~Dual Comp Staff Provider Onboarding Binder 06.26.20

LIFE INSURANCE

BASIC LIFE INSURANCE

65%+ FTE FACULTY 75%+ FTE STAFF

ELIGIBILITY

30%+ FTE EMPLOYEES

ONE (1) TIMES ANNUAL BASE PAY UP TO $50,000  EMPLOYEE MAY ELECT $5,000

$50,000 TERM LIFE INSURANCE, ACCIDENTAL DEATH AND DISMEMBERMENT POLICY

PLAN INFORMATION

EMPLOYEE CONTRIBUTION

NO EMPLOYEE CONTRIBUTION

NO EMPLOYEE CONTRIBUTION

PLAN ADMINISTRATOR

MINNESOTA LIFE

THE HARTFORD

VOLUNTARY LIFE INSURANCE

65%+ FTE FACULTY 75%+ FTE STAFF

ELIGIBILITY

30%+ FTE EMPLOYEES

SUPLEMENTAL LIFE

 EMPLOYEE MAY ELECT THE LESSER OF SIX (6) TIMES ANNUAL UC BASE PAY OR $1 MILLION  PERSONAL ACCIDENT INSURANCE PROVIDES A BENEFIT IN THE EVENT YOU DIE AS A RESULT OF A COVERED ACCIDENT  WILL ALSO PAY A FULL OR PARTIAL BENEFIT FOR CERTAIN ACCIDENTAL INJURIES  COVERAGE LEVELS ($50,000, $100,000, OR $150,000) ADDITIONAL COVERAGE IS AVAILABLE FOR SPOUSE/DOMESTIC PARTNER AND ELIGIBLE DEPENDENT CHILDREN PERSONAL ACCIDENT RATES VARY BASED ON AGE AND COVERAGE SELECTION

 $10,000 INCREMENTS UP TO THE LESSER OF FIVE (5) TIMES ANNUAL SALARY OR $1,000,000.  ADDITIONAL COVERAGE IS AVAILABLE FOR SPOUSE/DOMESTIC PARTNER AND ELIGIBLE DEPENDENT CHILDREN  GUARANTEED ISSUE, IF ELECTED WITHIN 30 DAYS OF ELIGIBILITY DATE, UP TO LIMITS OF:  $150,000 EMPLOYEE COVERAGE  $25,000 SPOUSAL COVERAGE  $10,000 CHILD(REN) COVERAGE

PLAN INFORMATION

EMPLOYEE CONTRIBUTION

RATES VARY BASED ON AGE AND COVERAGE SELECTION

PLAN ADMINISTRATOR

MINNESOTA LIFE

THE HARTFORD

Additional Insurance 4

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