Page 8 - Brixton EE Benefits Guide 12-18
P. 8

Benefits





         Life and AD&D Insurance


         Basic Life and AD&D Insurance
         Life insurance protects your family or other beneficiaries in the event of your death while you are still actively employed with the
         company. Brixton pays for coverage, offered through Lincoln Financial Group, in the amount of $50,000. If your death is due to a
         covered  accident  or  injury,  your  beneficiary  will  receive  an  additional  amount  through  Accidental  Death  and  Dismemberment
         (AD&D) coverage.

         Voluntary Life and AD&D Insurance
         In addition to the company provided Basic Life and AD&D benefits, you may elect to purchase additional Term Life and AD&D
         insurance at discounted group rates provided by Lincoln Financial Group. You pay for this coverage with after-tax dollars through
         convenient payroll deductions.


                     Employee                              Spouse                             Child(ren)
         You may purchase coverage for yourself in  If you buy coverage for yourself, you may  If you buy coverage for yourself, you may
         increments  of  $10,000 up  to  a maximum  also  purchase  coverage  for  your  eligible  also  purchase  coverage  for  your  eligible
         benefit of $500,000, not to exceed 5 times  spouse.  Benefits  for  your  spouse  are        dependent  child(ren)  in  the  following
         your  annual  salary.  If  you  are  age  70  or  available  in  increments  of  $5,000  to  a  amounts: Age 6 months to 26 years: Flat
         older,  you  may  elect  benefits  up  to  maximum  benefit  of  $250,000  and  may  $10,000.  Age  14  days  to  6  months:  Flat
         $50,000.                            not  exceed  50%  of  your  employee                  $250.
                                             election.

         Guarantee issue is a pre-approved amount of coverage that does not require you to provide proof of good health, and is available
         to you during your initial eligibility period (upon hire). Guarantee issue is available in the following amounts:
         •   Employee = $100,000
         •   Spouse = $10,000
         •   Child(ren) = Entire benefit amount

         If you are no longer in your initial eligibility period, you may enroll in Voluntary Life and AD&D insurance anytime during the year as long
         as you provide proof of good health. To provide proof of good health, you will be asked to complete a health questionnaire and are
         subject to insurance carrier approval. Lincoln Financial Group may approve or decline coverage based on a review of your health history.


         Voluntary Life/AD&D Rates
                                       Life/AD&D Monthly Rate

            Employee or Spouse - Age      Per $1,000 of Benefit       Voluntary Life/AD&D Cost Calculation Example
                     0-34                       $0.090
                                                                      #1   Age                   35
                    35-39                       $0.120
                    40-44                       $0.180                #2   Monthly Cost per $1,000   $0.120
                    45-49                       $0.260
                    50-54                       $0.470                #3   Benefit               $100,000
                    55-59                       $0.730                #4   Multiply #2 by #3     $12,000
                    60-64                       $0.820
                    65-69                       $1.470                #5   Divide #4 by 1,000    $12.00
                    70-74                       $2.910                                           Your monthly cost
                Child(ren) - Age          Per $10,000 of Benefit      #6   Monthly cost x 12 / 26   $5.54
               14 Days to 26 Years              $2.00                                            Your biweekly cost






         8
   3   4   5   6   7   8   9   10   11   12