ELIGIBILITY PROVISIONS: INSURANCE FOR YOUR DEPENDENTS (continued) Once You have enrolled one Child for a Dependent insurance benefit, each succeeding Child will automatically be covered for such insurance on the date that Child qualifies as a Dependent. If You are not Actively at Work on the date the Dependent Life Insurance would otherwise take effect, the insurance will take effect on the first day of the month following the date You resume Active Work and the Additional Requirement stated below is satisfied. Transfer in Coverage due to a Qualifying Event Qualifying Event means employment of Your Spouse or State-Registered Domestic Partner, who is covered in the PEBB insurance plan, ends due to termination or retirement from an Employing Agency. You will have 31 days from the date of that change to make a request to transfer Supplemental Life Insurance and Supplemental Accidental Death and Dismemberment Insurance that Your Spouse or State-Registered Domestic Partner had prior to the date their employment ends, to Your Dependent Life Insurance and Dependent Accidental Death and Dismemberment Insurance. The transfer in coverage amounts are limited to the maximum benefit amounts as shown in the SCHEDULE OF BENEFITS. There is no Evidence of Insurability required. We will require the following prior to the transfer of coverage:  Your completed request form; and  Proof of Your marriage or State-Registered Domestic Partnership. The transfer in coverage made as a result of a Qualifying Event, will take effect on the first day of the month following the date We receive Your completed request form and proof of Your marriage or State- Registered Domestic Partnership. You must be Actively at Work on that date. If You are not Actively at Work on the date insurance would otherwise take effect, transfer of coverage will take effect on the first day of the month following the day You resume Active Work. Requirements for Spouse or State-Registered Domestic Partner Dependent Life Insurance: Plan 2 Your Employee-Paid insurance for Your Spouse or State-Registered Domestic Partner will become effective on the date You become eligible for such insurance. Transfer in Coverage due to a Qualifying Event Qualifying Event means employment of Your Spouse or State-Registered Domestic Partner, who is covered in the PEBB insurance plan, ends due to termination or retirement from an Employing Agency. You will have 31 days from the date of that change to make a request to transfer Supplemental Life Insurance and Supplemental Accidental Death and Dismemberment Insurance that Your Spouse or State-Registered Domestic Partner had prior to the date their employment ends, to Your Dependent Life Insurance and Dependent Accidental Death and Dismemberment Insurance. The transfer in coverage amounts are limited to the maximum benefit amounts as shown in the SCHEDULE OF BENEFITS. There is no Evidence of Insurability required. We will require the following prior to the transfer of coverage:  Your completed request form; and  Proof of Your marriage or State-Registered Domestic Partnership. The transfer in coverage made as a result of a Qualifying Event, will take effect on the first day of the month following the date We receive Your completed request form and proof of Your marriage or State- Registered Domestic Partnership. You must be Actively at Work on that date. GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 50