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 2 times your basic annual earnings, up to a maximum of $500,000.*
*Subject to Age Reduction Schedule

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.

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).

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 a maximum coverage of $500,000. Guarantee Issue of $150,000 for new hires enrolling in their first 30 days.

For your spouse: Increments of $5,000 up to a maximum coverage of $250,000. Spouse coverage cannot exceed more than 100% of Employee’s coverage amount. Guarantee issue of $30,000 for new hires enrolling in their first 30 days.

For your children: $10,000.

Employee/Spouse Cost per $1,000 of Coverage

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

Employee/Spouse Cost per $1,000 of Coverage

Employee Age
15-24: $0.050
25-29: $0.050
30-34: $0.060
35-39: $0.090
40-44: $0.150
45-49: $0.220
50-54: $0.400
55-59: $0.620
60-64: $0.640
65-69: $1.000
70-74: $2.330
75+: $7.340
Child Life Rate per $1,000: $0.200