Page 16 - Benefit Guide

Life insurance and disability

Life and AD&D Insurance Disability Insurance

Company provides basic life and AD&D insurance for Disability insurance provides income replacement should
employees and offers voluntary insurance options for you become disabled and unable to work due to a non-
employees and their dependents. work-related illness or injury. The company provides
eligible associates with disability coverage at no cost as
Basic Life and AD&D Insurance shown below. Coverage is automatic; you do not need to
enroll.
Life insurance is an important part of your financial
wellbeing, especially if others depend on you for support. Coverage Benefit
The company provides basic life and accidental death and
dismemberment insurance to all eligible associates at no Short-Term ΅΅ XX% of your weekly salary, to a maximum of
cost equal to X times your base annual earnings, up to a Disability
maximum of $XX. Coverage is automatic; you do not need $X,000 per week for the first 13 weeks of a
to enroll. Long-Term disability after the one-week waiting period.
Disability
Voluntary Life and AD&D Insurance ΅΅ XX% of your base salary, to a maximum of

You may choose to purchase additional life and AD&D $X,000 per month if you are disabled and
coverage for yourself and your dependents at affordable are unable to work for more than 90 days.
group rates. Rates are based on age and the coverage
level chosen. ΅΅ Benefits are offset with other sources

of income, such as Social Security and
Workers’ Compensation.

Voluntary Life and AD&D Insurance for you

Employee Family Medical Leave Act (FMLA)

΅΅ Increments of $X,000 up to XX your base annual salary If you have been with the company for 12 months,
΅΅ Up to a $XX maximum you may be eligible for up to 12 work weeks
΅΅ Guaranteed issue up to $XX of unpaid leave per year under the Family and
Medical Leave Act (FMLA). FMLA can be used for
Voluntary Life and AD&D Insurance an illness of your own, care needed for a family
for your dependents member, care for a newborn and certain other
medical needs.
Spouse Child(ren)

΅΅ Increments of $X,000 (not ΅΅ $XX,000 per child
΅΅ Covered from age 14 days
to exceed XX% of your ΅΅ Must be added within 31
voluntary life and AD&D
coverage) days of birth

΅΅ Up to a $XX maximum
΅΅ Guaranteed issue up to

$XX

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