Page 13 - Summit BHC 2022 Benefits Guide Executive
P. 13
2022
Benefits Guide
Life and AD&D Insurance
For your peace of mind and the inancial protection Evidence of Insurability
of your family, Summit BHC provides life and Evidence of Insurability (EOI) or proof of good health
accidental death and dismemberment (AD&D) may be required for:
coverage at no cost to you. The AD&D beneit is
payable if the cause of your death is an accident or z Current participant: You currently have this
a beneit will be paid to you for certain debilitating coverage and are requesting an increase to
injuries. your coverage greater than $10,000 at annual
Basic Life and AD&D Coverage Amount open enrollment or are requesting coverage
2 times annual earnings above the guarantee issue amount
Executives
up to $500,000 z Current spouse participant: You are
Voluntary Life and AD&D requesting an increase to your coverage
greater than $5,000 at annual open
If you would like additional coverage, Voluntary Life enrollment or are requesting coverage above
and AD&D insurance is available to you, your spouse the guarantee issue amount
and your dependent children through MetLife.
You must elect coverage for yourself in order to z Late entrant: You waived the opportunity
cover your spouse or children. The guarantee issue to elect this coverage for yourself, spouse
amounts are available for new hires only. or child(ren) when irst eligible and are now
electing coverage for the irst time
Voluntary Life and AD&D
For Yourself z New hire: You are electing this coverage when
Beneit Amount $10,000 increments irst eligible upon employment and you are
$500,000 or 5 times annual
Beneit Up To requesting coverage over the guarantee issue
earnings (whichever is less)
Guarantee Issue Amount $100,000 amount
For Your Spouse Coverage is not in force until the carrier underwriting
Beneit Amount $5,000 increments
$100,000 or 50% of employee provides approval.
Beneit Up To
amount (whichever is less)
Guarantee Issue Amount $25,000
For Your Child(ren)
Beneit Amount $10,000
Guarantee Issue Amount $10,000
If you elect Voluntary Life coverage, you will receive Voluntary AD&D
coverage of the same beneit amount.
Children coverage ages: 15 days to 6 months old—$100.
Beneit cost and coverage information will be
provided during the enrollment process at
Summit BHC—EMB Beneits.
13
Benefits Guide
Life and AD&D Insurance
For your peace of mind and the inancial protection Evidence of Insurability
of your family, Summit BHC provides life and Evidence of Insurability (EOI) or proof of good health
accidental death and dismemberment (AD&D) may be required for:
coverage at no cost to you. The AD&D beneit is
payable if the cause of your death is an accident or z Current participant: You currently have this
a beneit will be paid to you for certain debilitating coverage and are requesting an increase to
injuries. your coverage greater than $10,000 at annual
Basic Life and AD&D Coverage Amount open enrollment or are requesting coverage
2 times annual earnings above the guarantee issue amount
Executives
up to $500,000 z Current spouse participant: You are
Voluntary Life and AD&D requesting an increase to your coverage
greater than $5,000 at annual open
If you would like additional coverage, Voluntary Life enrollment or are requesting coverage above
and AD&D insurance is available to you, your spouse the guarantee issue amount
and your dependent children through MetLife.
You must elect coverage for yourself in order to z Late entrant: You waived the opportunity
cover your spouse or children. The guarantee issue to elect this coverage for yourself, spouse
amounts are available for new hires only. or child(ren) when irst eligible and are now
electing coverage for the irst time
Voluntary Life and AD&D
For Yourself z New hire: You are electing this coverage when
Beneit Amount $10,000 increments irst eligible upon employment and you are
$500,000 or 5 times annual
Beneit Up To requesting coverage over the guarantee issue
earnings (whichever is less)
Guarantee Issue Amount $100,000 amount
For Your Spouse Coverage is not in force until the carrier underwriting
Beneit Amount $5,000 increments
$100,000 or 50% of employee provides approval.
Beneit Up To
amount (whichever is less)
Guarantee Issue Amount $25,000
For Your Child(ren)
Beneit Amount $10,000
Guarantee Issue Amount $10,000
If you elect Voluntary Life coverage, you will receive Voluntary AD&D
coverage of the same beneit amount.
Children coverage ages: 15 days to 6 months old—$100.
Beneit cost and coverage information will be
provided during the enrollment process at
Summit BHC—EMB Beneits.
13
