Page 13 - Future Steps
P. 13
2017 BENEFITS ENROLLMENT
Optional coverage may be elected per the table below. All coverage Voluntary
amounts which are not guaranteed, require proof of good health. Employee and
Coverage elected during open enrollment will be effective January 2017, or Spouse Term Life
whenever proof of good health is approved, whichever is later. Cost
Voluntary Term Life Benefit Summary Regional One
Health
Regional One Health Age as of Rate $1,000
Minnesota Life January 1 per Month
Voluntary Term Life Under 30 $0 .08
Employee Beneit 1 to 5 times base earnings 30–34 $0 .10
Spouse Beneit 100% of employee election 35–39 $0 .12
Child Beneit $10,000 40–44 $0 .15
Employee Beneit Maximum $1,000,000 45–49 $0 .24
Spouse Beneit Maximum $250,000 50–54 $0 .53
Child Beneit Maximum $10,000 55–59 $0 .97
Employee Guarantee Issue 2 times earnings or $300,000 whichever is less 60–64 $1 .16
Spouse Guarantee Issue $25,000 65–69 $1 .70
Child Guarantee Issue $10,000 70–74 $2 .67
75–79 $4 .37
80–84 $6 .79
Voluntary AD&D Benefit Summary 85 and Over $9 .94
Child Term Life
Regional One Health (1 premium $0 .119
Minnesota Life covers all
Voluntary AD&D eligible children)
Employee Beneit 1 to 5 times base annual earnings Optional AD&D $0 .03
Beneit Maximum $1,000,000
Basic rate of compensation not including commissions,
Earnings Deinition overtime or premium pay, bonuses, or any other
additional compensation
Guarantee Issue Offer!
Employees who previously declined coverage will be able to purchase
1 times salary up to $300,000 without completing health questions
during this open enrollment period. Amounts over the 1 times salary
amount will be subject to health questions .
Employees who are currently enrolled in this plan will be able to
increase their election by 1 times salary up to the guarantee issue
maximum which is 2 times salary up to $300,000 during this open
enrollment period only.
REGIONAL ONE HEALTH 13
Optional coverage may be elected per the table below. All coverage Voluntary
amounts which are not guaranteed, require proof of good health. Employee and
Coverage elected during open enrollment will be effective January 2017, or Spouse Term Life
whenever proof of good health is approved, whichever is later. Cost
Voluntary Term Life Benefit Summary Regional One
Health
Regional One Health Age as of Rate $1,000
Minnesota Life January 1 per Month
Voluntary Term Life Under 30 $0 .08
Employee Beneit 1 to 5 times base earnings 30–34 $0 .10
Spouse Beneit 100% of employee election 35–39 $0 .12
Child Beneit $10,000 40–44 $0 .15
Employee Beneit Maximum $1,000,000 45–49 $0 .24
Spouse Beneit Maximum $250,000 50–54 $0 .53
Child Beneit Maximum $10,000 55–59 $0 .97
Employee Guarantee Issue 2 times earnings or $300,000 whichever is less 60–64 $1 .16
Spouse Guarantee Issue $25,000 65–69 $1 .70
Child Guarantee Issue $10,000 70–74 $2 .67
75–79 $4 .37
80–84 $6 .79
Voluntary AD&D Benefit Summary 85 and Over $9 .94
Child Term Life
Regional One Health (1 premium $0 .119
Minnesota Life covers all
Voluntary AD&D eligible children)
Employee Beneit 1 to 5 times base annual earnings Optional AD&D $0 .03
Beneit Maximum $1,000,000
Basic rate of compensation not including commissions,
Earnings Deinition overtime or premium pay, bonuses, or any other
additional compensation
Guarantee Issue Offer!
Employees who previously declined coverage will be able to purchase
1 times salary up to $300,000 without completing health questions
during this open enrollment period. Amounts over the 1 times salary
amount will be subject to health questions .
Employees who are currently enrolled in this plan will be able to
increase their election by 1 times salary up to the guarantee issue
maximum which is 2 times salary up to $300,000 during this open
enrollment period only.
REGIONAL ONE HEALTH 13
