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 Group Life Insurance plan  
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Group Life Insurance is available for purchase to Management Confidential professional employees. This includes M/C Life Insurance and Accidental Death and Dismemberment Insurance coverage for you (the enrollee). You may also purchase dependent Life Insurance coverage for your spouse and/or your children.


WHEN DOES COVERAGE BEGIN?

If you are a new hire or are newly appointed to a position designated as M/C and you enroll yourself and your eligible dependents within the first six biweekly payroll periods after you become eligible, coverage for you and your dependents will begin on the first day of the payroll period following the payroll period in which you enroll, provided you were actively at work and performing the regular duties of your job on the date you enrolled. This will be considered a regular enrollment. Regular enrollments will not require a statement of health or a medical examination for proof of insurability. If you enroll after your initial eligibility period, it will be considered late enrollment and you will be required to submit proof of insurability, which will include a Statement of Health (form GEF02-1) and may include a medical exam.


WHAT DOES COVERAGE COST?

Premiums are based on your age and smoking status. Rate sheets are available in the Employee Benefits Office, Cleveland Hall 410, or online at https://www.cs.ny.gov/ebdonline/ebdonlinecenter/hbamem_att/ny12-30att.pdf


HOW DO I ENROLL?

Enrollment is not automatic. To request M/C Group Life Insurance for you and your dependents, please complete the Life Insurance Transaction Form (PS-934). You must be actively at work on the day you enroll.

To learn more about the M/C Group Life Insurance Plan, visit www.cs.ny.gov/otherben/life/mclife.cfm.

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