Basic Life and AD&D

Life and AD&D coverage helps protect your loved ones in the event of your death or serious injury. Even if you’re single, your beneficiary can use your Life insurance benefits to pay off your debts, such as credit cards, mortgages, and other final expenses.

Basic Life insurance – You receive Basic Life insurance coverage at no cost to you, and you do not need to enroll in any other health and protection program. Basic Life insures you for 1 times your basic annual earnings, up to a maximum of $250,000.

Basic AD&D is included with your Basic Life coverage and provides you specified benefits for a covered accidental bodily injury that directly causes dismemberment (i.e., the loss of a hand, foot or eye). If death occurs from an accident, 100% of the AD&D benefit would be payable to your beneficiary(ies).

Imputed Income – Under current tax laws, imputed income is the value of your Basic Life insurance that exceeds $50,000 and is subject to federal income, Social Security and state income taxes, if applicable. This imputed income amount will be included in your paycheck and shown on your W-2 statement.

Sample Reimbursements

Deductible (Individual/Family)
$XX/$XX

Out-of-Pocket Max (Individual/Family)
$XX/$XX

Preventive Care
$XX

Primary Care Visit
$XX

Specialist Visit
$XX

Urgent Care
$XX

Emergency Room
$XX

Voluntary Life and AD&D

In addition to Basic Life and AD&D, eligible employees may purchase additional Voluntary Life and AD&D insurance at favorable group rates. Participants pay 100% of the premium. Note: It is important to provide beneficiary information during the enrollment process and keep this information up to date. If you decline Voluntary Life insurance when first eligible or if you elect coverage and wish to increase your benefit amount at a later date, evidence of insurability may be required before coverage is approved.

  • For you: Increments of $10,000 up to lesser of 5x covered annual earnings or $500,000. Guaranteed issue of $150,000.
  • For your spouse: Increments of $5,000 up to lesser of 50% of employee amount or $100,000. Guaranteed issue of $25,000.
  • For your children:

    Under 15 days: $100
    15 days to 6 months old: $500
    More than 6 months old: options of $1,000, $2,000, $4,000, $5,000 or $10,000
    Guaranteed issue of $10,000.

    Note: No Age Reduction

Employee/Spouse Cost per $1,000 of Coverage

Employee Age

<25:
25-29:
30-34:
35-39:
40-44:
45-49:
50-54:
55-59:
60-64:
65-69:
70-74:
75-79:
80+:

Employee Rate

$0.055
$0.055
$0.055
$0.091
$0.129
$0.196
$0.315
$0.486
$0.701
$1.169
$1.876
$1.876
$1.876

 

 

 

 

 

 

Child Life Rate per $1,000: $0.249

Employee Rate

<25: $0.055
25-29: $0.055
30-34: $0.067
35-39: $0.091
40-44: $0.129
45-49: $0.196
50-54: $0.315
55-59: $0.486
60-64: $0.701
65-69: $1.169
70-74: $1.876
75-79:
$1.876
80+:
$1.876

Child Life Rate per $1,000: $0.249

Sample Reimbursements

Deductible (Individual/Family)
$XX/$XX

Out-of-Pocket Max (Individual/Family)
$XX/$XX

Preventive Care
$XX

Primary Care Visit
$XX

Specialist Visit
$XX

Urgent Care
$XX

Emergency Room
$XX