage is reduced or ends for any reason except nonpayment of premiums, you can convert to an individual policy. No medical certification is needed. To convert coverage, you must apply for the conversion policy and pay the first premium payment within 45 days after your group coverage ends. Family members may convert their coverage as well. Converted policies are subject to certain benefits and limits as outlined in the conversion brochure which may be requested as needed. Premiums may change at this time.

Claim forms can be obtained online under the Forms section below or by calling the toll-free number listed on the 'Contacts Us' page.

You can Enroll For Term Life Insurance Online by using the "Enroll Online" button. Or, you can Complete An Enrollment Application and submit to NYL GBS.

You pay your premiums through payroll deduction. The total depends on how much coverage you select and your age.

You can designate your beneficiaries during the enrollment process and maintain your beneficiaries online once your coverage is issued by clicking on the "My Account" tab.

 

* See your plan brochure for additional details regarding beneficiaries

 

If the listed beneficiary is a trustee or a trust, you will need to enter the trustee's name, the name of the trust and the date of the trust agreement. The trust document must be presented in order for the claim to be processed.

You only need to provide proof of good health if you are applying for coverage above the guaranteed issue amount or after your initial eligibility period has ended.

Yes. Our Voluntary Term Life insurance plan includes many value-added programs, offered at no additional cost, to help you and your family maintain your health, well-being and sense of security throughout your lifetime. To see which programs are available to you select Value-Added Programs from the menu above.