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2016 Benefits Guide
8
VOLUNTARY LIFE/AD&D EMPLOYEE CONTRIBUTION
(Rates are per month)
Employee/Spouse Rate per $5,000*
AGE BAND
Employee
Spouse
Under 24
.300
.350
25-29
$.345
$.400
30-34
$.430
$.500
35-39
$.610
$.730
40-44
$.870
$1.040
45-49
$.1.385
$1.620
50-54
$2.205
$2.300
55-59
$3.390
$3.880
60-64
$5.290
$6.630
65-69
$9.180
$11.320
70-74
$16.380
$20.170
75-99
$32.100
40.400
Child Life/$2,000
$.740
AD&D: Employee
$0.190
Spouse
$0.200
Child
$.070/$2,000
Protect Your Family with Voluntary Life &
Accidental Death and Dismemberment (AD&D)
Insurance
Your monthly premium for Life adjusts annually
when
you move to a different age band. Your
monthly premium for AD&D is based on the level
of coverage elected at the time of enrollment.
If
you are currently enrolled you may increase your
Life Insurance coverage up to the
Guarantee
Issue amount of $100,000
. Any coverage
amount over the Guarantee Issue amount will
be subject to Evidence of Insurability. If you are
not enrolled you can apply for coverage and you
will be required to also submit Evidence of
Insurability.
Prepare for the Unexpected with
Voluntary Short Term & Long Term
Disability Insurance (STD & LTD)
Short Term Disability
$.210 per $10 weekly benefit
Long Term Disability
$.40 per $100 of covered payroll
Disability Cost
Your monthly premium for STD and LTD is based
on your current salary and coverage adjusts as
your salary changes. If you are not currently
enrolled you can apply for coverage by completing
enrollment forms and Evidence of Insurability
.
AllCom will continue to offer employees the option of purchasing Life, Accidental Death &
Dismemberment (AD&D), Long Term Disability (LTD) and Short Term Disability (STD) through UNUM
on a voluntary basis. Use the rate table to determine the cost for your coverage.
If you previously
declined coverage, you can enroll during the open enrollment period. You can also add or
delete dependents at this time.
Unum Voluntary Benefits