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Continuing Insurance After Coverage Ends

Policies
       
Matrix
       
Important Information
       
Forms



When an employee leaves Leidos or transfers to an ineligible class, he or she may be able to continue his or her life and AD&D coverage through individual policies.

Basic Term Life Insurance

An employee may convert his or her Basic Term Life Insurance coverage, as well as the policies covering his or her dependents, to an individual life insurance policy issued by Life Insurance Company of North America. The employee must make this election within 31 days of losing coverage under the Leidos group plan. No medical examination or other evidence of insurability will be required for this conversion. The employee pays the cost of coverage directly to Life Insurance Company of North America.

Supplemental Term Life Insurance

An employee may continue or convert his or her Supplemental Term Life Insurance coverage to an individual life insurance policy issued by Life Insurance Company of North America. The employee must make an election within 31 days after the date of leaving employment with Leidos. No medical examination or other evidence of insurability will be required for conversion or continuation of supplemental term life.

An employee may also convert or continue his or her spouse's or registered domestic partner's coverage, as well as any dependents' coverage, to individual policies. A special application is available for the employee to complete for all dependents whose coverage is to be continued.

In addition, a dependent age 19 years or older who loses eligibility for supplemental term life may continue all or a portion of his or her coverage. He or she must submit an application within 31 days of losing coverage under the Leidos group plan.

Spouses or Registered domestic partners may continue coverage up to the amount he or she was eligible for prior to losing coverage.

Dependent children age 19 and over may elect $25,000 or $50,000.

Separate certificates of insurance will be issued for an employee's spouse or registered domestic partner and/or dependents. The employee and/ or dependent pay the full cost of any continued coverage directly to Life Insurance Company of North America.

Additional information can be found in the Supplemental Term Life Premiums document.

Basic AD&D Insurance and VAD&D Insurance

If an employee is age 69 or younger, his or her Basic AD&D Insurance and VAD&D Insurance, as well as the policies covering the employee's dependents, can be converted to an individual policy through Life Insurance Company of North America. The employee pays the full cost of coverage directly to Life Insurance Company of North America.

Please refer to the life insurance continuation (portability) conversion matrix to determine which plans can be converted or continued and under what circumstances



Life Insurance Continuation (Portability)/Conversion

The information on this page will help you determine which life insurance plans you can continue (port) and which ones are eligible for conversion only. On the matrix below select the scenario that most closely describes your situation and read the options that are available to you. Important Information provides you with the major rules that affect your plan elections. The form section allows you to select and complete the forms you need.

Reason Coverage Ends Group Term Life Supplemental Term life Basic AD&D Voluntary AD&D
 

Conversion

Continuation (Portability)

Conversion

Conversion

Conversion

Employee Terminates Employment
 

< Age 75

Yes

Yes

Yes

Yes to age 70

Yes to age 70

 

>= Age 75

Yes

No

Yes

No

No

Employee or Dependent No Longer Eligible Under the Group policy

Employee loses eligibility and is no longer in an eligible class under the group policy

           
 

< Age 75

Yes

Yes

Yes

Yes to age 70

Yes to age 70

 

>= Age 75

Yes

No

Yes

No

No

Spouse no longer eligible due to divorce/separation

           

 

< Age 75

Yes

Yes

Yes

No

Yes to age 70

 

>= Age 75

Yes

No

Yes

No

No

Spouse loses coverage due to employee reaching age 70

       

 

 

 

< Age 75

Yes

Yes

Yes

No

Yes to age 70

 

>= Age 75

Yes

No

Yes

No

No

Child loses coverage due to ineligibility.

  • No longer a dependent child of the employee

Yes

Yes

Yes

No

Yes

Employee or Dependent loses a portion of coverage under the group policy

Employee loses a portion of coverage and still in an eligible class under the group policy, due to:

 

 

 

 

 

Reduction in hours

Yes
(value lost)

No

Yes
(value lost)

Yes

Yes

Age Reduction Schedule (35% at age 70)

Yes
(value lost)

No

Yes (value lost)

No

No



Important Information

  1. The cost to convert/continue the life insurance products is based on the insurance company's standard group rates and will differ from the rate employees currently pay
  2. An insured will remit premiums directly to CIGNA
  3. An insured cannot port and convert the same group policy
  4. Ported insurance is a group term policy issued by CIGNA
  5. Converted insurance is an individual whole life policy and is used to continue coverage for individuals who lose a portion or all coverage under the active group policy
  6. Age Restrictions
    1. Ported insurance terminates at age of 75
    2. Converted insurance terminates at age 70
  7. Conversion and/or portability application must be submitted in writing within 31 days of the date coverage ends
    1. Employee portion of application should be completed and submitted to the address indicated on the form by the individual seeking coverage
    2. The insurance company or one of its service providers will contact Leidos for the employer data
    3. The insurance company will issue new policy(ies), which becomes effective 31 days after active coverage ends
    4. Evidence of Insurability (EOI) is not required if life insurance is converted/continued within the specified time period


Conversion/Continuation Forms

  • Group Term Life Conversion Form
    This form should be completed if employee would like to convert all or a portion of the terminating coverage to an individual policy (subject to conversion amount limitations).
  • Supplemental Life Insurance Continuation/Portability
    This form should be completed if employee's coverage ends and employee wishes to continue all or a portion of his or her supplemental term life insurance including spouse and/or dependents under the Leidos Health & Welfare Plan when that coverage would otherwise terminate.
  • Accidental Death and Dismemberment (AD&D) Conversion Form
    This form should be completed if employee would like to convert all or a portion of the terminating coverage to an individual policy (subject to conversion amount limitations).