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LIFE AND AD&D PLAN
2017 Employee Benefits
9
Life and AD&D
Monthly Contribution
Employee
Spouse
Dependent
Eligibility Date
Amount of Benefit
When Benefits Begin
Monthly Contribution
Eligibility Date
Life and AD&D Coverage
Mutual of Omaha
Date of Hire - All full-time employees who work at least 30 hours per week.
1 times Base Annual Earnings (BAE) up to a maximum of $100,000
1 times to 5 times BAE, up to $500,000 whichever is lesser.
Guarantee Issue of $100,000, available at initial enrollment only.
Increments of $5,000 up to lesser of $100,000 or 50% of EE's amount.
Guarantee Issue of $25,000, available at initial enrollment only.
$5,000 for dependents age 15 days or older.
$.12 per $1,000
Supplemental Coverage
Long -Term Disability
Mutual of Omaha
Date of Hire - All full-time employees who work at least 30 hours per week.
Basic Coverage
Benefits commence after 90 days of disability.
$.118 per $100 covered salary.
60% of Basic Monthly Earnings, reduced by other income, up to $3,000
Smoker Non-Smoker Spouse
< 25
.12
.08
.10
25 - 29
.12
.08
.10
30 - 34
.17
.09
.12
35 - 39
.22
.11
.15
40 - 44
.36
.16
.24
45 - 49
.67
.28
.42
50 - 54
1.10
.46
.65
55 - 59
1.75
.85
1.15
60 - 64
2.25
1.25
1.45
65 - 69
4.20
2.60
2.90
70 - 74
5.70
3.70
75+
13.60
9.30