Page 11 - Goodwill 2021 Annual Benefits Enrollment
P. 11
2021 Benefits Enrollment
Life Insurance
Basic Life and Accidental Death and Cost of Optional Life Insurance
Dismemberment (AD&D) Employee Optional Life and Spouse Optional Life Cost
These beneits are provided at no cost to you. You Based on amount elected and employee age. Divide amount
will be auto-enrolled into these plans the day you meet elected for each plan by $1,000 and multiply by the following
eligibility for the Goodwill Beneits Plan. Basic Life and amount, based on your age as of January 1, 2021. Divide that
amount by 2 for the semi-monthly rate.
AD&D Insurance is provided at one times your annual Age Per $1,000 Age Per $1,000
salary (two times annual salary for exempt employees). 15-29 $0.05 55-59 $0.64
Your coverage amount will reduce to 65% when you 30-34 $0.06 60-64 $1.11
attain age 70 and to 50% at age 75. 35-39 $0.09 65-69 $1.78
40-44 $0.15 70-74 $2.85
Employee Optional Life Insurance 45-49 $0.24 75+ $4.84
Coverage is available from $10,000 to $500,000 in 50-54 $0.37
$10,000 increments. The maximum amount you can Child(ren) Optional Life Cost
elect is the lesser of ive times your annual salary, or Based on amount elected. Divide amount elected by $1,000
$500,000. A guaranteed issue amount is available for and multiply by $0.074 for your semi-monthly rate.
newly eligible participants in the amount of $200,000. What is Evidence of Insurability (EOI)?
Evidence of Insurability (EOI) is required for all
coverage over $200,000 or any increase in coverage. If EOI is required, this means you must provide certain
Your Optional Life amount will reduce to 65% when information about your health in
you attain age 70 and to 50% at age 75. order for the insurance company to
review your information and approve
you for coverage.
Spouse Optional Life Insurance
Coverage can be purchased in $5,000 increments up Visit www.bentegrity-online.com/
to the lesser of the employee election or $200,000. A standaloneeoi/goodwillTN to complete EOI online
spousal guaranteed issue amount of $50,000 is available or scan the QR code.
for newly eligible participants. Evidence of Insurability
(EOI) is required for all coverage over $50,000 or any
increase in coverage. Employee must be enrolled in Important Life Insurance Notes
Employee Optional Life. The Spouse Optional Life Life insurance premiums may increase based on the
age-banded rating
amount will reduce to 65% when the employee attains Evidence of Insurability (EOI) is required for anyone
age 70 and to 50% at age 75. enrolling in Optional Life after the initial enrollment
period
Child(ren) Optional Life The employee must be enrolled in Optional Life
in order to elect Spouse or Child(ren) coverage
Coverage can be purchased in $1,000 increments up All life insurance benefits are paid to the
$10,000. The premium is the same no matter how many beneficiary you designate. Benefits enrollment is
children are covered. Employee must be enrolled in an excellent time to make sure your beneficiary
Employee Optional Life. information is accurate and up to date.
11
Life Insurance
Basic Life and Accidental Death and Cost of Optional Life Insurance
Dismemberment (AD&D) Employee Optional Life and Spouse Optional Life Cost
These beneits are provided at no cost to you. You Based on amount elected and employee age. Divide amount
will be auto-enrolled into these plans the day you meet elected for each plan by $1,000 and multiply by the following
eligibility for the Goodwill Beneits Plan. Basic Life and amount, based on your age as of January 1, 2021. Divide that
amount by 2 for the semi-monthly rate.
AD&D Insurance is provided at one times your annual Age Per $1,000 Age Per $1,000
salary (two times annual salary for exempt employees). 15-29 $0.05 55-59 $0.64
Your coverage amount will reduce to 65% when you 30-34 $0.06 60-64 $1.11
attain age 70 and to 50% at age 75. 35-39 $0.09 65-69 $1.78
40-44 $0.15 70-74 $2.85
Employee Optional Life Insurance 45-49 $0.24 75+ $4.84
Coverage is available from $10,000 to $500,000 in 50-54 $0.37
$10,000 increments. The maximum amount you can Child(ren) Optional Life Cost
elect is the lesser of ive times your annual salary, or Based on amount elected. Divide amount elected by $1,000
$500,000. A guaranteed issue amount is available for and multiply by $0.074 for your semi-monthly rate.
newly eligible participants in the amount of $200,000. What is Evidence of Insurability (EOI)?
Evidence of Insurability (EOI) is required for all
coverage over $200,000 or any increase in coverage. If EOI is required, this means you must provide certain
Your Optional Life amount will reduce to 65% when information about your health in
you attain age 70 and to 50% at age 75. order for the insurance company to
review your information and approve
you for coverage.
Spouse Optional Life Insurance
Coverage can be purchased in $5,000 increments up Visit www.bentegrity-online.com/
to the lesser of the employee election or $200,000. A standaloneeoi/goodwillTN to complete EOI online
spousal guaranteed issue amount of $50,000 is available or scan the QR code.
for newly eligible participants. Evidence of Insurability
(EOI) is required for all coverage over $50,000 or any
increase in coverage. Employee must be enrolled in Important Life Insurance Notes
Employee Optional Life. The Spouse Optional Life Life insurance premiums may increase based on the
age-banded rating
amount will reduce to 65% when the employee attains Evidence of Insurability (EOI) is required for anyone
age 70 and to 50% at age 75. enrolling in Optional Life after the initial enrollment
period
Child(ren) Optional Life The employee must be enrolled in Optional Life
in order to elect Spouse or Child(ren) coverage
Coverage can be purchased in $1,000 increments up All life insurance benefits are paid to the
$10,000. The premium is the same no matter how many beneficiary you designate. Benefits enrollment is
children are covered. Employee must be enrolled in an excellent time to make sure your beneficiary
Employee Optional Life. information is accurate and up to date.
11
