Unified Fire Authority Benefit Guide (1) | Page 36

Unified Fire Authority
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.
Coverage Amounts
Employee Monthly Life Rates
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
Coverage Amounts
After age 69, rates remain constant and coverage amount change 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
36