Supplemental Life Insurance

Supplemental life insurance is offered through SunLife.

Eligibility:

Benefit-eligible employees are eligible to purchase supplemental life insurance the first of the month following date of hire.

Late enrollment allowed with completion of an evidence of insurability form and proof of good health.

Cost: 

Employee Age

Monthly premium per $1000 of coverage for Employee only

<25

$0.05

25-29

$0.06

30-34

$0.08

35-39

$0.09

40-44

$0.10

45-49

$0.14

50-54

$0.22

55-59

$0.41

60-64

$0.63

65-69

$1.16

70+

$1.97


*Premiums deducted through payroll on a post-tax basis.

  • Rate for spouse is based on age of employee, spouse cannot exceed 100% of the amount for which you are insured, and max coverage for spouse is $250,000
  • Dependent/child rate is $.073 per $1000 of coverage; coverage in increments of $2,000 up to $10,000 maximum
  • Coverage for yourself up to the lesser of $500,000 or 700% of annual earnings, in increments of $10,000
  • Coverage for yourself up to $200,000 without evidence of good health during initial enrollment period

Forms:

Supplemental Life Insurance Enrollment Application

Beneficiary Change Form

This summary is not intended to be a complete description of your benefits.  Please consult your summary plan description and/or insurance certificate for additional details including plan limitations and exclusions. The master plan documents will prevail.