Guaranteed Issue Underwriting Parameters

    Guaranteed issue underwriting is offered to eligible employees at the time of initial enrollment and annually during open enrollment on all products up to established maximum coverage limits, which can vary by group size and product. Details on guaranteed issue maximum coverage limits are issued in the formal offer letter.

    Guaranteed issue underwriting is offered to eligible spouses and eligible dependents at the time of employee enrollment. An eligible spouse (unless due to a marriage) or eligible dependent child (unless newborn, newly adopted, etc.) can only be added later to existing employee coverage on a simplified issue underwriting basis.

    Guaranteed issue underwriting is available to new hires once they become eligible for benefits based on their employer guidelines.

    If offered, employee, spouse and dependent coverage amounts in excess of the maximum guaranteed issue limits require simplified underwriting.

    The participation requirement for guaranteed issue underwriting with all health products is the greater of 10% of eligible employees or 5 eligible employee applications per product enrolled.

    The participation requirement for guaranteed issue underwriting for Group Whole Life is the greater of 15% of eligible employees or 5 eligible employee applications.

 

Conditional Guaranteed Issue Underwriting Parameters (Group Whole Life only)

    Conditional Guaranteed issue underwriting is offered to eligible spouse and eligible children/grandchildren at the time of initial enrollment and annually during open enrollment. Details on conditional guaranteed issue maximum coverage limits are issued in the formal offer letter.

    Conditional Guaranteed issue underwriting is offered to eligible spouses and eligible children/grandchildren at the time of employee enrollment. An eligible spouse (unless due to a marriage) or eligible child/grandchild (unless newborn, newly adopted, etc.) can only be added later to existing employee coverage on a simplified issue underwriting basis.  

    Children/Grandchildren are only offered coverage on a conditional guaranteed issue basis. If offered, spouse coverage amounts in excess of the maximum conditional guaranteed issue limits require simplified underwriting.