Overview

Company-paid benefit for benefits eligible worksite employees.

Companies are required to provide basic coverage of at least $10,000.

Worksite employee-paid benefit that covers death only.

Worksite employee-paid benefit that covers death or dismemberment resulting from an accident only.

Coverage for Worksite Employees

Company can choose from the following levels of coverage*:

• 1X to 3X earnings, up to $1M*
• $10,000
• $20,000
• $50,000
• $100,000

Worksite employees can elect additional coverage to supplement basic coverage. Coverage levels are 1 to 6 x earnings, up to $2 million.**

Statement of Health (SOH) and carrier approval is required when requested coverage level exceeds $300,000 or is increased by more than one increment.

Worksite employees can elect additional coverage to supplement basic coverage.

Coverage levels are:

• $25,000
• $50,000
• $100,000
• $250,000
• $500,000
• $750,000

Coverage for Spouse or Domestic Partner

N/A

Worksite employees who elect employee supplemental life coverage can also elect spouse or domestic partner coverage (100% of your supplemental life benefits or $250,000, whichever is lower) in $10,000 increments.**

SOH and carrier approval is required when requested coverage exceeds $30,000 or is increased by more than one increment.

Worksite employees can elect additional coverage for eligible  family members.

Spouse or domestic partner coverage is 50% of worksite employee election amount.

Coverage for Child(ren)

N/A

Worksite employees who elect employee supplemental life coverage can also elect coverage for their child(ren) equal to $10,000 per child. Covers children up to age 26.

Worksite employees can elect additional coverage for eligible family members.

Child coverage is 10% of employee election amount per child.