Evidence of Insurability
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First Published :Mon Nov 02 21:12:45 GMT 2015
Last Modified :Mon Nov 26 17:41:31 GMT 2018
Last Published :Mon Nov 26 17:41:31 GMT 2018
Cases where employees may need to complete an Evidence of Insurability document
2019 EOI form from Access Tufts
There may be instances where an employee must complete an Evidence of Insurability (EOI) document. These instances include enrollment in these benefits:
* Supplemental Employee Life Insurance – Amounts in excess of the lesser of 3 times your annual base salary or $750,000 require Evidence of Insurability as a New Hire.
New Hires will follow the online process described below.
* Supplemental Employee and Dependent Life Insurance and/or Long Term Disability - All applications to become newly enrolled or change to increase the amount of Supplemental Employee, Dependent Life or LTD insurance will require an online EOI process (see below) to be completed and approval from the insurance company.
Evidence of Insurability (EOI Process):
Prudential will contact employees directly to initiate the EOI process. Every Tuesday, and at the end of Open Enrollment, a file feed is sent from TSS to Prudential for New Hires so that Prudential has the list to contact. Click here for a sample of the email that Prudential will send. On the email you will find the website (www.prudential.com/eoi), Tufts control number (0046943) and more information. The employee will log into the website, register, and complete a Short Form. If additional information is required, a Long Form will appear on the screen. Once the screens are completed, the information is sent directly to Prudential. You do not need to take any further action, as Prudential will advise you whether or not coverage is approved and will also update the Benefits group so that payroll deductions can begin. Note: As a new hire or newly Benefit Eligible Employee, you can elect up to 3 times your base annual salary (to a maximum of $750,000) without EOI. If applying for coverage for 4 or 5 times your salary, it is required that you elect coverage equal to 3 times your salary on eServe in conjunction with submitting this request. This will ensure that regardless of the decision by Prudential, you will be enrolled for at least 3 times your salary.The above does not apply to Open Enrollment. If you apply for 4x or 5x coverage during OE and are denied, you will not then automatically receive 3x unless you were previously enrolled in 3x. If your request for an increase is denied during Open Enrollment, you will retain your previous level of coverage (Ex. 1: If you had 2x coverage and apply for 3x coverage but are denied, your coverage will remain at 2x. Ex. 2: If you had 2x coverage and apply for 5x coverage and are denied, your coverage will remain at 2x and will not go to 3x). You cannot reapply until the next Open Enrollment or if you have a Qualifying Life Event (ex. if you apply for 5x coverage and are denied, you cannot immediately reapply for 4x coverage; you will retain your previous level of coverage until the next time you are eligible to apply for an increase).
Prudential Phone: 888-257-0412
benefits, insurance, proof, supplemental, EOI, due date, Prudential phone