Page 18 - Nortek Open Enrollment
P. 18
New Hire
Guide
Evidence of Insurability Coverage Choices
You must provide Evidence of X Spouse Life Insurance—increments of $5,000 up to $250,000
Insurability (EOI) and be approved Note: you cannot elect spousal life insurance greater than
by The Standard if: your own total additional life insurance value.
X You must provide Evidence of Insurability if you elect spouse
X You are newly hired and elect coverage in excess of $50,000
Optional Term Life Insurance
coverage in excess of $300,000 X Premium rates for spouse coverage are based on employee’s age
X Child Life Insurance—increments of $2,500 up to $10,000; the
If Evidence of Insurability applies cost for this coverage is $0.20 per $1,000 of coverage
to you, you can click the link in
Workday (http://www.standard. Disability Insurance
com/mybeneits/mhs_ho.html)
to complete the questionnaire Salary Continuation and Long Term Disability (LTD)
online. Or you can contact your HR Nortek’s Salary Continuation Plan and Long Term Disability Plan
representative for paper forms. (LTD) can replace some of your income if you become ill or injured
and cannot work. You are automatically covered for the Salary
Dependent Life Insurance Continuation Plan and the LTD Insurance at no cost to you.
Dependent Life Insurance provides a Your Cost of
beneit to you in the case of the death Disability Option Coverage * Coverage
of your spouse, or your dependent Salary Continuation Plan For Employees working 30 hours $0
per week receive 65% of
irst 180 days (6 months)
child from live birth to age 19 (or age salary up to $2,500 per week
19 but less than age 25 if a registered for up to 180 days
full time student). Long Term Disability After Long Term Disability begins $0
180 days (6 months)
after you have been disabled
for 180 days; you will receive
60% of your salary up to
$10,000 per month
* To receive disability beneits, you must be able to provide proof of disability and must be
under a doctor’s care consistent with your medical condition.
For more detailed information, contact your local HR representative.
18
Guide
Evidence of Insurability Coverage Choices
You must provide Evidence of X Spouse Life Insurance—increments of $5,000 up to $250,000
Insurability (EOI) and be approved Note: you cannot elect spousal life insurance greater than
by The Standard if: your own total additional life insurance value.
X You must provide Evidence of Insurability if you elect spouse
X You are newly hired and elect coverage in excess of $50,000
Optional Term Life Insurance
coverage in excess of $300,000 X Premium rates for spouse coverage are based on employee’s age
X Child Life Insurance—increments of $2,500 up to $10,000; the
If Evidence of Insurability applies cost for this coverage is $0.20 per $1,000 of coverage
to you, you can click the link in
Workday (http://www.standard. Disability Insurance
com/mybeneits/mhs_ho.html)
to complete the questionnaire Salary Continuation and Long Term Disability (LTD)
online. Or you can contact your HR Nortek’s Salary Continuation Plan and Long Term Disability Plan
representative for paper forms. (LTD) can replace some of your income if you become ill or injured
and cannot work. You are automatically covered for the Salary
Dependent Life Insurance Continuation Plan and the LTD Insurance at no cost to you.
Dependent Life Insurance provides a Your Cost of
beneit to you in the case of the death Disability Option Coverage * Coverage
of your spouse, or your dependent Salary Continuation Plan For Employees working 30 hours $0
per week receive 65% of
irst 180 days (6 months)
child from live birth to age 19 (or age salary up to $2,500 per week
19 but less than age 25 if a registered for up to 180 days
full time student). Long Term Disability After Long Term Disability begins $0
180 days (6 months)
after you have been disabled
for 180 days; you will receive
60% of your salary up to
$10,000 per month
* To receive disability beneits, you must be able to provide proof of disability and must be
under a doctor’s care consistent with your medical condition.
For more detailed information, contact your local HR representative.
18
