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Basic Employee Life Insurance
This insurance is payable for death from any
cause to any person you name as beneficiary.
All eligible employees . . . . .
. . . . . . . . .$1,000*
(No cost to you)
Optional Employee Life Insurance
Your employer-sponsored basic life coverage
provides important protection for you, but you may need to add to that
protection. Now you can... at low group rates and through payroll deductions.
To help meet this need, you now have the opportunity to elect additional group life insurance under the optional portion of your program to go along with any personal insurance coverage you may have.
Your choice of the following
amounts:*
$250,000, $200,000,$150,000,$100,000,$90,000,$80,000,$70,000,$60,000
$50,000, $40,000, $30,000, $20,000 or $10,000
*To be eligible for over $50,000 of coverage you must furnish medical
evidence of insurability satisfactory to MetLife.
Optional Dependent Life Insurance
Provides coverage on:
• Your Spouse
• Child(ren) from 14 days of age
to age 19 (to age 25 if wholly dependent upon you for maintenance and
support and if enrolled as a full-time student in an accredited school or
college). Handicapped children can be covered with no age limit, as long as
the child is covered prior to age 19 or to age 25 if a full- time student.
Spouse:
$10,000, $20,000 or $30,000, $40,000, or $50,000
Optional Dependent Life Insurance is available only to those eligible employees
who are insured for Optional Employee Life Insurance.
To be eligible for $20,000 coverage and above your spouse must furnish medical
evidence of insurability and you must elect a minimum of $20,000 and above of
Employee Optional Life Insurance.
Child(ren):
$5,000, $10,000, $15,000, $20,000, $25,000
Optional Dependent Life Insurance is available only to those eligible employees
who are insured for Optional Employee Life Insurance.
To be eligible for coverage above $5,000 you must furnish medical evidence of
insurability for your dependent children.
Features
The plan features easy eligibility and
simple enrollment procedures. And as an employee there is no need for proof of
medical insurability unless you take a coverage amount over $50,000.
Furthermore, automatic payroll
deductions simplify paperwork. This means less bookkeeping for you and no
worries about a lapse in coverage due to missed payments.
LOW COST
Your cost is lower than for comparable insurance on an individual basis due
to the "wholesale" economies inherent in group insurance. Additionally, the
System absorbs the cost of administering the program which is underwritten by
MetLife Insurance Company - a leader in the field of group coverage.
ELIGIBILITY
You will be eligible for insurance if you are a full-time active employee.
ENROLLMENT
Enrollment is simple - just fill out the election card provided by your
employer. Make sure you supply all the required information and return the form
where you work. That's all. You will be notified as to when coverage starts.
Employees currently participating in the life program will not have to fill out
a new enrollment card unless there is an increase or decrease of coverage(s).
BENEFICIARY
You have the right to designate the beneficiary of your choice under
employee coverage. You are automatically the beneficiary under Dependent Life.
WHEN YOUR INSURANCE STARTS
Your Basic Employee Life Insurance becomes effective on the date of your
eligibility if you are then actively at work; otherwise, on the day you return
to active work.
If you have elected Optional Employee Life Insurance or Optional Dependent Life
insurance you will be notified as to when that coverage begins.
Anyone electing not to enroll when first eligible or within three months
thereafter can enroll later only if evidence of insurability satisfactory to
MetLife is provided.
REDUCTIONS AT AGE 70 & OVER
If you remain in active service beyond age 70 your combined amount of Basic
and Optional Employee Life Insurance will reduce as follows:
| Attained Age | Percent of Original Amount |
| 70 | 65% |
| 75 | 45% |
| 80 | 30% |
TERMINATION OF COVERAGE
All insurance under this plan will terminate upon the earlier of retirement,
termination of employment, when the plan ceases or when you withdraw from the
plan. Nevertheless, if you should die within 31 days thereafter, your life
insurance will still be paid to the beneficiary. If any of your covered
dependents should die within such 31 day period, the amount of Life Insurance on
account of such dependent will be paid to you.
DISABILITY
Your insurance may be continued during your disability provided the Board of
Education continues premium payments on your behalf. However, your insurance
will be subject to reduction as shown under "Reductions at ages 70 & Over"
above.
Accelerated Benefit option
Metropolitan Life Insurance Company has included an Accelerated
Benefit Option (ABO) as part of your group life benefits. Under this option, if
you are diagnosed as having a terminal illness, you may be eligible to receive a
portion of your group life benefits at such a difficult time. Please refer to
your Group Certificate for details.
CONVERSION
If your employment terminates while you are covered under the plan, you may
purchase without medical evidence of insurability, any individual insurance,
except a term policy, issued by Metropolitan Life. The amount of the individual
contract may not be more than the amount of your life coverage in effect on your
date of termination. You must apply for this policy within 31 days after the
date your employment terminates. This privilege applies to Optional Employee
Life Insurance and Dependent Life Insurance as well as the Basic Employee Life
Insurance. This privilege is the employees responsibility. It is not automatic.
Portability
Portability allows employees whose coverage ends due to certain
qualifying events to continue their current (or a lesser) amount of insurance.
Portability applies to Employee Optional Life Insurance only.
The minimum face amount which an employee may elect portability is $10,000.
Portable coverage reduces to 50% on January 1st of the year the insured attains
age 70 and terminates on January 1st of the year the insured attains age 80.
When portable coverage ends, insured individuals have the right to convert to an
individual policy.
Qualifying Events Include:
• Termination of Employment
• Retirement
• Change in employee class which results in the termination of Optional Life
Benefits.
SUICIDE EXCLUSION
No Optional Employee Life Benefits are payable if you commit suicide within
two years from the effective date of the coverage.
CLAIMS PROCEDURE
Claim forms needed to file for benefits under the group insurance program
can be obtained from your employer who will also be ready to assist in filing
claims. The instructions on the claim form should be followed carefully. This
will expedite the processing of the claim. Be sure all questions are answered
fully. If there is any question about a claim payment, an explanation can be
requested from your employer, who is usually able to provide the necessary
information.
GROUP POLICY AND CERTIFICATE
The insurance briefly described in this folder is subject to the terms and
conditions of the Group Policy issued by the Metropolitan Life Insurance
Company. If you become insured, you will receive a certificate outlining your
benefits under the policy.
This information has been prepared to give you the highlights of coverage now
being offered by your School Board to meet your insurance needs. For details
please ask your Payroll Department below for assistance.
PLAN ADMINISTRATOR
Elizabeth City-Pasquotank Board of Education
1200 S. Halstead Blvd.
Elizabeth City, NC
(252) 335-2981 Extension 116
This insurance is underwritten by Metropolitan Life Insurance Company, New York, New York 10010.
Rates
| Optional Employee Coverage | 12-Month Payroll Deduction | Optional Spouse Coverage | 12-Month Payroll Deduction | Optional Child Coverage | 12-Month Payroll Deduction |
| $10,000 | $1.80 | $10,000 | $2.20 | $5,000 | $1.00 |
| $20,000 | $3.60 | $20,000 | $7.80 | $10,000 | $2.00 |
| $30,000 | $5.40 | $30,000 | $11.70 | $15,000 | $3.00 |
| $40,000 | $7.20 | $40,000 | $15.60 | $20,000 | $4.00 |
| $50,000 | $9.00 | $50,000 | $19.50 | $25,000 | $5.00 |
| $60,000 | $10.80 | ||||
| $70,000 | $12.60 | ||||
| $80,000 | $14.40 | ||||
| $90,000 | $16.20 | ||||
| $100,000 | $18.00 | ||||
| $150,000 | $27.00 | ||||
| $200,000 | $36.00 | ||||
| $250,000 | $45.00 |
