Associate
Supplemental Life Insurance
You may buy supplemental life insurance if you need additional
coverage over what is provided under your Health Alliance
Basic Life Insurance Plan.
Coverage Options
You have several coverage options under the Associate Supplemental
Life Insurance Plan. The options depend on whether you are
a full-time or a part-time associate:
Full-time * |
Part-time |
1 x pay |
$ 5,000 |
2 x pay |
$10,000 |
3 x pay |
$15,000 |
4 x pay |
$20,000 |
5 x pay |
$25,000 |
*Maximum benefits may not exceed $1,500,00
New associates who elect 4x or 5x pay or a coverage amount
that calculates to more than $500,000 are required to provide
proof of insurability by completing an Evidence
of Insurability form (EOI) available from your human resources
department. The same EOI requirement applies if you enroll
after your initial eligibility period (30 days after you were
hired or became benefits eligible for the first time) or choose
to raise your coverage level. If the level of coverage for
which you apply requires completion of an EOI, you are not
covered for that amount until you receive written notice of
approval from the insurance carrier.
In some cases, the insurance carrier may ask you to have
a physical examination. Costs are paid by the insurance carrier
for physical examinations required for associates who enroll
in the supplemental coverage when they first become eligible.
Associates who enroll during a later enrollment period will
be responsible for all costs associated with required physical
examinations.
Under this plan, pay is your base rate of pay at the beginning
of the plan year. It doesn't include shift differential, overtime,
or other special pay.
If you die while covered under Associate Supplemental Life
Insurance, your beneficiary will receive a one-time payment
of the amount available under the coverage option you chose.
Your Beneficiary
You can select anyone to be your beneficiary under your Associate
Supplemental Life Insurance Plan. You'll need to fill out
the appropriate beneficiary section on your benefits enrollment
form or complete a Change
in Beneficiary Designation form when you wish to make
a change. You can change your beneficiary at any time.
Costs of Coverage
Your bi-weekly cost for supplemental life is based on your
age and the amount of coverage you elect. Refer to the cost
sheet insert for specific premium amounts. The cost is deducted
on an after-tax basis from every bi-weekly paycheck during
the covered period.
Note: This benefit is available
to you through age 69
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