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Life and Accident
The Carlstar Group Life Insurance Program provides you with basic life Basic Life Insurance
and AD&D coverage, paid for 100% by The Carlstar Group. You also and AD&D Insurance
may purchase additional life and/or AD&D protection at your cost for
yourself and your dependents. Life coverage is insured through The Employee
Standard. You are automatically enrolled
for Basic Life Insurance
Life Insurance Program and Accidental Death and
Dismemberment (AD&D)
Plan Employee Spouse Each Child Enrollment Paid By Insurance on the irst day you
Required
Employee Basic One times - - No Carlstar are eligible for coverage under
Life and Basic annual The Carlstar Group beneit
AD&D base pay
(max plans. Basic Life Insurance and
$500,000) AD&D coverage are equal to one
Employee One to - - Yes Employee
Voluntary ive times times your annual base pay, up to
Supplemental annual $500,000. If the coverage amount
Life base pay
(max is not a multiple of $1,000, then
$500,000) it is rounded to the next higher
Dependent - $10,000, $10,000 Yes Employee multiple of $1,000.
Supplemental $25,000,
Life or $50,000
Employee One to - - Yes Employee Based on current tax laws and
Voluntary ive times depending upon your age and
Supplemental annual
AD&D base pay the amount of your basic life
(max insurance coverage, you may have
$500,000)
Dependent - Spouse Children Yes Employee imputed income. The total amount
Supplemental only 60% only 20% of your imputed income for a
AD&D of EE’s of EE’s
voluntary voluntary calendar year is indicated on the
coverage coverage W-2 form provided to you by The
amount amount Carlstar Group for that year.
Dependent - 50% 10% Yes Employee
Supplemental of EE’s voluntary
AD&D Spouse voluntary coverage
and Children coverage amount for
amount for each child
spouse
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The Carlstar Group Life Insurance Program provides you with basic life Basic Life Insurance
and AD&D coverage, paid for 100% by The Carlstar Group. You also and AD&D Insurance
may purchase additional life and/or AD&D protection at your cost for
yourself and your dependents. Life coverage is insured through The Employee
Standard. You are automatically enrolled
for Basic Life Insurance
Life Insurance Program and Accidental Death and
Dismemberment (AD&D)
Plan Employee Spouse Each Child Enrollment Paid By Insurance on the irst day you
Required
Employee Basic One times - - No Carlstar are eligible for coverage under
Life and Basic annual The Carlstar Group beneit
AD&D base pay
(max plans. Basic Life Insurance and
$500,000) AD&D coverage are equal to one
Employee One to - - Yes Employee
Voluntary ive times times your annual base pay, up to
Supplemental annual $500,000. If the coverage amount
Life base pay
(max is not a multiple of $1,000, then
$500,000) it is rounded to the next higher
Dependent - $10,000, $10,000 Yes Employee multiple of $1,000.
Supplemental $25,000,
Life or $50,000
Employee One to - - Yes Employee Based on current tax laws and
Voluntary ive times depending upon your age and
Supplemental annual
AD&D base pay the amount of your basic life
(max insurance coverage, you may have
$500,000)
Dependent - Spouse Children Yes Employee imputed income. The total amount
Supplemental only 60% only 20% of your imputed income for a
AD&D of EE’s of EE’s
voluntary voluntary calendar year is indicated on the
coverage coverage W-2 form provided to you by The
amount amount Carlstar Group for that year.
Dependent - 50% 10% Yes Employee
Supplemental of EE’s voluntary
AD&D Spouse voluntary coverage
and Children coverage amount for
amount for each child
spouse
37
