MONTHLY PREMIUM RATES VOLUNTARY LIFE & VOLUNTARY AD&D Employee/Spouse
LIFE INSURANCE
Coverage Amounts $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 $100,000 $110,000 $120,000 $130,000 $140,000 $150,000 Child Rate
<30 30-34 35-39 40-44 45-49 50-54 55-59
60-64
65-69
70+
$0.94 $1.06 $1.47 $1.94 $2.81 $4.76
$7.45
$11.51 $23.02 $34.53
$31.69
$52.25
$1.88 $2.12 $2.94 $3.88 $5.62 $9.52 $14.90 $2.82 $3.18 $4.41 $5.82 $8.43 $14.28 $22.35 $3.76 $4.24 $5.88 $7.76 $11.24 $19.04 $29.80 $4.70 $5.30 $7.35 $9.70 $14.05 $23.80 $37.25 $5.64 $6.36 $8.82 $11.64 $16.86 $28.56 $44.70 $6.58 $7.42 $10.29 $13.58 $19.67 $33.32 $52.15 $7.52 $8.48 $11.76 $15.52 $22.48 $38.08 $59.60
$63.38 $104.50 $95.07 $156.75
$46.04 $126.76 $209.00 $57.55 $158.45 $261.25 $69.06 $190.14 $313.50 $80.57 $221.83 $365.75 $92.08 $253.52 $418.00
$8.46 $9.54 $13.23 $17.46 $25.29 $42.84 $67.05 $103.59 $285.21 $470.25 $9.40 $10.60 $14.70 $19.40 $28.10 $47.60 $74.50 $115.10 $316.90 $522.50 $10.34 $11.66 $16.17 $21.34 $30.91 $52.36 $81.95 $126.61 $348.59 $574.75 $11.28 $12.72 $17.64 $23.28 $33.72 $57.12 $89.40 $138.12 $380.28 $627.00 $12.22 $13.78 $19.11 $25.22 $36.53 $61.88 $96.85 $149.63 $411.97 $679.25 $13.16 $14.84 $20.58 $27.16 $39.34 $66.64 $104.30 $161.14 $443.66 $731.50 $14.10 $15.90 $22.05 $29.10 $42.15 $71.40 $111.75 $172.65 $475.35 $783.75
$2.12 for $10,000 coverage
PLAN HIGHLIGHTS*
Coverage Options
Guaranteed Issue Amount
Coverage Amounts
Term Life Insurance - $10,000 to $150,000, in $10,000 increments; AD&D – 100% of Life Benefit to $150,000 Term Life Insurance - $10,000 to $30,000 in $5,000 increments, not to exceed 100% of Employee’s amount; AD&D – 100% of Life benefit Term Life Insurance - $10,000, not to exceed 100% of Employee’s amount; AD&D – 100% of Life Amount
Employee
$150,000
Spouse
$30,000
Child
$10,000
Dependent Age Limits Accelerated Life
14 days to 26 years (26 if full time student); Spouse terminates at age 70
75% of the death benefit, Minimum: $10,000, Maximum: $500,000
Waiver of Premium
If disabled, insurance will continue until age 65 or no longer disabled
Portability
Included, without Evidence of Insurability
Conversion
Included
Provides resources to prepare wills and other planning documents. Will Prep Services include: Free Estate Planning documents, access to Estate Planners and Resource Library. For a small fee, Attorney Assisted Will Prep is also available.
Will Prep Services
Benefit Reduction (of original amount)
Age-Reduction: 50% at age 70
Late Entrant Underwriting
If you do not enroll when first eligible, and then choose to enroll at a later date, you will be subject to a medical question that could result in denial
A SUMMARY OF PLAN LIMITATIONS AND EXCLUSIONS • In order to be eligible for coverage: Employees must be legally working (a) in the United States or (b) outside the United States, for a U.S. based employer, in a country or region approved by Guardian. • We pay no benefits if the insured’s death is due to suicide within two years from the insured’s original effective date. This two year limitation also applies to any increase in benefit. This exclusion may vary according to state law. • Employees must be working full-time on the effective date of coverage; otherwise, coverage becomes effective after the completion of the specific waiting period. • Evidence of insurability is required for all late enrollees. Benefit increases may require underwriting. • This proposal is subject to satisfactory financial evaluation. • Please refer to certificate of coverage for full plan description; plan documents are the final arbiter of coverage. • In order to be eligible for coverage: Employees must be legally working (a) in the United States or (b) outside the United States, for a US based employer, in a country or region approved by Guardian. • We pay no benefits if the insured’s death is due to suicide within two years from the insured’s original effective date. This two year limitation also applies to any increase in benefit. This exclusion may vary according to state law. • Employees must be working full-time on the effective date of your coverage; otherwise, coverage becomes effective after the completion of the specific waiting period. • Evidence of Insurability is required for all late enrollees. Benefit increases will require underwriting, except for the Automatic Increase Rider. A new certificate will need to be purchased for benefit increases without Automatic Increase Rider. When selecting face amounts above the guaranteed issue limit there may be a delay in issuing the certificate while underwriting is being completed. If there is a delay the effective day of those certificates may be later than other certificates in the group and may result in an increased age if the effective date crosses the employee's birthday. This will result in higher rates when calculating the premium for this certificate. • We pay no Accidental Death benefits for an insured where death occurs as the result of a disease or a bodily infirmity. These exclusions may include but are not limited to the following: through willful self-injury; by declared or undeclared war, act of war, armed aggression, or while a member of armed forces; may vary by state while driving motor vehicle without a current, valid driver’s license; while legally intoxicated; while participating in civil disorder or committing a felony; traveling on any type of aircraft while having any duties on that aircraft; while voluntarily using a non-prescription controlled substance. Form # GP-1- Life-15 *The services, exclusions, and limitations listed above do not constitute a contract and are a summary only. The Guardian plan documents are the final arbiter of coverage. This document is a summary of the major features of the referenced insurance coverage. It is intended for illustrative purposes only and does not constitute a contract. The insurance plan documents, including the policy and certificate, comprise the contract for coverage. The full plan description, including the benefits and all terms, limitations and exclusions that apply will be contained in your insurance certificate. The plan documents are the final arbiter of coverage. Coverage terms may vary by state and employer-sponsored plan. The premium amounts reflected in this summary are an approximation; if there is a discrepancy between this amount and the premium deducted from your paycheck, the latter prevails.
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