Page 17 - 20NH 20685 (1)
P. 17
ACCIDENTAL DEATH AND
DISMEMBERMENT
Basic AD&D Insurance
Eligible employees will receive a AD&D insurance beneit of 2 times
one’s salary at no cost to you and will be paid to your designated
beneiciary in the event of a claim.
Voluntary AD&D Insurance
You have the option to purchase additional AD&D insurance on yourself
or your family. The plan provides payment to your beneiciary in the
event of your accidental death, or to you in the event of your paralysis or
dismemberment. Beneits are paid in addition to other policies in effect
at the time of the accident. On oneself, you may purchase coverage in
amounts of $50,000, $100,000, or $250,000.
The family plan options are based on the employee’s beneit at time of
loss as listed.
Your spouse may be covered under the plan until he/she attains age
70. Children may be covered up to age 26, regardless of student status.
Coverage under both the employee only and family plans may be
converted to individual policies. The beneit levels and monthly costs are
printed on your enrollment form.
Scenario Coverage
Employee + Family
Employee 100%
Spouse 40% of employee coverage
Child(ren) 10% of employee coverage
Employee + Spouse
Employee 100%
Spouse 50% of employee coverage
Employee + Child(ren)
Employee 100%
Child(ren) 15% of employee coverage
TheBANK of Edwardsville 17
DISMEMBERMENT
Basic AD&D Insurance
Eligible employees will receive a AD&D insurance beneit of 2 times
one’s salary at no cost to you and will be paid to your designated
beneiciary in the event of a claim.
Voluntary AD&D Insurance
You have the option to purchase additional AD&D insurance on yourself
or your family. The plan provides payment to your beneiciary in the
event of your accidental death, or to you in the event of your paralysis or
dismemberment. Beneits are paid in addition to other policies in effect
at the time of the accident. On oneself, you may purchase coverage in
amounts of $50,000, $100,000, or $250,000.
The family plan options are based on the employee’s beneit at time of
loss as listed.
Your spouse may be covered under the plan until he/she attains age
70. Children may be covered up to age 26, regardless of student status.
Coverage under both the employee only and family plans may be
converted to individual policies. The beneit levels and monthly costs are
printed on your enrollment form.
Scenario Coverage
Employee + Family
Employee 100%
Spouse 40% of employee coverage
Child(ren) 10% of employee coverage
Employee + Spouse
Employee 100%
Spouse 50% of employee coverage
Employee + Child(ren)
Employee 100%
Child(ren) 15% of employee coverage
TheBANK of Edwardsville 17
