Page 13 - 2015 Enrollment Guide
P. 13
American Air Filter
Voluntary Life and Accidental Death and Voluntary Life Insurance
Dismemberment (AD&D) Insurance
Age Category Bi-Weekly Rate per
$1000 of Coverage
AAF offers employees the option to purchase additional Life and Under - 20 0.0392
AD&D insurance through Sun Life. Life insurance provides added 20 - 24 0.0369
inancial protection at an affordable price. You can ensure your family’s 25 - 29 0.0397
inancial security in the event of an unexpected death. You choose the 30 - 34 0.0480
amount of coverage that works for you and your family. Your premium 35 - 39 0.0545
is automatically deducted from your paycheck. This coverage is offered 40 - 44 0.0706
in limited increments and subject to certain limitations, so please 45 - 49 0.1131
carefully review this section before making an election. 50 - 54 0.1865
55 - 59 0.3249
Principal Sum Employee Only Employee + Family 60 - 64 0.5206
$25,000 $0.37 $0.62 65 - 69 0.8909
$50,000 $0.74 $1.25 70 - 74 1.4008
$75,000 $1.11 $1.87
$100,000 $1.48 $2.49 Dependent Life Insurance
$125,000 $1.85 $3.12 Option 1 2
$150,000 $2.22 $3.74 Spouse $6,000 $25,000
$175,000 $2.58 $4.36 Children $2,500 $10,000
$200,000 $2.95 $4.98 Bi-Weekly $0.75 $3.10
Rate
The coverage you can purchase is described in the table below. Weekly Rate $1.63 $6.72
Voluntary Life Insurance
For yourself You can purchase additional life insurance equal to 1, 2, 3,
4, or 5 times your annual earnings Please Note: Sun Life will
For your Spouse and Option 1: $6,000 for spouse and $2,500 for child(ren) require Medical Evidence
Child(ren) Option 2: $25,000 for spouse and $10,000 for child(ren) of Insurability (EOI) for
Voluntary Accidental Death and Dismemberment (AD&D) Insurance any elections over the
guarantee issue which is
For yourself You can purchase additional AD&D insurance in increments the lesser of 2X annual
of $25,000 to a maximum of $200,000 earnings or $350,000.
For your Spouse 100% of Employee’s amount in force
For your Child(ren) 20% of Employee’s amount in force if no spouse; 10% of Please find more details
Employee’s amount in force if spouse in the AD&D benefit
summary located on
Benetrac.
13
Voluntary Life and Accidental Death and Voluntary Life Insurance
Dismemberment (AD&D) Insurance
Age Category Bi-Weekly Rate per
$1000 of Coverage
AAF offers employees the option to purchase additional Life and Under - 20 0.0392
AD&D insurance through Sun Life. Life insurance provides added 20 - 24 0.0369
inancial protection at an affordable price. You can ensure your family’s 25 - 29 0.0397
inancial security in the event of an unexpected death. You choose the 30 - 34 0.0480
amount of coverage that works for you and your family. Your premium 35 - 39 0.0545
is automatically deducted from your paycheck. This coverage is offered 40 - 44 0.0706
in limited increments and subject to certain limitations, so please 45 - 49 0.1131
carefully review this section before making an election. 50 - 54 0.1865
55 - 59 0.3249
Principal Sum Employee Only Employee + Family 60 - 64 0.5206
$25,000 $0.37 $0.62 65 - 69 0.8909
$50,000 $0.74 $1.25 70 - 74 1.4008
$75,000 $1.11 $1.87
$100,000 $1.48 $2.49 Dependent Life Insurance
$125,000 $1.85 $3.12 Option 1 2
$150,000 $2.22 $3.74 Spouse $6,000 $25,000
$175,000 $2.58 $4.36 Children $2,500 $10,000
$200,000 $2.95 $4.98 Bi-Weekly $0.75 $3.10
Rate
The coverage you can purchase is described in the table below. Weekly Rate $1.63 $6.72
Voluntary Life Insurance
For yourself You can purchase additional life insurance equal to 1, 2, 3,
4, or 5 times your annual earnings Please Note: Sun Life will
For your Spouse and Option 1: $6,000 for spouse and $2,500 for child(ren) require Medical Evidence
Child(ren) Option 2: $25,000 for spouse and $10,000 for child(ren) of Insurability (EOI) for
Voluntary Accidental Death and Dismemberment (AD&D) Insurance any elections over the
guarantee issue which is
For yourself You can purchase additional AD&D insurance in increments the lesser of 2X annual
of $25,000 to a maximum of $200,000 earnings or $350,000.
For your Spouse 100% of Employee’s amount in force
For your Child(ren) 20% of Employee’s amount in force if no spouse; 10% of Please find more details
Employee’s amount in force if spouse in the AD&D benefit
summary located on
Benetrac.
13
