Page 19 - Open Enrollment Guide Sample
P. 19
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Life and AD&D Don’t forget to complete
your life insurance
beneficiary form(s).
Life insurance needs vary depending on your personal situation, so it’s
important to consider the expenses and income needs your dependents Basic Life and AD&D
would have if something happened to you. $20,000 coverage for team
members only
Team Member Supplemental Life
Basic Life Insurance and AD&D Choose an amount of coverage
in $5,000 increments. Minimum
All full-time team members with medical coverage automatically receive coverage is $20,000. Maximum
Basic Life and AD&D insurance the irst of the month following 60 days coverage is ive times your base
annual salary or $500,000,
of employment. whichever is less.
Note: If you elect a coverage
amount greater than $100,000 or
How It Works did not apply for coverage when
irst eligible, you will be required to
You must elect a beneiciary when enrolling. Life insurance pays your provide Evidence of Insurability in
beneiciary(ies) in the case of your death. AD&D insurance pays in the order to enroll.
event of certain accidents and/or death. Your coverage amounts are Spouse Supplemental Life
$20,000 coverage
summarized in the chart on this page. Child(ren) Supplemental Life
Up to Age 26
Supplemental Life Insurance 14 days to 6 months: $2,000
Birth to 14 days: $1,000
To suit your personal needs, [Client] offers you the lexibility to increase 6 months to 26 years: $10,000
your coverage—and your peace of mind—with Supplemental Life
insurance. Team members are responsible for paying the entire amount.
How It Works
If you wish to keep or change your supplemental and/or dependent
life beneit, you will need to enroll online at [Web Address]. If you are
enrolling for the irst time, you must complete an Evidence of Insurability
form. Your coverage options are summarized on this page. The cost can
be found on the Supplemental Life Election Form. Cost is based on the
amount of coverage and your age.
Dependent Life is also available, however you must take at least $20,000
supplemental coverage on yourself to have dependent life coverage. The
cost of dependent life is $5.00 a month whether you have one or more
dependents covered.
2016 Open Enrollment
Life and AD&D Don’t forget to complete
your life insurance
beneficiary form(s).
Life insurance needs vary depending on your personal situation, so it’s
important to consider the expenses and income needs your dependents Basic Life and AD&D
would have if something happened to you. $20,000 coverage for team
members only
Team Member Supplemental Life
Basic Life Insurance and AD&D Choose an amount of coverage
in $5,000 increments. Minimum
All full-time team members with medical coverage automatically receive coverage is $20,000. Maximum
Basic Life and AD&D insurance the irst of the month following 60 days coverage is ive times your base
annual salary or $500,000,
of employment. whichever is less.
Note: If you elect a coverage
amount greater than $100,000 or
How It Works did not apply for coverage when
irst eligible, you will be required to
You must elect a beneiciary when enrolling. Life insurance pays your provide Evidence of Insurability in
beneiciary(ies) in the case of your death. AD&D insurance pays in the order to enroll.
event of certain accidents and/or death. Your coverage amounts are Spouse Supplemental Life
$20,000 coverage
summarized in the chart on this page. Child(ren) Supplemental Life
Up to Age 26
Supplemental Life Insurance 14 days to 6 months: $2,000
Birth to 14 days: $1,000
To suit your personal needs, [Client] offers you the lexibility to increase 6 months to 26 years: $10,000
your coverage—and your peace of mind—with Supplemental Life
insurance. Team members are responsible for paying the entire amount.
How It Works
If you wish to keep or change your supplemental and/or dependent
life beneit, you will need to enroll online at [Web Address]. If you are
enrolling for the irst time, you must complete an Evidence of Insurability
form. Your coverage options are summarized on this page. The cost can
be found on the Supplemental Life Election Form. Cost is based on the
amount of coverage and your age.
Dependent Life is also available, however you must take at least $20,000
supplemental coverage on yourself to have dependent life coverage. The
cost of dependent life is $5.00 a month whether you have one or more
dependents covered.
2016 Open Enrollment
