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Lindbergh Schools

13

Basic Life and AD&D

Lindbergh Schools offers eligible employees Basic Life

and Accidental Death & Dismemberment coverage at no

cost to you.

Coverage for your spouse and dependent children is also

offered as an option. Coverage in the amount of $2,500

for your spouse and $1,000 for each child is available for

$.40 per month.

Voluntary Life and AD&D

You have the opportunity to purchase additional life

insurance for yourself and your family members. During

your initial enrollment period, you are allowed to elect

coverage up to the guarantee issue amount without

providing evidence of insurability. In future years, all

enrolled employees will be required to provide evidence of

insurability in order to increase the voluntary life amount.

EMPLOYEE COVERAGE

Employees may elect coverage in increments of $10,000

up to the lesser of $500,000 or 5 times your salary.

Employee coverage includes Accidental Death &

Dismemberment in an amount equal to your elected life

insurance coverage. Rate includes the AD&D cost.

SPOUSE COVERAGE

Spousal coverage is available in $5,000 increments not to

exceed 50% of the employee amount up to a maximum of

$250,000.

Spouse rates are based upon the

employee’s age.

Note:

New employees are eligible to elect up to

$150,000 of coverage for themselves and $50,000 for

their spouse without evidence of insurability if enrolled

within 30 days of becoming first eligible for the voluntary

life benefit.

CHILDREN

Coverage amounts include $1,000, $5,000, or $10,000 for

each eligible child in your family. The cost is based upon

the family unit and not each child.

UPDATE YOUR BENEFICIARY

Now is a great time to ensure Lindbergh Schools has the

most up to date beneficiary information on file. If you wish

to change your

beneficiary, please

update in Custom

Solutions and enter

your new beneficiary

information.

$50,000

Elected

Coverage

÷ 1,000 =

50

Units

X

$.245

Rate

* See Note

=

$12.25

Per Month

*The premium calculation is

based upon the life rate for

an employee age 45.

HOW TO CALCULATE

VOLUNTARY PREMIUM

Voluntary Life Rates

Per $1000 of Coverage

Per Month

Spouse Rates are Based Upon

Employee’s Age

Age

Employee Spouse

Under Age 25 $ .047 $ .063

25 - 29

$ .047 $ .063

30 - 34

$ .056 $ .090

35 -39

$ .074 $ .100

40 - 44

$ .092 $ .152

45 - 49

$ .245 $ .225

50 - 54

$ .420 $ .380

55 - 59

$ .730 $ .690

60 - 64

$ .960 $ .850

65 - 69

$1.580 $1.300

70 - 74

$3.780 $2.000

75+

$3.780 $2.000

Child

$ .090