Page 15 - 2022 Benefit Guide ST
P. 15

Voluntary Life and AD&D Insurance




   Voluntary Employee Life
   Voluntary life insurance equal to 1 to 6 times your annual base
   salary may be purchased.
   •  New hires may enroll up to 3x base salary up to $500,000,

      without medical review. If you elect coverage in excess of 3
      times base salary, you must provide “evidence of Insurability”           Non Smoker           Smoker
      (EOI) and the election is subject to approval by Voya.     Age       Employee or Spouse      Employee
                                                               Under 30           $0.06              $0.07
   •  2022 annual open enrollment:  employees currently
                                                                 30-34            $0.08              $0.10
      enrolled can increase 1x up to 3x or $500,000, without medical   35-39      $0.09              $0.10
      review.                                                    40-44            $0.13              $0.17
                                                                 45-49            $0.15              $0.17
   •  Cost  is based on age, amount of coverage and non-
                                                                 50-54            $0.40              $0.77
      smoker/smoker rate. Refer to the rate chart to the right for cost
                                                                 55-59            $0.47              $0.84
      information.
                                                                 60-64            $0.69              $1.10
   Voluntary Dependent Life                                      65-69            $1.27              $1.27
   The employee must be enrolled in a minimum of 1x salary of    70-74            $2.95              $4.55
   employee voluntary life insurance to be eligible to select Spouse or   74+     $5.40              $7.75
   Children coverage.
   Spouse—May elect increments of $5,000 up to $200,000.
   •  New Hires may enroll up to $50,000  without medical review.  To Calculate the bi-weekly Life Insurance Premium:
   •  Elections over $50,000 will require “evidence of insurability” and   Annual Base Salary (rounded up to the nearest 1000)
      are subject to approval by Voya.                         divided by 1000 x rate on chart above = monthly rate.
                                                               Monthly rate x 12, divide by 26 = per pay period rate
   •  2022 annual open enrollment: if currently enrolled
      coverage may be increased by $5,000 up to $50,000, without   Example: (Salary $45,000 & age 50-54)
                                                               $45,000/1000 x .40 = $18/mo.
      medical review.
                                                               $18/mo. X 12 / 26 pay periods = $8.31 per pay.
   •  Cost is based on age, amount of coverage and non-smoker
      rate. Refer to the rate chart for further information.


   Child— 2022 annual open enrollment :  May elect increments
   of $5,000 to $20,000 without medical review.
   •  Cost  is $.50 per month for each $5,000 of coverage for all
      eligible children.


    Voluntary Accidental Death & Dismemberment
   •  The employee can enroll for coverage in increments of $25,000, up to $1,000,000. The rate is .03 per $1,000 of coverage
      per month.

   •  The family can enroll for coverage in increments of $25,000, up to $1,000,000. The rate is $.05 per $1,000 of coverage
      per month. The employee benefit is 100% of the enrolled amount. The spouse benefit is 65% of the amount elected; the
      child benefit is 15% of the amount elected.



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