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Benefit Information

WHEN WILL YOUR BENEFICIARY RECEIVE PAYMENT?

Your beneficiary(ies) will receive payment when Unum approves your death claim.

WHAT DOCUMENTS ARE REQUIRED FOR PROOF OF DEATH?

Unum will require a certified copy of the death certificate, enrollment documents and a Notice and Proof of Claim form.

HOW MUCH WILL UNUM PAY YOUR BENEFICIARY IF UNUM APPROVES YOUR DEATH CLAIM?

Unum will determine the payment according to the amount of insurance shown in the LIFE INSURANCE "BENEFITS AT A GLANCE" page.

WHAT HAPPENS TO YOUR LIFE INSURANCE COVERAGE IF YOU BECOME DISABLED?

Your life insurance coverage may be continued for a specific time and your life insurance premium will be waived if you qualify as described below.

HOW LONG MUST YOU BE DISABLED BEFORE YOU ARE ELIGIBLE TO HAVE LIFE PREMIUMS WAIVED?

You must be disabled through your elimination period. Your elimination period is 9 months.

WHEN WILL YOUR LIFE INSURANCE PREMIUM WAIVER BEGIN?

Your life insurance premium waiver will begin when we approve your claim, if the elimination period has ended and you meet the following conditions. Your Employer may continue premium payments until Unum notifies your Employer of the date your life insurance premium waiver begins.

Your life insurance premium will be waived if you meet these conditions:
  • you are less than 60 and insured under the plan.
  • you become disabled and remain disabled during the elimination period.
  • you meet the notice and proof of claim requirements for disability while your life insurance is in effect or within three months after it ends.
  • your claim is approved by Unum.

    After we approve your claim, Unum does not require further premium payments for you while you remain disabled according to the terms and provisions of the plan.

    Your life insurance amount will not increase while your life insurance premiums are being waived. Your life insurance amount will reduce or cease at any time it would reduce or cease if you had not been disabled.

    WHEN WILL YOUR LIFE INSURANCE PREMIUM WAIVER END?

    The life insurance premium waiver will automatically end if:
  • you recover and you no longer are disabled;
  • you fail to give us proper proof that you remain disabled;
  • you refuse to have an examination by a physician chosen by Unum;
  • you reach age 65; or
  • premium has been waived for 12 months and you are considered to reside outside the United States. You will be considered to reside outside the United States when you have been outside the United States for a total period of 6 months or more during any 12 consecutive months for which premium has been waived.

    HOW DOES UNUM DEFINE DISABILITY?

    You are disabled when Unum determines that:
  • during the elimination period, you are not working in any occupation due to your injury or sickness; and
  • after the elimination period, due to the same injury or sickness, you are unable to perform the duties of any gainful occupation for which you are or become reasonably fitted by training, education or experience and which disability is, in fact, preventing you from engaging in any employment or occupation for wage or profit.

    The loss of a professional or occupational license or certification does not, in itself, constitute disability.

    We may require you to be examined by a physician, other medical practitioner or vocational expert of our choice. Unum will pay for this examination. We can require an examination as often as it is reasonable to do so. We may also require you to be interviewed by an authorized Unum Representative.

    APPLYING FOR LIFE INSURANCE PREMIUM WAIVER

    Ask your Employer for a life insurance premium waiver claim form.

    The form has instructions on how to complete and where to send the claim.

    WHAT INSURANCE IS AVAILABLE WHILE YOU ARE SATISFYING THE DISABILITY REQUIREMENTS? (See Conversion Privilege)

    You may use this life conversion privilege when your life insurance terminates while you are satisfying the disability requirements. Please refer to the conversion privilege below. You are not eligible to apply for this life conversion if you return to work and, again, become covered under the plan.

    If an individual life insurance policy is issued to you, any benefit for your death under this plan will be paid only if the individual policy is returned for surrender to Unum. Unum will refund all premiums paid for the individual policy.

    The amount of your death benefit will be paid to your named beneficiary for the plan. If, however, you named a different beneficiary for the individual policy and the policy is returned to Unum for surrender, that different beneficiary will not be paid.

    If you want to name a different beneficiary for this group plan, you must change your beneficiary as described in the Beneficiary Designation page of this group plan.

    WHAT INSURANCE IS AVAILABLE WHEN COVERAGE ENDS? (Conversion Privilege)

    When coverage ends under the plan, you can convert your coverage to an individual life policy, without evidence of insurability. The maximum amount that you can convert is the amount you are insured for under the plan. You may convert a lower amount of life insurance.

    You must apply for individual life insurance under this life conversion privilege and pay the first premium within 31 days after the date:

  • your employment terminates; or
  • you no longer are eligible to participate in the coverage of the plan.

    If you convert to an individual life policy, then return to work, and, again, become insured under the plan, you are not eligible to convert to an individual life policy again. However, you do not need to surrender that individual life policy when you return to work.

    Converted insurance may be of any type of the level premium whole life plans then in use by Unum. You may elect one year of Preliminary Term insurance under the level premium whole life policy. The individual policy will not contain disability or other extra benefits.

    WHAT LIMITED CONVERSION IS AVAILABLE IF THE SUMMARY OF BENEFITS OR THE PLAN IS CANCELLED? (Conversion Privilege)

    You may convert a limited amount of life insurance if you have been insured under your Employer's group plan with Unum for at least five (5) years and the Summary of Benefits or the plan:
  • is cancelled with Unum; or
  • changes so that you no longer are eligible. The individual life policy maximum will be the lesser of:
  • $10,000; or
  • your coverage amount under the plan less any amount that becomes available under any other group life plan offered by your Employer within 31 days after the date the Summary of Benefits or the plan is cancelled.

    PREMIUMS

    Premiums for the converted insurance will be based on:
  • your then attained age on the effective date of the individual life policy;
  • the type and amount of insurance to be converted;
  • Unum's customary rates in use at that time; and
  • the class of risk to which you belong.

    If the premium payment has been made, the individual life policy will be effective at the end of the 31 day conversion application period.

    DEATH DURING THE THIRTY-ONE DAY CONVERSION APPLICATION PERIOD

    If you die within the 31 day conversion application period, Unum will pay the beneficiary(ies) the amount of insurance that could have been converted. This coverage is available whether or not you have applied for an individual life policy under the conversion privilege.

    APPLYING FOR CONVERSION

    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
    • WHAT CONVERSION IS AVAILABLE TO YOU IF YOU ARE TOTALLY DISABLED ON THE DATE THE SUMMARY OF BENEFITS OR THE PLAN IS CANCELLED? (Conversion Privilege)

    If you are totally disabled on the date the Summary of Benefits or the plan is cancelled, you have the same life conversion privilege on the date your insurance terminates as that provided for you when you end employment. The maximum life amount that may be converted is the amount in effect on the date the insurance terminates. But there is no conversion for any life amount for which you become insured under any replacement coverage.

    WILL UNUM ACCELERATE YOUR DEATH BENEFIT FOR THE PLAN IF YOU BECOME TERMINALLY ILL? (Accelerated Benefit)

    If you become terminally ill while you are insured by the plan, Unum will pay you a portion of your life insurance benefit one time. The payment will be based on 100% of your life insurance amount. However, the one-time benefit paid will not be greater than $250,000.

    Your right to exercise this option and to receive payment is subject to the following:
  • you request this election, in writing, on a form acceptable to Unum;
  • you must be terminally ill at the time of payment of the Accelerated Benefit;
  • your physician must certify, in writing, that you are terminally ill and your life expectancy has been reduced to less than 12 months; and
  • the physician's certification must be deemed satisfactory to Unum.

    The Accelerated Benefit is available on a voluntary basis. Therefore, you are not eligible for benefits if:
  • you are required by law to use this benefit to meet the claims of creditors, whether in bankruptcy or otherwise; or
  • you are required by a government agency to use this benefit in order to apply for, get, or otherwise keep a government benefit or entitlement.

    Premium payments must continue to be paid on the full amount of life insurance unless you qualify to have your life premium waived.

    If you have assigned your rights under the plan to an assignee or made an irrevocable beneficiary designation, Unum must receive consent, in writing, that the assignee or irrevocable beneficiary has agreed to the Accelerated Benefit payment on your behalf in a form acceptable to Unum before benefits are payable.

    An election to receive an Accelerated Benefit will have the following effect on other benefits:
  • the death benefit payable will be reduced by any amount of Accelerated Benefit that has been paid; and
  • any amount of life insurance that would be continued under a disability continuation provision or that may be available under the conversion privilege will be reduced by the amount of the Accelerated Benefit paid. The remaining life insurance amount will be paid according to the terms of the Summary of Benefits subject to any reduction and termination provisions.

    Benefits paid may be taxable. Unum is not responsible for any tax or other effects of any benefit paid. As with all tax matters, you should consult your personal tax advisor to assess the impact of this benefit.

    WHAT LOSSES ARE NOT COVERED UNDER YOUR PLAN?

    Your plan does not cover any losses where death is caused by, contributed to by, or results from:
  • suicide occurring within 24 months after your initial effective date of insurance; and
  • suicide occurring within 24 months after the date any increases or additional insurance becomes effective for you.

    The suicide exclusion will apply to any amounts of insurance for which you pay all or part of the premium.

    The suicide exclusion also will apply to any amount that is subject to evidence of insurability requirements and Unum approves the evidence of insurability form and the amount you applied for at that time.

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