Life and AD&D
EMPLOYEE BENEFITS
Symetra ABOUT LIFE AND AD&D Group term life is the most inexpensive way to purchase life insurance. You have the freedom to select an amount of life insurance coverage you need to help protect the well-being of your family. Accidental Death & Dismemberment is life insurance coverage that pays a death benefit to the beneficiary, should death occur due to a covered accident. Dismemberment benefits are paid to you, according to the benefit level you select, if accidentally dismembered. For full plan details, please visit your benefit website: www.mybenefitshub.com/wylieisd Effective Date: September 1, 2021 Policy Number:01-020279-00 The information in this summary may be replaced by any subsequently issued summary or policy amendment. Employee Amount Minimum Amount Employee Amount Minimum Amount Employee Amount Minimum Amount Maximum Amount Guaranteed Issue Spouse Spouse Amount Minimum Amount Maximum Amount Guaranteed Issue Child Child Amount Employee Amount Minimum Amount Maximum Amount Spouse Spouse Amount Minimum Amount Maximum Amount Child Child Amount
Basic Life Benefit $15,000 $15,000 Basic AD&D Benefit $15,000 $15,000 Life Benefit Increments of $10,000 $10,000 Lesser of $500,000 or 7 x Earnings Guaranteed Issue Amount: Age 70 and below: $350,000 Age 70 and up: $250,000 Life Benefit Increments of $5,000 $5,000 $500,000 not to exceed 100% of Supplemental Employee Coverage $50,000 Life Benefit Live Birth to age 26 year(s): $10,000 AD&D Benefit Increments of $10,000 $10,000 Lesser of $500,000 or 7 x Earnings AD&D Benefit Increments of $5,000 $5,000 $500,000 not to exceed 100% of Supplemental Employee Coverage AD&D Benefit Live Birth to age 26 year(s): $10,000
Voluntary Group Life - per $10,000 in coverage Age Employee 18-24 $0.48 25-29 $0.48 30-34 $0.57 35-39 $0.76 40-44 $1.05 45-49 $1.81 50-54 $3.04 55-59 $4.85 60-64 $7.41 65-69 $13.40 70-74 $24.13 75+ $24.13 Voluntary Group Life - Child(ren) Per $10,000 in coverage 0-26 Spouse rates based on Employee's age.
Employee Spouse Child
Symetra AD&D- per $10,000 $0.20 $0.20 $0.20
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