AMIkids Open Enrollment 2017-18

LIFE AND AD&D INSURANCE

BASIC LIFE AND AD&D INSURANCE

AMIkids provides all benefit eligible employees with at least a $10,000 Life and Accidental Death & Dismemberment (AD&D) benefit, at NO COST TO YOU! Please be sure to assign your beneficiary at initial eligibility and/or during annual open enrollment and update throughout the year as needed.

Age Reduction Schedule

At age…

The original amount of benefit will reduced to …

65 70

65% 50%

Cost for Coverage Basic Life Insurance and AD&D

Employee Only

$ 0.00 ….. It’s free to you, 100% paid for by AMIkids!

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VOLUNTARY LIFE AND AD&D INSURANCE

AMIkids offers you the option to purchase additional Life and AD&D insurance for yourself and your dependents. This coverage is available through United Healthcare.

You may request coverage amounts… as low as… as high as…

$500,000 (not to exceed 5x your annual salary)

1 Cost of Child coverage is same for 1 or more children. 2 Children are eligible from 14 days to 26 years. 3 You must elect voluntary life insurance for yourself to have dependent coverage. The dependent benefit cannot exceed the employee benefit.

$10,000

$10,000

Employee

Spouse 3

$5,000

$150,000

$5,000

Child(ren) 1 2 3

N/A

$10,000

$10,000

What are the GI amounts?

$200,000 (not to exceed 5x your annual salary)

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 United Healthcare for review (form located in myBenSite).

Employee

Spouse 3

$30,000

Child(ren) 1 2 3

$10,000

Cost for Coverage Voluntary Life Insurance and AD&D

Employee Spouse Child(ren)

Check out myBenSite to see your and your dependents personalized rates. The cost for coverage will be taken through payroll deductions.

The Voluntary Life and AD&D plan is portable and also includes the ability to convert should your employment end. These options allow you may have the ability to continue the Life and AD&D. To obtain more information, forms, and confirmation of premium costs contact United Healthcare within 31 days, at 1-877-683-8601 (port) or 1-888-99-4767 (convert).

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