Benefits Open Enrollment

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Annual Enrollment Information:

Supplemental Life Insurance
The Supplemental Life Insurance is optional additional coverage that you may choose to purchase on yourself, your spouse, and your eligible dependents.  You may apply for this additional coverage at any time.  This policy is completely separate from your UHA provided Basic Life Insurance policy.  No crossovers occur between the policies.

The basic guidelines for application are as follows:

  • You may apply for an additional amount of life insurance for a maximum of 5 times your annual salary, with a cap of $1,000,000.00  [coverage is purchased in $10,000.00 increments.]
  • You may apply for coverage on your spouse (legally married) for a maximum amount of 50% of the amount you have on yourself, with a cap of $250,000.00  [coverage is purchased in $5,000.00 increments.]
  • You may apply for coverage on your dependent child(ren) for a maximum amount of $10,000.00  [coverage is purchased in $2,000.00 increments.] 
  • You will be required to submit "Evidence of Insurability" on everyone for whom coverage is being applied for.  Sun Life has the right to turn down any coverage they feel is not an insurable risk.  UHA does not make ruling on any of these decisions.
  • Rates are based on age and smoking status and are at group rates.
  • Additional questions can be answered by calling the UHA Benefits office at 293-4270.

To make application for additional life insurance under the Supplemental Life Policy please print off the following forms:

  • Application Form
  • Evidence of Insurability : will need to print and complete one of this form for EVERY person applying for coverage.
  • COMPLETE AND RETURN ALL FORMS TO: UHA HUMAN RESOURCES, Scott Avenue