Page 13 - Great Circle
P. 13
2022
Benefits Guide
Life and Disability Insurance
Basic Life and Accidental Please note for employees age 70 and above,
Death and Dismemberment the amount of insurance described above will be
(AD&D) reduced by 50%.
The company automatically provides you a beneit Voluntary Employee Life & AD&D Rates
of one times your annual base salary (up to $100,000 Per Pay Period Rates per $1,000 worth of coverage
and as of a speciic point in time), at no cost to Employee Spouse
you, for life insurance and accidental death and Under 25 $0.0415 $0.0415
dismemberment insurance. The one times your 25-29 $0.0460 $0.0460
salary is reduced if you continue working at age 65 30-34 $0.0505 $0.0505
and beyond. Director level and above receives 1.5× 35-39 $0.0640 $0.0640
annual salary up to $150,000 maximum. 40-44 $0.0910 $0.0910
45-49 $0.1450 $0.1450
Employee Voluntary Life 50-54 $0.2395 $0.2395
and Accidental Death and 55-59 $0.3970 $0.3970
Dismemberment 60-64 $0.5725 $0.5725
65-69 $0.9460 $0.9460
You are eligible to purchase voluntary life and
AD&D insurance in increments of $10,000 (minimum
starting at $20,000) up to $500,000. Elected amounts If you are electing coverage or increasing coverage as a
late enrollee, you will need to complete a personal health
over $200,000 are subject to evidence of insurability. application and be approved by The Hartford before your
If you elect coverage for yourself you also have the coverage is efective.
option of purchasing Spouse Voluntary Life and
AD&D in coverage increments of $5,000 (minimum
starting is $5,000) up to a maximum of $125,000 70-74 $1.8505 $1.8505
subject to evidence of insurability for amounts 75+ $2.7910 $2.7910
exceeding $50,000. You also have the option to Child $0.717 (for the full $10,000 beneit)
(up to age 26)
purchase Dependent Voluntary Life and AD&D
coverage for a lat $10,000 amount. Dependent child
life coverage is available for unmarried dependent
children through age 26.
Voluntary AD&D covers death and dismemberment
as the result of an accident. For example, if you are
in a fatal accident or an accident that results in you
losing your eyesight, speech, hearing, or a limb,
AD&D will pay you or your beneiciaries a speciied
amount.
13
Benefits Guide
Life and Disability Insurance
Basic Life and Accidental Please note for employees age 70 and above,
Death and Dismemberment the amount of insurance described above will be
(AD&D) reduced by 50%.
The company automatically provides you a beneit Voluntary Employee Life & AD&D Rates
of one times your annual base salary (up to $100,000 Per Pay Period Rates per $1,000 worth of coverage
and as of a speciic point in time), at no cost to Employee Spouse
you, for life insurance and accidental death and Under 25 $0.0415 $0.0415
dismemberment insurance. The one times your 25-29 $0.0460 $0.0460
salary is reduced if you continue working at age 65 30-34 $0.0505 $0.0505
and beyond. Director level and above receives 1.5× 35-39 $0.0640 $0.0640
annual salary up to $150,000 maximum. 40-44 $0.0910 $0.0910
45-49 $0.1450 $0.1450
Employee Voluntary Life 50-54 $0.2395 $0.2395
and Accidental Death and 55-59 $0.3970 $0.3970
Dismemberment 60-64 $0.5725 $0.5725
65-69 $0.9460 $0.9460
You are eligible to purchase voluntary life and
AD&D insurance in increments of $10,000 (minimum
starting at $20,000) up to $500,000. Elected amounts If you are electing coverage or increasing coverage as a
late enrollee, you will need to complete a personal health
over $200,000 are subject to evidence of insurability. application and be approved by The Hartford before your
If you elect coverage for yourself you also have the coverage is efective.
option of purchasing Spouse Voluntary Life and
AD&D in coverage increments of $5,000 (minimum
starting is $5,000) up to a maximum of $125,000 70-74 $1.8505 $1.8505
subject to evidence of insurability for amounts 75+ $2.7910 $2.7910
exceeding $50,000. You also have the option to Child $0.717 (for the full $10,000 beneit)
(up to age 26)
purchase Dependent Voluntary Life and AD&D
coverage for a lat $10,000 amount. Dependent child
life coverage is available for unmarried dependent
children through age 26.
Voluntary AD&D covers death and dismemberment
as the result of an accident. For example, if you are
in a fatal accident or an accident that results in you
losing your eyesight, speech, hearing, or a limb,
AD&D will pay you or your beneiciaries a speciied
amount.
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