Kisinger Campo & Associates

LIFE INSURANCE

BASIC LIFE AND AD&D INSURANCE

Kisinger Campo & Associates provides all benefit eligible employees with Life and Accidental Death & Dismemberment (AD&D) benefit, up to 2x your annual salary (not to exceed $400,000). This benefit is with Mutual of Omaha. Kisinger Campo & Associates pays 1000% of the cost of coverage, this benefit is at NO COST TO YOU

Age Reduction Schedule

At age…

The original amount of benefit will reduced by …

XX XX

__% __%

Please be sure to assign your beneficiary at initial eligibility and update as needed.

VOLUNTRAY LIFE INSURANCE

Kisinger Campo & Associates gives you the option to purchase additional Life and AD&D insurance for yourself and your dependents. This coverage is available through Mutual of Omaha. What is Guarantee Issue (GI)? GI is the maximum benefit you can receive without having to provide proof of good health, Evidence of Insurability (EOI). GI is only available at initial eligibility. If you’re requesting coverage outside your initial eligibility, you must submit EOI to Mutual of Omaha for review. EOI can be provided online at www.mutualofomaha.com/EOI or submitted by paper .

Guarantee Issue amounts

$150,000 (not to exceed $500,000 your annual salary)

Employee

Spouse 1

$50,000

1 You must elect voluntary life insurance for yourself to have dependent coverage. The dependent benefit cannot exceed the employee benefit.

$10,000 (not to exceed 50% of the employee benefit )

Child(ren) 1

Employees may elect a benefit s as low as $_____ in increments of $____ to a maximum of $____ (not to exceed $500,000).

You may elect a benefit for your spouse for as low as $_____ in increments of $____ to a maximum of $____ (not to exceed 50% f the employee benefit amount). .

You may elect a benefit for your Child(ren) for $5,000 or $10,000, not to exceed 50% of your benefit amount. Children do not require EOI to enroll at initial enrollment or when/if increasing the benefit from $5,000 to $10,000. The cost for coverage for 1 or more children is the same and all children must have the same benefit amount. A child may remain on the policy until through the age of 21, through the age of 25 if they are a full-time student.

Reduction of benefits for voluntary life is the same age and benefits schedule as that for Basic Life.

Please be sure to assign your beneficiary at initial enrollment and update as needed.

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