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Basic Life and Accidental Death & Dismemberment (AD&D) Insurance Coverage
count Type
Eligible Expenses
Annual Contribution
Limits
Benefit
FSA
Most medical, dental and
vision care expenses that are
not covered by your health
plan (such as copayments,
coinsurance, deductibles,
eyeglasses and doctor-
prescribed over-the-counter
medications)
Maximum contribution is
$2,550
Saves on eligible
expenses not covered by
insurance; reduces your
taxable income
Care FSA
Dependent care expenses
(such as day care, after
school programs or elder
care programs) so you and
your spouse can work or
attend school full-time
Maximum contribution is
$5,000 per year ($2,500 if
married and filing
separate tax returns)
Reduces your taxable
income
Type
With FSA
Without FSA
e
$50,000
$50,000
to Health Care
e FSA
$2,000
$0
ecurity taxes*
$11,701
$12,355
ent on eligible
$0
$2,000
after expenses
$36,299
$35,645
e Medical and
A
$654
N/A
Coverage
Benefit
Short-Term Disability
• Covers 66.67% of your base weekly salary, up
to a maximum of $1,000
• Benefit begins day 1 for accident and after 7
days of continuous disability for sickness
• Benefits payable for 13 weeks
Long-Term Disability
• Covers 66.67% of your base monthly earnings,
to a maximum of $6,000 or $15,000 (see plan
summary for details)
• Benefit begins after 90 days of disability
• Benefits payable to SSNRA
Life insurance is an important part of your financial
security, especially if others depend on you for support.
Accidental Death & Dismemberment (AD&D) insurance
is designed to provide a benefit in the event of accidental
death or dismemberment.
For those employee whos base annual earnings
(before overtime) are les than $50,000, SLFHC provides
$50,000
Basic Life and AD&D Insurance to all eligible
employees at no cost to you. For those employees whose
base annual earnings (b fore ov rtim ) are greater than
$50,000, SLFHC provides
1X your earnings
in Basic Life
and AD&D Insurance to a m ximum of $300,000 for all
eligible employees. Limited tax liability may apply for Life
and AD&D insurance coverage amounts over $50,000.
The Life and AD&D coverage is offered through
Prudential.
Disability Insurance Coverage
The goal of the SLFHC’s Disability Insurance Plans is
to p ovide you with income replacement should you
become disabled and unable to work due to a non-work
related illness or injury. SLFHC provides eligible
employees with disability income benefits at
no cost to you!
The Disability coverage is offered through
Prudential.
Voluntary Supplemental Life Insurance Coverage
For additional protection and security for your family, SLFHC gives you the opportunity to purchase life insurance at affordable rates.
You pay the premiums with after-tax dollars through convenient payroll deductions.
Supplemental coverage can be purchased:
• Employee – In increments of $10,000, up to 7 times your annual salary (not to exceed $500,000). Guarantee Issue amount:
$100,000
• Spouse – In increments of $5,000, up to 50% of employee amount (not to exceed $250,000). Guarantee Issue amount: $20,000
• Child(ren) – In increments of $2,000 to a maximum of $10,000.
Unless you are a new hire, any amount for which you apply requires that an Evidence of Insurability (EOI) be completed.
The Life and AD&D coverage is offered through
Prudential.