Page 15 - Dent Wizard 2021 Annual Benefits Enrollment
P. 15
2021
Dent Wizard Benefits Enrollment
Life and Disability What is Evidence of Insurability
Insurance (EOI)?
Life and disability insurance is provided through If EOI is required, this means you must provide certain
information about your health in order for the insurance
MetLife. Your current Supplemental and Dependent company to review your information and approve you for
Life coverages will be Grandfathered and continue at the coverage.
same 2020 coverage level for 2021. If you are newly eligible and have not previously waived
coverage, you can elect up to the guaranteed issue
Basic Life and Accidental Death and amount without submitting EOI. You may be required to
submit EOI if you have previously waived this coverage or
Dismemberment (AD&D) if you elect above the guaranteed issue amount.
The company automatically provides you a beneit of
Supplemental Life- EE Only*
one times your annual salary (up to $300,000), at no (per $1,000 of Covered Volume)
cost to you, for life insurance and accidental death and All Active Full-Time Associates**
dismemberment insurance. Less than 30 $0 .062
30-34 $0 .080
Associate Voluntary Life and AD&D 35-39 $0 .090
40-44
$0 .106
Insurance 45-49 $0 .151
$0 .230
50-54
You are eligible to purchase additional life insurance 55-59 $0 .434
in increments of $25,000 to a maximum of $175,000. 60-64 $0 .665
Current voluntary life amounts can be grandfathered 65-69 $1 .285
$2 .083
70+
at the same beneit amount and rate.
Supplemental Dependent Life*
Spouse and Dependent Voluntary (per $1,000 of Covered Volume)
All Active Full-Time Associates and Spouse**
Life and AD&D Insurance Less than 30 $0 .062
Spouse: $12,500 increments to a maximum of 30-34 $0 .080
$50,000, not to exceed 50% of associate’s optional 35-39 $0 .090
life beneit. Rates are based off employee’s age. 40-44 $0 .106
45-49
$0 .151
Child birth to limiting age: $2,000 increments to a 50-54 $0 .230
maximum of $10,000; child limiting age: 26 55-59 $0 .434
60-64 $0 .665
65-69 $1 .285
70+ $2 .083
Child $0 .135
Age reduction*: The employer is responsible for making sure that
the ofer of insurance to its associates under the program described
complies, if applicable, with the Age Discrimination in Employment Act
of 1967, as amended, (“ADEA”), and the regulations thereunder. The
employer should seek the advice of counsel as to whether ADEA applies
to the program and, if so, whether it is in compliance with ADEA and
other applicable laws. MetLife is required to comply with insurance age
discrimination laws where applicable.
* The rates listed above are monthly.
** All reductions are applied to the original beneit amount.
15
Dent Wizard Benefits Enrollment
Life and Disability What is Evidence of Insurability
Insurance (EOI)?
Life and disability insurance is provided through If EOI is required, this means you must provide certain
information about your health in order for the insurance
MetLife. Your current Supplemental and Dependent company to review your information and approve you for
Life coverages will be Grandfathered and continue at the coverage.
same 2020 coverage level for 2021. If you are newly eligible and have not previously waived
coverage, you can elect up to the guaranteed issue
Basic Life and Accidental Death and amount without submitting EOI. You may be required to
submit EOI if you have previously waived this coverage or
Dismemberment (AD&D) if you elect above the guaranteed issue amount.
The company automatically provides you a beneit of
Supplemental Life- EE Only*
one times your annual salary (up to $300,000), at no (per $1,000 of Covered Volume)
cost to you, for life insurance and accidental death and All Active Full-Time Associates**
dismemberment insurance. Less than 30 $0 .062
30-34 $0 .080
Associate Voluntary Life and AD&D 35-39 $0 .090
40-44
$0 .106
Insurance 45-49 $0 .151
$0 .230
50-54
You are eligible to purchase additional life insurance 55-59 $0 .434
in increments of $25,000 to a maximum of $175,000. 60-64 $0 .665
Current voluntary life amounts can be grandfathered 65-69 $1 .285
$2 .083
70+
at the same beneit amount and rate.
Supplemental Dependent Life*
Spouse and Dependent Voluntary (per $1,000 of Covered Volume)
All Active Full-Time Associates and Spouse**
Life and AD&D Insurance Less than 30 $0 .062
Spouse: $12,500 increments to a maximum of 30-34 $0 .080
$50,000, not to exceed 50% of associate’s optional 35-39 $0 .090
life beneit. Rates are based off employee’s age. 40-44 $0 .106
45-49
$0 .151
Child birth to limiting age: $2,000 increments to a 50-54 $0 .230
maximum of $10,000; child limiting age: 26 55-59 $0 .434
60-64 $0 .665
65-69 $1 .285
70+ $2 .083
Child $0 .135
Age reduction*: The employer is responsible for making sure that
the ofer of insurance to its associates under the program described
complies, if applicable, with the Age Discrimination in Employment Act
of 1967, as amended, (“ADEA”), and the regulations thereunder. The
employer should seek the advice of counsel as to whether ADEA applies
to the program and, if so, whether it is in compliance with ADEA and
other applicable laws. MetLife is required to comply with insurance age
discrimination laws where applicable.
* The rates listed above are monthly.
** All reductions are applied to the original beneit amount.
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