$25,000 Basic Life Insurance for death from any cause.

$5,000 Basic Accidental Death & Dismemberment Insurance.

This type of term insurance covers death from any cause. You may apply for additional amounts in $10,000 increments from $10,000 to $750,000.

Employees under age 60:

• If you apply within 60 days of the date you become eligible for benefits, you may obtain up to $250,000 of coverage without evidence of insurability (EOI).
• If you apply for coverage in excess of $250,000, you must provide EOI, or
• If you apply after 60 days, you must provide EOI.

Employees age 60 or older:

• If you apply within 60 days of the date you become eligible for benefits, you may obtain up to $100,000 of coverage without evidence of insurability (EOI).
• If you apply for coverage in excess of $100,000, you must provide EOI, or
• If you apply after 60 days, you must provide EOI.

$2,500 Basic Life Insurance for spouse or Qualified Domestic Partner (QDP) for death from any cause.

$2,500 Basic Life Insurance for each eligible dependent child for death from any cause.

This type of term insurance covers death from any cause. If you have enrolled your spouse or Qualified Domestic Partner in Basic Dependent Life Insurance, you may apply for additional amounts of this insurance in $5,000 increments up to one-half of the amount of Supplemental Life Insurance you obtain for yourself.

If you apply later than 60 days from the date you become eligible or no later than 60 days from your marriage or the effective date of your Washington State-registered domestic partnership, you may purchase up to $50,000 of coverage without providing ROI. After 60 days, or for coverage in excess of $50,000, you must provide evidence of your spouse's or QDP's insurability at your expense.

You may enroll in this type of term insurance in multiples of $25,000 (minimum) up to $250,000 (maximum) for covered accidental death or covered accidental dismemberment. Deaths and dismemberments from other causes are not covered under this type of insurance.

Selecting this type of term insurance in addition to your own allows:

• Your spouse/QDP to be insured for 50% of your benefit as long as you have no dependent children.
• Your spouse/QDP to be insured for 40% of your benefit and each dependent child to be insured for 5% of your benefit.
• Each dependent child to be insured for 10% of your benefit as long as there is no spouse/QDP.

This dependent coverage will not reduce your coverage.