Page 16 - 2023 Stamford Benefit Guide

Voluntary Life / AD&D Insurance:

Mutual of Omaha

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

We provide all full-time employees 100% company paid a life insurance benefit and matching AD&D policy equal to the
life insurance benefit base on your class. Your online portal or HR will confirm the amount of coverage. 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)
We offer 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 payroll deduction. Rates
are based on Employee’s age. Your benefits will reduce to 65% at age 65, and to 50% at age 70. Spouse coverage
terminates at EMPLOYEES age 75.

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

Maximum Benefit 100% of Employee’s Benefit,
5x Annual Salary, up to $500,000 $10,000
Amount up to $250,000

Minimum Benefit
$10,000 $5,000 $10,000
Amount

Guarantee Issue 100% of Employee’s Benefit,
5x Annual Salary, up to $150,000 $10,000
Amount—New Hires up to $30,000

If previously enrolled, you can
Guarantee Issue increase your amount by $10,000
up to the GI amount limit of (EOI) Evidence of Insurability
Amount—
$150,000. If you did not make a form applies for employees $10,000
(EOI) Evidence of
voluntary life election during your that are NOT new hires
Insurability form new hire enrollment, you will
need to fill out an EOI.

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

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 - Child Education - Airbag - Common Carrier - Coma - Paralysis

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
Portability
policy, without having to provide evidence of insurability (information about your health). This
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feature requires the member to contact your plan administrator to complete forms.