211239 - Critical Illness 3.5 Plan Summary

INSURANCE RATES

MetLife offers competitive group rates and convenient payroll deduction so you don’t have to worry about writing a check or missing a payment! Your employee rates are outlined below.

Monthly Premium/$1,000 of Coverage (Tobacco)

Attained Age

Employee Only

Employee + Spouse

Employee + Children

Employee + Spouse + Children

<25

$0.33

$0.58

$0.58

$0.83

25–29

$0.36 $0.50 $0.73 $1.11 $1.70 $2.52 $3.59 $5.21

$0.61 $0.83 $1.16 $1.74 $2.62 $3.83 $5.42 $7.83

$0.61 $0.75 $0.98 $1.36 $1.95 $2.77 $3.84 $5.47

$0.86 $1.08 $1.41 $1.99 $2.87 $4.09 $5.67 $8.08

30–34 35–39 40–44 45–49 50–54 55–59 60–64

65–69

$7.95

$11.89 $17.97

$8.20

$12.14 $18.22

70+

$12.02

$12.28

Monthly Premium/$1,000 of Coverage (Non-Tobacco)

Attained Age

Employee Only

Employee + Spouse

Employee + Children

Employee + Spouse + Children

<25

$0.27 $0.28 $0.37 $0.50 $0.72 $1.06 $1.52 $2.12 $3.03 $4.56

$0.48 $0.50 $0.63 $0.82 $1.15 $1.65 $2.34 $3.23 $4.59 $6.85

$0.52 $0.53 $0.62 $0.75 $0.97 $1.31 $1.77 $2.37 $3.28 $4.81

$0.73 $0.75 $0.88 $1.07 $1.40 $1.90 $2.59 $3.48 $4.84 $7.10

25–29 30–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69

70+

$6.83

$10.24

$7.08

$10.49

QUESTIONS & ANSWERS

How do I enroll? Enroll for coverage at mybenefits.metlife.com.

Who is eligible to enroll? Regular active full-time employees who are actively at work along with their spouse/domestic partner and dependent children can enroll for MetLife Critical Illness Insurance coverage. 3

How do I pay for coverage? Coverage is paid through convenient payroll deduction.

What is the coverage effective date? The coverage effective date is 1/1/2018.

If I Leave the Company, Can I Keep My Coverage? 11 Under certain circumstances, you can take your coverage with you if you leave. You must make a request in writing within a specified period after you leave your employer. You must also continue to pay premiums to keep the coverage in force.

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