SECTION 1 - SCHEDULE OF BENEFITS (Continued)
ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
What is the Full Amount of Insurance Benefit?
Employee Basic Accidental Death and Dismemberment Insurance An amount equal to 1 times your Annual Earnings. If not a multiple of $1,000.00, this amount will be rounded to the next higher multiple of $1,000.00. This amount may not exceed $500,000.00. The minimum amount is $50,000.00. Employee Optional Accidental Death and Dismemberment Insurance An amount equal to 1, 2, 3, 4, or 5 times your Annual Earnings. If not a multiple of $1,000.00, this amount will be rounded to the next higher multiple of $1,000.00. This amount may not exceed $500,000.00.
Dependent Optional Accidental Death and Dismemberment Insurance:
SPOUSE Spouse: An amount in increments of $5,000.00. This amount may not exceed $250,000.00. CHILD Children (Age at Death): Live birth, but under 26 years. An amount in increments of $5,000.00. This amount may not exceed $15,000.00.
Note: The amount of Dependent Accidental Death and Dismemberment Insurance may not exceed 50% of the amount of Employee Accidental Death and Dismemberment Insurance in force on the Covered Employee.
GLC-SCH-3
Schedule of Benefits
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