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</head>
<body lang="EN-US" link="blue" vlink="#954F72">
<div class="WordSection1">
<h1><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><img width="153" height="59" id="_x0000_i1025" src="cid:image001.png@01D9B577.344B0E10"></span><span style="font-size:11.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></h1>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="border-collapse:collapse">
<tbody>
<tr style="height:45.4pt">
<td width="719" colspan="2" valign="top" style="width:539.55pt;padding:0in 5.4pt 0in 5.4pt;height:45.4pt">
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> </span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">July 13, 2023<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
</td>
</tr>
<tr style="height:28.85pt">
<td width="76" valign="top" style="width:57.05pt;padding:0in 5.4pt 0in 5.4pt;height:28.85pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-size:12.0pt;line-height:110%;font-family:"Arial",sans-serif">To:<o:p></o:p></span></p>
</td>
<td width="643" valign="top" style="width:482.5pt;padding:0in 0in 0in 0in;height:28.85pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="line-height:110%;font-family:"Arial",sans-serif">Department Benefits Representatives<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:28.85pt">
<td width="76" valign="top" style="width:57.05pt;padding:0in 5.4pt 0in 5.4pt;height:28.85pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-size:12.0pt;line-height:110%;font-family:"Arial",sans-serif">From:<o:p></o:p></span></p>
</td>
<td width="643" valign="top" style="width:482.5pt;padding:0in 0in 0in 0in;height:28.85pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="line-height:110%;font-family:"Arial",sans-serif">Central HR Benefits Office<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:24.3pt">
<td width="76" valign="top" style="width:57.05pt;padding:0in 5.4pt 0in 5.4pt;height:24.3pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-size:12.0pt;line-height:110%;font-family:"Arial",sans-serif">Re:</span><span style="font-size:11.5pt;line-height:110%;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="643" valign="top" style="width:482.5pt;padding:0in 0in 0in 0in;height:24.3pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;line-height:110%">
<b><span style="font-size:12.0pt;line-height:110%;font-family:"Arial",sans-serif">Prudential Life Insurance – N</span></b><b><span style="font-size:12.0pt;line-height:110%">ew
</span></b><b><span style="font-size:12.0pt;line-height:110%;font-family:"Arial",sans-serif">Paperless Evidence of Insurability Application</span></b><b><span style="line-height:110%"><o:p></o:p></span></b></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#212121">_______________________________________________________________________________________
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif">DBRs, please share this important information with your department via your internal list serv.<o:p></o:p></span></b></p>
<p class="xxmsonormal"><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></span></p>
<p class="xxmsonormal"><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">Prudential Life Insurance announced the successful launch of a paperless Evidence of Insurability (EOI) solution for the Supplemental and Expanded Dependent Life
insurance plans. Employees who did not elect this benefit at time of hire may utilized this new solution for enrollment that will reduce the need for paper-based documentation, streamline the EOI experience, and accelerate the decision-making process. Faculty
and staff can conveniently complete the EOI questionnaire online, submit documentation if needed, and in some cases, receive instant approval. The
</span></span><span style="font-family:"Arial",sans-serif"><a href="https://ucnet.universityofcalifornia.edu/compensation-and-benefits/disability-life-accident/life-insurance/short-form-health-questionaire.html">paper EOI form</a><span class="xxcontentpasted2">
is still available for use. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal"><span style="font-size:9.0pt"><o:p> </o:p></span></p>
<p class="xxmsonormal"><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">The timing of when the employee initiates the request to completion will vary depending on how soon the online questionnaire is completed. Employees will receive
timely updates and notifications throughout the application process. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal"><span style="font-family:"Arial",sans-serif"> </span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal"><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">Below is an outline of the paperless EOI process. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal"><span style="font-family:"Arial",sans-serif"> </span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><b><span style="font-family:"Arial",sans-serif">Step 1:</span></b></span><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif"> Employee submits their request through the UCPath
self-service portal or calls UCPath for assistance with submitting their request. Requests can be for the employee and/or their spouse/domestic partner. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.0in;text-indent:-.25in;mso-list:l1 level2 lfo2">
<![if !supportLists]><span style="font-size:10.0pt;font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">In UCPath, click on Employee Actions, then Health and Welfare, then Life Events/Benefits Changes, then select “Benefit Changes for AD&D, Disability or
Life.” </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.0in;text-indent:-.25in;mso-list:l1 level2 lfo2">
<![if !supportLists]><span style="font-size:10.0pt;font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">Employees may reach UCPath at 1-855-982-7284; Monday through Friday, from 8:00 AM until 5:00 PM, PT. </span></span><span style="font-family:"Arial",sans-serif"><br>
</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:.5in;text-indent:-.25in;mso-list:l8 level1 lfo3">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><b><span style="font-family:"Arial",sans-serif">Step 2:</span></b></span><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif"> UCPath sends a weekly file of EOI requests to
Prudential. </span></span><span style="font-family:"Arial",sans-serif"><br>
</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:.5in;text-indent:-.25in;mso-list:l8 level1 lfo3">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><b><span style="font-family:"Arial",sans-serif">Step 3:</span></b></span><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif"> Prudential receives and loads the file into their
underwriting system. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.0in;text-indent:-.25in;mso-list:l2 level2 lfo4">
<![if !supportLists]><span style="font-size:10.0pt;font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">A link is automatically generated and sent to each employee via email. The email will contain instructions for creating an account and completing the
online EOI questionnaire. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.5in;text-indent:-.25in;mso-list:l10 level3 lfo5">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Wingdings"><span style="mso-list:Ignore">§<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">Emails will be sent to the employee’s preferred email address in UCPath. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.5in;text-indent:-.25in;mso-list:l10 level3 lfo5">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Wingdings"><span style="mso-list:Ignore">§<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">If the employee applies for themselves and/or their spouse/domestic partner, the link will be sent to the employee’s email for both. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.0in;text-indent:-.25in;mso-list:l12 level2 lfo6">
<![if !supportLists]><span style="font-size:10.0pt;font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">Prudential will send three reminder emails before closing the request and sending a “no response” notification to the employee and UCPath. </span></span><span style="font-family:"Arial",sans-serif"><br>
</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:.5in;text-indent:-.25in;mso-list:l4 level1 lfo7">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><b><span style="font-family:"Arial",sans-serif">Step 4:</span></b></span><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif"> Employee creates an account on the Prudential
website and completes the online EOI questionnaire. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.0in;text-indent:-.25in;mso-list:l5 level2 lfo8">
<![if !supportLists]><span style="font-size:10.0pt;font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">If the employee applied for themselves and their spouse/domestic partner, they only need to create one account. Both questionnaires will be available
for each to complete in the same session. </span></span><span style="font-family:"Arial",sans-serif"><br>
</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:.5in;text-indent:-.25in;mso-list:l7 level1 lfo9">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><b><span style="font-family:"Arial",sans-serif">Step 5:</span></b></span><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif"> Employee is notified of a decision. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.0in;text-indent:-.25in;mso-list:l13 level2 lfo10">
<![if !supportLists]><span style="font-size:10.0pt;font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">When the employee applies, they will receive either an instant approval or automatically be transitioned to complete the long-form questionnaire. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.5in;text-indent:-.25in;mso-list:l6 level3 lfo11">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Wingdings"><span style="mso-list:Ignore">§<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">If additional information is needed beyond the long form, Prudential will contact the employee directly to discuss the next steps. </span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.0in;text-indent:-.25in;mso-list:l11 level2 lfo12">
<![if !supportLists]><span style="font-size:10.0pt;font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">If the EOI is denied, Prudential will send the employee a denial letter, including instructions on filing an appeal. </span></span><span style="font-family:"Arial",sans-serif"><br>
</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:.5in;text-indent:-.25in;mso-list:l9 level1 lfo13">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><b><span style="font-family:"Arial",sans-serif">Step 6:</span></b></span><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif"> Prudential returns the weekly file containing
EOI decisions to UCPath. </span></span><span style="font-family:"Arial",sans-serif"><br>
</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:.5in;text-indent:-.25in;mso-list:l9 level1 lfo13">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><b><span style="font-family:"Arial",sans-serif">Step 7:</span></b></span><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif"> UCPath processes the approvals/denials and notifies
the employee. </span></span><span style="font-family:"Arial",sans-serif"><br>
</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
<p class="xxmsonormal" style="margin-left:1.0in;text-indent:-.25in;mso-list:l3 level2 lfo14">
<![if !supportLists]><span class="xxcontentpasted2"><span style="font-size:10.0pt;font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">If the EOI is approved, UCPath will finalize the enrollment and send employee a confirmation statement.</span></span><span class="xxcontentpasted2"><span style="font-size:9.0pt"><o:p></o:p></span></span></p>
<p class="xxmsonormal" style="margin-left:1.0in;text-indent:-.25in;mso-list:l3 level2 lfo14">
<![if !supportLists]><span style="font-size:10.0pt;font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span class="xxcontentpasted2"><span style="font-family:"Arial",sans-serif">If the EOI is denied, UCPath will close the event and notify the employee.</span></span><span style="font-size:9.0pt"><o:p></o:p></span></p>
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