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Basic Employee Life Insurance
This insurance is payable for death from any
cause to any person you name as beneficiary.
Class I $25,000*- Department Managers
Class II $20,000*- Sworn Law Enforcement
Class III $10,000*- All Other Full Time Employees
*See "Reductions at age 70 & Over."
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 continue to be
covered with no age limit.
(It is your responsibility to notify payroll in writing when a dependent is ineligible for coverage. Examples of ineligible dependent status are divorce or a child graduates from college).
$1,000 on your spouse
$1,000 on each of your eligible children
Your Monthly Cost
| Optional Dependent Coverage | $. 40 per unit** |
**Regardless of the number of children
Accidental Death and Dismemberment
Benefits under this coverage are payable as described in your
certificate. All active employees have Basic Accidental Death and Dismemberment
coverage.
Features
The plan features easy eligibility and simple
enrollment procedures. AND. . . There is no need for a medical exam if you sign up during the
enrollment period. 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 - a leader in the field of group
coverage.
Eligibility
You will be eligible for this program 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.
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. In order for
your Optional Dependent Life Insurance to become effective, it is necessary for
you to certify that any of your eligible dependents have not been
"hospitalized " in the last three months prior to your enrollment
date. The term "hospitalized" includes inpatient hospital care,
hospice care, care in an intermediate or long-term care facility and/or receipt
of chemotherapy, radiation therapy or dialysis treatment. However, a confinement
which is strictly due to pregnancy or childbirth will not be included in the
term "hospitalized".
In addition, coverage will not become effective for any dependent who is hospitalized as defined above or who is not performing normal daily activities on the date coverage would otherwise become effective. Normal daily activities means that the individual is not confined at home under the care of a doctor for a sickness or injury or is not entitled to receive any disability income from any source.
If your dependents do not satisfy the eligibility requirements described above for date of enrollment and for effective date of coverage, that person will not become insured for Optional Dependent Life Insurance until such person has furnished medical evidence of insurability satisfactory to Metropolitan Life.
Reductions at age 70 and over
If you remain in active service beyond age
65 your combined amount of Basic and Optional Employee Life Insurance will be as
follows:
| Attained Age | Percent of Original Amount |
| 70 | 35% |
Termination of Coverage
All insurance under this plan
will terminate with the earliest of the following events. The events include:
termination upon retirement, termination of employment, plan cessation or
withdrawal 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."
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 Metropolitan Life 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. This privilege applies
to Optional Dependent Life Insurance as well as the Basic Employee Life
Insurance.
The Accelerated Benefit Option (ABO)
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.
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.
This material has been prepared to give you the highlights of coverage now being offered by your employer to meet your insurance needs. For details please ask your personnel office or refer to the certificate of insurance that you will receive after you have signed up for protection.