Page 16 - Hussmann- Chino Union OE Guide 2015 Plan Year
P. 16
Annual
Enrollment
Child Life Dependent Life and AD&D
Insurance Options
Child Life Insurance Spouse or Same-Sex Domestic Partner (SSDP)
You may elect supplemental life Life Insurance
coverage for your dependent children You may purchase from $10,000 to $100,000 of coverage for your
in an amount of either $5,000 or spouse or SSDP in $10,000 increments. Please note you may only
$10,000. Please note you must be purchase this coverage for your dependents if you have enrolled in
enrolled in the Supplemental Life Supplemental Life yourself. The spouse’s or SSDP’s coverage amount
coverage to purchase amounts on is limited to 50% of your Basic and Supplemental Life amounts
your dependent(s). Rates are based combined. Rates are based on the amount of insurance you purchase
on the coverage level you select, and your age.
regardless of the number of children
you cover. No evidence of insurability Evidence of Insurability (EOI) is required if you elect or increase
(EOI) is required for this coverage. Spouse Life Insurance coverage.
If your spouse works for Hussmann, certain eligibility rules
apply. Please contact HR for details.
Dependent AD&D Insurance
If you purchase Supplemental AD&D Insurance for yourself, you may
also purchase AD&D coverage for your spouse or same-sex domestic
partner and your dependent children. Coverage for your spouse or
same-sex domestic partner will be equal to 50% of your Supplemental
AD&D coverage. If you choose to elect additional AD&D for your
Spouse or SSDP and not your children, the beneit will increase to 60%
of your Supplemental AD&D Coverage. Coverage for each covered
child will be equal to 10% of your Supplemental AD&D coverage.
16
Enrollment
Child Life Dependent Life and AD&D
Insurance Options
Child Life Insurance Spouse or Same-Sex Domestic Partner (SSDP)
You may elect supplemental life Life Insurance
coverage for your dependent children You may purchase from $10,000 to $100,000 of coverage for your
in an amount of either $5,000 or spouse or SSDP in $10,000 increments. Please note you may only
$10,000. Please note you must be purchase this coverage for your dependents if you have enrolled in
enrolled in the Supplemental Life Supplemental Life yourself. The spouse’s or SSDP’s coverage amount
coverage to purchase amounts on is limited to 50% of your Basic and Supplemental Life amounts
your dependent(s). Rates are based combined. Rates are based on the amount of insurance you purchase
on the coverage level you select, and your age.
regardless of the number of children
you cover. No evidence of insurability Evidence of Insurability (EOI) is required if you elect or increase
(EOI) is required for this coverage. Spouse Life Insurance coverage.
If your spouse works for Hussmann, certain eligibility rules
apply. Please contact HR for details.
Dependent AD&D Insurance
If you purchase Supplemental AD&D Insurance for yourself, you may
also purchase AD&D coverage for your spouse or same-sex domestic
partner and your dependent children. Coverage for your spouse or
same-sex domestic partner will be equal to 50% of your Supplemental
AD&D coverage. If you choose to elect additional AD&D for your
Spouse or SSDP and not your children, the beneit will increase to 60%
of your Supplemental AD&D Coverage. Coverage for each covered
child will be equal to 10% of your Supplemental AD&D coverage.
16
