Page 13 - Great Circle 2021 Benefits Guide
P. 13
2021
Great Circle Benefits Enrollment
Life and Disability Insurance
Basic Life and Accidental Death and Voluntary Employee and Spouse Life & AD&D Rates
Dismemberment (AD&D) Per Pay Period Rates per $1,000 worth of coverage
The company automatically provides you a beneit Under 25 Employee Spouse
$0 .042
$0 .042
of one times your annual base salary (up to $100,000 25-29 $0 .046 $0 .046
and as of a speciic point in time), at no cost to 30-34 $0 .051 $0 .051
you, for life insurance and accidental death and 35-39 $0 .064 $0 .064
dismemberment insurance. The one times your 40-44 $0 .091 $0 .091
salary is reduced if you continue working at age 65 45-49 $0 .145 $0 .145
and beyond. 50-54 $0 .240 $0 .240
55-59 $0 .397 $0 .397
Employee Voluntary Life 60-64 $0 .573 $0 .573
and Accidental Death and 65-69 $0 .946 $0 .946
Dismemberment 70-74 $1 .851 $1 .851
You are eligible to purchase voluntary life and AD&D 75+ $2 .791 $2 .791
insurance in increments of $10,000 (minimum starting Child $0.717 (for the full $10,000 beneit)
(up to age 26)
at $20,000) up to $500,000. Elected amounts over
$200,000 are subject to evidence of insurability. If you
elect coverage for yourself you also have the option If you are electing coverage or increasing coverage as a
late enrollee, you will need to complete a personal health
of purchasing Spouse Voluntary Life and AD&D in application and be approved by The Hartford before your
coverage increments of $5,000 (minimum starting coverage is efective.
is $5,000) up to a maximum of $125,000 subject
to evidence of insurability for amounts exceeding
$50,000. You also have the option to purchase
Dependent Voluntary Life and AD&D coverage for
a lat $10,000 amount. Dependent child life coverage
is available for unmarried dependent children through
age 26.
Voluntary AD&D covers death and dismemberment
as the result of an accident. For example, if you are in
a fatal accident or an accident that results in you losing
your eyesight, speech, hearing, or a limb, AD&D will
pay you or your beneiciaries a speciied amount.
Please note for employees age 70 and above, the
amount of insurance described above will be reduced
by 50%.
13
Great Circle Benefits Enrollment
Life and Disability Insurance
Basic Life and Accidental Death and Voluntary Employee and Spouse Life & AD&D Rates
Dismemberment (AD&D) Per Pay Period Rates per $1,000 worth of coverage
The company automatically provides you a beneit Under 25 Employee Spouse
$0 .042
$0 .042
of one times your annual base salary (up to $100,000 25-29 $0 .046 $0 .046
and as of a speciic point in time), at no cost to 30-34 $0 .051 $0 .051
you, for life insurance and accidental death and 35-39 $0 .064 $0 .064
dismemberment insurance. The one times your 40-44 $0 .091 $0 .091
salary is reduced if you continue working at age 65 45-49 $0 .145 $0 .145
and beyond. 50-54 $0 .240 $0 .240
55-59 $0 .397 $0 .397
Employee Voluntary Life 60-64 $0 .573 $0 .573
and Accidental Death and 65-69 $0 .946 $0 .946
Dismemberment 70-74 $1 .851 $1 .851
You are eligible to purchase voluntary life and AD&D 75+ $2 .791 $2 .791
insurance in increments of $10,000 (minimum starting Child $0.717 (for the full $10,000 beneit)
(up to age 26)
at $20,000) up to $500,000. Elected amounts over
$200,000 are subject to evidence of insurability. If you
elect coverage for yourself you also have the option If you are electing coverage or increasing coverage as a
late enrollee, you will need to complete a personal health
of purchasing Spouse Voluntary Life and AD&D in application and be approved by The Hartford before your
coverage increments of $5,000 (minimum starting coverage is efective.
is $5,000) up to a maximum of $125,000 subject
to evidence of insurability for amounts exceeding
$50,000. You also have the option to purchase
Dependent Voluntary Life and AD&D coverage for
a lat $10,000 amount. Dependent child life coverage
is available for unmarried dependent children through
age 26.
Voluntary AD&D covers death and dismemberment
as the result of an accident. For example, if you are in
a fatal accident or an accident that results in you losing
your eyesight, speech, hearing, or a limb, AD&D will
pay you or your beneiciaries a speciied amount.
Please note for employees age 70 and above, the
amount of insurance described above will be reduced
by 50%.
13
