Page 28 - HR_10930_2022_Benefits_Book_v6_pages - With Links for Flipbook

877-367-7781 i
prudential.com/mybenefits
(Web Access Code: 52943)

Life Insurance Plans

Basic Life Insurance and Accidental Death & Dismemberment (AD&D)
Plymouth Rock provides full-time and qualified regular part-time employees with both Basic Life and AD&D insurance
at no cost through Prudential. The coverage for both Basic Life Insurance and AD&D Insurance is 2 times your annual
salary, up to a maximum benefit of $500,000.

Supplemental Life Insurance

You can purchase supplemental life insurance coverage for yourself and your spouse, civil union partner or domestic
partner and your dependent children. Premiums are paid through payroll deductions.

As a new employee, you have the opportunity to enroll in these benefits up to the guaranteed issue without providing
evidence of insurability (e.g., a medical examination). Any elections that exceed the guaranteed issue amounts or those
that are made after your initial eligibility period are subject to evidence of insurability. Cost
FINANCIAL WELL-BEING For your spouse or An additional .5x, 1x, 1.5x, 2x, 2.5x, 3x, $350,000 not to exceed Refer to rate table below
Coverage
Benefit
Guaranteed Issue
For you
3.5x, 4x, 4.5x, 5x your annual salary
3x your salary
$10,000 increments
$50,000
Refer to rate table below
domestic partner*
up to a maximum of $100,000
$0.28 per pay period
$5,000 per child, up to age 26
Not Applicable
For your children*
*You must be enrolled in supplemental life for yourself in order to enroll in these benefits.
The costs for supplemental and spousal life insurance are based on the rates below. For example, if you are age 37 and
have $50,000 of supplemental life insurance, the monthly cost will be $4.50. (($50,000/1000)*$.09).

Supplemental & Spouse Rates per Month

Monthly Rate Monthly Rate
Age Age
(per $1,000 of coverage) (per $1,000 of coverage)
<25 $0.05 50-54 $0.34
25-29 $0.06 55-59 $0.56

30-34 $0.08 60-64 $0.74
35-39 $0.09 65-69 $1.27

40-44 $0.13 70-74 $2.09

45-49 $0.21 75+ $3.54

Note: If your spouse, civil union partner, domestic partner or dependent is also an employee enrolled in the Company’s
life insurance plan, you are not eligible for spouse or child supplemental life insurance, if applicable.
When you reach age 70 and 75, basic and supplemental life insurance coverages are reduced by 35% and 50%
respectively.

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