VOLUNTARY LIFE + AD&D
SUMMARY OF COVERAGE
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Supplemental Child(ren) Life You may purchase additional coverage for your child(ren) in the following amounts: • 14 days to 6 months old: $250 • 6 months to 26: $5,000 or $10,000 * Should you choose to elect amounts over the guarantee issue amount, you and / or your spouse will need to complete the Evidence of Insurability (EOI) form for medical underwriting purposes – or if you enroll after your newly eligible event, EOI is required.
• This benefit is paid for 100% by the employee. As an added benefit, Callen Lorde offers Voluntary Life and Accidental Death & Dismemberment (AD&D) insurance for employees, their spouses, and/or children (children not eligible for AD&D). This benefit is voluntary and paid for 100% by eligible employees through payroll deductions. Employee must be enrolled to enroll dependents. Supplemental Employee Life/AD&D Employees may purchase additional life coverage in $1,000 increments. Guaranteed Issue amount is the lesser of 3 times your annual salary, or $140,000. Supplemental AD&D coverage can be purchased by you for additional premium. Benefit amount is equal to the life amount elected by you. Supplemental Spouse Life/AD&D You may purchase additional coverage for your spouse in $5,000 increments to the maximum of $250,000, limited to 50% of employee enrolled amount. • Guaranteed Issue amount* of $25,000 Supplemental AD&D coverage can be purchased by you for additional premium. Benefit amount is equal to the life amount elected.
Deductions will start when UNUM approves your coverage. Age reduction schedule applies.
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LIFE INSURANCE I
Callen Lorde BENEFITS GUIDE
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