2020 Life Insurance / Accidental Death and Dismemberment for CoorsTek
BASIC LIFE INSURANCE AND ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE (AD&D)
CoorsTek is pleased to provide group term basic life and AD&D insurance through The Hartford at no cost to you. You automatically receive coverage for one time your annual base salary. If your base salary changes during the year, your basic life and AD&D insurance amount will also change.
SUPPLEMENTAL LIFE INSURANCE
During your initial eligibility period, you may purchase additional term life coverage in $10,000 increments, not to exceed five times your annual base salary, up to a maximum of $750,000.
You may purchase spouse term life coverage in $10,000 increments to a maximum of $500,000 not to exceed 100% of the combined basic and supplemental amount of life insurance in force of the employee. Coverage mounts greater than $20,000 require Evidence of Insurability (EOI). Coverage is not effective until approved by The Hartford.
You may also purchase child(ren), up to the age of 26 supplemental life coverage in the amount of $10,000. EOI is not required for child(ren) coverage.
You pay the full cost of supplemental coverage with after-tax dollars. The amount you pay depends on your age and your smoker status on the date you enroll and the amount of coverage you purchase. Premium amounts that increase due to age will not be adjusted until January 1st of the following year.
During Open Enrollment, employees may increase their benefit level by $10,000 (unless the total coverage exceeds $100,000) without providing evidence of insurability (EOI). Coverage amounts greater than $100,000 require EOI. Coverage is not effective until approved by The Hartford.
2020 Benefit Plan Offering Sections
Life Insurance / Accidental Death & Dismemberment
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SUPPLEMENTAL ACCIDENTAL DEATH AND DISMEMBERMENT (AD&D)
Employees can purchase additional coverage for themselves and coverage for their spouse and eligible child(ren). Voluntary AD&D benefits are increments of $25,000 to a maximum of $750,000. Premiums for coverage are set by the insurance company and are deducted after taxes by Payroll.
EVIDENCE OF INSURABILITY FORMS (EOI)
Coverages above the Guarantee Issue amount require an EOI form. Listed below are State specific forms.
- The Hartford- CA Life APP and EOI (PDF)
- The Hartford- CT Life APP and EOI (PDF)
- The Hartford- NH Life APP and EOI (PDF)
- The Hartford- UT Life APP and EOI (PDF)
- The Hartford- Life APP and EOI – All Other States (PDF)
Return all completed Life and AD&D forms to your HR Business Partner for signature and submission to The Hartford.