Supplemental Life Benefit Summary - MetLife

Supplemental Term Life Metropolitan Life Insurance Company Plan Design for: Buckingham Browne and Nichols School Original Plan Effective Date: June 1, 2023 For All Active Full Time Employees working at least 20 hours per week Build Your Benefit With MetLife's Supplemental Term Life insurance, your employer gives you the opportunity to buy valuable life insurance coverage for yourself -- all at affordable group rates. Employee Life Coverage: provides a benefit in the event of death Increments of $10,000 Schedules: Non Medical Maximum $100,000 Overall Benefit Maximum The lesser of 5 times Your Basic Annual Earnings, or $300,000 AD&D Coverage: provides a benefit in the event of death or dismemberment resulting from a Yes (benefit amount is same as Supplemental covered accident Term Life coverage) Schedules: AD&D Maximum Maximum amount is same as Supplemental Term Life coverage Employee Contribution 100% Any purchase or increase in benefits, which does not take place within 31 days of employee’s effective date is subject to evidence of insurability. Coverage is subject to the approval of MetLife. To request coverage: 1. Choose the amount of employee coverage that you want to buy. 2. Look up the premium costs for your age group for the coverage amount you are selecting on the chart below. 3. Fill in the enrollment form with the amounts of coverage you are selecting. (To request coverage over the non-medical maximum, please see your Human Resources representative for a medical questionnaire that you will need to complete.) 200 Park Ave., New York, NY 10166 © 2022 MetLife Services and Solutions, LLC LI-GCERT-SUPP-OVER EOL Benefit Summary L0322021157[exp0523][All States]