Page 19 - Ruby Tuesday 2014 Life Enrollment
P. 19
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Ruby Tuesday, Inc. (#737552) - Full Time
Your Summary of Group Life and AD&D Ultra® Benefits
Supplemental Life Coverage*
You Coverage Amounts Guaranteed Issue Amounts
$100,000
Your Spouse $25,000 increments, not to exceed
Child(ren) 5x your Basic Annual Earnings or $50,000
$250,000 $10,000
50% of employee supplemental amount
$2,500 increments up to a maximum
of $10,000
Employee must buy supplemental life coverage to buy dependent life coverage.
Dependent coverage cannot exceed 50% of employee’s coverage amount.
Children eligibility: age 14 days up to age 19 or if unmarried and full time student dependent upon employee for support,
coverage can extend up to age 26.
Spouse premiums are rated on Spouse’s own age.
*Please consult your policy documents for more information.
Monthly Rates for Term Life Insurance (rate per $1,000)
Age Employee Spouse
<25 $0.077 $0.080
25-29 $0.068 $0.073
30-34 $0.071 $0.079
35-39 $0.094 $0.104
40-44 $0.140 $0.159
45-49 $0.219 $0.251
50-54 $0.345 $0.410
55-59 $0.525 $0.657
60-64 $0.769 $0.954
65-69 $1.271 $1.677
70-74 $2.777 $3.845
75-79 $5.805 $9.474
80-84 $7.918 $17.007
85-89 $15.667 $51.537
90-94 $32.445 $196.410
95+ $69.316 $262.474
Child(ren): $0.500 per $2,500 of coverage
Life, AD&D Ultra, STD and LTD policies have limitations and exclusions. The purpose of this Benefit Summary and any additional enrollment materials or brochures is to give
a general overview of the policies. Complete coverage information can be found in the policy documents issued by Aetna to your employer. Please review the policy
documents to familiarize yourself with the terms of coverage. If there is a discrepancy between the policy documents and these materials, the terms of the policy documents
will apply.
Ruby Tuesday, Inc. (#737552) - Full Time
Your Summary of Group Life and AD&D Ultra® Benefits
Supplemental Life Coverage*
You Coverage Amounts Guaranteed Issue Amounts
$100,000
Your Spouse $25,000 increments, not to exceed
Child(ren) 5x your Basic Annual Earnings or $50,000
$250,000 $10,000
50% of employee supplemental amount
$2,500 increments up to a maximum
of $10,000
Employee must buy supplemental life coverage to buy dependent life coverage.
Dependent coverage cannot exceed 50% of employee’s coverage amount.
Children eligibility: age 14 days up to age 19 or if unmarried and full time student dependent upon employee for support,
coverage can extend up to age 26.
Spouse premiums are rated on Spouse’s own age.
*Please consult your policy documents for more information.
Monthly Rates for Term Life Insurance (rate per $1,000)
Age Employee Spouse
<25 $0.077 $0.080
25-29 $0.068 $0.073
30-34 $0.071 $0.079
35-39 $0.094 $0.104
40-44 $0.140 $0.159
45-49 $0.219 $0.251
50-54 $0.345 $0.410
55-59 $0.525 $0.657
60-64 $0.769 $0.954
65-69 $1.271 $1.677
70-74 $2.777 $3.845
75-79 $5.805 $9.474
80-84 $7.918 $17.007
85-89 $15.667 $51.537
90-94 $32.445 $196.410
95+ $69.316 $262.474
Child(ren): $0.500 per $2,500 of coverage
Life, AD&D Ultra, STD and LTD policies have limitations and exclusions. The purpose of this Benefit Summary and any additional enrollment materials or brochures is to give
a general overview of the policies. Complete coverage information can be found in the policy documents issued by Aetna to your employer. Please review the policy
documents to familiarize yourself with the terms of coverage. If there is a discrepancy between the policy documents and these materials, the terms of the policy documents
will apply.
