Page 10 - 2020-21 Sample Benefits Guide
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Life and Disability Insurance
Life and disability insurance is provided through [Carrier].
Basic Life and Accidental Death Short Term Disability (STD)
and Dismemberment (AD&D) The company provides short term disability (STD)
The company automatically provides you a beneit of insurance to help provide inancial security until you get
[#] times your annual salary (up to $XXX,XXX), at no back on your feet and return to work. The plan covers
cost to you, for life insurance and accidental death and [XX%] of your pre-disability earnings for up to [XX]
dismemberment insurance. days. There is a [#]-day waiting period for illnesses, but
coverage for an accident will begin immediately.
Employee Voluntary Life and
AD&D Insurance Long Term Disability (LTD)
You are eligible to purchase additional life insurance The company provides long term disability (LTD)
in increments of [X] times your annual salary up to a insurance to offer you inancial assistance in the event
maximum beneit of [$XXX,XXX]. The same coverage you are unable to work for an extended period of time.
options exist for voluntary AD&D insurance. The plan covers [XX%] of your pre-disability earnings,
but you have the option to purchase our buy-up LTD
Spouse and Dependent Voluntary coverage for an additional [XX%] of coverage. The
maximum beneit of base coverage is [$X,XXX]
Life and AD&D Insurance monthly; if you purchase the buy-up LTD coverage you
If you elect voluntary life coverage for yourself, you may receive an additional [$X,XXX] monthly.
can also elect voluntary life coverage for your spouse
in increments of [$X,XXX] up to a maximum of
[$X,XXX]. Dependent child life coverage is available in What is Evidence of
coverage levels of $2,000, $5,000, or $10,000. Voluntary Insurability (EOI)?
AD&D options are in increments of [#] times your If EOI is required, this means you must provide certain
annual salary up to a maximum beneit of $XXX,XXX. information about your health in order for the insurance
company to review your information and approve you for
coverage.
If you are newly eligible and have not previously waived
coverage, you can elect up to the guaranteed issue amount
without submitting EOI. You may be required to submit EOI
if you have previously waived this coverage or if you elect
above the guaranteed issue amount.
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Life and Disability Insurance
Life and disability insurance is provided through [Carrier].
Basic Life and Accidental Death Short Term Disability (STD)
and Dismemberment (AD&D) The company provides short term disability (STD)
The company automatically provides you a beneit of insurance to help provide inancial security until you get
[#] times your annual salary (up to $XXX,XXX), at no back on your feet and return to work. The plan covers
cost to you, for life insurance and accidental death and [XX%] of your pre-disability earnings for up to [XX]
dismemberment insurance. days. There is a [#]-day waiting period for illnesses, but
coverage for an accident will begin immediately.
Employee Voluntary Life and
AD&D Insurance Long Term Disability (LTD)
You are eligible to purchase additional life insurance The company provides long term disability (LTD)
in increments of [X] times your annual salary up to a insurance to offer you inancial assistance in the event
maximum beneit of [$XXX,XXX]. The same coverage you are unable to work for an extended period of time.
options exist for voluntary AD&D insurance. The plan covers [XX%] of your pre-disability earnings,
but you have the option to purchase our buy-up LTD
Spouse and Dependent Voluntary coverage for an additional [XX%] of coverage. The
maximum beneit of base coverage is [$X,XXX]
Life and AD&D Insurance monthly; if you purchase the buy-up LTD coverage you
If you elect voluntary life coverage for yourself, you may receive an additional [$X,XXX] monthly.
can also elect voluntary life coverage for your spouse
in increments of [$X,XXX] up to a maximum of
[$X,XXX]. Dependent child life coverage is available in What is Evidence of
coverage levels of $2,000, $5,000, or $10,000. Voluntary Insurability (EOI)?
AD&D options are in increments of [#] times your If EOI is required, this means you must provide certain
annual salary up to a maximum beneit of $XXX,XXX. information about your health in order for the insurance
company to review your information and approve you for
coverage.
If you are newly eligible and have not previously waived
coverage, you can elect up to the guaranteed issue amount
without submitting EOI. You may be required to submit EOI
if you have previously waived this coverage or if you elect
above the guaranteed issue amount.
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