Page 14 - Great Circle 2021 Benefits Guide
P. 14
Coverage Continuation Long Term Disability (LTD)
In the event you do not return to work from leave or The company offers voluntary long term disability
you terminate employment: insurance to provide inancial security if you are unable to
You may continue your medical, dental, and work for an extended period of time. You may purchase
vision coverages and possibly access to your voluntary LTD at a competitive group rate. The plan
lexible spending account through COBRA. COBRA covers 60% of your monthly salary up to $5,000 per
coverage will be ofered to you 7–10 business month. Review your enrollment materials on the myCircle
days after your separation from Great Circle.
You may be able to continue your basic life and/or intranet under Beneits for more details.
voluntary life insurance through certain provisions
under our policy with The Hartford (subject to Your estimated per pay period premium is determined by
their approval). In addition, your dependents may multiplying your monthly salary (up to $8,333) by your
be eligible to port or convert their life insurance
coverage. Please see the certiicates and forms age-range premium rate. If your monthly salary exceeds
located on the intranet, and for additional details, $8,333, multiply $8,333 by your premium rate.
you can contact The Hartford at: 877.320.0484 .
Please note, application for portability or $__________ × _________ = $_______________
conversion must be made within 31 days after
separation from Great Circle. Monthly Salary Premium Rate Per Pay Period
If you previously elected voluntary STD and/or Premium
voluntary LTD coverage, you may be able to port
your coverage. Please see the certiicates and Age Range Premium Rate
forms located on the intranet, and for additional 0–24 0 .00095
details you can contact Lincoln Financial at: 25–29 0 .00095
800.423.2765. Please note, application for 30–34 0 .00160
portability must be made within 31 days after 35–39 0 .00260
separation from Great Circle. 40–44 0 .00405
If you previously elected voluntary critical illness 45–49 0 .00560
or voluntary accident coverage, you may be able 50–54 0 .00725
to port your coverage. Please see the certiicates 55–59 0 .00920
and forms located on the intranet, and for 60–64 0 .00775
additional details, you can contact The Hartford 65–69 0 .00610
at: 866.547.4205. Please note application for 70–74 0 .00530
portability must be made within 31 days after 75–99 0 .00530
separation from Great Circle.
Short Term Disability (STD)
The company offers voluntary short term disability
insurance to help provide inancial security until you get
back on your feet and return to work. You may purchase
voluntary STD at a competitive group rate. The plan
covers 60% of weekly salary up to $1,000 per week for
up to 12 weeks. STD begins on the 8th day from the
accident or 8th day from an illness. The premium is
calculated based on age and your cost will be calculated
for you if you elect during the online enrollment. Review
your enrollment materials on the myCircle intranet under
Beneits for more details.
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In the event you do not return to work from leave or The company offers voluntary long term disability
you terminate employment: insurance to provide inancial security if you are unable to
You may continue your medical, dental, and work for an extended period of time. You may purchase
vision coverages and possibly access to your voluntary LTD at a competitive group rate. The plan
lexible spending account through COBRA. COBRA covers 60% of your monthly salary up to $5,000 per
coverage will be ofered to you 7–10 business month. Review your enrollment materials on the myCircle
days after your separation from Great Circle.
You may be able to continue your basic life and/or intranet under Beneits for more details.
voluntary life insurance through certain provisions
under our policy with The Hartford (subject to Your estimated per pay period premium is determined by
their approval). In addition, your dependents may multiplying your monthly salary (up to $8,333) by your
be eligible to port or convert their life insurance
coverage. Please see the certiicates and forms age-range premium rate. If your monthly salary exceeds
located on the intranet, and for additional details, $8,333, multiply $8,333 by your premium rate.
you can contact The Hartford at: 877.320.0484 .
Please note, application for portability or $__________ × _________ = $_______________
conversion must be made within 31 days after
separation from Great Circle. Monthly Salary Premium Rate Per Pay Period
If you previously elected voluntary STD and/or Premium
voluntary LTD coverage, you may be able to port
your coverage. Please see the certiicates and Age Range Premium Rate
forms located on the intranet, and for additional 0–24 0 .00095
details you can contact Lincoln Financial at: 25–29 0 .00095
800.423.2765. Please note, application for 30–34 0 .00160
portability must be made within 31 days after 35–39 0 .00260
separation from Great Circle. 40–44 0 .00405
If you previously elected voluntary critical illness 45–49 0 .00560
or voluntary accident coverage, you may be able 50–54 0 .00725
to port your coverage. Please see the certiicates 55–59 0 .00920
and forms located on the intranet, and for 60–64 0 .00775
additional details, you can contact The Hartford 65–69 0 .00610
at: 866.547.4205. Please note application for 70–74 0 .00530
portability must be made within 31 days after 75–99 0 .00530
separation from Great Circle.
Short Term Disability (STD)
The company offers voluntary short term disability
insurance to help provide inancial security until you get
back on your feet and return to work. You may purchase
voluntary STD at a competitive group rate. The plan
covers 60% of weekly salary up to $1,000 per week for
up to 12 weeks. STD begins on the 8th day from the
accident or 8th day from an illness. The premium is
calculated based on age and your cost will be calculated
for you if you elect during the online enrollment. Review
your enrollment materials on the myCircle intranet under
Beneits for more details.
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