SCHEDULE OF BENEFITS This schedule shows the benefits that are available under the Group Policy. You and Your Dependents will only be insured for the benefits: for which You and Your Dependents become and remain eligible; which You elect, if subject to election; and which are in effect. The amount of Insurance that We will pay for any insurance to which You make premiums will be decreased by the amount of any premiums due and unpaid to Us for that insurance. How We Will Pay Benefits Unless the Beneficiary requests payment by check, when the Certificate states that We will pay benefits in "one sum", “lump sum” or a "single sum", We may pay the full benefit amount: by check; by establishing an account that earns interest and provides the Beneficiary with immediate access to the full benefit amount; or by any other method that provides the Beneficiary with immediate access to the full benefit amount. Other modes of payment may be available upon request. For details, call Our toll free number shown on the Certificate Face Page. BENEFIT BENEFIT AMOUNTS AND HIGHLIGHTS Life Insurance For You Basic Life Insurance Basic Life Insurance is Portability Eligible Insurance For Active Employees .................................................. $35,000 Accelerated Benefit Option ............................................... Up to 80% of Your Basic Life amount not to exceed $28,000 Supplemental Life Insurance Plan 1: Supplemental Life Insurance is Portability Eligible Insurance Plan 1: All employees of an Employing Agency who elected Employee-Paid Life Insurance coverage in a multiple of $10,000 for coverage effective on or after January 1, 2017. All new employees on or after January 1, 2017 who elect Employee-Paid Life Insurance coverage are An amount, elected by You, which enrolled in Plan 1. ...................................................... is a multiple of $10,000 Minimum Supplemental Life Benefit ................................. $10,000 Maximum Supplemental Life Benefit ............................ $1,000,000 Maximum Amount Allowed Without Evidence of Insurability .......................................................................... $500,000 GCERT2024-WSHCA-WA-LIFE-EMPLOYEE1 29
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