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FOCUS ON BENEFITS 2022

Goodwill-Easter Seals Minnesota

VOLUNTARY LIFE INSURANCE / AD&D CONTINUED

Once you submit the statement of health request, your application will be VOLUNTARY LIFE & AD&D
reviewed by Medical Underwriting at MetLife. They will either approve, RATES
decline or request more information. A notification letter of the final
decision will be sent from MetLife. Employee/Spouse Monthly Rates
Less than 30 $0.095
The statement of health approval is at the sole discretion of MetLife and 30-34 $0.115
any communications regarding the status should be directed to MetLife. 35-39 $0.125
Do NOT send medical information or completed statements of health to 40-44 $0.175
any employee of GESMN or the benefits department. The benefits team 45-49 $0.255
at GESMN is not responsible for completion of or follow up to your 50-54 $0.385
statement of health application.
55-59 $0.615
To check on the status of a statement of health or provide additional 60-64 $0.915
required documentation for the statement of health determination, 65-69 $1.475
please contact MetLife at 800-638-5433. 70+ $3.815
Child $2.00/family unit
Current voluntary life plan amounts will carryover to MetLife without a
statement of health if actively elected at open enrollment. If you have The premiums are shown per $1,000
more than one voluntary life plan, the amounts will be combined into increments:
one plan with MetLife. If you have a voluntary life only plan, it will be
converted to a voluntary life AD&D plan with an adjusted premium.

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