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11

Employees may elect life insurance without AD&D, AD&D

without life insurance, or both coverage options.

When an employee reaches 65 years of age, the coverage

in force must be reduced to 65% of the original amount for

both the employee and spouse. Once an employee reaches

70 years of age, the employee coverage in force must be

reduced to 50% of the original amount, and spousal

coverage must be dropped.

Rates will change based on age. If an employee reaches a

new rate level, the premium change will take effect on

March 1 following the birthday on which the employee

reached the new age bracket.

Plan Changes and Deductions

Employees who waive coverage or miss the enrollment

deadline will not be eligible to enroll later without evidence

of insurability, unless only the employee wants coverage of

no more than $10,000. Evidence of insurability will be

required for enrollment after the initial enrollment period,

unless strict coverage limitations are met.

Employees who want to enroll after initial eligibility or

increase coverage may do so at open enrollment or in the

case of a qualifying event. Employees will be required to

provide evidence of insurability to qualify for any amount of

life coverage, unless the employee is requesting no more

than $10,000 or increasing the life amount by no more than

$10,000 and the total remains at or below $150,000.

Though no evidence of insurability is required for children,

spouses must complete evidence of insurability for life

insurance enrollment after initially eligible or for life

coverage increases.

Employees with new dependents must add coverage for

those dependents prior to the first of the month after the

dependent is acquired to take advantage of guarantee

issue. Employees must contact Human Resources

BEFORE a new dependent is acquired to ensure coverage

and complete enrollment.

All premiums are deducted on a post-tax basis.

Employee and Spouse Monthly

Supplemental Life Rates

Child Monthly Supplemental Life Rates

Monthly AD&D Rates

If employee only coverage is elected, the rate is $0.03 per

$1,000. If any dependent coverage is elected, the rate is $0.06

per $1,000 of the employee amount.

The Enrollment System will calculate Monthly Life Insurance

Costs based on elections. A sample supplemental life calculator

follows on page 12.

Age

Employee/Spouse Rate

per $1,000*

<25

$0.08

25-29

$0.08

30-34

$0.10

35-39

$0.13

40-44

$0.20

45-49

$0.33

50-54

$0.56

55-59

$0.91

60-64

$1.14

65-69

$1.98

70-74

$3.21

75+

$4.94

*Spouse rate is determined by employee age.

Child Life

Amount

Monthly Cost

$1,000

$0.20

$2,000

$0.40

$3,000

$0.60

$4,000

$0.80

$5,000

$1.00

$6,000

$1.20

$7,000

$1.40

$8,000

$1.60

$9,000

$1.80

$10,000

$2.00

Children 6 months to 26 years are eligible

for coverage. Contact HR for rates on

children 14 days to 6 months.