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BASIC LIFE AND AD&D




Basic group term life and accidental death and dismemberment (AD&D)
insurance is provided to you at no cost through Lincoln Financial. This Designating Your
beneit is equal to one times your annual salary, up to $50,000. In addition, Beneficiary
you may purchase supplemental life coverage in $10,000 increments up to If you pass away while covered
three times your annual earnings or $300,000. by this plan, the beneit is paid to
the beneiciary (or beneiciaries)
you designate. Please make sure
Your basic AD&D coverage amount equals your basic life beneit. your beneiciary information is
accurate. If you do not name a

Supplemental Life Insurance Specifics beneiciary, the beneit will be
paid to your estate.
z You must be enrolled for supplemental beneits in order to be eligible
for supplemental dependent life coverage You may update or add a
beneiciary at anytime through
z Supplemental dependent life insurance coverage may be purchased in Paycor.
the following amounts


y Spouse—$10,000 increments to a maximum beneit of $150,000;
the amount cannot exceed 50% of the employee’s supplemental
coverage

y Children

y Birth to 6 months—$500
y 6 months to 26 years in $2,500 units to $10,000

y On the date you attain age 65, the beneit reduces to 65% of your
original beneit; when you reach age 70, your beneit reduces to
50%; when you reach age 75, a inal reduction occurs to 25% of
your original beneit









Please Note
Beneits enrollment is not ofered this year. However, coverage may be
requested by completing an evidence of insurability (EOI) form.
















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