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2016‐2017 Benefits Guide
10
BASIC LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT
INSURANCE
This benefit is paid by the Company for all benefit eligible employees. It is administered through UNUM. In the event
of your death, your beneficiary will receive $50,000. The Accidental Death and Dismemberment (AD&D) benefit is
equal to your basic group life insurance benefit. Benefit reductions apply upon attaining certain age levels.
VOLUNTARY LIFE AND ACCIDENTAL DEATH &
DISMEMBERMENT INSURANCE
Your voluntary life/AD&D is administered through UNUM. You must purchase voluntary life on yourself in order to
purchase coverage for your spouse and dependent children. You may purchase voluntary AD&D coverage for
yourself regardless of whether or not you purchase voluntary life coverage.
Employees can purchase up to 5 times salary, not to exceed $500,000 of
coverage, in $1,000 increments with a minimum of $10,000. The Guarantee
Issue amount for newly eligible employees is $100,000.
Spousal/Domestic Partner coverage is available in $1,000 increments not to
exceed 100% of the employee amount up to a maximum of $500,000. There is
a $5,000 minimum. The Guarantee Issue amount for newly eligible spouses is
$30,000. Coverage is available for children from birth to 6 months in the amount
of $1,000. Children age 6 months up to age 19, or 26 if a full-time student, can
purchase coverage in $2,000 increments up to a $10,000 maximum.
Voluntary AD&D coverage is only available for the employee. Coverage can be
purchased up to 5 times salary, not to exceed $500,000, in $10,000 increments.
Voluntary AD&D coverage is not available for the spouse or child(ren). All
amounts of AD&D coverage are guarantee issue.
Please note:
Each year you and your spouse may purchase additional life
coverage up to the Guarantee Issue amounts without evidence of insurability if
you are already enrolled in the plan. Otherwise, you will be required to complete
an Evidence of Insurability form and be approved by UNUM before coverage
becomes effective.
UNUM provides value added services such as Worldwide Emergency Travel Assistance Services, when you
travel more than 100 miles from home, and Life Planning Financial & Legal Resources, which provides
financial consulting upon the death of your covered spouse. Contact HR for more information about these
available programs.
VOLUNTARY LIFE/AD&D
EMPLOYEE CONTRIBUTION
(Rates are per month)
Age Band
Employee/Spouse
Rate per $1,000*
Under 30
$0.081
30-34
$0.093
35-39
$0.136
40-44
$0.209
45-49
$0.336
50-54
$0.553
55-59
$0.879
60-64
$1.169
65-69
$1.857
70-74
$3.250
Child Life
$0.082/$1,000
*Benefit reductions apply at certain age
brackets
EE Vol. AD&D
$0.020/$1,000
75+
$5.768