Page 16 - 2016 Nortek Enrollment Guide
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Evidence of Insurability Dependent Life Insurance
Employees who elect Optional Dependent Life Insurance provides a beneit to you in the case of the
Life insurance coverage must death of your spouse, or your dependent child (from live birth to age 19,
provide Evidence of Insurability or up to age 25 if a registered full time student).
(EOI) and be approved by The
Standard. Coverage choices
Spouse Life Insurance—increments of $5,000 up to $250,000
If evidence of insurability applies Note: you cannot elect spousal life insurance greater than your
to you, you can click the link in own total additional life insurance value.
Workday (www.standard.com/ You must provide Evidence of Insurability if you elect spouse
mybeneits/mhs_ho.html) to coverage in excess of $50,000
complete the questionnaire online. Premium rates for spouse coverage are based on employee’s age
Or you can contact HR Connect
for paper forms. Child Life Insurance—increments of $2,500 up to $10,000; the cost
for this coverage is $0.20 per $1,000 of coverage
Disability Insurance
New Absence
Leave Management Short Term Disability (STD) and Long Term Disability
Administrator—The (LTD)
Standard Nortek’s Short Term Disability (STD) and Long Term Disability (LTD)
Effective January 1, 2016 Nortek plans can replace some of your income if you become ill or injured
is outsourcing leave of absence and cannot work. Employees working at least 30 hours per week are
administration to The Standard. This automatically enrolled in the STD and LTD plans at no cost.
will provide Nortek employees with an
integrated and seamless approach
to managing leave and/or disability Disability Option Coverage * Your Cost of
Coverage
claims. Please contact HR Connect to Short term disability plan for irst Employees working 30 hours $0
initiate a leave request. 180 days (6 months) per week receive 65% of salary
up to $2,500 per week for up to
180 days
Long term disability after 180 Long term disability begins after $0
days (6 months) you have been disabled for 180
days; you will receive 60% of
your salary up to $10,000 per
month
* To receive disability beneits, you must be able to provide proof of disability and must be
under a doctor’s care consistent with your medical condition.
For more detailed information, contact HR Connect.
Nortek
Evidence of Insurability Dependent Life Insurance
Employees who elect Optional Dependent Life Insurance provides a beneit to you in the case of the
Life insurance coverage must death of your spouse, or your dependent child (from live birth to age 19,
provide Evidence of Insurability or up to age 25 if a registered full time student).
(EOI) and be approved by The
Standard. Coverage choices
Spouse Life Insurance—increments of $5,000 up to $250,000
If evidence of insurability applies Note: you cannot elect spousal life insurance greater than your
to you, you can click the link in own total additional life insurance value.
Workday (www.standard.com/ You must provide Evidence of Insurability if you elect spouse
mybeneits/mhs_ho.html) to coverage in excess of $50,000
complete the questionnaire online. Premium rates for spouse coverage are based on employee’s age
Or you can contact HR Connect
for paper forms. Child Life Insurance—increments of $2,500 up to $10,000; the cost
for this coverage is $0.20 per $1,000 of coverage
Disability Insurance
New Absence
Leave Management Short Term Disability (STD) and Long Term Disability
Administrator—The (LTD)
Standard Nortek’s Short Term Disability (STD) and Long Term Disability (LTD)
Effective January 1, 2016 Nortek plans can replace some of your income if you become ill or injured
is outsourcing leave of absence and cannot work. Employees working at least 30 hours per week are
administration to The Standard. This automatically enrolled in the STD and LTD plans at no cost.
will provide Nortek employees with an
integrated and seamless approach
to managing leave and/or disability Disability Option Coverage * Your Cost of
Coverage
claims. Please contact HR Connect to Short term disability plan for irst Employees working 30 hours $0
initiate a leave request. 180 days (6 months) per week receive 65% of salary
up to $2,500 per week for up to
180 days
Long term disability after 180 Long term disability begins after $0
days (6 months) you have been disabled for 180
days; you will receive 60% of
your salary up to $10,000 per
month
* To receive disability beneits, you must be able to provide proof of disability and must be
under a doctor’s care consistent with your medical condition.
For more detailed information, contact HR Connect.
Nortek
