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Basic Life / AD&D Insurance:

Voluntary TERM Life Insurance

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

SkyBlue offers 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 cover-
age is Guarantee Issue for the entire face amount and cannot be turned down for qualified enrollees.
Voluntary TERM 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.

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

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

Current Employees Employees can elect up to Spouses can also elect up Up to $20,000 with NO
Annual Open Enroll- up to two (2) increments of to two (2) increments of Health Questions and
ment Guaranteed Issue
$10,000 for a maximum of $5,000 with NO health
Evidence of Insurability $20,000 with NO health questions ask.
form (EOI) Required for
amounts over GI amounts questions asked.

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
Waiver of Premium
without 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, Helmet, Paralysis, Come, Common Carrier

The portability feature allows you to continue this insurance for yourself and your depend-
ents (if applicable) should your employment end, subject to the terms of eligibility defined
Portability Benefit
in the policy, 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
Conversation Benefit (information about your health). This feature requires the member to contact Principal to
initiate.
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