VOLUNTARY LIFE AND ACCIDENT Voluntary Supplemental Life and AD&D Voluntary Accident Insurance Employee Spouse Dependent Child Employee, Spouse or Dependent Child Coverage Overview Elect up to $500,000in Elect up to $250,000 or 50% Elect up to 10,000 for Pays a fixed, lump-sum benefit for coverage or 5x your annual of employee’s voluntary children aged 6 months and injuries resulting from a covered earningsin increments of coveragein increments of older accident $10,000 $5,000 Additional Guaranteed Issueis Guaranteed Issueis Guaranteed Issueis Employees must be under age 70 at Information $100,000 $25,000 $10,000 date of application. Benefit schedule specifies payment amounts Benefit Cost per $1k Age Cost per $1k of Age Cost per $1k of Benefit Cost per $1k of Benefit Amount Examples: of coverage coverage coverage coverage < 29 $0.067 50-54 $0.368 Ambulance $100 ground, $500 air Transportation 30-34 $0.072 55-59 $0.586 Emergency Treatment $150 35-39 $0.095 60-64 $0.868 $0.1025 Physical $25/session (6 max) Therapy 40-44 $0.141 65-69 $1.653 Concussion $100 45-49 $0.224 70+ $3.189 Dental Injury $150 crown; $50 extraction Voluntary AD&D: $0.048 16// 2023 Employee BenefitGuide download: voluntary life summary | voluntary accident summary
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