Page 21 - GESMN 2019 Benefits Enrollment Guide

Voluntary Dependent Life and AD&D Insurance

If you elect voluntary life coverage for yourself, you can also elect voluntary life
coverage for your spouse and dependent children. This coverage offers financial
protection to you in the event of your covered family member’s death. You pay the
full cost of the premium with after-tax dollars.

Voluntary Dependent Life and AD&D Insurance At-a-Glance
➢ Spouse life/AD&D — increments of $5,000 up to $250,000.

➢ Newly eligible spouses are guaranteed up to $30,000 without submitting EOI.
➢ Child life only — $10,000.

Note: You cannot elect spousal or child life insurance greater than your own total
voluntary life insurance value.

Voluntary Life Rates

Paid on an after-tax basis via payroll deduction.

Employee and Spouse Child(ren)
Voluntary Life & AD&D Rates Voluntary Life Rates

Age Per $1,000 Benefit Amount Cost per Family Unit

Under 25 $0.095

25–29 $0.095

30–34 $0.115

35–39 $0.125

40–44 $0.175

45–49 $0.255 $10,000 $2.00
50–54 $0.385
55–59 $0.615
60–64 $0.915
65–69 $1.475
70–74 $3.815
75+ $3.815

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