Page 13 - Summit BHC 2022 Benefits Guide Summit Corporate
P. 13
2022
Benefits Guide
Life and AD&D Insurance
For your peace of mind and the inancial protection Evidence of Insurability
of your family, Summit BHC provides life and Evidence of Insurability (EOI) or proof of good health
accidental death and dismemberment (AD&D) may be required for:
coverage at no cost to you. The AD&D beneit is
payable if the cause of your death is an accident or z Current participant: You currently have this
a beneit will be paid to you for certain debilitating coverage and are requesting an increase to
injuries. your coverage greater than $10,000 at annual
Basic Life and AD&D Coverage Amount open enrollment or are requesting coverage
Full-Time Employees $25,000 above the guarantee issue amount
Voluntary Life and AD&D z Current spouse participant: You are
requesting an increase to your coverage
If you would like additional coverage, Voluntary Life greater than $5,000 at annual open
and AD&D insurance is available to you, your spouse enrollment or are requesting coverage above
and your dependent children through MetLife. the guarantee issue amount
You must elect coverage for yourself in order to
cover your spouse or children. The guarantee issue z Late entrant: You waived the opportunity
amounts are available for new hires only. to elect this coverage for yourself, spouse
or child(ren) when irst eligible and are now
Voluntary Life and AD&D electing coverage for the irst time
For Yourself
Beneit Amount $10,000 increments z New hire: You are electing this coverage when
$500,000 or 5 times annual irst eligible upon employment and you are
Beneit Up To
earnings (whichever is less) requesting coverage over the guarantee issue
Guarantee Issue Amount $100,000
For Your Spouse amount
Beneit Amount $5,000 increments Coverage is not in force until the carrier underwriting
$100,000 or 50% of employee
Beneit Up To provides approval.
amount (whichever is less)
Guarantee Issue Amount $25,000
For Your Child(ren)
Beneit Amount $10,000
Guarantee Issue Amount $10,000
If you elect Voluntary Life coverage, you will receive Voluntary AD&D
coverage of the same beneit amount.
Children coverage ages: 15 days to 6 months old—$100.
Beneit cost and coverage information will be
provided during the enrollment process at
Summit BHC—EMB Beneits.
13
Benefits Guide
Life and AD&D Insurance
For your peace of mind and the inancial protection Evidence of Insurability
of your family, Summit BHC provides life and Evidence of Insurability (EOI) or proof of good health
accidental death and dismemberment (AD&D) may be required for:
coverage at no cost to you. The AD&D beneit is
payable if the cause of your death is an accident or z Current participant: You currently have this
a beneit will be paid to you for certain debilitating coverage and are requesting an increase to
injuries. your coverage greater than $10,000 at annual
Basic Life and AD&D Coverage Amount open enrollment or are requesting coverage
Full-Time Employees $25,000 above the guarantee issue amount
Voluntary Life and AD&D z Current spouse participant: You are
requesting an increase to your coverage
If you would like additional coverage, Voluntary Life greater than $5,000 at annual open
and AD&D insurance is available to you, your spouse enrollment or are requesting coverage above
and your dependent children through MetLife. the guarantee issue amount
You must elect coverage for yourself in order to
cover your spouse or children. The guarantee issue z Late entrant: You waived the opportunity
amounts are available for new hires only. to elect this coverage for yourself, spouse
or child(ren) when irst eligible and are now
Voluntary Life and AD&D electing coverage for the irst time
For Yourself
Beneit Amount $10,000 increments z New hire: You are electing this coverage when
$500,000 or 5 times annual irst eligible upon employment and you are
Beneit Up To
earnings (whichever is less) requesting coverage over the guarantee issue
Guarantee Issue Amount $100,000
For Your Spouse amount
Beneit Amount $5,000 increments Coverage is not in force until the carrier underwriting
$100,000 or 50% of employee
Beneit Up To provides approval.
amount (whichever is less)
Guarantee Issue Amount $25,000
For Your Child(ren)
Beneit Amount $10,000
Guarantee Issue Amount $10,000
If you elect Voluntary Life coverage, you will receive Voluntary AD&D
coverage of the same beneit amount.
Children coverage ages: 15 days to 6 months old—$100.
Beneit cost and coverage information will be
provided during the enrollment process at
Summit BHC—EMB Beneits.
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