Unified Fire Authority Benefit Guide (1)_ (003) | Page 36

Life and Accidental Death & Dismemberment Insurance
Insured by PEHP
Life Insurance Life insurance provides financial security for the people who depend on you. Your beneficiaries will receive a lump-sum payment if you die while employed by Unified Fire Authority. The company provides basic life insurance of $ 25,000, up to age 70; $ 12,500 at age 71 to 76, and $ 6,250 at age 76 or older. If you’ re enrolled in basic coverage, you get an additional $ 50,000 line-of-duty death benefit at no extra cost. Enrollment is automatic.
Accidental Death & Dismemberment( AD & D) Insurance Accidental Death & Dismemberment( AD & D) insurance provides payment to you or your beneficiaries if you lose a limb or die in an accident. Unified Fire Authority provides AD & D coverage of $ 25,000 at no cost to you. Enrollment is automatic and this coverage is in addition to your company paid life insurance described above.
Enrollment is automatic and this coverage is in addition to your company paid life insurance described above.
Voluntary Life Insurance
Insured by PEHP
You may purchase life insurance in addition to the company-provided coverage. You may also purchase life insurance for your dependents if you purchase additional coverage for yourself. You are guaranteed coverage up to $ 200,000, and up to $ 50,000 for your spouse without answering medical questions if you enroll when you are first eligible.
Employee Monthly Life Rates
Coverage
Amounts
25,000
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
Under age 30
$ 1.20
$ 2.40
$ 4.80
$ 7.20
$ 9.60
$ 12.00
$ 14.40
$ 16.80
$ 19.20
$ 21.60
$ 24.00
Ages 30- 34
$ 1.30
$ 2.60
$ 5.20
$ 7.80
$ 10.40
$ 13.00
$ 15.60
$ 18.20
$ 20.80
$ 23.40
$ 26.00
Ages 35- 39
$ 1.80
$ 3.60
$ 7.20
$ 10.80
$ 14.40
$ 18.00
$ 21.60
$ 25.20
$ 28.80
$ 32.40
$ 36.00
Ages 40- 44
$ 2.20
$ 4.40
$ 8.80
$ 13.20
$ 17.60
$ 22.00
$ 26.40
$ 30.80
$ 35.20
$ 39.60
$ 44.00
Ages 45- 49
$ 4.20
$ 8.40
$ 16.80
$ 25.20
$ 33.60
$ 42.00
$ 50.40
$ 58.80
$ 67.20
$ 75.60
$ 84.00
Ages 50- 54
$ 5.10
$ 10.20
$ 20.40
$ 30.60
$ 40.80
$ 51.00
$ 61.20
$ 71.40
$ 81.60
$ 91.80
$ 102.00
Ages 55- 59
$ 8.10
$ 16.20
$ 32.40
$ 48.60
$ 64.80
$ 81.00
$ 97.20
$ 113.40
$ 129.60
$ 145.80
$ 162.00
Ages 60- 69
$ 13.70
$ 27.40
$ 54.80
$ 82.20
$ 109.60
$ 137.00
$ 164.40
$ 191.80
$ 219.20
$ 246.60
$ 274.00
After age 69, rates remain constant and coverage amount change
Coverage
Amounts
12,500
25,000
50,000
7,500
100,000
125,000
150,000
175,000
200,000
225,000
250,000
Ages 70- 74
$ 13.70
$ 27.40
$ 54.80
$ 82.20
$ 109.60
$ 137.00
$ 164.40
$ 191.80
$ 219.20
$ 246.60
$ 274.00
Coverage
Amounts
6,250
12,500
25,000
37,500
50,000
62,500
75,000
87,500
100,000
112,500
125,000
75 and over
$ 13.70
$ 27.40
$ 54.80
$ 82.20
$ 109.60
$ 137.00
$ 164.40
$ 191.80
$ 219.20
$ 246.60
$ 274.00
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