Page 15 - Ampact 2022 Benefit Guide

Life and Accidental Death &

Dismemberment (AD&D)

Insurance Plans

Life Insurance and AD&D Insurance
Life insurance is an important part of your financial security, especially if you support a family.
Ampact provides basic life insurance to all eligible employees at no cost, equal to one times your base annual
earnings, up to a maximum benefit of $50,000. Coverage is automatic. Accidental Death & Dismemberment
(AD&D) insurance is designed to provide a benefit in the event of accidental death or dismemberment.
Ampact provides AD&D Insurance to all eligible employees at no cost equal to one times your base annual
earnings, up to a maximum benefit of $50,000.
Voluntary Life & AD&D Insurance

Employees may elect optional life insurance. This plan is paid 100% by you and is intended to supplement the
provided Basic Life and AD&D Insurance described above. Evidence of Insurability (EOI) may be required for
applications for coverage over the guaranteed issue amounts listed below and if you have previously waived
coverage.

Account Type Benefit
Employee • Increments of $10,000 to maximum of $500,000 not to exceed 5x base annual
earnings
• If currently enrolled, annual enrollment increases in increments of 10K up to 20k not to
exceed the guaranteed issue amount without providing EOI. If not currently enrolled,
EOI is required for the entire amount.
• Guarantee issue: $100,000
Spouse/DP • Increments of $5,000 up to maximum of $250,000 not to exceed 50% of employee’s
elected amount.
• If currently enrolled, annual enrollment increases in increments of 5K up to 10k not to
exceed the guaranteed issue amount without providing EOI. If not currently enrolled,
EOI is required for the entire amount.
• Guarantee issue: $30,000
Child(ren) • Dependent (birth to age 26) - $1,000, $2,000, $4,000, $5000 or $10,000. EOI never
required.
• Guarantee issue: $10,000

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Effective August 1, 2022-July 31, 2023