Page 15 - 2022 New Relic Guide

Summary of Your Your Health Pre-Tax Spending Life/AD&D Where to Find
Life/AD&D
How to Get Started Dental & Vision 401(k) Additional Benefits
Contributions Benefits Accounts DisabilityDisability Support

VOLUNTARY LIFE Optional Life Rates

AND AD&D MONTHLY RATE PER MONTHLY RATE PER

$1,000 OF COVERAGE $1,000 OF COVERAGE

How do these benefits work? Age Employee Spouse
<25 $0.05 $0.05
» For additional protection, optional Life insurance is offered 25–29 $0.06 $0.06
through Lincoln Financial.
30–34 $0.08 $0.08
» Monthly premiums vary based on your age and desired coverage 35–39 $0.09 $0.09
level and will be deducted directly from your paycheck.
40–44 $0.10 $0.10
» The Guarantee Issue amount is only available to new hires.
45–49 $0.15 $0.15
» Guarantee Issue and EOI only apply to Voluntary Life plans, 50–54 $0.23 $0.23
not Voluntary AD&D.
55–59 $0.43 $0.43
Please note: 60–64 $0.66 $0.66
» For coverage amounts above $500,000 (or $25,000 for your 65–69 $1.27 $1.27
spouse) for new hires, you will need to fill out an Evidence of 70–74 $2.06 $2.06
Insurability (EOI) form. 75–99 $2.06 $2.06

» For employees outside of the new hire period, any increase to Please note:
the Voluntary Life or Spouse Life benefit will require an EOI form » Child optional life rate – $0.425 per $1,000 of
to be completed. coverage per month.

» Without a completed form approved by Lincoln, your optional life » Spouse rates are based on spouse's age.
insurance benefit amount will be limited to the Guarantee Issue
amount below:
Optional AD&D Rates

EMPLOYEE SPOUSE CHILD(REN)
Minimum $10,000 $5,000 $10,000 MONTHLY RATE PER $1,000 OF COVERAGE
coverage amount
Lesser of amount Lesser of amount Employee $0.41
Lesser of 5x
Maximum annual earnings elected for elected for
coverage amount employee coverage employee coverage Spouse $0.41
or $1,000,000
or $500,000 or $10,000 Child $0.03
Guarantee issue $500,000* $25,000* $10,000
* For new hires only

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2022 US Benefits Guide