Page 21 - Hussmann- OE Guide 2015 Plan Year
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Hussmann Corporation
Dependent Life and AD&D Child Life
Options Insurance
Spouse or Same-Sex Domestic Partner (SSDP) Child Life Insurance
Life Insurance You may elect supplemental life
You may purchase from $10,000 to $100,000 of coverage for your coverage for your dependent children
spouse or SSDP in $10,000 increments. Please note you may only in an amount of either $5,000 or
purchase this coverage for your dependents if you have enrolled in $10,000. Please note you must be
Supplemental Life yourself. The spouse’s or SSDP’s coverage amount enrolled in the Supplemental Life
is limited to 50% of your Basic and Supplemental Life amounts coverage to purchase amounts on
combined. Rates are based on the amount of insurance you purchase your dependent(s). Rates are based
and your age. on the coverage level you select,
regardless of the number of children
Evidence of Insurability (EOI) is required if you elect or increase you cover. No evidence of insurability
Spouse Life Insurance coverage. (EOI) is required for this coverage.
If your spouse works for Hussmann, certain eligibility rules
apply. Please contact HR for details.
Dependent AD&D Insurance
If you purchase Supplemental AD&D Insurance for yourself, you may
also purchase AD&D coverage for your spouse or same-sex domestic
partner and your dependent children. Coverage for your spouse or
same-sex domestic partner will be equal to 50% of your Supplemental
AD&D coverage. If you choose to elect additional AD&D for your
Spouse or SSDP and not your children, the beneit will increase to 60%
of your Supplemental AD&D Coverage. Coverage for each covered
child will be equal to 10% of your Supplemental AD&D coverage.
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Dependent Life and AD&D Child Life
Options Insurance
Spouse or Same-Sex Domestic Partner (SSDP) Child Life Insurance
Life Insurance You may elect supplemental life
You may purchase from $10,000 to $100,000 of coverage for your coverage for your dependent children
spouse or SSDP in $10,000 increments. Please note you may only in an amount of either $5,000 or
purchase this coverage for your dependents if you have enrolled in $10,000. Please note you must be
Supplemental Life yourself. The spouse’s or SSDP’s coverage amount enrolled in the Supplemental Life
is limited to 50% of your Basic and Supplemental Life amounts coverage to purchase amounts on
combined. Rates are based on the amount of insurance you purchase your dependent(s). Rates are based
and your age. on the coverage level you select,
regardless of the number of children
Evidence of Insurability (EOI) is required if you elect or increase you cover. No evidence of insurability
Spouse Life Insurance coverage. (EOI) is required for this coverage.
If your spouse works for Hussmann, certain eligibility rules
apply. Please contact HR for details.
Dependent AD&D Insurance
If you purchase Supplemental AD&D Insurance for yourself, you may
also purchase AD&D coverage for your spouse or same-sex domestic
partner and your dependent children. Coverage for your spouse or
same-sex domestic partner will be equal to 50% of your Supplemental
AD&D coverage. If you choose to elect additional AD&D for your
Spouse or SSDP and not your children, the beneit will increase to 60%
of your Supplemental AD&D Coverage. Coverage for each covered
child will be equal to 10% of your Supplemental AD&D coverage.
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