GROUP INVOLUNTARY UNEMPLOYMENT INSURANCE POLICY
POLICY SCHEDULE OF INSURANCE
|GROUP POLICY NUMBER:
|GROUP POLICYHOLDER NAME:
|GROUP POLICYHOLDER ADDRESS:
This Group Involuntary Unemployment Insurance Policy (hereinafter referred to as “Policy”) is issued to the Group Policyholder named on the Policy Schedule of Insurance and the Declarations of this Policy. We are issuing this Policy in consideration of a completed application and payment of premiums due.
This Policy, together with the Application for Insurance, the Declarations, the Policy Schedule of Insurance, any insurance coverage riders, and any endorsements make up the entire contract of insurance.
We agree to pay benefits in accordance with all terms and conditions of this Policy.
Premiums are payable to Us at Our Administrative Office. Premiums are due as provided by the provisions of this Policy.
Coverages offered to Covered Persons in the group include Involuntary Unemployment Insurance and may include coverage rider(s) for Total Disability Insurance and Accidental Death Insurance. Benefit amounts, limits, and other coverage details shall be described on the Certificate Schedule of Insurance provided to the Covered Person.
EFFECTIVE DATE / RENEWAL AGREEMENT
EFFECTIVE DATE. This Policy and the insurance provided by it shall become effective at 12:01 a.m. local standard time at the Group Policyholder’s address on the Effective Date shown in the Policy Schedule of Insurance and the Declarations of this Policy.
RIGHT TO RENEW. This Policy is renewable at Our option, subject to the terms and conditions in the Termination of Insurance provision. If We elect not to renew the Policy, We will provide advance written notice of nonrenewal to You, at the last mailing address known to Us at least thirty (30) days prior to the effective date of nonrenewal. The notice will state the reason(s) for nonrenewal; proof of mailing will be sufficient proof of notice.
A Certificate of Insurance is renewable at Our option, subject to the terms and conditions in the Termination of Insurance and Premiums section of this Policy and the Certificate of Insurance. If We elect not to renew a Certificate of Insurance, We will provide advance written notice of nonrenewal to the Covered Person at the last mailing address known to Us at least thirty (30*) days prior to the effective date of nonrenewal. The notice will state the reason(s) for nonrenewal; proof of mailing will be sufficient proof of notice.
GROUP INVOLUNTARY UNEMPLOYMENT INSURANCE POLICY
|TERMINATION OF INSURANCE
When used in this Policy, the following words and phrases have the meaning given.
ADMINISTRATIVE OFFICE means Customer Care Center
BENEFIT PERIOD means the period of consecutive days of Loss for which a benefit is payable.
The Benefit Period will begin on the first day of the Loss after the Waiting Period has been satisfied and will end on the first of the following:
(1) the date the Covered Person is no longer incurring the Loss; or
(2) when the Maximum Benefit Period shown in the Certificate Schedule of Insurance and in the Declarations of this Policy has been reached.
The same continuous Loss is eligible for only one (1) Benefit Period.
COVERED PERSON means the Covered Person named in the Certificate Schedule of Insurance.
EFFECTIVE DATE means the date coverage becomes effective as shown in the Policy Schedule of Insurance and the Declarations of this Policy.
EMPLOYMENT means working in a non-seasonal, full-time (at least thirty (30) hours per week) occupation for salary or wages during the ninety (90) day period immediately preceding the date of Loss.
GROUP POLICYHOLDER means the legal entity named on the Policy Schedule of Insurance and the Declarations of this Policy and for whom this Policy has been issued.
INVOLUNTARY UNEMPLOYMENT means the total and continuous Loss of a Covered Person’s non seasonal, full-time Employment resulting from one or more of the following:
(1) an individual layoff not due to willful or criminal misconduct: means an ending of employment at the will of the employer;
(2) a mass layoff: means an ending of employment at the will of the employer;
(3) a general strike: means a strike against all the employers in an industry or a territory; a simultaneous cessation or quitting of work by a body of workers acting in combination for the purpose of obtaining for themselves more desirable terms of employment;
(4) a unionized labor dispute: means a trade or labor union, through the coalition of its members, has authorized a strike to obtain higher wages, shorter hours of employment, better working conditions, or some other concession from the employer by the employees stopping work at a predetermined time, and it involves a combination of persons and not a single individual;
(5) a lockout: means an employer’s discharge of his employees, because of a labor dispute or because of his dislike of his employees’ activities as a union; the temporary closing of the place of employment by the employer without formally discharging the employees, the object being to discourage union activities or to gain acceptance of his views or compromise, which is more favorable to him than the demands made by his employees; or
(6) an involuntary termination of Employment not due to willful or criminal misconduct: means a transgression of some established and definite rule of action, a forbidden act, a dereliction of duty, willful in character, improper, or wrong behavior but not negligence or carelessness and unlawful behavior as determined by local, state, or federal law.
LOSS means an event of Involuntary Unemployment. For additional insurance coverage riders, loss is defined as provided by those riders.
MAXIMUM BENEFIT AMOUNT means the benefit amount shown in the Covered Person’s Certificate Schedule of Insurance and in the Declarations of this Policy. In the event of a Loss, the Maximum Benefit Amount is payable to the Covered Person. Benefit payments are subject to all terms and conditions of this Policy.
RE-ELIGIBILITY PERIOD means a specified time period as shown in the Declarations of this Policy and in the Certificate Schedule of Insurance following the end of a Benefit Period.
If a claim for Involuntary Unemployment occurs within this specified Re-Eligibility Period during which the Covered Person has returned to active full-time employment, the benefit is subject to the remaining benefits of the previous period of unemployment and will be considered a continuation of the previous claim. A new Waiting Period will not apply.
If a claim for Involuntary Unemployment occurs after the specified Re-Eligibility Period during which the Covered Person has returned to active full-time employment, the Loss will be considered a new claim and a new Waiting Period will apply.
SEASONAL EMPLOYMENT means Employment that can only be carried on during certain seasons or during definite times of the year and where the customary period of Employment is less than 1,000 hours during a consecutive twelve (12) month period.
VESTING PERIOD, if any, means a period of consecutive time following the Effective Date of coverage shown in the Covered Person’s Certificate Schedule of Insurance and in the Declarations of this Policy during which the Covered Person is ineligible to file a claim or to receive benefits even if a Loss occurs. The Vesting Period for each coverage is shown in the Declarations of this Policy and the Certificate Schedule of Insurance.
WAITING PERIOD means a period of consecutive time after a date of Loss during which no benefit is payable. The Waiting Period will not begin until the Vesting Period has been satisfied. The Waiting Period for each coverage is shown in the Declarations of this Policy and in the Certificate Schedule of Insurance.
WE, US, and OUR means the insurer, and Quil Ventures, Inc
YOU, YOUR, and YOURS means the Group Policyholder.
Individuals age 18 through 60 who are part of the Group Policyholder’s group are eligible to apply for coverage.
Covered Persons may qualify for benefits under only one (1) Involuntary Unemployment Certificate of Insurance with Us. If any Covered Person is insured under more than one (1) Certificate of Insurance, We will consider that Covered Person to be insured under the Certificate of Insurance providing the greatest amount of coverage. Upon discovery of the duplication, We will cancel the appropriate Certificate of Insurance and will refund any premiums paid for the coverage it provided.
Self-employed individuals and independent contractors may be eligible for Involuntary Unemployment Insurance coverage provided they meet all other eligibility requirements including qualifying for and receiving state unemployment benefits.
You must be a Quil member for a minimum of 90 days prior to activating Quil Layoff Protection. Your Quil membership begins on Your Effective Date (the day we successfully receive a membership payment from you via Stripe, our payment processor).
You must have paid all fees for Your Quil Membership, in full, up to the current month You request a qualifying Activation for Quil Layoff Protection.
You were employed an average of at least twenty (30) hours or more per week for 90 consecutive days at an employer immediately before the time of Your Activation.
You are not employed in a seasonal or temporary position.
You must be Involuntarily Unemployed (see definition of What things exclude me from Quil Layoff Protection).
You become Involuntarily Unemployed and either You are approved to receive unemployment benefits from your State unemployment agency for the period of unemployment for which You are activating Quil Layoff Protection; or You provided additional information to Quil to support Your Involuntary Unemployment status. Quil reserves the right to request any additional information it needs to adequately verify Your eligibility for Layoff Protection.
How do I prove I’m Involuntarily Unemployed?
First, You need to let Us know You are Involuntarily Unemployed by activating Your Quil Layoff Protection through the Quil app (an “Activation”) within 30* calendar days of the unemployment event.
Once You Activate Your Quil Layoff Protection, We will need to verify that You are Involuntarily Unemployed and that You qualify.
To help us expeditiously verify Your Involuntary Unemployment status, you may be required to submit documentation including, but not limited to, proof from Your employer of Your previous employment status and number of weekly hours worked for 90 days prior to your Activation as well as proof of W-2 employment. The payout depends on your weekly average hours worked.
We may contact Your former employer directly to verify the information provided. We may also need documentation from Your state unemployment agency that You have met the qualifications to receive state unemployment benefits and are actively seeking employment. Altered documents will not be accepted and will result in termination of your account. You will be required to upload the required documentation through the Quil app, other secure web portals or via email. We will determine if You meet the eligibility requirements by reviewing the information submitted and making a decision based on information and documents provided. We reserve the right to contact your former employer to verify Your employment status. We will let You know the statuses and outcome of Your Activation through notifications in your Quil app or by digital means throughout the duration of Your Activation.
You will be required to provide proof of ongoing Involuntary Unemployment within 7 calendar days of the start of each 30-day period (days 30 and 60) to access Your appropriate amount of coverage for the following month, up to 3 months in a 12-month period. You will be required to provide documentation from Your state unemployment agency as proof of ongoing Involuntary Unemployment if You are still unemployed for the second and third months.
If we do not receive proof of unemployment within the time period stated from your state unemployment agency, this may result in termination of Your Layoff Protection benefits and/or Your Quil account at our sole discretion
We start the review process quickly, but a delay in receipt of documents from Your employer can impact the timeline. Your Layoff Protection benefits will ACH transfer via information given in the app.
Our mission is to approve as many Activations as possible when sufficient documentation is provided. Quil reserves the right to decline any Layoff Protection Activation if the provided proof is deemed insufficient, altered, or inaccurate.
Benefits are subject to all terms and conditions described in this Policy:
INVOLUNTARY UNEMPLOYMENT BENEFIT. Upon Our receipt of satisfactory written proof of Loss from a Covered Person, and after any Vesting Period and Waiting Period has been satisfied, We will pay benefits according to the terms and conditions of this Policy, the Certificate of Insurance, and the coverage selected. If, after satisfaction of the Waiting Period, the period of Involuntary Unemployment is less than a full month, We
will pay 1/30th of the monthly benefit for each day of that period.
The Covered Person:
(1) is required to provide Us written proof of Loss of his/her continuing Involuntary Unemployment on a monthly basis or at any time upon Our request.
(2) must register with his/her state unemployment office for unemployment benefits, must be receiving those benefits, and must continue to actively seek Employment through his/her state employment office or a recognized employment agency beginning no later than thirty (30) days after loss of Employment.
(3) must remain actively registered with his/her state unemployment office to remain eligible for benefits under this Policy and the Certificate of Insurance.
Benefit payments will cease when the Covered Person is no longer involuntarily unemployed or when benefits reach the maximum limits shown in the Certificate Schedule of Insurance and the Declarations of this Policy, whichever occurs first.
Following the expiration of a claim for Involuntary Unemployment benefits and after the Covered Person has maintained employment for ninety (90) consecutive days in a non-seasonal, full-time (at least thirty (30) hours per week) occupation for salary or wages during the Re-Eligibility Period, the Covered Person may file a new claim for benefits.
Any change to the Covered Person’s Employment status including, but not limited to, retirement, will result in ineligibility for Involuntary Unemployment coverage under this Policy. If the Covered Person becomes ineligible as a result of a change in Employment status, the Covered Person should contact Us at Our Administrative Office.
No benefit shall be paid if the Covered Person is currently receiving benefits for any other Loss under this Policy or the Certificate of Insurance, or if the Loss was caused by, resulting from, or contributed to by:
(1) voluntary forfeiture of Employment salary, wages, or other Employment income; (2) resignation of Employment;
(3) retirement from Employment;
(4) termination of Employment due to willful or criminal misconduct;
(5) scheduled termination of Employment contract; This includes: ride sharing, food delivery, or any other delivery apps which are considered a 1099 employee and not a W-2 employee.
(6) termination of Seasonal Employment;
(7) a reduction in the number of hours worked not resulting in a total elimination of Employment income;
(8) having received notice, either orally or in writing, of pending unemployment within ninety (90) days prior to enrollment date;
(9) the failure of self-employed individuals and independent contractors to meet all eligibility requirements including qualifying for and receiving state unemployment benefits; or
(10) a Loss of Employment commencing before satisfaction of the Vesting Period.
(11)A self-employed individual, meaning a person working for income that comes directly from his or her own business, trade, profession, or a partnership (a company or entity in which You have at least ten percent (10%) or greater equity or ownership interest will be regarded as Your own business).
(12) Occurs during the first ninety (90) days of Your Quil Membership;
(13) Occurs before Your Quil Membership began;
(14) Occurs before You have worked at least ninety (90) days and for at least twenty (30) hours per week during those ninety days in the job, which you listed on your application, and for which You are now Involuntarily Unemployed;
(15) Is due to disability caused by accident, sickness, disease, pregnancy, or childbirth;
TERMINATION OF INSURANCE
This Policy may be terminated by You and a Certificate of Insurance may be terminated by a Covered Person by providing Us advance written notice of termination. We may terminate this Policy or a Certificate of Insurance in the case of nonpayment of premium or discovery of fraud or material misrepresentation by You or the Covered Person. We do not have the right to refuse a premium paid on or before the date due or within the
Grace Period. Coverage will terminate if the premium is not paid by the end of the Grace Period.
Coverage under this Policy and/or a Certificate of Insurance automatically ends on the premium due date immediately following:
(1) the date this Policy is terminated by You;
(2) the date the Certificate of Insurance is terminated by the Covered Person;
(3) the date You or the Covered Person fails to pay the required premium by the date due, except as provided for in the Grace Period;
(4) the date the Covered Person ceases to participate in the Group Policyholder’s plan of insurance; (5) the Covered Person’s attainment of age 65; or
(6) the date of the Covered Person’s death.
We may terminate the Policy or the Certificate of Insurance. We will provide advance written notice of termination to You and/or to the Covered Person at least thirty (30*) calendar days prior to the date coverage will end. Notice will state the reason(s) for the proposed action and the effective date of termination; coverage will end on that date. Proof of mailing (electronic or physical) will be sufficient proof of notice.
Upon termination of coverage, premiums paid monthly have been fully earned and are non-refundable; coverage will continue until the next monthly premium due date. Termination of this Policy and/or a Certificate of Insurance will not prejudice any claim originating prior to its termination subject to all other terms and conditions contained herein.
PAYMENT OF PREMIUM. All premiums shall be paid to Us at Our Administrative Office on or prior to the due date as stated in the Declarations of this Policy and the Certificate Schedule of Insurance. The Covered Person is required to pay the premium shown in the Certificate Schedule of Insurance to keep coverage in force.
PREMIUM CHANGES. We have the right to change the premium rates under this Policy by providing the Group Policyholder and the Covered Person at least thirty (30) days’ advance written notice. Premium rates may also change at any time the Group Policyholder makes a coverage change request, which We agree to accept.
GRACE PERIOD. If premium is not paid by the due date, the insurance shall be in default. After the first premium has been paid, We will allow a thirty (30) day Grace Period for future payments as allowed by the insurance laws in the state where coverage is issued. Coverage under this Policy and/or Certificate of Insurance will terminate if the premium is not paid by the end of the Grace Period.
TO REPORT A CLAIM AND TO OBTAIN A CLAIM FORM. Contact Quil at email@example.com. If these forms are not delivered to the Covered Person within ten (10) days, the Covered Person may meet the Proof of Loss requirements by providing Us a written statement of the nature and extent of the Loss as stated in the Proof of Loss provision.
NOTICE OF CLAIM. Written Notice of Claim must be provided to Us within thirty (30) days after the date of Loss or as soon thereafter as is reasonably possible. Failure to give such notice within the time frame specified will not invalidate or reduce the claim unless this failure operates to prejudice Our rights. The Notice of Claim should include the Covered Person’s name, the Certificate Number, the Group Policyholder’s name, the Effective Date of coverage and should be mailed to Our Administrative Office.
All proof of Loss forms must be completed by the Covered Person and such other persons or officials as may be required. A claim will be activated when all proof of Loss forms have been properly completed by all required parties and are received by Our Administrative Office.
PROOF OF LOSS. In the case of involuntary termination or layoff, satisfactory written evidence that the Covered Person is receiving state unemployment benefits and has registered for work with his/her state employment office or a recognized employment agency within thirty (30) days after Loss of Employment is required. Furthermore, written evidence that the Covered Person remains registered and is actively seeking new Employment while benefits are being paid is also required.
In the case of a strike or lockout, satisfactory written evidence of Involuntary Unemployment, which may include a statement signed by a union officer, is required.
The Covered Person must provide satisfactory written evidence of continuing Involuntary Unemployment on a monthly basis or any time upon Our request.
We may require the Covered Person to provide additional documents in order to satisfy proof of Loss to determine Our liability. Additional documents must be provided no later than one (1) year from the date of Loss.
PAYMENT OF CLAIMS. Upon Our receipt of satisfactory written proof of Loss and determination of Our liability, benefits payable under the terms and conditions of this Policy and/or a Certificate of Insurance will be paid within thirty (30) days.
All benefits are paid directly to the Covered Person.
If the Covered Person is deceased, benefits will be payable to his/her named beneficiary or to his/her estate if no beneficiary is named.
CONFORMITY TO LAW. Any provision of this Policy, which, on its Effective Date, is in conflict with the insurance laws of the state in which You reside shall be amended to conform to the laws of that state.
ENTIRE CONTRACT. This Policy, together with the Application for Insurance, the Declarations, the Policy Schedule of Insurance, any insurance coverage riders, and any endorsements make up the entire contract of insurance. This Policy may be revised only by written agreement between the Group Policyholder and Us.
Only Our authorized officer(s) have authority to waive or otherwise revise any provision of this Policy or Our rights hereunder. Any action, statement, or agreement made in writing by any person(s) other than Our authorized officer(s), shall in no way bind or estop Us from enforcing the provisions of this Policy or Our rights hereunder. A written agreement which modifies, extends, or is in conflict with this Policy shall be invalid unless such written agreement is signed by Our authorized officer(s) and is made part of this Policy. An agent or broker cannot change or waive Policy provisions.
CERTIFICATES. We will provide a Certificate of Insurance to each Covered Person. The Certificate of Insurance will describe the coverage provided, to whom benefits are paid, and all terms and conditions of this Policy, which apply to the Covered Person.
Any conflict between the terms and conditions provided in the Certificate of Insurance and this Policy shall be decided in favor of this Policy.
If, within thirty (30*) days after the Effective Date of the Certificate of Insurance, the Covered Person wishes to terminate coverage, he/she may contact Quil at firstname.lastname@example.org. If terminated in accordance with the terms and conditions stated herein, the Certificate of Insurance will be void retroactively to the Effective Date and any premium paid will be refunded.
MISSTATEMENT OF AGE. If as a result of misstatement of age by a Covered Person, We issue a Certificate of Insurance and accept premium for coverage, which would not have been in effect if based upon factual information, Our liability shall be limited to the return of premiums paid for the period coverage was in force.
MATERIAL MISREPRESENTATION, FRAUD, OUR RIGHT TO RESCIND. If You or a Covered Person have concealed or misrepresented any material fact in the application for insurance or in the submission of any claim, or have attempted fraud or false swearing, and coverage was issued or benefits were paid in reliance upon those statements, We may deny the claim and, if applicable, rescind coverage. Our liability will be limited to the return of premiums paid, less any benefits paid.
NON-PARTICIPATING. This Policy is a non-participating Policy and will not share in Our surplus.
RECORDS. Sufficient records must be maintained by the Group Policyholder including the names of all Covered Persons, the Effective Dates of coverage, and any such other information required to administer this Policy.
RIGHT TO TERMINATE. You or We may terminate this Policy by providing written notice to the other party thirty (30*) days prior to the desired date of termination. Upon receipt of Our notice, You must notify all Covered Persons of such termination by providing written notice. All notices shall state the reason(s) for the proposed action and the effective date of termination; coverage will end on that date. Proof of mailing will be sufficient proof of notice.
RIGHT OF RECOVERY. If payments for claims exceed the maximum amount payable under the terms and conditions of the Involuntary Unemployment Insurance coverage or the insurance coverage rider(s) under this Policy, We have the right to recover the excess of such payments.
LEGAL ACTIONS. No action can be brought to recover under this Policy and/or a Certificate of Insurance until at least sixty (60) days after We have received satisfactory written proof of Loss. No such action shall be brought more than ten (10) years after the date We receive satisfactory proof of Loss.
INCOME TAXATION. Benefits paid do not include provisions for any income tax that may be owed by the Covered Person or the Covered Person’s estate. The Covered Person should consult a tax advisor regarding any tax consequences of benefits received under this Policy or a Certificate of Insurance.
Your account will be closed and You will be removed from Quil Layoff Protection coverage if you provide a written request to Us via email at email@example.com or on the Quil App. We reserve the right to close your account and remove You from Quil Layoff Protection coverage if you submit altered documents or miss a payment and do not cure the missed payment within 7 business days. If you cancel after the monthly payment was made, a refund will not be issued. You will be covered foƒr the remainder of that month. Quil reserves the right to close accounts at our sole discretion with written (electronic or physical) notice to You.
Changing these Terms and Conditions.
We reserve the right to change these Terms and Conditions at any time and we will provide you notice of any such changes as required. Your continued payment of the Quil Membership will constitute Your acceptance of the change in terms.
*Terms are for 30 calendar days, unless the calendar month is less than 30 days. In which case, terms will be applied to the calendar month.