Page 23 - Pampa Benefit Guide 4-1-24
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Life / AD&D Insurance:



         Principal Life Insurance

          *NEW* Basic Life Insurance and Accidental Death & Dismemberment (AD&D)


          We are now providing all full-time employees with a 100% Employer Paid life insurance benefit of $10,000; including
          matching AD&D. Your benefits will reduce to 65% at age 65, and to 50% at age 70.  Benefits terminate at retirement.
            This coverage is Guarantee Issue for the entire face amount and cannot be turned down for qualified enrollees.

            Voluntary Life Insurance and Accidental Death & Dismemberment (AD&D)
         SkyBlue Healthcare offers full-time employees a Voluntary Life / AD&D policy for yourselves, your spouse, and your
         dependent children. In order to elect coverage for a spouse or child, you must elect coverage for yourself. This plan is
         offered through a competitive group policy by your employer.  It is 100% employee cost and will be paid through pay-
         roll deduction. Rates are based on Employees age. Your benefits will reduce to 50% at age 70. Spouse coverage ends
         at age 70.  RATES ARE CALCULATED THROUGH EMPLOYEE NAVIGATOR.

                                  Employee Life / AD&D          Spouse Life / AD&D           Child Life / AD&D

          Maximum Benefit                                       100% of Employee’s Benefit,
                                      $10,000 up to $500,000                                        $20,000
          Amount                                                      up to $200,000

          Minimum Benefit                   $10,000                       $5,000                     $2,000

          Guarantee Issue            Under Age 70: $150,000       Under Age 70: $30,000
                                                                                               $2,000 up to $20,000
          Amount—New Hires            Over Age 70: $10,000         Over Age 70: $10,000


          Guarantee Issue
          Amount—                  Anyone can enroll now for the   Anyone can enroll now for   Anyone can enroll now for
          Open Enrollment                   GI Max:                    the GI Max:                the GI Max:
                                     Under Age 70: $150,000       Under Age 70: $30,000
          (EOI) Evidence of           Over Age 70: $10,000         Over Age 70: $10,000       $2,000 up to $20,000
          Insurability form

          Living Care Benefit /
          Accelerated Death       80% of your Life Benefit can be obtained if diagnosed with a terminal illness.
          Benefit

                                  If it is determined that you are totally disabled, your life insurance benefit will continue   without
          Waiver of Premium
                                  payment of premium, subject to certain conditions.
          Additional AD&D         In addition to basic AD&D benefits, you are protected by the following benefits:
          Benefits                           Seat Belt        Airbag

                                  The portability feature allows you to continue this insurance for yourself and your dependents (if
                                  applicable) should your employment end, subject to the terms of eligibility defined in the policy,
          Portability Benefit
                                  without  having  to  provide  evidence  of  insurability  (information  about  your  health).  This  feature
                                  requires the member to contact Mutual of Omaha to initiate.

                                  You may also convert your policy without having to provide evidence of insurability (information
          Conversation  Benefit
                                  about your health). This feature requires the member to contact Principal  to initiate.
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