ࡱ>  5bjbj ,1xx, '('(O)O)O)t)))*d+T)U&C./4/4/4/48d8<"9 TTTTTTT4WYT-O) =78 = =T'('(/4/4TO@O@O@ ='(/4O)/4TO@ =TO@O@PX(TMS/4(H)=IR(TT0UqR[> [PMS[O)MS8B99O@:l:B9B9B9TT?B9B9B9U = = = =[B9B9B9B9B9B9B9B9B9 &: GG015046CA Enrollment / Change Form   Planholder Name (Company Name)  FORMTEXT Technology Integration GroupGuardian Group Plan No.:  FORMTEXT 373506Planholder Street Address  FORMTEXT 7810 Trade StreetCity  FORMTEXT San DiegoState  FORMTEXT CAZip  FORMTEXT 92121employer use only:  FORMCHECKBOX  New Application  FORMCHECKBOX  Add Dependent(s)  FORMCHECKBOX  Remove Dependent(s)  FORMCHECKBOX  Change Address  FORMCHECKBOX  Change Name  FORMCHECKBOX  Drop Coverage as of: / /Class CA EESHours Worked  FORMTEXT      Division  FORMTEXT      Benefit EffectiveKeep a copy for your records and return to: Western Regional Office, P.O. Box 2454, Spokane, WA 99210-2454about yourself - Please print clearly and in black or blue inkFirst, Middle Initial, Last Name Sex:  FORMCHECKBOX  M  FORMCHECKBOX  FDate of Birth (mm/dd/yyyy)Social Security NumberAddressCity StateZipThe best way to reach you:  FORMCHECKBOX  Day Phone  FORMCHECKBOX  Evening Phone  FORMCHECKBOX  EmailBusiness Phone# Home Phone #Preferred Email Job Title:Work Status/Eligibility:  FORMCHECKBOX  Full Time  FORMCHECKBOX  Part Time  FORMCHECKBOX  Retired  FORMCHECKBOX  Cobra/State ContinuationDate work status began:Annual Salary/Earnings: $are you married?  FORMCHECKBOX  Yes  FORMCHECKBOX  No do you have children or other dependents?  FORMCHECKBOX  Yes  FORMCHECKBOX  No if you have a domestic partner, is your partnership registered with the state of california?  FORMCHECKBOX  Yes  FORMCHECKBOX  No about your dependents FORMCHECKBOX  Add  FORMCHECKBOX  Change  FORMCHECKBOX  Drop  Spouse First, Middle Initial, Last Name Sex  FORMCHECKBOX  M  FORMCHECKBOX  F Date of Birth (mm/dd/yyyy)  Social Security Number Marriage Date FORMCHECKBOX  Add  FORMCHECKBOX  Change  FORMCHECKBOX  Drop  Child (1): Sex  FORMCHECKBOX  M  FORMCHECKBOX  F Date of Birth (mm/dd/yyyy) Social Security Number  FORMCHECKBOX Full-time student, at (school): FORMCHECKBOX  Add  FORMCHECKBOX  Change  FORMCHECKBOX  Drop  Child (2): Sex  FORMCHECKBOX  M  FORMCHECKBOX  F Date of Birth (mm/dd/yyyy) Social Security Number  FORMCHECKBOX Full-time student, at (school): FORMCHECKBOX  Add  FORMCHECKBOX  Change  FORMCHECKBOX  Drop  Child (3): Sex  FORMCHECKBOX  M  FORMCHECKBOX  F Date of Birth (mm/dd/yyyy) Social Security Number  FORMCHECKBOX Full-time student, at (school): FORMCHECKBOX  Add  FORMCHECKBOX  Change  FORMCHECKBOX  Drop  Child (4): Sex  FORMCHECKBOX  M  FORMCHECKBOX  F Date of Birth (mm/dd/yyyy) Social Security Number  FORMCHECKBOX Full-time student, at (school):To drop coverage for yourself or your dependents, check the box(es) to the left of the name(s) and select the coverage(s) to drop below. Attach a separate sheet if you wish to drop more than one dependent from different coverages.  FORMCHECKBOX  Voluntary Life  FORMCHECKBOX  Long Term Disability  FORMCHECKBOX  Short Term Disability  FORMCHECKBOX  Dental  FORMCHECKBOX  Vision CHOOSE YOUR DENTAL COVERAGE: Check one box only Find dental providers online at  HYPERLINK "http://www.guardianlife.com" www.guardianlife.com or check the directory of providers.Option 1 Pre-PaidOption 2 LowOption 3 - HighEmployee Alone FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  I Waive This CoverageEmployee & Spouse FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  I Waive This CoverageEmployee & Child(ren) FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  I Waive This CoverageEntire Family FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  I Waive This Coverage If waiving coverage, are you covered under another dental plan?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf waiving dependent coverage, are your dependents covered under another dental plan? (  FORMCHECKBOX  Yes  FORMCHECKBOX  NoDental Provider Location # - If electing the DHMO/MDG Plan - List dental office number(s) in the section below. EmployeeSpouseChild (1)Child (2)Child (3)Child (4)If you or your family has lost dental coverage, please explain below. Late entrant penalties may apply.Reason for Loss of coverage:  FORMCHECKBOX  Termination of Employment.  FORMCHECKBOX  Divorce.  FORMCHECKBOX  Death of Spouse.  FORMCHECKBOX  Termination or Expiration of coverageDate of coverage loss: PLEASE READ THE REVERSE SIDE OF THIS FORMIMPORTANT NOTES: Proof of insurability does not apply to dental, but if you waive dental coverage and later decide to enroll, you may be subject to a late entrant penalty and your dental benefits may be limited for a period of time. Guardian may waive late-entrant penalties if you lose dental coverage due to termination of the plan, loss of employment, death of spouse, divorce or where a court has ordered coverage be provided for an eligible spouse or eligible children, provided you apply within 30 days. CHOOSE YOUR VISION COVERAGE: Check one box only Find vision providers online at  HYPERLINK "http://www.guardianlife.com" www.guardianlife.com or check the directory of providers.Full FeatureEmployee Alone FORMCHECKBOX   FORMCHECKBOX  I Waive This Coverage Employee + 1 Dependent FORMCHECKBOX   FORMCHECKBOX  I Waive This Coverage Entire Family FORMCHECKBOX   FORMCHECKBOX  I Waive This Coverage If waiving coverage, are you covered under another vision plan?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf waiving dependent coverage, are your dependents covered under another vision plan? (  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIMPORTANT NOTES: If I have waived the vision coverage, and elect coverage at a later date, enrollment delays may apply. LONG TERM DISABILITY COVERAGE:Employee:  FORMCHECKBOX  Employer Provided - 60% of salary to a maximum of $5,000 name your beneficiaries must add up to 100% PRIMARY BENEFICIARY 1PRIMARY BENEFICIARY 2CONTINGENT BENEFICIARYName (Last, First, MI)Name (Last, First, MI)Name (Last, First, MI)Relationship to you: %Relationship to you: %Relationship to you: %In the event the designated primary beneficiaries are deceased, the contingent beneficiary will receive the benefit.CHOOSE YOUR SHORT TERM DISABILITY COVERAGE:Employee:  FORMCHECKBOX  60% of salary to a maximum of $1,250  FORMCHECKBOX  I Waive This Coverage.CHOOSE YOUR VOLUNTARY TERM LIFE COVERAGE: Check one box onlyEmployee:You must be enrolled to cover your dependentsPolicy Amount:  FORMCHECKBOX  $10,000  FORMCHECKBOX  $50,000  FORMCHECKBOX  $70,000  FORMCHECKBOX  $100,000  FORMCHECKBOX  $120,000  FORMCHECKBOX  $150,000*  FORMCHECKBOX  $200,000  FORMCHECKBOX  $250,000**  FORMCHECKBOX  $300,000  FORMCHECKBOX  $400,000  FORMCHECKBOX  $500,000  FORMCHECKBOX  $_________________________ If the amount you wish to choose is not listed above, please write in the space provided here. *Guarantee Issue. **Guarantee Issue Amount plus Additional amount. Please note: You must answer additional health questions and complete Evidence of Insurability if necessary to qualify for this policy amount.  FORMCHECKBOX  I Waive This Coverage.Spouse: Check one box only.The amount may not be more than 50% of the employee amount for Voluntary Term Life.Policy Amount: You may select a policy amount ranging from $5,000 to $250,000 in increments of $5,000  FORMCHECKBOX  $_________________________  FORMCHECKBOX  I Waive This Coverage.Child(ren): Check one box only. The amount may not be more than 10% of the employee amount for Voluntary Term Life. You may select a policy amount ranging from $2,000 to $10,000 in increments of $1,000  FORMCHECKBOX  $_________________________  FORMCHECKBOX  I Waive This Coverage. IMPORTANT NOTES If you waive life coverage and later decide to enroll, you will have to provide, at your own expense, proof of each persons insurability. Guardian reserves the right to reject your request. Based on your plan benefits and your age, you may be required to complete an additional evidence of insurability form for Voluntary Life Federal regulations limit before tax deductions for term life to the first $50,000 of benefits (including any employer-paid benefit). If any portion of the term life premium is for dependent coverage, the entire premium must be paid after tax. Children will not be covered until they reach 14 days.PLEASE READ AND SIGN THE SIGNATURE SECTION ON THE REVERSE SIDE OF THIS FORM For Voluntary Life, you must answer the following if you are choosing an amount over the guarantee issue: In the last 6 months, have you or any of your dependents received medical care, including treatment, consultation, services, diagnostic measures or monitoring of a condition in remission; or taken prescribed drugs for: Cancer; Heart Disease; Diabetes; any condition related to AIDS or AIDS Related Complex; or any other Chronic Condition?  Employee  FORMCHECKBOX  Yes  FORMCHECKBOX  No AN EVIDENCE OF INSURABILITY FORM(S) MUST BE COMPLETED FOR ANY EMPLOYEE WITH A YES ANSWER TO THE ABOVE QUESTION. SIGNATUREI hereby apply for the group benefit(s) that I have chosen above. I understand that I must meet eligibility requirements for all coverages that I have chosen above. I agree that my employer may deduct premiums from my pay or add premiums to my dues; if they are required for the coverage I have chosen above. I attest that the information provided above is true and correct to the best of my knowledge. I understand that I must be actively at work or my life and/or disability coverage will not take effect until I have completed a waiting period (as defined in the Group Plan) of full time service. This requirement does not apply to eligible retirees. I understand that my dependent(s) cannot be enrolled for coverage if I am not enrolled for that coverage. I understand that life insurance coverage for a dependent, other than a newborn child, will not take effect if that dependent is confined to a hospital or other health care facility, or is home confined, or is unable to perform the normal activities of someone of like age and sex. Any person who with intent to defraud or knowing that he/she is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement may be guilty of insurance fraud.SIGNATURE OF EMPLOYEEDATE PLEASE RETAIN A PHOTOCOPY FOR YOUR RECORDS AND SUBMIT THIS FORM TO GUARDIAN     The Guardian Life Insurance Company of America Managed Dental Care of California A wholly owned subsidiary of Guardian CEF-2005 5/07 ESU #$%&(+,-2PQR\]^z{|ýo[E[+jhqX5CJEHH*OJQJU'hL75CJEHH*OJQJmHnHu+j^hqX5CJEHH*OJQJUhqX5CJEHH*OJQJ%jhqX5CJEHH*OJQJUhqXEHH*OJQJhqXCJH*OJQJ hqXCJhqXjhqXUmHnHuhqXOJQJhqX5CJOJQJhqX5CJOJQJ\hqX5OJQJ\ $%&*+-./012 ^`Bkd$$Ifl  6# 64 la $#&#$/If$ $#&#$/Ifa$ 2Q|  hbbb$IfskdF$$Ifll0`'<  k  0,4 la% $If] (@ d$If`            ) * + ;͔;;~͔;;h͔;;R+jhqX5CJEHH*OJQJU+jhqX5CJEHH*OJQJU+jhqX5CJEHH*OJQJU'hL75CJEHH*OJQJmHnHu+j'hqX5CJEHH*OJQJUhqX5CJEHH*OJQJ%jhqX5CJEHH*OJQJUhqXEHH*OJQJhqXCJH*OJQJhqXH*OJQJ   2 3 4 B9 $$Ifa$kd$$Ifl\ `'(  $      0,4 la% P$If]P (@ d$If`+ 0 1 2 3 5 G J K Y Z [ \ n o } ~  ~j~_O_ ? 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