Page 11 - Guide
P. 11
2017 BENEFITS ENROLLMENT








Voluntary Short Term Disability Employee voluntary life—


ALCO allows full-time employees to purchase short term disability elected in $10,000 increments
beneits in the event you become disabled from a non work-related injury up to a maximum of $500,000.
or sickness. Please see the USAble Life beneits enrollment package for GI amount for employee
coverage and payroll deduction amounts found in the Paycom System. voluntary life through age 69 is
You pay the full cost of this coverage. $150,000. For age 70 and over is


Voluntary short term disability provides 60% of weekly earnings up to a $0. Spouse voluntary dependent
maximum of 1,000 per week. life through age 69 is $30,000;

ƒ Elimination periods: accident—14 days; sickness—14 days age 70 and over is $0. Children
ƒ Beneit begins: accident—day 15; sickness—day 15 voluntary dependent life is
$10,000.
ƒ Maximum beneit period: 13 weeks

If you previously declined this coverage you will have to complete an Spouse voluntary dependent
evidence of insurability (EOI) form. life—elected in $5,000

Reductions, Terminations, and Special Provisions increments up to a maximum of
$250,000 not to exceed 50% of
Voluntary short term disability terminates at retirement. Beneits may be the employee’s amount.
reduced by eligible offsets. If so, the minimum weekly beneit payment

amount will be $10. Children voluntary
dependent life—six months
Voluntary Life and AD&D Insurance and over: $10,000. Age live

ALCO allows full time employees to purchase additional life and AD&D birth to six months: $1,000.
beneits for you and your family. Please see the USAble Life beneits
enrollment package for coverage and payroll deduction amounts in the Please see certiicates for a full

Paycom System. You pay the full cost of this coverage. description of beneits.

The guarantee issue (GI) amount is $150,000 amount for those associates
who are eligible for the program for the irst time. Employees who are
currently enrolled in the voluntary life plan may increase their beneit

amount by $10,000 increments up to the guarantee issue (GI) amount
of $150,000 without evidence of insurability (EOI). Employees who
previously declined coverage will be considered to be a late entrant; they
therefore must complete an evidence of insurability (EOI) form and all
beneit amounts are subject to medical underwriting.






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