ELIGIBILITY PROVISIONS: INSURANCE FOR YOU (continued) If You have a Qualifying Event, You will have 31 days from the date of that change to make a request to transfer Dependent Life Insurance and Dependent Accidental Death and Dismemberment Insurance that Your Spouse or State-Registered Domestic Partner had prior to the date their employment ends, to Your Supplemental Life Insurance and Supplemental 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 Employee-Paid Insurance: Plan 2 Supplemental Life Insurance and Supplemental Accidental Death and Dismemberment Insurance Your Employee-Paid insurance 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. If You have a Qualifying Event, You will have 31 days from the date of that change to make a request to transfer Dependent Life Insurance and Dependent Accidental Death and Dismemberment Insurance that Your Spouse or State-Registered Domestic Partner had prior to the date their employment ends, to Your Supplemental Life Insurance and Supplemental 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. Employee-Paid Insurance-Supplemental Life Insurance Increase in Insurance If You make a Written request to increase Your insurance, You are required to give evidence of Your insurability satisfactory to Us. If We approve Your evidence of insurability, the increase will take effect on the first day of the month following the date We approve Your evidence of insurability. If We do not approve Your evidence of insurability, or You do not submit evidence of insurability, the increase in insurance will not take effect. GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 46