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P. 16
2016 Benefits Enrollment
Life Insurance
Voluntary Life Coverage Supplemental Life Insurance
Rates You may also purchase supplemental life insurance for yourself and
Monthly Rate per $1,000 Coverage your dependents at competitive group rates. You may purchase coverage
Age Category Rate for yourself in increments of $5,000 to a maximum of 5x your annual
Under 25 $0.086 salary or $500,000 (whichever is less). You may purchase coverage for
25–29 $0.086 your spouse in increments of $5,000 to a maximum of $250,000, not
30–34 $0.124 to exceed 50 percent of the employee voluntary life amount. You may
35–39 $0.152 purchase $10,000 in coverage for your dependent children. Here are a
40–44 $0.247 few important details regarding evidence of insurability (EOI) or proof
45–49 $0.428 of good health when electing voluntary life coverage.
50–54 $0.694
55–59 $1.05 Late entrant: if you previously declined coverage, you must
60–64 $1.53 submit EOI to Reliance Standard Life Insurance Company and be
65–69 $2.385 approved prior to payroll deductions being withheld
70–74 $4.028
75+ $4.028 Current participant: no action is needed for your own individual
Dependent $1.50 for $10,000 coverage; you may add coverage for spouse and dependents
child(ren) of coverage
Newly eligible: if you are eligible for the irst time, you may elect
up to $300,000 of coverage for yourself; $150,000 of coverage
Life and Accident for your spouse and $10,000 of coverage for your dependent
Insurance child(ren) without EOI
Basic Life and Accident
Insurance If you request coverage in excess of the amount noted above, you must
complete an EOI form and be approved by Reliance Standard Life.
Optimas is proud to provide, at
no cost to you, basic life with Your individual premium rate will depend on your age or your spouse’s
accidental death and dismemberment and will be paid on an after-tax basis. View the chart on this page to
insurance. This coverage offers determine how much this beneit will cost. The rate per $1,000 is the
inancial protection to you if you same for employee and spouse coverage and premium rates will not
suffer certain debilitating injuries change due to a birthday which takes you to a new age band until the
or to your beneiciaries if you die. next policy period on July 1.
Your coverage amount is equal to 1.5
times your covered annual earnings
up to $250,000. Your life insurance
beneit also includes accidental death
and dismemberment beneits.
16
Life Insurance
Voluntary Life Coverage Supplemental Life Insurance
Rates You may also purchase supplemental life insurance for yourself and
Monthly Rate per $1,000 Coverage your dependents at competitive group rates. You may purchase coverage
Age Category Rate for yourself in increments of $5,000 to a maximum of 5x your annual
Under 25 $0.086 salary or $500,000 (whichever is less). You may purchase coverage for
25–29 $0.086 your spouse in increments of $5,000 to a maximum of $250,000, not
30–34 $0.124 to exceed 50 percent of the employee voluntary life amount. You may
35–39 $0.152 purchase $10,000 in coverage for your dependent children. Here are a
40–44 $0.247 few important details regarding evidence of insurability (EOI) or proof
45–49 $0.428 of good health when electing voluntary life coverage.
50–54 $0.694
55–59 $1.05 Late entrant: if you previously declined coverage, you must
60–64 $1.53 submit EOI to Reliance Standard Life Insurance Company and be
65–69 $2.385 approved prior to payroll deductions being withheld
70–74 $4.028
75+ $4.028 Current participant: no action is needed for your own individual
Dependent $1.50 for $10,000 coverage; you may add coverage for spouse and dependents
child(ren) of coverage
Newly eligible: if you are eligible for the irst time, you may elect
up to $300,000 of coverage for yourself; $150,000 of coverage
Life and Accident for your spouse and $10,000 of coverage for your dependent
Insurance child(ren) without EOI
Basic Life and Accident
Insurance If you request coverage in excess of the amount noted above, you must
complete an EOI form and be approved by Reliance Standard Life.
Optimas is proud to provide, at
no cost to you, basic life with Your individual premium rate will depend on your age or your spouse’s
accidental death and dismemberment and will be paid on an after-tax basis. View the chart on this page to
insurance. This coverage offers determine how much this beneit will cost. The rate per $1,000 is the
inancial protection to you if you same for employee and spouse coverage and premium rates will not
suffer certain debilitating injuries change due to a birthday which takes you to a new age band until the
or to your beneiciaries if you die. next policy period on July 1.
Your coverage amount is equal to 1.5
times your covered annual earnings
up to $250,000. Your life insurance
beneit also includes accidental death
and dismemberment beneits.
16
