ELIGIBILITY PROVISIONS: INSURANCE FOR YOU (continued) If You are not Actively at Work on the date insurance would otherwise take effect, the increase in insurance will take effect on the first day of the month following the date You resume Active Work. Decrease in Insurance If You make a Written request to decrease Your insurance, that decrease will take effect on the first day of the month following the date We receive Your Written request. Employee-Paid Insurance- Supplemental Accidental Death and Dismemberment Insurance Increase in Insurance If You make a Written request to increase Your insurance, You are not required to give Your evidence of insurability to Us. The increase will take effect on the first day of the month following the date We receive Your Written request. If You are not Actively at Work on the date insurance would otherwise take effect, the increase in insurance will take effect on the first day of the month following the date You resume Active Work. Decrease in Insurance If You make a Written request to decrease Your insurance, that decrease will take effect on the first day of the month following the date We receive Your Written request. DATE YOUR INSURANCE ENDS Your insurance will end on the earliest of: 1. the date the Group Policy ends; or 2. the last day of the calendar month insurance ends for Your class; or 3. the date You die; or 4. the last day of the calendar month for which the last premium has been paid for You; or 5. the last day of the calendar month in which You cease to be eligible for PEBB benefits; or 6. the last day of the calendar month in which Your employment ends; Your life insurance will end if You cease to be Actively at Work, except as stated in the section entitled CONTINUATION OF INSURANCE WITH PREMIUM PAYMENT; or 7. the last day of the calendar month in which You retire in accordance with Your applicable retirement plan; or 8. the date Your Employer Group ceases to participate in the Group Policy. Please refer to the section entitled ELIGIBILITY FOR CONTINUATION OF CERTAIN INSURANCE WHILE YOU ARE TOTALLY DISABLED for information concerning continuation of Your Life Insurance if insurance ends while You are Totally Disabled. Please refer to the section entitled LIFE INSURANCE: CONVERSION OPTION FOR YOU for information concerning the option to convert to an individual policy of life insurance if Your Life Insurance ends. In certain cases insurance may be continued as stated in the section entitled CONTINUATION OF INSURANCE WITH PREMIUM PAYMENT. GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 47
