Page 26 - Apricity Benefits Guide
P. 26
2020
Apricity Benefits Overview
Dependent Life and AD&D Insurance
If eligible, you have the option to purchase life and AD&D
insurance for your spouse and/or eligible dependent child(ren).
Spouse life insurance reductions will be based on employee’s
age. Spouse life insurance will be reduced to 65% when you
attain age 70 and will be reduced to 50% when you attain age
75 or retire, whichever comes irst. Dependent life and AD&D
insurance amounts are shown below:
For Your
Coverage For Your Spouse Children
Dependent Life In $5,000 increments up to a maximum $10,000
of $250,000 or 100% of your voluntary
life insurance amount (whichever is
less).
Dependent In $5,000 increments up to a maximum $15,000
AD&D of $250,000 or 100% of your AD&D
coverage amount (whichever is less).
EOI is required for life insurance for your spouse in amounts over
$25,000. No EOI is required for your children.
This summary outlines the highlights of your plan. For a complete list of both covered
and not covered services, including beneits required by your state, see your employer’s
insurance certiicate or summary plan description for the oficial plan documents. If there
are any differences between this summary and the plan documents, the information in
the plan documents takes precedence.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 26
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
Apricity Benefits Overview
Dependent Life and AD&D Insurance
If eligible, you have the option to purchase life and AD&D
insurance for your spouse and/or eligible dependent child(ren).
Spouse life insurance reductions will be based on employee’s
age. Spouse life insurance will be reduced to 65% when you
attain age 70 and will be reduced to 50% when you attain age
75 or retire, whichever comes irst. Dependent life and AD&D
insurance amounts are shown below:
For Your
Coverage For Your Spouse Children
Dependent Life In $5,000 increments up to a maximum $10,000
of $250,000 or 100% of your voluntary
life insurance amount (whichever is
less).
Dependent In $5,000 increments up to a maximum $15,000
AD&D of $250,000 or 100% of your AD&D
coverage amount (whichever is less).
EOI is required for life insurance for your spouse in amounts over
$25,000. No EOI is required for your children.
This summary outlines the highlights of your plan. For a complete list of both covered
and not covered services, including beneits required by your state, see your employer’s
insurance certiicate or summary plan description for the oficial plan documents. If there
are any differences between this summary and the plan documents, the information in
the plan documents takes precedence.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 26
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
