2021-2022 Benefits Guide
Age Band Table
• Enter the Term Life coverage amount you want. • Divide by 10,000. • Multiple by the rate based by your age. Use the Term Life rate table to find the rate based on your age (choose the age that was in effect as of 10/01 of the current plan year. Example: Plan year 10/01/2021-09/30/2022. The employees date of birth is 10/17/1988. The correct rate to use is .730 since the employee was 29 years old on 10/01). • Your rate will increase to the next age band each October 1. • Enter your monthly cost • Divide the monthly cost by 2 to determine your cost per pay period. • See the example below for refence.
15-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74
$.680 $.730 $.970
$1.420 $2.170 $3.400 $5.010 $7.200 $9.300 $13.210 $24.990 $77.230
Example (100,000 coverage, age 40)
$10.85/ Pay period
Calculate your cost using the table below.
Rate (determined by age band table)
Pay Period Amount (divide by 2)
Coverage Amt Increment
$ ___________ ÷ $10,000
$ _________________ $ _________ $ _______________
Choosing a Beneficiary
In the event of your death, life insurance benefits are paid to your eligible named beneficiary or beneficiaries, unless prohibited by law.
If you become terminally ill and are not expected to live beyond a certain time as stated in the employee’s certificate booklet, the employee may request up to 50% of their life insurance amount up to $750,000, without fees or present value adjustments. A doctor must ce rtify the condition to qualify for this benefit. Upon the employee’s death, the remaining benefit will be paid to the employee’s designated beneficiary(ies).
Allows an insured employee to take this coverage with them according to the terms outlined in the contract. However, if the employee has a medical condition which has a material effect on life expectancy, the employee will be ineligible to port their coverage. The employee may also have the option to convert their Term Life coverage to an individual life insurance policy.
Life Insurance Conversion Privilege
When an insured employee’s group coverage ends, employees may convert their co verage to individual life policies without providing evidence of insurability.
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