Reso 98-110 - Laserfiche WebLink

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2. Dependents Life Insurance benefits. 3. Supplemental Life Insurance benefits payable because of the death of your insured Spouse. 4. Accelerated Benefits. Any AD&D Insurance dismemberment benefits which are unpaid at your death will be paid to the Beneficiary you name to receive Life Insurance benefits. Dependents Life Insurance benefits which are unpaid at your death will be paid in equal shares to the first surviving class of the classes below. 1. The children of the Dependent. 2. The parents of the Dependent. 3. The brothers and sisters of the Dependent. 4. Your estate. . Supplemental Life Insurance benefits payable because of the death of your Spouse which are unpaid at your death will be paid in equal shares to the :first surviving class of the classes below. 1. The children of your Spouse. 2. The parents of your Spouse. 3. The brothers and sisters of your Spouse. 4. Your estate. B. Naming A Beneficiary Beneficiary means a person you name to receive death benefits. You may name one or more Beneficiaries. Two or more surviving Beneficiaries will share equally, UDless you specify otherwise. You may name or change Beneficiaries at any time without the consent of a Beneficiary. Your Beneficiary designation must be the same for Life Insurance and AD&D Insurance death benefits. Your Beneficiary designations for Life Insurance and your Supplemental Life Insurance may be different. You must name or change Beneficiaries in writing. Your designation: 1. Must be dated and signed by you; 2. Must be delivered to the Policyowner or Employer during your lifetime; 3. Must relate to the insurance provided under the Group Policy; and 4. Will take effect on the date it is delivered to the Policyowner or Employer. Ifwe approve it, a written designation signed and dated by you under the Prior Plan will be accepted as your Beneficiary designation under the Group Policy. C. Simultaneous Death Provision If a Beneficiary dies on the same day you die, or within 15 days thereafter, benefits will be paid as if that Beneficiary had died before you, UDless Proof Of Loss with respect to your death is delivered to us before the date of the Beneficiary's death. D. No Surviving Beneficiary If you do not name a Beneficiary, or if you are not survived by one, benefits will be paid in equal shares to the first surviving class of the classes below. 1. Your spouse. 2. Your children. 3. Your parents. Printed 4196 Revised 4196 -16- SAMPLE U, AD&D. DU, Sup. U