Page 22 - 2016 Enrollment
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Evidence of Insurability Optional 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 if you want to elect Coverage choices
coverage in excess of $300,000. Spouse Life Insurance—increments of $5,000 up to $250,000
EOI also applies for any Note: you cannot elect spousal life insurance greater than your
amount elected after your initial own total optional life insurance coverage
enrollment. You must provide Evidence of Insurability for your spouse, if you
elect coverage in excess of $50,000
If evidence of insurability applies Premium rates for spouse coverage are based on employee’s age
to you, you can click the link in
Workday (www.standard.com/ Child Life Insurance—increments of $2,500 up to $10,000; the cost
mybeneits/mhs_ho.html) to for this coverage is $0.20 per $1,000 of coverage
complete the questionnaire online. Disability Insurance
Or you can contact HR Connect
for paper forms. Short Term Disability (STD) and Long Term Disability
(LTD)
Nortek’s Short Term Disability (STD) and Long Term Disability (LTD)
plans can replace some of your income if you become ill or injured
Absence Leave and cannot work. Employees working at least 30 hours per week are
Management automatically enrolled in the STD and LTD plans at no cost.
Administrator—The
Standard Plan Details STD* LTD
Nortek outsources leave of absence Waiting period 7 Calendar Days 180 Calendar Days
administration to The Standard. This Beneit 65% of earnings, up to 60% of earnings up to
provides Nortek employees with an $2,500 per week $10,000/month
integrated and seamless approach Maximum beneit period 180 days Until age 65, or until no
to managing leave and/or disability longer disabled
claims. Payment provided by Nortek The Standard
* STD beneits are paid by Nortek on your regular pay schedule and are taxable. All
applicable payroll deductions, including beneit premiums, will be withheld from STD
payments.
For more detailed information, contact HR Connect.
Nortek
Evidence of Insurability Optional 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 if you want to elect Coverage choices
coverage in excess of $300,000. Spouse Life Insurance—increments of $5,000 up to $250,000
EOI also applies for any Note: you cannot elect spousal life insurance greater than your
amount elected after your initial own total optional life insurance coverage
enrollment. You must provide Evidence of Insurability for your spouse, if you
elect coverage in excess of $50,000
If evidence of insurability applies Premium rates for spouse coverage are based on employee’s age
to you, you can click the link in
Workday (www.standard.com/ Child Life Insurance—increments of $2,500 up to $10,000; the cost
mybeneits/mhs_ho.html) to for this coverage is $0.20 per $1,000 of coverage
complete the questionnaire online. Disability Insurance
Or you can contact HR Connect
for paper forms. Short Term Disability (STD) and Long Term Disability
(LTD)
Nortek’s Short Term Disability (STD) and Long Term Disability (LTD)
plans can replace some of your income if you become ill or injured
Absence Leave and cannot work. Employees working at least 30 hours per week are
Management automatically enrolled in the STD and LTD plans at no cost.
Administrator—The
Standard Plan Details STD* LTD
Nortek outsources leave of absence Waiting period 7 Calendar Days 180 Calendar Days
administration to The Standard. This Beneit 65% of earnings, up to 60% of earnings up to
provides Nortek employees with an $2,500 per week $10,000/month
integrated and seamless approach Maximum beneit period 180 days Until age 65, or until no
to managing leave and/or disability longer disabled
claims. Payment provided by Nortek The Standard
* STD beneits are paid by Nortek on your regular pay schedule and are taxable. All
applicable payroll deductions, including beneit premiums, will be withheld from STD
payments.
For more detailed information, contact HR Connect.
Nortek
