Enrolling for Supplemental Life Insurance Benefits You may purchase coverage in $10,000 increments in any of the following four ways. At Open Enrollment without Evidence of Insurability If you are purchasing supplemental life for the first time, you may buy up to two times your Basic Annual Earnings or $150,000, whichever is less. Once enrolled, during each subsequent open enrollment period you may increase your coverage by up to two times your Basic Annual Earnings in $10,000 increments. Your total amount of insurance may not exceed six times your salary or $500,000, whichever is less. At Open Enrollment with Evidence of Insurability (EOI) During any open enrollment, you may buy up to six times your Basic Annual Earnings or $500,000, whichever is less, with evidence of insurability. At Hire As a new employee, you have 90 days from your date of hire to purchase coverage up to three times your Basic Annual Earnings or $150,000, whichever is less, without evidence of insurability; however, with EOI you may purchase up to six times your Basic Annual Earnings or $500,000, whichever is less. If you apply for more than the allowable amount of coverage (an amount that requires you to submit evidence of good health), you will initially be approved for the maximum allowable amount that can be purchased without evidence of good health. Prudential will send you a Health Statement Questionnaire that must be completed and returned before the additional amount will be considered. For Your Dependents To elect supplemental life insurance for your dependents, you must be covered under or enrolled in supplemental life insurance for yourself. You can purchase supplemental life insurance for your spouse and children • At any open enrollment; or • Within 90 days of hire; or • Within 31 days of acquiring a new dependent. Supplemental life insurance provides up to $40,000 coverage for your spouse; $10,000 is available without evidence of insurability. If you apply for $20,000, $30,000 or $40,000 in coverage for your spouse, Prudential will mail you a medical questionnaire that must be completed and returned to them. Supplemental life insurance up to $5,000 for each child at least 15 days of age and younger than age 23 is available for a single monthly premium of 72 cents.