Page 18 - 2015 Reznor Salary Enrollment Guide
P. 18
Open
Enrollment
Evidence of Insurability Coverage Choices
Employees will be allowed to elect X Spouse Life Insurance—increments of $5,000 up to $250,000
coverage up to $300,000 for the Note: you cannot elect spousal life insurance greater than
1/1/2015 election without submitting your own total additional life insurance value.
evidence of insurability. This is a one- X You must provide Evidence of Insurability if you elect spouse
time offering. coverage in excess of $50,000
X Premium rates for spouse coverage are based on employee’s age
Going forward, you must provide
Evidence of Insurability (EOI) and X Child Life Insurance—increments of $2,500 up to $10,000; the
be approved by The Standard if cost for this coverage is $0.20 per $1,000 of coverage
X You are newly hired and elect Disability Insurance
Optional Term Life Insurance Salary Continuation and Long Term Disability (LTD)
coverage in excess of $300,000 Nortek’s Salary Continuation Plan and Long Term Disability Plan
X You did not elect Optional Term (LTD) can replace some of your income if you become ill or injured
Life previously and want to elect and cannot work. You are automatically covered for the Salary
this coverage during Beneits Continuation Plan and the LTD Insurance at no cost to you.
Open Enrollment
If Evidence of Insurability applies Disability Option Coverage * Your Cost of
Coverage
to you, you can click the link in Salary Continuation Plan For Employees working 30 hours $0
irst 180 days (6 months)
Workday (http://www.standard. per week receive 65% of
salary up to $2,500 per
com/mybeneits/mhs_ho.html) week for up to 180 days
to complete the questionnaire Long Term Disability After Long Term Disability $0
180 days (6 months)
begins after you have been
online. Or you can contact your HR disabled for 180 days; you
representative for paper forms. will receive 60% of your
salary up to $10,000 per
month
Dependent Life Insurance
Dependent Life Insurance provides a * 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.
beneit to you in the case of the death
of your spouse, or your dependent For more detailed information, contact your local HR representative.
child from live birth to age 19 (or age
19 but less than age 25 if a registered
full time student).
18
Enrollment
Evidence of Insurability Coverage Choices
Employees will be allowed to elect X Spouse Life Insurance—increments of $5,000 up to $250,000
coverage up to $300,000 for the Note: you cannot elect spousal life insurance greater than
1/1/2015 election without submitting your own total additional life insurance value.
evidence of insurability. This is a one- X You must provide Evidence of Insurability if you elect spouse
time offering. coverage in excess of $50,000
X Premium rates for spouse coverage are based on employee’s age
Going forward, you must provide
Evidence of Insurability (EOI) and X Child Life Insurance—increments of $2,500 up to $10,000; the
be approved by The Standard if cost for this coverage is $0.20 per $1,000 of coverage
X You are newly hired and elect Disability Insurance
Optional Term Life Insurance Salary Continuation and Long Term Disability (LTD)
coverage in excess of $300,000 Nortek’s Salary Continuation Plan and Long Term Disability Plan
X You did not elect Optional Term (LTD) can replace some of your income if you become ill or injured
Life previously and want to elect and cannot work. You are automatically covered for the Salary
this coverage during Beneits Continuation Plan and the LTD Insurance at no cost to you.
Open Enrollment
If Evidence of Insurability applies Disability Option Coverage * Your Cost of
Coverage
to you, you can click the link in Salary Continuation Plan For Employees working 30 hours $0
irst 180 days (6 months)
Workday (http://www.standard. per week receive 65% of
salary up to $2,500 per
com/mybeneits/mhs_ho.html) week for up to 180 days
to complete the questionnaire Long Term Disability After Long Term Disability $0
180 days (6 months)
begins after you have been
online. Or you can contact your HR disabled for 180 days; you
representative for paper forms. will receive 60% of your
salary up to $10,000 per
month
Dependent Life Insurance
Dependent Life Insurance provides a * 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.
beneit to you in the case of the death
of your spouse, or your dependent For more detailed information, contact your local HR representative.
child from live birth to age 19 (or age
19 but less than age 25 if a registered
full time student).
18
