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East St. Louis Housing Authority

Page 6

2016 –2017 Benefits Guide

THE HARTFORD- VOLUNTARY LIFE / AD&D

During your initial enrollment period you have the opportunity to purchase additional life

insurance for yourself, your spouse, and/or dependent child(ren). You cannot cover

your spouse or dependent child(ren) unless you elect coverage for yourself. You may

elect coverage up to the guaranteed issue amount without completing medical

questions. Coverage above the guaranteed issue must be approved by The Hartford,

by answering medical questions, before it goes into effect.

During the annual enrollment period, you may apply for or increase the amount of

coverage. All new and increased coverage requires the completion of medical

questions. All requested amounts must be approved by The Hartford before it goes

into effect.

Benefit reductions apply when you reach age 65 and 70. Benefits reduce by 35% at

age 60 and an additional 15% at age 70.

EMPLOYEE COVERAGE

Employees may elect coverage in increments of $10,000 up to to a maximum of

$300,000. You can elect up to $100,000 without medical underwriting.

SPOUSE COVERAGE

Spousal coverage is available in $5,000 increments not to exceed 100% of the

employee amount up to a maximum of $100,000. Spouse rates are based upon the

employee’s age. You can elect up to $30,000 for your spouse without medical

underwriting.

CHILDREN

Coverage is available for your child(ren) up to age 26. Coverage is $10,000. The

amount you select is for each child you cover. The cost is based upon the family unit as

opposed to each child. Guarantee issue does not apply to child coverage. Coverage for

a child from 15 days to 6 months is $1,000.

$50,000

Elected

Coverage

÷ 1,000 =

50

Units

X

$0.21

Rate

* See Note

=

$10.50

Monthly Cost

*The premium calculation is

based upon the life rate for an

employee age 45.

HOW TO CALCULATE

VOLUNTARY PREMIUM

REMEMBER:

You must use the employee’s age to calculate the spouse’s premium.

THE HARTFORD - BASIC LIFE / AD&D

All eligible employees receive $10,000 of Basic Life and Accidental Death & Dismemberment coverage. This coverage is

provided by East St. Louis Housing Authority at no cost. Benefits reduce by 35% at age 60 and an additional 15% at age

70.

EMPLOYEE COST

PER PAY PERIOD

Age

Band

Employee

& Spouse

Rate per

$1,000

Under 30

$.04

30-34

$.04

35-39

$.07

40-44

$.13

45-49

$.21

50-54

$.44

55-59

$.71

60-64

$.81

65-69

$1.43

70-+

$3.57

AD&D

$.02/$1,000

Child/

Family

$.20 Per

$1,000