2015 Benefits Life Insurance Protect those who matter Life can bring unexpected financial pressures. With Minnesota Life insurance coverage through the University System of Georgia (USG), you can protect your family’s income in the event of a death due to illness or accident. Basic life insurance with accidental death and dismemberment (AD&D) coverage is provided to you at no cost. Beyond that, you have options to choose additional life insurance coverage for you and your dependents and provide financial security for your family. •Basic life and AD&D — You’ll receive life and AD&D insurance equal to $25,000 at no cost to you. •Supplemental life insurance and AD&D for you — You can buy additional life insurance coverage from one to eight times your annual salary, up to a maximum of $2.5 million. When you enroll for supplemental life insurance, you will be enrolled for matching AD&D insurance. The lesser of three times annual salary or $500,000 is guaranteed without Evidence of Insurability (EOI) if elected within 31 days of initial eligibility or during open enrollment. All requests above three times annual salary or $500,000 require EOI. Services available When you are enrolled in life coverage, you’ll also receive these benefits from Minnesota Life. •Beneficiary financial counseling: resources designed to help beneficiaries make sound financial decisions at a difficult time •Legacy planning services: online information designed to help individuals and families work through end-of-life issues when dealing with the loss of a loved one or planning for their own passing •Legal services: a program that offers insureds, active or retired, and their families a place to turn for support when faced with legal questions or issues •Travel assistance: 24/7 service for emergency assistance and transport services when traveling 100 or more miles away from home To learn more, visit Minnesota Life at www.lifebenefits.com. Note: If you experience a change in status, you may be permitted to make changes to your life insurance coverage. Naming beneficiaries During enrollment, you have an opportunity to name beneficiaries for any insurance coverage you choose. 2015 Benefits Life Insurance Dependent coverage You can buy life insurance coverage for your dependents, too. You can choose to cover your spouse, your children, or both. • Spouse coverage: You may elect or increase in amounts from $10,000 to $500,000. Your spouse must provide EOI for elections or increases in coverage. If you are a newly eligible employee, you may elect up to $50,000 without EOI within 31 days of your initial eligibility. During open enrollment, all elections or increases in spouse life require an EOI. If you and your spouse are USG employees, you may not have spouse life coverage. •Child(ren) coverage: You may elect $5,000, $10,000, or $15,000 for each of your eligible children. Dependent children from age 19 to 26 do not have to show evidence of full-time student status. If you and your spouse are eligible USG employees, only one of you may cover your dependent child(ren). No EOI is required for child(ren) coverage. If you want to choose life insurance for your dependents … Keep in mind that your dependents must meet eligibility requirements. Dependents include: •Your legal spouse • Your natural, adopted, or stepchild(ren) who live with you, up to age 26 without proof of full-time student status •Your disabled child(ren), with proof of disability You may be required to show documentation of your relationship or your child’s age. Examples include a marriage certificate, birth certificate, adoption certificate, or income tax returns. Voluntary AD&D insurance You can buy additional voluntary AD&D insurance in amounts of $10,000 to $500,000. Coverage is available for you alone, or you and your family. Basic life insurance (with AD&D coverage) equal to $25,000 is provided by USG at no cost to you! 2015 Benefits Life Insurance Rate information All rates are per $1,000 per month, except when stated as a flat monthly rate. Supplemental life insurance Active Employees Spouses Rate / $1,000 (includes AD&D) Rate / $1,000 (no AD&D) Age <20 1 Age Rate / $1,000 (grandfathered with AD&D) Insured prior to 11/1/801 $0.043 <20 $0.050 $0.068 20–24 0.057 20–24 0.043 20–24 0.050 0.068 25–29 0.066 25–29 0.052 25–29 0.060 0.078 30–34 0.083 30–34 0.070 30–34 0.080 0.098 35–39 0.091 35–39 0.079 35–39 0.090 0.108 40-44 0.109 40-44 0.087 40-44 0.110 0.128 45-49 0.143 45-49 0.133 45-49 0.150 0.168 50-54 0.212 50-54 0.205 50-54 0.270 0.288 55-59 0.384 55-59 0.385 55-59 0.510 0.528 60-64 0.590 60-64 0.592 60-64 0.780 0.798 65-69 1.175 65-69 1.140 65-69 1.550 1.568 70-74 2.026 70-74 1.850 1 70-74 2.600 2.600 75-79 2.026 75-79 3.001 75-791 3.500 3.500 80+ 2.026 80+ 3.001 80+ 3.500 3.500 1 Grandfathered retiree coverage (insured prior to 11/1/80) loses matching AD&D at age 70. $0.10 Up to a maximum of $15,000. $2.35/month for $5,000 coverage Retiree Spouse Life $.50/month for $5,000 coverage Retiree Child Life2 Grandfathered Dependent Life 3 3 Rate / $1,000 (no AD&D) Insured on or after 11/1/80 Age <20 $0.057 Child Insurance2 2 Retirees $.47 per $1,000 of coverage No longer available for new retirees after 1/1/14. Voluntary AD&D coverage Employee Only $0.016 Family $0.028 Questions? For more information, contact Minnesota Life at 1-866-293-6047 or www.lifebenefits.com.