Page 10 - AONNH19

Life and AD&D Insurance

X Employer-paid life and AD&D: the company provides an
employer-paid life and AD&D beneit paid 100% by the employer;
this beneit amounts to one times annual compensation with a
minimum of $25,000, not to exceed $50,000

X Voluntary life with AD&D: amounts in units of $10,000 up to
$500,000, not to exceed 5× salary with guaranteed issue amount of
$350,000 for irst time eligible

Y Guaranteed issue only applies to newly eligible employees who
have not been offered coverage in the past; if you waived this
beneit in the past, you will be required to complete an evidence
of insurability (EOI) form to elect or increase coverage; an EOI
form will also be required if you request coverage exceeding the
guaranteed issue amount; coverage is not effective until approved
by the carrier

Y Dependent life: up to $250,000 on spouse, not to exceed 50% of
employee beneit, in $5,000 units; guaranteed issue amount of
$50,000; up to $10,000 on children; guaranteed issue amount of
$10,000

Y Age reductions: to 65% at age 65; to 40% at age 70 and inally to
20% at age 75

Y Must elect beneiciary for life insurance plan

Y Please see American Oncology Network intranet for rate sheet

10 2019 Benefits Enrollment