2024-BenefitsGuide-V14-Final

Life and Accidental Death & Dismemberment Benefits

SUPPLEMENTAL LIFE AND AD&D PURCHASE OPTIONS You can elect to purchase additional Supplemental Life and AD&D insurance amounts for yourself and your eligible dependents. To enroll your eligible dependents for Life or AD&D, you must enroll in the corresponding supplemental coverage. For example, to enroll your dependents in Life Insurance, you must elect to purchase Supplemental Life Insurance for yourself. Payroll deductions for Supplemental Life/AD&D and Dependent Life/AD&D insurance are deducted from your paycheck on an after-tax basis. At ages 70 and 75, Life/AD&D coverage amounts are reduced to 67% and 50%, respectively. The reductions apply January 1 following the year you turn 70 and/or 75.

EVIDENCE OF INSURABILITY Evidence of Insurability (EOI) is a confidential

questionnaire to document past and current health events used to verify whether you meet the definition of good health. The Hartford EOI is required if you and your eligible dependents enroll in Supplemental Life coverage amounts above the guaranteed issue amount ($250,000 for employees, $50,000 for dependent spouses); or add Supplemental Life or Supplemental Disability coverage after the first 30 days of your hire date. You will be alerted during the enrollment process to complete an online EOI questionnaire. It must be approved by The Hartford before coverage becomes effective.

BASIC LIFE AND AD&D COVERAGE Reliance Rewards provides you with Basic Life and Accidental Death and Dismemberment (AD&D) insurance through The Hartford at no cost to you.

All Life/AD&D, and Dependent Life/ AD&D coverage ends the day you terminate employment or retire. Portability and conversion options are available for both Basic and Supplemental Life Insurance, and are provided by The Hartford.

DON’T WAIT – COMPLETE THE EOI RIGHT AWAY!

SUPPLEMENTAL LIFE INSURANCE MONTHLY RATES (PER $1,000)

Age Band*

Rate**

PLAN FEATURES

LIFE INSURANCE

AD&D INSURANCE

<25

$0.053

• Company Paid • Benefit is $50,000

• Company Paid • Benefit is $50,000

Basic Coverage

25 - 29

$0.060

• Employee Paid • In increments of $50,000 • Up to the lessor of 5X your salary or • $1,000,000 (rounded down) • Guaranteed Issue* – The lesser of 5 times your annual earnings or $250,000 • Evidence of Insurability** – For supplemental life amounts in excess of the lesser of 5 times your annual earnings or $250,000 • See chart below for rates • Employee Paid • In increments of $25,000 • Up to the lessor of $250,000 or 50% of your supplemental coverage • Guaranteed Issue* – $50,000 • Evidence of Insurability** – For supplemental life amounts in excess of $50,000 • See chart below for rates

30 - 34

$0.080

• Employee Paid • In increments of $50,000 • Up to the lessor of 10X your salary or $1,000,000 (rounded down) • Monthly Rate: $0.025 per $1,000

35 - 39

$0.090

Supplemental Coverage – Employee

The questionnaire is brief and only one EOI submission is needed for all supplemental life and disability plans. Most EOIs are approved immediately; however, some will require additional information. Once approved, you will not need to complete the EOI again unless you wish to increase your level of coverage. EOI ONLINE TIP When completing the EOI online, you will be temporarily redirected to The Hartford. If the EOI does not open in a new window, turn off your browser’s pop-up blocker.

40 - 44

$0.126

45 - 49

$0.204

• Employee Paid • In increments of $25,000 • Up to the lessor of $250,000 or 50% of your supplemental coverage • Monthly Rate: $0.04 per $1,000

50 - 54

$0.343

Supplemental Coverage For Your Spouse/Domestic Partner

55 - 59

$0.557

60 - 64

$0.743

• Employee Paid • 10% of your coverage amount (if spouse is covered) • 15% of your coverage amount (if spouse is not covered • Above amounts are per child, up to • $50,000 per child • Monthly Rate: $0.04 per $1,000 per child

65 - 69

$1.270

• Employee Paid • Coverage is $10,000 per child • Monthly Rate: $0.056 per $1,000 per child

Supplemental Coverage For Your Child(ren)

70 - 74***

$2.060

>75***

$3.523

*Supplemental life insurance rates are based on the employee’s age **Rates are for employee and spouse/domestic partner ***Age reductions for ages 70 - 74 is 33%; for ages >75 is 50%

*Available to first-time eligible employees or spouse/domestic partner only **Required for any election increases for existing employees or spouse/domestic partner

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