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FOCUS ON BENEFITS 2022

Goodwill-Easter Seals Minnesota

VOLUNTARY LIFE INSURANCE / AD&D

You may elect optional life insurance with accidental death and
dismemberment (AD&D) insurance provided through MetLife. These plans
are paid 100% by you and are intended to supplement the provided basic
life and AD&D insurance described above. VOLUNTARY LIFE & AD&D

A statement of health is required for applications for coverage over the
guaranteed issue amounts (listed to the right) as a newly eligible Voluntary Life AD&D Benefits
employee. A statement of health is also required after the initial eligibility Employee Maximum benefit is 5x
window is over when adding additional coverage (i.e., at open Benefit your annual earnings to
enrollment). Open enrollment for plans effective on January 1, 2022, will the maximum of
not require a statement of health for any new enrollment or increase in $500,000. Sold in
coverage up to the guaranteed issue amount of $150,000 and $30,000 for $10,000 increments.
spouse Guaranteed issue
amount of $150,000 with
A statement of health is personal health information that life insurance no evidence of
plan participants provide to the insurance carriers to request approval for insurability required for
life insurance benefits. If you need to complete a statement of health, new enrollees.
instructions will be emailed to you by MetLife (if you have an email Spouse
address in UKG Pro) after open enrollment closes. If you don’t have an Benefit Maximum benefit is
$250,000. Sold in $5,000
email on file, HR will mail you a paper form to complete the statement of increments, not to
health. exceed the employee’s

To submit your statement of health request, you will need your current elected amount.
level of coverage in place, and the requested additional amount you are Guaranteed issue
applying for. You should also have physician information on hand along amount of $30,000 with
with any notes or details about you or your spouse/domestic partner’s no evidence of
insurability required for
medical history. It is your responsibility to complete the statement of new enrollees.
health process and submit to MetLife.
Child(ren) Maximum benefit is
Benefit
(to age $10,000 and this is a
26) guaranteed amount.

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