Page 11 - 2024 HCTec Benefits Guide

Life Insurance and Disability

Voluntary Life and AD&D Insurance* Voluntary Disability Insurance
You may choose to purchase life and AD&D coverage for Disability insurance provides income replacement
yourself and your dependents at affordable group rates. should you become disabled and unable to work due to
Rates are based on age and the coverage a non-work-related illness or injury. You are eligible to elect
level chosen. Short-Term Disability and/or Long-Term Disability coverage.
Coverage Benefit
Coverage Benefit
 Increments of $10,000 up to 5 your
base annual salary  60% of your weekly salary, to a
Employee
 Up to a $500,000 maximum maximum of $2,000 per week for the
 Guaranteed issue up to $150,000 first 13 weeks of a disability after the
Voluntary
 Increments of $5,000 Short-Term two-week waiting period.
(not to exceed 50% of Disability  Disabilities that occur during the first 6
Spouse your voluntary life and AD&D coverage) months of coverage due to a pre-
existing condition during the 3 months
 Up to a $150,000 maximum
prior to coverage are excluded
 Guaranteed issue up to $50,000
 60% of your base salary, to a maximum
 $10,000 per child
of $6,000 per month if you are disabled
 Covered from age 6 months to age 26
Child(ren) and are unable to work for more than
 Must be added within 90 days.
31 days of birth
Voluntary  Disabilities that occur during the first 12
Long-Term months of coverage due to a pre-
Disability* existing condition during the 3 months
prior to coverage are excluded
 Benefits are offset with other sources of
Family Medical Leave Act (FMLA) income, such as Social Security and
If you have been with the company for 12 months, you Workers’ Compensation.
may be eligible for up to 12 work weeks of unpaid
leave per year under the Family and Medical Leave Act

(FMLA). FMLA can be used for an illness of your own,
*Please note if you are outside of your New Hire
care needed for a family member, care for a newborn
and certain other medical needs. window to enroll in benefits and elect or
increase coverage, you and/or spouse (as

applicable) will need to complete an Evidence of

Insurability form that Mutual of Omaha will
review and approve or deny your coverage
election.

If you are electing or increasing your voluntary coverage
outside of your new hire eligibility window, you will have to
complete an evidence of insurability (EOI) form and submit to
Mutual of Omaha for review. Mutual of Omaha will review
and either approve or deny your additional request for
coverage.
Age reductions do apply.

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