Supplemental Life Insurance
There is a special opportunity to enroll or add supplemental life insurance coverage up to $40,000 (employee only) without having to prove good health (provided you’ve no previously been declined coverage).
I wish to elect an additional $<DROP DOWN OPTIONS> worth of supplemental life insurance coverage effective 1/1/2014.
Drop Down Options:
This will increase my monthly premium rate for supplemental life insurance by $INSERT CALCULATION.