Page 15 - 2016 Enrollment
P. 15
Life Insurance
Basic Life Insurance
Intertek provides basic life insurance with accidental death and dismemberment
insurance at no cost to you. This coverage offers inancial protection to you if you
suffer certain debilitating injuries or to your beneiciaries in the event
of your death. If you die while covered by this plan, the beneit is You can also purchase
paid to the beneiciary (or beneiciaries) you designate, in writing. voluntary life coverage for
Basic Life Benefit your spouse or same-sex
Two times your base annual earnings up to a maximum of domestic partner if you’ve
also purchased voluntary
$500,000 life coverage for yourself.
You may opt out of this level of coverage and elect a lat This coverage is available
$50,000 beneit to avoid imputed income in $10,000 increments not
A lat payment of $5,000 for your spouse or same-sex domestic to exceed the lesser of 50
partner percent of your employee
A lat payment of $2,000 for dependent children election or $120,000.
Rate per
Voluntary Life Insurance Age Band $1,000 of
Beneit
If you would like to purchase supplementary life insurance in Coverage
addition to your company paid beneits, Intertek offers you the ability 18-29 $0.06
to purchase voluntary life insurance at competitive group rates. 30-34 $0.06
Voluntary Life Insurance can be purchased from 1 to 6 times your 35-39 $0.10
base annual salary. 40-44 $0.14
45-49 $0.22
Evidence of Insurability (EOI) or proof of good health is required 50-54 $0.37
under the following circumstances. 55-59 $0.59
60-64 $0.73
Late entrant: you have previously waived the opportunity to 65+ $1.16
elect this coverage and are now electing coverage for the irst
time Optional life insurance rates for
Current participant: you currently have this coverage and are you and your spouse or same-
requesting an increase to your current coverage amount sex domestic partner.
Newly eligible: you have never been offered this coverage
previously or waived this coverage previously and you are
requesting over the guaranteed issue amount
15
Basic Life Insurance
Intertek provides basic life insurance with accidental death and dismemberment
insurance at no cost to you. This coverage offers inancial protection to you if you
suffer certain debilitating injuries or to your beneiciaries in the event
of your death. If you die while covered by this plan, the beneit is You can also purchase
paid to the beneiciary (or beneiciaries) you designate, in writing. voluntary life coverage for
Basic Life Benefit your spouse or same-sex
Two times your base annual earnings up to a maximum of domestic partner if you’ve
also purchased voluntary
$500,000 life coverage for yourself.
You may opt out of this level of coverage and elect a lat This coverage is available
$50,000 beneit to avoid imputed income in $10,000 increments not
A lat payment of $5,000 for your spouse or same-sex domestic to exceed the lesser of 50
partner percent of your employee
A lat payment of $2,000 for dependent children election or $120,000.
Rate per
Voluntary Life Insurance Age Band $1,000 of
Beneit
If you would like to purchase supplementary life insurance in Coverage
addition to your company paid beneits, Intertek offers you the ability 18-29 $0.06
to purchase voluntary life insurance at competitive group rates. 30-34 $0.06
Voluntary Life Insurance can be purchased from 1 to 6 times your 35-39 $0.10
base annual salary. 40-44 $0.14
45-49 $0.22
Evidence of Insurability (EOI) or proof of good health is required 50-54 $0.37
under the following circumstances. 55-59 $0.59
60-64 $0.73
Late entrant: you have previously waived the opportunity to 65+ $1.16
elect this coverage and are now electing coverage for the irst
time Optional life insurance rates for
Current participant: you currently have this coverage and are you and your spouse or same-
requesting an increase to your current coverage amount sex domestic partner.
Newly eligible: you have never been offered this coverage
previously or waived this coverage previously and you are
requesting over the guaranteed issue amount
15
