Optional Dependent Life Insurance

If an employee elects Group Universal Life (GUL) Insurance for themselves, they can also purchase Dependent Life Insurance for their eligible dependents.

In no situation may covered employees also be covered as a dependent of another covered Leidos employee. Therefore, if you are married or in a domestic partnership to another Leidos employee, you cannot be covered as both an employee and a dependent for Optional Dependent Life Insurance. In addition, any eligible dependent child(ren) can be covered by only one Leidos employee.

Additional information can be found in the Certificate of Coverage.

Coverage

Employees can purchase Spouse Life Insurance for their spouse or domestic partner.

Coverage is available for:

¹If you elect Spouse Life Insurance coverage that exceeds the Guaranteed Issue amount, your spouse or domestic partner will be subject to EOI. Refer to Evidence of Insurability section for more information.

Under the Optional Dependent Life Insurance, employees may purchase Child Life Insurance for their eligible dependents which include the employee’s natural child(ren), legally adopted child(ren), child(ren) placed with the employees for adoption prior to legal adoptions¹ and the employee’s stepchild(ren)² and domestic partner’s child(ren)²

Coverage is available for:

$5,000
$10,000
$25,000

¹A child placed with an employee for adoption prior to legal adoption is considered a qualified dependent from the date of placement for adoption

²To qualify for this benefit, a stepchild or domestic partner's child must reside with the Leidos employee.

Other Information

On the date life insurance would otherwise be effective, if an eligible spouse, domestic partner or dependent child(ren) is:

an inpatient in a hospital, hospice, rehabilitation center, convalescence center, custodial care facility, or
confined to his or her home under the care of a physician

Then life insurance will become effective on the date he or she is no longer an inpatient in these facilities or confined at home.

When an employee enrolls in Optional Dependent Life Insurance for their spouse or domestic partner, he or she will be required to provide Evidence of Insurability (EOI) if he or she:

Elects Spouse Life coverage in excess of $25,000 for his or her spouse or registered domestic partner when first eligible to enroll;
Elects more than a one level increase to Spouse Life coverage during a qualified life event or Open Enrollment;
Elects Spouse Life coverage in excess of $25,000 at any point after

If the elected amount requires EOI, an online EOI request will be generated as a To-Do task in Leidos’ HR System, Workday. The task will require the employee logon to the Prudential EOIConnect website via SSO and complete the EOI request. Additional information may be requested upon completing the initial EOI request. If required, the additional medical questions may be submitted online via EOIConnect. If the employee does not wish to submit EOI online, the employee can choose to email or print copies of the Health Statement(s) for their spouse or domestic partner to complete which can be faxed or mailed to Prudential.

Any EOI must be satisfactory to the plan's underwriter before coverage can be approved. The plan's underwriter uses standard underwriting rules and procedures for reviewing applications and has sole authority to approve or reject any application on the basis of health. Spouse Life Insurance coverage will be provided at the existing level while the decision on the participant's EOI is pending.

Basic Dependent Life (applicable for covered spouse/domestic partner only) and Optional Spouse Life Insurance also pays additional benefits, including:

Accelerated Benefits — If an employee’s spouse or domestic partner becomes terminally ill and is not expected to live for more than 12 months, he or she may request an accelerated benefit equal to a maximum of 50% of his or her combined Basic Dependent Life and Optional Spouse Life Insurance benefit. The maximum accelerated benefit amount is $125,000.

Any remaining benefit amount will be paid to the employee upon the spouse's or domestic partner's death. (The employee is automatically the beneficiary for any covered dependent). For a covered person to qualify for an accelerated benefit, a doctor must certify his or her condition.

IMPORTANT INFORMATION FOR RESIDENTS OF CERTAIN STATES: There are state-specific requirements that may change the provisions under the Coverage(s) described in this Group Insurance Certificate. If you live in a state that has such requirements, those requirements will apply to your Coverage(s) and are made a part of your Group Insurance Certificate. Prudential has a website that describes these state-specific requirements. When you access the website, you will be asked to enter your state of residence and your Access Code. Your Access Code is 52844.

Spouse Life Insurance will not be payable if a spouse or domestic partner commits suicide within the first two years of being covered.

For a domestic partner or domestic partner’s child(ren), Prudential may request verification of a shared residence and financial interdependence before a life insurance claim payment is considered eligible for payment.

Leidos is required by law to inform you about the relationship between your insurer (Prudential) and their third-party administrator (“TPA”), Accenture Insurance Services, LLC. Click here to view the TPA Disclosure Notice.