Page 17 - 2017-18 Centennial Benefits Guide HCE

Supplemental Life and

Optional AD&D

Supplemental GVUL Insurance Coverage

Employee

„ Multiples of annual salary;
„ Maximum of the lesser of ive times annual salary or $2,000,000 (less
basic coverage amount)

„ Guarantee issue: two times annual salary

Spouse (Term Life)

„ Increments of $5,000 from $10,000 to a maximum of the lesser of
100% of the employee amount or $250,000

„ Guarantee issue: $50,000
„ Spouse must be age 70 or under at issue; spouse coverage terminates
on the policy anniversary date closes to the earlier of the employee or
the spouse’s 75th birth date

Child(ren) (Term Life)

„ Dependent children coverage is available in the following amount:
$10,000

„ Guarantee issue: $10,000

„ Children must be aged 15 days through 18 at issue (though 21 if
full-time student); coverage terminates on the policy anniversary date
closest to the child’s 25th birth date

Note: Your beneiciary information must be acknowledged and accepted by MetLife. Contact
HR for a MetLife Beneiciary Form or call MetLife at 800 .756 .0124 to verify your beneiciary
detail

Optional AD&D Insurance
You have the opportunity to purchase additional AD&D insurance. The

coverage is through Mutual of Omaha and provides beneits if you lose
your life, become paralyzed or are dismembered due to an accident.
You may elect an amount from $10,000 up to $500,000. Coverage
can be purchased for yourself only or for your family. The monthly
cost is $0.03/$1,000 of coverage if you elect employee coverage and
$0.04/$1,000 of coverage if you elect family coverage.

Centennial Contractors 17