Page 27 - 2017 US Benefits Guide - for all Capgemni employees in the FS SBU
P. 27
Optional Life Insurance Optional Life Rates
If you need life insurance coverage beyond what is provided at no cost Your Age Monthly Cost
to you by the Basic Life Insurance Plan, you can enroll in Optional Life
Insurance ofered through Unum. Under 30 $0.100
This option enables you to purchase Optional Life Insurance coverage 30 - 34 $0.110
for yourself and your eligible dependents during the Annual Enrollment 35 - 39
period. $0.140
You may elect $10,000 increments up to ive times your annual earnings 40 - 44 $0.220
or $750,000 (whichever is less). You can elect coverage for your 45 - 49 $0.340
spouse in $5,000 increments up to $50,000 and coverage for your
dependent children in $2,500 increments up to $10,000. 50 - 54 $0.540
During Annual Enrollment, if you are currently enrolled in Optional Life, 55 - 59 $0.820
you may increase your coverage, up to the guarantee issue amount 60 - 64
without Evidence of Insurability. $1.080
65+ $1.080
Evidence of Insurability
Evidence of Insurability (EOI), also known as proof of good health, is Rates are monthly per $1,000 of coverage
required by the insurance company for certain beneit elections. The Insurance Age: Your rate is based your actual age as of the efective date of the group policy or
efective date of coverage. Your rate will increase as you age and move to the next age band.
maximum amount of coverage you may have under the Optional Life
Insurance Plan without EOI is $200,000 for you and $25,000 for your Optional Accidental Death and Dismemberment
spouse. Any coverage over these amounts is subject to EOI and will
become efective on the date the EOI is approved by the insurance If you elect Optional Life Insurance for yourself, you will receive an AD&D
company. EOI will also be required when electing coverage for the irst beneit equal to your Optional Life Insurance up to $500,000.
time, and this is not your initial eligibility period. The AD&D rate is $0.04 per $1,000 of coverage.
The EOI form can be downloaded from Capgemini’s benergy website
( www.capgeminiFS.benergy.com ). Any changes requiring EOI will Beneficiary Designations
take efect after the EOI is approved by the insurance company. Until
then, you will remain at your current level of coverage. You must select a beneiciary. However, beneiciary designations allow
you to split up your total insurance beneit among multiple beneiciaries.
If you select multiple beneiciaries, your total beneiciary designations
must equal 100%.
To review or update your beneiciary designation, go to the Beneits
Service Site at www.unum_capgemini.bswift.com .
CAPGEMINI 2017 BENEFITS GUIDE 24
If you need life insurance coverage beyond what is provided at no cost Your Age Monthly Cost
to you by the Basic Life Insurance Plan, you can enroll in Optional Life
Insurance ofered through Unum. Under 30 $0.100
This option enables you to purchase Optional Life Insurance coverage 30 - 34 $0.110
for yourself and your eligible dependents during the Annual Enrollment 35 - 39
period. $0.140
You may elect $10,000 increments up to ive times your annual earnings 40 - 44 $0.220
or $750,000 (whichever is less). You can elect coverage for your 45 - 49 $0.340
spouse in $5,000 increments up to $50,000 and coverage for your
dependent children in $2,500 increments up to $10,000. 50 - 54 $0.540
During Annual Enrollment, if you are currently enrolled in Optional Life, 55 - 59 $0.820
you may increase your coverage, up to the guarantee issue amount 60 - 64
without Evidence of Insurability. $1.080
65+ $1.080
Evidence of Insurability
Evidence of Insurability (EOI), also known as proof of good health, is Rates are monthly per $1,000 of coverage
required by the insurance company for certain beneit elections. The Insurance Age: Your rate is based your actual age as of the efective date of the group policy or
efective date of coverage. Your rate will increase as you age and move to the next age band.
maximum amount of coverage you may have under the Optional Life
Insurance Plan without EOI is $200,000 for you and $25,000 for your Optional Accidental Death and Dismemberment
spouse. Any coverage over these amounts is subject to EOI and will
become efective on the date the EOI is approved by the insurance If you elect Optional Life Insurance for yourself, you will receive an AD&D
company. EOI will also be required when electing coverage for the irst beneit equal to your Optional Life Insurance up to $500,000.
time, and this is not your initial eligibility period. The AD&D rate is $0.04 per $1,000 of coverage.
The EOI form can be downloaded from Capgemini’s benergy website
( www.capgeminiFS.benergy.com ). Any changes requiring EOI will Beneficiary Designations
take efect after the EOI is approved by the insurance company. Until
then, you will remain at your current level of coverage. You must select a beneiciary. However, beneiciary designations allow
you to split up your total insurance beneit among multiple beneiciaries.
If you select multiple beneiciaries, your total beneiciary designations
must equal 100%.
To review or update your beneiciary designation, go to the Beneits
Service Site at www.unum_capgemini.bswift.com .
CAPGEMINI 2017 BENEFITS GUIDE 24
