David Geffen School of Medicine at UCLA Graduate Medical Education
 
Other Benefit Features

WHAT COVERAGE IS AVAILABLE IF YOU END EMPLOYMENT OR YOU WORK REDUCED HOURS? (Portability)

If your employment ends with or you retire from your Employer or you are working less than the minimum number of hours as described under Eligible Groups in this plan, you may elect portable coverage for yourself.

PORTABLE INSURANCE COVERAGE AND AMOUNTS AVAILABLE

The portable insurance coverage will be the current coverage and amounts that you are insured for under your Employer's group plan.

However, the amount of portable coverage for you will not be more than:
  • the highest amount of life insurance available for employees under the plan; or
  • 5x your annual earnings; or
  • $750,000 from all Unum group life and accidental death and dismemberment plans combined, whichever is less.

    The amount of ported life insurance must be equal to or greater than the amount of ported accidental death and dismemberment insurance.

    The minimum amount of coverage that can be ported is $5,000. If the current amounts under the plan are less than $5,000, you may port the lesser amounts. Your amount of life insurance will reduce or cease at any time it would reduce or cease for your eligible group if you had continued in active employment with your Employer.

    APPLYING FOR PORTABLE COVERAGE

    You must apply for portable coverage for yourself and pay the first premium within 31 days after the date:
  • your coverage ends or you retire from your Employer; or
  • you begin working less than the minimum number of hours as described under Eligible Groups in this plan.
    You are not eligible to apply for portable coverage for yourself if:
  • you have an injury or sickness, under the terms of this plan, which has a material effect on life expectancy;
  • the policy is cancelled (the Policy is the group policy issued to the Trustees of the Select Group Insurance Trust in which your Employer participates); or
  • you failed to pay the required premium under the terms of this plan.
    If we determine that because of an injury or sickness, which has a material effect on life expectancy, you were not eligible for portability at the time you elected portable coverage, the benefit will be adjusted to the amount of whole life coverage the premium would have purchased under the Conversion Privilege.

    APPLYING FOR INCREASES OR DECREASES IN PORTABLE COVERAGE

    You may increase or decrease the amount of life insurance coverage. The minimum and maximum benefit amounts are shown above. However, the amount of life insurance coverage cannot be decreased below $5,000. All increases are subject to evidence of insurability. Portable coverage will reduce at the ages and amounts shown in the LIFE INSURANCE "BENEFITS AT A GLANCE" page.

    WHEN PORTABLE COVERAGE ENDS

    Portable coverage for you will end for the following reasons:
  • the date you fail to pay any required premium; or
  • the date the policy is cancelled (the Policy is the group policy issued to the Trustees of the Select Group Insurance Trust in which your Employer participates).

    If portable coverage ends due to failure to pay required premium, portable coverage cannot be reinstated.

    PREMIUM RATE CHANGES FOR PORTABLE COVERAGE

    Unum may change premium rates for portable coverage at any time for reasons which affect the risk assumed, including those reasons shown below:
  • changes occur in the coverage levels;
  • changes occur in the overall use of benefits by all insureds;
  • changes occur in other risk factors; or
  • a new law or a change in any existing law is enacted which applies to portable coverage.

    The change in premium rates will be made on a class basis according to Unum's underwriting risk studies. Unum will notify the insured in writing at least 31 days before a premium rate is changed.

    APPLYING FOR CONVERSION, IF PORTABLE COVERAGE ENDS OR IS NOT AVAILABLE

    If you are not eligible to apply for portable coverage or portable coverage ends, then you may qualify for conversion coverage. Refer to Conversion Privilege under this plan.

    Ask your Employer for a conversion application form which includes cost information.

    When you complete the application, send it with the first premium amount to:

    Unum - Conversion Unit
    2211 Congress Street
    Portland, Maine 04122-1350
    1-800-343-5406

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