Page 14 - HIMSS 2021 Annual Benefits Enrollment
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LIFE AND ACCIDENTAL DEATH
& DISMEMBERMENT (AD&D)
INSURANCE
It’s important to give some serious thought to what expenses and income needs your dependents would
have if something happened to you. To make sure you have financial protection, HIMSS offers several
different types of Life and AD&D insurance.
BASIC LIFE INSURANCE
HIMSS provides basic Life and AD&D insurance in the amount of one times your annual salary ($50,000
minimum/$350,000 maximum) at no cost. Coverage is automatic.
VOLUNTARY LIFE INSURANCE
You can also purchase additional Life and AD&D insurance for yourself and your eligible dependents. You
may be required to provide proof of good health – also referred to as Evidence of Insurability (EOI).
COVERAGE FOR COVERAGE AVAILABLE
Employee Increments of $10,000 up to 5 times your salary to a maximum of $500,000.
Spouse Increments of $5,000 up to $250,000 - not to exceed 100% of employee voluntary
coverage.
Child(ren) Increments of $2,000 to a maximum of $10,000.
VOLUNTARY LIFE INSURANCE RATES
AGE BIWEEKLY EMPLOYEE RATE SPOUSE BIWEEKLY RATE IMPUTED INCOME
PER $1,000
PER $1,000
< 30 $0.041 $0.043 Under current tax laws,
30–34 $0.049 $0.051 imputed income is the value
of your Basic Life insurance
35–39 $0.054 $0.056 that exceeds $50,000 and
40–44 $0.058 $0.060 is subject to federal income,
45–49 $0.084 $0.086 Social Security, and state
50–54 $0.122 $0.124 income taxes, if applicable.
55–59 $0.215 $0.218 This imputed income
60–64 $0.326 $0.328 amount will be included in
65–69 $0.621 $0.623 your paycheck and shown
70–74 $0.996 $0.998 on your W-2 statement.
75+ $5.931 $5.931
BIWEEKLY CHILD RATE PER $2,000 $0.083
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& DISMEMBERMENT (AD&D)
INSURANCE
It’s important to give some serious thought to what expenses and income needs your dependents would
have if something happened to you. To make sure you have financial protection, HIMSS offers several
different types of Life and AD&D insurance.
BASIC LIFE INSURANCE
HIMSS provides basic Life and AD&D insurance in the amount of one times your annual salary ($50,000
minimum/$350,000 maximum) at no cost. Coverage is automatic.
VOLUNTARY LIFE INSURANCE
You can also purchase additional Life and AD&D insurance for yourself and your eligible dependents. You
may be required to provide proof of good health – also referred to as Evidence of Insurability (EOI).
COVERAGE FOR COVERAGE AVAILABLE
Employee Increments of $10,000 up to 5 times your salary to a maximum of $500,000.
Spouse Increments of $5,000 up to $250,000 - not to exceed 100% of employee voluntary
coverage.
Child(ren) Increments of $2,000 to a maximum of $10,000.
VOLUNTARY LIFE INSURANCE RATES
AGE BIWEEKLY EMPLOYEE RATE SPOUSE BIWEEKLY RATE IMPUTED INCOME
PER $1,000
PER $1,000
< 30 $0.041 $0.043 Under current tax laws,
30–34 $0.049 $0.051 imputed income is the value
of your Basic Life insurance
35–39 $0.054 $0.056 that exceeds $50,000 and
40–44 $0.058 $0.060 is subject to federal income,
45–49 $0.084 $0.086 Social Security, and state
50–54 $0.122 $0.124 income taxes, if applicable.
55–59 $0.215 $0.218 This imputed income
60–64 $0.326 $0.328 amount will be included in
65–69 $0.621 $0.623 your paycheck and shown
70–74 $0.996 $0.998 on your W-2 statement.
75+ $5.931 $5.931
BIWEEKLY CHILD RATE PER $2,000 $0.083
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