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5

100% EMPLOYER PAID LIFE, DISABILITY AND EAP - MUTUAL OF OMAHA

Basic Life / Accidental Death & Dismemberment (AD&D)

• SEABHS pays the entire cost for an employee working 30+ hours per week. The coverage amount is based on annual

salary. Coverage amounts above $50k per year are subject to imputed income tax. Applicable tax is deducted through payroll.

• Employee: One times annual salary, up to $300,000

• AD&D coverage is equal to your life insurance coverage and provides benefit’s in certain accidental events

• Eligible the first of the month following hire date

Short Term Disability (STD)

• SEABHS pays the entire cost for an employee working 30+ hours per week

• Benefits begin on the 61st day of your disability injury (non-work related) or illness

• Benefits are available for up to 18 weeks

• Benefit is 66.67% of your monthly-before-tax salary not to exceed $600 per week

• Eligible after one year of employment

Long Term Disability (LTD)

• SEABHS pays the entire cost for an employee working 30+ hours per week.

• Benefit is 66.67% of your monthly- before- tax salary up to $4,000

• Benefits begin 180 days after the date of your disability and will continue until normal Social Security retirement benefits begin

• Eligible after one year of employment

Employee Assistance Program (EAP)

• Three face-to-face sessions with a counselor

• Service for immediate and dependent family members

• 24-hour toll-free access to EAP professionals 7 days a week

• Telephone assistance and referral

• Eligible the first of the month following hire date

VOLUNTARY LIFE/AD&D - MUTUAL OF OMAHA

Voluntary Life is available at a cost to the employee through after tax payroll deduction. The employee and/or dependents may

need to qualify for benefits. (Children up to age 19 - 26 if full time student)

Employee Only:

$10,000 up to 7x annual salary maximum of $350,000 - Guarantee Issue: Up to $100,000 (for new hires)

Spouse:

$5,000 up to $100,00 not to exceed 50% of employee benefit - Guarantee Issue: Up to $30,000 (for new hires)

Child(ren):

$2,000 up to $10,000 not to exceed 50% of employee benefit - Guarantee Issue: Up to $10,000 (for new hires)

SEMI-MONTHLY PREMIUM RATE TABLE

ATTAINED AGE

EMPLOYEE PER $10,000

SPOUSE PER $5,000 ALL CHILDREN PER $2,000

0-34

$0.43

$0.21

$0.20*

35-39

$0.58

$0.29

40-44

$0.83

$0.41

45-49

$1.33

$0.66

50-54

$1.88

$0.94

55-59

$2.73

$1.36

60-64

$4.43

$2.21

65-69

$7.93

$3.96

70-74

$11.13

75-79

$23.88

80+

$23.88

*

Regardless of how many children you have, they are included in the “All Children” premium amounts listed in the table.