Page 7 - 2016 Open Enrollment
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Life, AD&D, Long Term Disability, Short



Term Disability, and Long Term Care




Life Insurance—Cigna

First Bank offers basic Life insurance through Cigna, at no cost to
eligible employees, at a level of one-times the employee’s annual salary.
In addition to basic Life insurance, the Bank also provides an Accidental
Death and Dismemberment (AD&D) policy which pays additional one-
times the life value, or pays a portion of the life value, should an accident

cause death or the loss of limb.

You may purchase supplemental Life insurance at group rates through the

CIGNA Life program for yourself and eligible dependents. Supplemental
coverage may be purchased by employees at amounts up to ive times
their annual salary to a maximum of $500,000. Through First Bank’s
group plan, employees are guaranteed up to $150,000 in coverage without
completing evidence of insurability documents when irst eligible. During
open enrollment, if you are enrolled you may increase the amount if
insurance by $10,000 without completing an evidence of insurability

request form. For Life insurance coverage in excess of $150,000, evidence
of insurability must be completed and coverage approved by Cigna
before it can become effective. Employees may cover spouses at one-half
the dollar amount of coverage purchased by the employee, and eligible
children may be covered in $2,500 increments from $2,500 to $10,000.


Accidental Death and Dismemberment
(AD&D)—Cigna

In addition to the AD&D coverage which comes with the Life insurance

above, First Bank offers a “stand-alone” AD&D insurance through Cigna
Insurance. You may purchase coverage in increments of $25,000, to a
maximum of $500,000 on yourself, and lesser amounts on your spouse
and eligible dependent children. This coverage is for accidents only and
does not pay beneits for loss due to sickness or disease.







2016 Open Enrollment
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