Eligibility Requirements
Eligibility Requirements for WrapPlan®II
NYSUT members or agency fee payers who reside or work in New York state, are age 65 or under and are actively at work or retired, are eligible to apply for WrapPlan®II.
WrapPlan®II is also available to your spouse or domestic partner without the usually required medical evaluation or blood test. A term rider is available for the member’s eligible dependents.
The following is a summary of WrapPlan®II underwriting criteria:
- Guaranteed Issue (GI) Coverage for Members with Term Insurance - Up to $200,000 total coverage is available to members based upon existing term insurance (NYSUT voluntary group term or term offered or provided by the local benefit fund or employer.) Members must be actively at work to qualify for GI.
- Conditional Guaranteed Issue Coverage (CGI) - Up to $200,000 coverage is available to NYSUT members who want to "wrap" their in-service death benefit under the NY State TRS, ERS, CERS, or TIAA. CGI requires applicants to be actively at work; and not been hospitalized (inpatient or outpatient) or missed five consecutive days of work in the past six months.
- Conditional Guaranteed Issue Coverage for Members without Term Insurance - Up to $100,000 coverage is available to members who do not have term insurance. CGI requires applicants to be actively at work, and not been hospitalized (inpatient or outpatient) or missed five consecutive days of work in the past six months.
- Simplified Issue Coverage (SI) -Up to $300,000 coverage is available to members who want coverage amounts over $200,000, and for those members who have private term insurance. SI requires applicants to be actively at work, and not been hospitalized (inpatient or outpatient) or missed five consecutive days of work in the past six months. In addition, members must complete the medical questions on the application - no blood tests or examinations are required. Retirees are limited to $100,000 coverage.
- Spouse/Domestic Partner Coverage -Up to $300,000 coverage is available on a SI basis as explained above. If the applicant is not employed outside the home, he/she must be able to perform the same activities of a person of like age and gender. The applicant must have term insurance and not be retired to qualify.
Spouses/Domestic partners who do not have term insurance qualify for up to $50,000 coverage.
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