Domestic Partners Sample Contracts

Wellpoint Health Netwrks Inc – These Increases Apply Only to Contributions for Medical Coverage. Associate Contributions for Dental and Vision Coverage, and the Rate Tables for Life, AD&D, Short-Term and Long-Term Disability Insurance Are Not Increasing for 2004. Spouse/Domestic Partner Medical Coverage Effective January 1, 2004, WellPoint Will Not Be the Primary Payor for Spouses/Domestic Partners Who Are Eligible for Other Group Medical Coverage. Therefore, if Your Spouse/Domestic Partner (1) Wants Medical Coverage and (2) Is Eligible for Other Group Medical Coverage, He or She Must Enroll in That Plan for Primary Coverag (March 15th, 2004)

$50,000 (minimum coverage required) 1 times your benefit salary 2 times your benefit salary 3 times your benefit salary 4 times your benefit salary