2024-Framebridge-Benefit Guide

SUPPLEMENTAL LIFE AND AD&D BENEFITS

VOLUNTARY LIFE AND AD&D INSURANCE Voluntary Life and AD&D insurance through Mutual of Omaha is available to all eligible employees. Premiums are based on your age and coverage amount. Employees may choose benefit amounts up to the lesser of $500,000 or five times the employee’s annual salary. If an employee elects voluntary life and AD&D insurance, they may also elect coverage for their dependents. Spousal coverage is available in increments of $5,000, not to exceed 100% of the employee’s benefit amount up to $250,000. Coverage for children 6 months and older is available in increments of $1,000, not to exceed $10,000. New hires are eligible up to the guaranteed issue listed in the chart below. If you have previously been eligible for benefits and elect this coverage you will need to complete an Evidence of Insurability (EOI) form. Please see Human Resources for more information. Employee’s are responsible for the entire cost of this benefit.

BENEFIT

EMPLOYEE

SPOUSE

CHILDREN

Benefit Increments

Increments of $10,000

Increments of $5,000

Increments of $1,000

Minimum Benefit Amount

$10,000

$5,000

$2,000

Maximum Benefit Amount

$500,000 Coverage cannot exceed 5 times your annual salary

$250,000 Coverage cannot exceed 100% of the Employee’s Optional life coverage

$10,000 Coverage cannot exceed 100% of the Employee’s Optional life coverage

Guaranteed Coverage Amount*

$100,000

$30,000

$10,000

*Guaranteed coverage means the maximum amount of coverage available without Evidence of Insurability.

VOLUNTARY LIFE AND AD&D INSURANCE MONTHLY RATES

Employee/Spouse Rates

Child(ren) Rate

RATE PER $1,000 OF BENEFIT

RATE PER $1,000 OF BENEFIT

RATE PER $1,000 OF BENEFIT

PER $1,000 CHILD UNIT

AGE

AGE

AGE

AGE

UNDER 25

$.100

40-44

$0.170

60-64

$1.030

BIRTH TO AGE 26

$0.160

25-29

$0.100

45-49

$0.280

65-69

$1.820

30-34

$0.110

50-54

$0.440

70-74

$3.230

35-39

$0.120

55-59

$0.670

75-79

$5.310

*Spouse Premium is based on employee’s age.

For additional information, please refer to your detailed plan summary. In the event of a discrepancy, the carrier Plan Document shall prevail.

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