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P A G E 5
C L E A N F U E L S
Clean Fuels offers its employees Basic life insurance and AD&D coverage through MetLife at
no cost
to you. Eligible
employees receive Basic Life Insurance of $25,000. Accidental Death and Dismemberment Insurance provides a
benefit equal to your basic life insurance in the event of death or dismemberment resulting from a covered accident. At
age 65, the benefit begins to reduce. Please see plan summary for more details.
B
ASIC
L
IFE AND
A
CCIDENTAL
D
EATH
& D
ISMEMBERMENT
I
NSURANCE
D
ISABILITY
I
NSURANCE
Clean Fuels offers its employees Short Term Disability
(100% Employer Paid),
and the option to purchase Long
Term Disability coverage at group rates through payroll deductions. The plans work together to help replace a
portion of your income if you are unable to work for an extended period of time due to sickness or accidental
injury.
Short Term Disability (STD):
This benefit covers up to 60% of your pre-disability earnings up to a maximum of
your weekly earnings, to $1,500 per week. Short Term Disability benefits begin on the 7th day of sickness or
illness. Benefit continues as long as you are disabled up to a maximum of 12 weeks of disability.
Long Term Disability (LTD):
This benefit covers up to 60% of your pre-disability earnings up to a maximum of
your monthly earnings to $6,000 per month. Long Term Disability benefits begin after the 90th day of disability.
Pre-existing condition limitations apply during the first 12 months of coverage. LTD Coverage is
VOLUNTARY
and paid 100% by the employee via payroll deduction
.
Rates are based upon your age and the
amount of coverage approved. Please contact HR for further information and enrollment form.
V
OLUNTARY
L
IFE
/AD&D, S
POUSE
, C
HILD
Additional life insurance is available for purchase through Met Life for yourself,
spouse and/or children on a voluntary basis.
Employee Life/AD&D Insurance
Benefit Amount: Increments of $10,000, up to the lesser of 5 x annual earnings or $500,000
AD&D Benefit (matches Life)
If you purchase coverage for yourself, then you can also purchase coverage for your eligible dependents.
Spouse Life/AD&D Insurance
Benefit Amount: Increments of $5,000 up to $100,000 maximum
Child Life/AD&D Insurance
Benefit Amount: Flat Amount of $1,000, $2,000, $4,000, $5,000 or $10,000
Age Limit: 19, or age 26 if full-time student (Children under 6 months have a limited benefit)
Coverage in excess of the guarantee issue amount will require medical evidence of insurability; guarantee issue
is only available during your initial enrollment period.
Coverage is
VOLUNTARY and paid 100% by the employee via payroll deduction
.
Rates are based upon
your age and the amount of coverage approved. Please contact HR for further information and enrollment form.