Please note that if coverage is not elected during initial enrollment, a physical examination or further medical information is required if applying for coverage at a later date. This will be at your own expense.
AN EVIDENCE OF INSURABILITY FORM(S) MUST BE COMPLETED FOR ANYONE ELECTING VOLUNTARY LIFE COVERAGE ABOVE THE SPECIFIED GUARANTEE ISSUE AMOUNT, OR FOR LATE ENTRANTS, EMPLOYEE / DEPENDENT(S) WHO ARE INCREASING THEIR VOLUNTARY BENEFIT.
* Dependents are eligible for Voluntary Life coverage only if you have elected coverage for yourself.