Page 23 - 2018 Carlstar Benefit Guide
P. 23
BENEFITS ENROLLMENT • 201823
Life Insurance Program
Plan Employee Spouse Each Child Enrollment Paid By
Required
Employee Basic Life and One times annual base - - No Carlstar
Basic AD&D pay (max $500,000)
Employee Voluntary One to ive times annual - - Yes Employee
Supplemental Life base pay (max $500,000)
Dependent Supplemental - $10,000, $25,000, $10,000 Yes Employee
Life or $50,000
Employee Voluntary One to ive times annual - - Yes Employee
Supplemental AD&D base pay (max $500,000)
Dependent Supplemental - Spouse only 60% Children only 20% of Yes Employee
AD&D of EE’s voluntary EE’s voluntary coverage
coverage amount amount
Dependent Supplemental - 50% of EE’s 10% voluntary Yes Employee
AD&D Spouse and Children voluntary coverage coverage amount for
amount for spouse each child
Voluntary Supplemental AD&D Insurance
Voluntary Supplemental AD&D insurance is available in amounts equal to one, two, three, four, or ive times your
annual base pay. If the coverage amount you elect is not a multiple of $1,000, then it is rounded to the next higher
multiple of $1,000. The maximum amount of voluntary supplemental AD&D insurance is $500,000. AD&D is
insured through The Standard.
Your Cost
Supplemental life/AD&D insurance, and dependent supplemental life/AD&D insurance are deducted from
your pay on an after-tax basis. Refer to page 30 titled “Employee Contributions” for the cost applicable to
supplemental life insurance and dependent supplemental life insurance offered by The Carlstar Group.
Spouse and/or Child(ren)
As long as you apply for Supplemental AD&D coverage, Dependent Supplemental AD&D coverage is available for
your spouse and dependent children as well. The coverage amount for each dependent is as follows.
X Spouse only—60% of employee’s voluntary coverage amount
X Children only—20% of employee’s voluntary coverage amount
X Spouse and child(ren)—50% of employee’s voluntary coverage amount for spouse and 10% voluntary coverage
amount for each child
The amount of this AD&D insurance beneit for other covered losses is a percentage of the amount payable for
additional AD&D insurance coverage on the date of the accident, as shown in the following table.
Type of Loss Percentage Payable These beneits are also
Life 1 100% available to your dependents.
At no time will more than
One hand or foot , sight in one eye, audible speech, hearing in both ears 50% 100% of the available
2
Two or more of the losses listed above 100% AD&D insurance beneit be
Thumb and index inger of same hand 3 25% paid for all losses resulting
1 This beneit includes loss of life due to exposure or disappearance. Disappearance must be caused directly by an accident which from one accident.
could have reasonably resulted in death and must occur independently of all other causes continuing for a period of 365 days after
the date of the accident despite reasonable search efforts.
2 This beneit is payable whether or not the hand or foot is surgically reattached.
3 This beneit is not payable if a AD&D insurance beneit is payable for the loss of the entire hand.
Life Insurance Program
Plan Employee Spouse Each Child Enrollment Paid By
Required
Employee Basic Life and One times annual base - - No Carlstar
Basic AD&D pay (max $500,000)
Employee Voluntary One to ive times annual - - Yes Employee
Supplemental Life base pay (max $500,000)
Dependent Supplemental - $10,000, $25,000, $10,000 Yes Employee
Life or $50,000
Employee Voluntary One to ive times annual - - Yes Employee
Supplemental AD&D base pay (max $500,000)
Dependent Supplemental - Spouse only 60% Children only 20% of Yes Employee
AD&D of EE’s voluntary EE’s voluntary coverage
coverage amount amount
Dependent Supplemental - 50% of EE’s 10% voluntary Yes Employee
AD&D Spouse and Children voluntary coverage coverage amount for
amount for spouse each child
Voluntary Supplemental AD&D Insurance
Voluntary Supplemental AD&D insurance is available in amounts equal to one, two, three, four, or ive times your
annual base pay. If the coverage amount you elect is not a multiple of $1,000, then it is rounded to the next higher
multiple of $1,000. The maximum amount of voluntary supplemental AD&D insurance is $500,000. AD&D is
insured through The Standard.
Your Cost
Supplemental life/AD&D insurance, and dependent supplemental life/AD&D insurance are deducted from
your pay on an after-tax basis. Refer to page 30 titled “Employee Contributions” for the cost applicable to
supplemental life insurance and dependent supplemental life insurance offered by The Carlstar Group.
Spouse and/or Child(ren)
As long as you apply for Supplemental AD&D coverage, Dependent Supplemental AD&D coverage is available for
your spouse and dependent children as well. The coverage amount for each dependent is as follows.
X Spouse only—60% of employee’s voluntary coverage amount
X Children only—20% of employee’s voluntary coverage amount
X Spouse and child(ren)—50% of employee’s voluntary coverage amount for spouse and 10% voluntary coverage
amount for each child
The amount of this AD&D insurance beneit for other covered losses is a percentage of the amount payable for
additional AD&D insurance coverage on the date of the accident, as shown in the following table.
Type of Loss Percentage Payable These beneits are also
Life 1 100% available to your dependents.
At no time will more than
One hand or foot , sight in one eye, audible speech, hearing in both ears 50% 100% of the available
2
Two or more of the losses listed above 100% AD&D insurance beneit be
Thumb and index inger of same hand 3 25% paid for all losses resulting
1 This beneit includes loss of life due to exposure or disappearance. Disappearance must be caused directly by an accident which from one accident.
could have reasonably resulted in death and must occur independently of all other causes continuing for a period of 365 days after
the date of the accident despite reasonable search efforts.
2 This beneit is payable whether or not the hand or foot is surgically reattached.
3 This beneit is not payable if a AD&D insurance beneit is payable for the loss of the entire hand.
