Important Information Regarding Your Optional Life Annual - Extranet

NCG Administrative Services2211 Congress StreetPortland, Maine 04122General Board of Pension and Health Benefits ofThe United Methodist Church (General Board)Lay Life Insurance andClergy Supplemental Life Plan(Basic Life) Policy #: 128889Optional Life Plan Policy #: 128890Important Information Regarding Your Optional Life Annual Enrollment Period!New Online Benefits Administration Website!Unum has a new Benefits Administration website that makes it easier for you to enroll, verify orchange current coverage, designate beneficiaries, view a certificate booklet, or manage familymember information.To access the new website simply go to: https://www.unum_umc.bswift.comLogin instructions are provided on the website.As a participant in UMLifeOptions, a group insurance plan offered by the General Board andavailable to you through Unum Life Insurance Company of America (Unum), you have anopportunity to purchase additional life insurance for yourself and eligible dependents duringAnnual Enrollment. Annual Enrollment for the Optional Life Insurance is from March 11 th throughApril 12 th .If you are currently enrolled in Optional Life you may: Increase your Optional Life and Accidental Death & Dismemberment (AD&D) Insurancecoverage to an amount totaling $100,000 without completing a proof of good health orEvidence of Insurability (EOI).o Any increase for total amount over $100,000 will require EOI. Increase your Optional Life coverage for each of your eligible Spouse and Child dependents upto an amount totaling $25,000 without EOIo Any increase for total amount over $25,000 for your spouse will require EOI.If you are not currently enrolled in Optional Life, you may: Elect Optional Life and AD&D Insurance coverage, up to a maximum of $500,000, withEvidence of Insurability. Elect coverage for your eligible dependents up to an amount of $100,000 for your spouse and$25,000 for each of your dependent children with Evidence of Insurability.If required, Unum will send you EOI information after you enroll.(Over)

You may enroll or increase your current coverage for yourself or dependents atanytime; however, any increases or new enrollments after April 12 th will require EOI.Please note that the amount of coverage you elect for your eligible dependents cannot exceed100% of the amount of coverage you have elected for yourself. Please refer to the enclosed‘Optional Life Insurance and AD&D Coverage Highlights’ for coverage options, limits, and otherimportant information.Follow the instructions on the website to enroll or change existing coverage and print out aconfirmation of enrollment.o Please remember to update or designate your beneficiaries. If you do notdesignate a beneficiary, the payment of benefits will default to the provisions of thecontract. Please note - if you are enrolled in Basic Life and do not enroll in the OptionalLife coverage please designate beneficiaries for your Basic Life Coverage.You may submit your enrollment using the enclosed paper forms.o Please fax the completed forms to 1-207-771-4022 or return them to Unum in theenvelope provided.o Instructions for completing the forms are included in this packet. Please remember tomake a copy for your personal records.o Please visit https://www.unum_umc.bswift.com for confirmation of yourcoverage.Premium Payment: Invoices are sent on a quarterly basiso Current enrollees will see the rate increase on your next invoiceo New enrollees will receive the first invoice in May or June Automatic Premium Payment Service: Once you receive your quarterly premiumstatement, you may choose to enroll in the monthly Automatic Payment service. If you wouldlike to enroll, please include the enclosed Authorization and Agreement for AutomaticPayments form along with your first premium payment.If you have questions, please call one of our Client Service Associates at 1-800-985-0242Monday through Friday from 8:00 AM to 5:00 PM (Eastern Time). Voicemail is available for afterhours and weekend calls.Your Unum Client Service CenterEnclosures:Optional Life & AD&D Enrollment FormOptional Life & AD&D Insurance Coverage HighlightsAuthorization and Agreement for Automatic PaymentsUnum is a registered trademark and marketing brand of Unum Group and its insuring subsidiaries.