Supplemental Life Insurance

Employees may purchase additional life insurance to supplement their basic coverage. Coverage amounts under this plan are in blocks of $25,000 to a maximum of $400,000.


All regular full-time or regular part-time employees are eligible; however benefit reductions apply to employees age 65 or older. Dependents are not covered.

Evidence of Insurability (EOI)

Any time an employee elects an amount over $200,000 of supplemental life insurance they must submit the EOI form. (Use this form for new hires and life events through June 30, 2016.  Do not use for open enrollment.) For example, if you are changing from $50,000 to $300,000, or going from $250,000 to $400,000, you must submit evidence of insurability.


Rates are based upon employee age as of July 1 of each year. Check current life insurance rates or please consult with your regional human resources office. Payments are made through biweekly payroll deductions.


Complete the UA Choice Supplemental Benefit Election Form and submit it to your regional human resources office. You may enroll within 30 days of the date of your employment, during open enrollment, or after a major life event. If you elect to have more than $200,000 of supplemental life insurance you must complete the Evidence of Insurability Form.  If you elect to have less than $200,000 of supplemental life insurance, you do not need to submit evidence of insurability.


The benefits will be paid to the beneficiary you name on the Beneficiary Designation Form. You may change your beneficiary at any time by completing a new beneficiary form.

Filing a Claim

Life insurance claims should be filed through your regional human resources office. Claims should be returned to that office for final completion and transmittal to the insurance carrier.

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