Employee Life Insurance
Benefit
Description
Term Life Insurance
Coverage amount of insurance chosen is paid to the beneficiary designated by employee at time of death. There is no cash value to term life insurance.
Core Life
Typically is the amount funded by the University's contribution or a minimum of 1 x your current salary (core minimum is based on employee group).
Optional Life
Additional amounts above the core are available.  View you  CMU Choices Benefits through the portal for amounts.
Basic Accidental Death & Dismemberment*
An amount equal to that selected by you for Core Life.
Optional Accidental Death & Dismemberment
An amount equal to that selected by you for Optional Life.
Reinstatement If your coverage ends because you are no longer employed by CMU or no longer in an eligible class; and you are rehired or return to an eligible class within 24 months of the date your coverage ends; your own or previously covered dependents coverage may be reinstated to your former elections, provided that you request such reinstatement within 31 days of the date you return to work or to an eligible class. You will not be subject to any eligibility waiting period or evidence of insurability.  You can not reinstate any amount of coverage which you or previous dependents continued under a conversion right or portability provision plan; unless you cancel such coverage.
Coverage
Enhancements
Terminal Illness   (Accelerated benefits)
80% of the selected benefit amount with a minimum of $3,000 to a maximum of $500,000 for a terminally ill employee whose life expectancy is 12 months or less.
Waiver of Premium
Premiums waived for the employee if he/she becomes totally disabled prior to age 60 and continues to age 70.  Employees will then have the option to convert.
Guaranteed Issues
(Evidence of insurability)
Employee guaranteed issue amount is 3 times salary or up to $575,000 on initial enrollment.  The overall maxmum is $750,000. You can go up 1 level each year (except 4 times your annual salary) without evidence of insurability.  Core = the amount funded by the University contribution 1, 1.5 or 2 times annual salary depending on employee group (minimum of 1 times salary).
50% Reduction of Core Coverage
Coverage reduces at the end of the plan year in which you attain age 70 on core only - if hired after 07/01/94, and terminates at retirement or disability retirement.  This includes AD&D on the core amount.
Conversion (Life) Rates based on age - No conversion on AD&D
You may convert your life coverage to an individual whole life policy with no evidence of insurability.  Conversion form and premium must be filed and received by the company within 31 days.  There will be a small set-up policy fee. Conversion is used when losing coverage or applying for waiver of premium.
An employee may port their coverage when they end their employment, retires, or reduces hours and is no longer eligible for group coverage to a term life policy at the preferred rates.  It can remain a term policy as long as premiums are made.  Portability form and premium must be filed and received by the company within 31 days from date of termination. Coverage available through age 75. 
Estate Guidance
Online will preparation at no cost to you.  To access the site you need to go to www.estateguidance.com.  You will also need a code of HFD158 to start the process.  One will per employee. Spouses may complete their own will for a small fee.
  • Your employees’ beneficiaries are provided with grief, financial, and legal counseling including:
  • Access to counselors via a dedicated toll-free telephone number 24 hours a day, 365 days a year – 1-800-411-7239.
  • Telephone counselors who can provide a needs assessment and
    help develop a grief intervention plan
  • Up to five face-to-face working sessions, or equivalent
    professional time with counselors, financial, and legal advisors
  • Referrals and support services to qualified grief counselors,
    financial, legal consultants, or another source for a specific problem.
Coverage
Added Values to your Accidental Death and Dismemberment (AD&D)
 
Coma Benefit
If as a result of an accident, an employee becomes comatose within 30 days after an accident, and remains comatose for 30 days after the waiting period, provides 1% of the principal sum for each month a person remains in a coma.  The coma maximum benefit amount equals the principal sum, less all other payments under the AD&D benefit for injury.
 
Critical Burn Benefit
Pays a benefit if the person is critically burned (over at least 25% of his body), which results in a permanent disfigurement as determined by a Physician.  Pays the lesser of 5% of the principal sum; or the actual cost of reconstructive surgery up to a maximum of $5,000.
 
Day Care benefit
If the employee loses his life in a covered accident, this benefit
provides an annual child day care expense payment, for up to 4 years.  The eligible dependent must be under age 11 at the time of death.  The child must be enrolled in a licensed day care program at the time of the accident or will be attending day care within 365 days following the accident.  Benefit is equal to 2.5% of the principal sum with a minimum of $1,250 up to a max of $2,500. 
 
Felonious Assault Benefit
Covers violent or criminal acts, involving employer funds that occur while an employee is performing his occupational duties, either in the business premises or while on a business trip.  The benefit is 10% of the principal sum up to a max of $10,000.
Therapeutic Counseling Benefit
If you sustain an injury that results in a loss, other than loss of life, that is payable under the AD&D benefit, plan will pay an additional Therapeutic counseling benefit if you require therapeutic counseling due to the loss. Must begin within 90 days of date of the loss and incurred no later than one year from the date of loss. See book for more details.
 
Paralysis Benefit
The Principal sum is payable for covered accidents sustained by the employee resulting in quadriplegia; 75% of the principal sum for paraplegia; or 50% for hemiplegia.
 
Rehabilitation Benefit
If a covered loss, other than loss of life, provides a benefit for training expenses incurred within 2 years of the accident to help prepare the insured person for an occupation in which he would not have engaged, except for the injury.  Pays 2.5% of principal sum up to a max of $2,500.
Adaptive home and Vehicle Benefit
If you sustain an injury that results in a loss, other than a loss if life, payable under the AD&D benefit, policy will pay an additional adaptive home and vehicle benefit. This benefit pays a benefit for the one-time cost of alterations to your principal residence; and/or private automobile; to make the residence accessible and or the private automobile drivable or rideable. The cost must be incurred within two years from the date of accident. 
Seat Belt (only if AD&D coverage is paid first)
Provides an additional 10% of AD&D, with a minimum of $1,000 to a maximum of $10,000 if the employee dies as a result of bodily injuries caused by a covered accident while driving or riding in a private passenger car and was using the car seat belt at the time of the accident.
Air Bag (only if AD&D coverage is paid first)
Provides an additional 5% of AD&D with a maximum of $5,000 if the employee dies as a result of bodily injuries caused by a covered accident while driving or riding in a private passenger car that was equipped with an air bag, and was using the car seat belt at the time of the accident.
Repatriation
Pays for preparation and transportation of the body for cremation or burial for covered loss of life occurring of the employee outside the state of permanent residence.  Pays 5% of the insured’s AD&D amount subject to a maximum of $5,000.
Spouse AD&D Educational Benefit (only if AD&D coverage is paid first)
Provides for an additional Benefit of 2.5% of the AD&D, with a minimum of $1,250 to a maximum principle sum of $5,000.
Child AD&D Educational Benefit (only if AD&D coverage is paid first)
Provides for an additional Benefit of the lesser of 2.5% of Principal Sum with a minimum of $1,250 and a maximum of $5,000.  The benefit is payable for each dependent who qualifies as a student as the employee has chosen optional life.  Student must be:
·  A full time post high school student on date of employee’s death or a 12th grade student at time of employee’s death and become a full-time post high school student within 1 year.
·  Full-time means registered for not less than 12 course credit hours per semester.
Coverage
Exclusions
Basic Life
None
Accidental Death & Dismemberment
Your plan does not cover any loss resulting from:
  • intentionally self inflicted Injury, suicide or attempted suicide, whether sane or insane;
  • war or act of war, whether declared or undeclared.
  • Injury sustained while full-time in the armed forces of any country or international authority;
  • Injury sustained while riding on any aircraft except Civil or Public Aircraft, or Military Transport Aircraft;
    Injury while riding on any aircraft:
  • as a pilot, crew member or student pilot;
  • as a flight instructor or examiner; or
  • if it is owned, operated or leased by or on behalf of the Policyholder, or any employer or organization whose eligible persons are covered under the policy;
  • Injury sustained by voluntarily taking drugs which federal law prohibits dispensing without a prescription, including sedatives, narcotics, barbiturates, amphetamines, or hallucinogens, unless the drug is taken as prescribed or administered by a licensed physician;
  • Injury sustained by operating a motor vehicle while legally intoxicated from the use of alcohol.
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