Polk County Government, NC | Plan Year: July 1, 2007 to June 30, 2008

   
 

Term Life Insurance

   
 

Term Life Plan Details

   

     
 

Jefferson Pilot Contact

 
     
     
     
 

 
 

 
 

 
 

 
 

Please call your Personnel Office for
a
ll questions concerning this plan.

 
     
     



 

Jefferson Pilot Term Life Insurance Plan Details

Basic Employee Life Insurance
This coverage is Term Life Insurance. The Life insurance benefit is payable to the designated beneficiary upon the death of the insured. Coverage is provided for the time period that you are eligible and premium is paid. There is no cash value associated with this insurance.

Accidental Death and Dismemberment
Specified benefits are provided for covered accidental bodily injury that directly causes dismemberment. In the event that death occurs from a covered accident, both the Life and AD&D would be payable. All eligible employees and active, elected City Council Members have Basic Accidental Death and Dismemberment coverage.

Eligibility
All full-time active employees working 30 or more hours per week and active elected County Commissioners are eligible for coverage on the policy effective date. A delayed effective date will apply if the employee is not actively at work on the date the insurance would otherwise take effect.

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.

LIVING BENEFIT
A Living Benefit (also called an Accelerated Death Benefit) is available to employees who have satisfied the Active Work rule and have been covered under the policy at least 12 months. When such employees are diagnosed as terminally ill (having 12 months or less to live), they may withdraw up to 75% of their life insurance coverage. The death benefit will be reduced by the amount taken as a Living Benefit.

BENEFIT Reduction
Life and AD&D benefits will terminate at retirement. If you remain in active service beyond age 65, your Basic Employee Life Insurance will reduce as follows:

Attained Age Percent of Original Amount
65 35%
70 by an additional 20%
75 by an additional 15%
80 by an additional 10%

SEAT BELT, AIRBAG AND COMMON CARRIER
if you die as a result of a covered automobile accident while wearing a seat belt or in a vehicle equipped with an airbag, additional benefits are payable up to $10,000 or 10% of the principal sum, whichever is less.

If loss occurs for you due to an accident while riding as a passenger in a common carrier, benefits will be 2 times the amount that would otherwise apply as outlined in the certificate.

If loss occurs due to an accident, you may also receive the following Accident Plus benefits:

Coma - pays 5% of your principal sum up to a maximum of $5,000 if you are in a coma as a result of an accident covered under the policy and remain in a coma for 31 continuous days.

Plegia - pays 100% of your principal sum for quadriplegia and 50% of your principal sum for paraplegia and hemiplegia. Plegia must be caused by a covered accident. Benefits are doubled if the accident is caused by a common carrier.

Repatriation - pays up to $5,000 for preparation and transportation of your body when the accident occurs more than 150 miles away from home. Death must be the result of a covered accident.

Education - as a result of your death, this benefit pays 5% of your principal sum up to a maximum of $5,000 for your eligible dependent’s post-secondary education. This benefit is paid for up to 4 years.

Spouse training - as a result of your death, this benefit pays 5% of your principal sum up to a maximum of $5,000 for your spouse and covers the cost of classes taken to retrain or refresh skills needed for employment. Benefits will be paid for 1 year and enrollment must occur within 365 days of the covered accident.

Child Care - as a result of your death, this benefit pays 5% of your principal sum up to a maximum of $5,000 for expenses paid to a licensed child care facility for an eligible dependent attending on a regular basis. This benefit will be paid for up to 4 consecutive years, or
until your child’s 13th birthday, whichever comes first.

Waiver of premium
If an insured becomes totally disabled prior to age 60, the amount of group life coverage will be continued without payment of premium provided he remains totally disabled for at least 6 months in a row and provides evidence of disability within the 7th through 12th months of disability or as soon as reasonably possible after that, but not later than the 24th month of disability. The amount of insurance is subject to any reductions due to age and the Waiver of Premium provision terminates at the person’s Social Security Normal Retirement Age.

Conversion
If your employment terminates while you are covered under the plan, you may purchase without medical evidence of insurability, any individual insurance policy, except a term policy, issued by Jefferson Pilot Financial Life Insurance Company in any amount up to the amount of your coverage in effect on your date of termination. You must apply for this policy within 31 days after the date your employment terminates.

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 answer questions about the insurance benefits and 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

Basic employee life insurance and AD&D

All eligible employees (No cost to you) $15,000*


 

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