Basic Life Benefits at a
The Basic Life Insurance Plan is an Erlanger-paid group term life insurance
and accidental death and dismemberment insurance plan.
To be eligible for Basic Life and Accidental Death &
Dismemberment (AD&D) benefits you must be hired to work a minimum of 19.5 hours per week (0.52
– 1.00 FTE) and be classified as a regular employee.
Eligibility is lost if an employee’s status changes
to below a 0.52 FTE or upon separation of employment.
Your coverage is effective after 6 months
The amount of the group term life
insurance coverage is equal to your base annual salary and is employer paid. The
beneficiary must comply with the terms of the underwriter in making the claim
for a benefit. This plan provides double indemnity for accidental death and
dismemberment. This plan also has an accelerated death benefit.
Accelerated Death Benefit
If you become terminally ill
while insured under the Basic Life Insurance provision, you may apply for this
Living Benefit Option. This election is allowed only once in your lifetime and
is subject to the conditions shown below.
Terminally ill means your life expectancy is less than 6 months. This must be
certified by a Physician and accepted by Unum.
Living benefits will be payable when Unum receives acceptable proof from your
Physician that you are terminally ill. Such proof must be in a form that is
satisfactory to Unum. At the time such proof is given, Unum may have you
examined by a Physician of Unum’s choice. This will be at Unum’s expense.
The amount of the Living Benefit will be:
- 50% of the Life Insurance amount shown in the
Schedule of Benefits;
- determined as of the date Unum accepts proof that you
are terminally ill;
- payable only if you are living when payment is made;
- not more that $100,000.
In no event will the amount payable to your beneficiary upon your death, plus
the amount payable to you for this Living Benefit, exceed the amount that would
have been payable to your beneficiary if you had not applied for this Living
available for you to convert to a personal policy under the Conversion of Life
Insurance provision will be reduced by the amount of the Living Benefit paid to
NOTE: Benefits paid under this Living Benefit Option may be taxable. If so,
you or your beneficiary may incur a tax obligation. As with all tax matters, you
should consult your personal tax advisor to assess the impact on this
AD & D Exclusions
The AD & D (Accidental Death
and Dismemberment) benefit plan does not cover any accidental losses caused by,
contributed to by, or resulting from:
- suicide, self destruction while sane, intentionally
self-inflicted injury while sane, or self-inflicted injury while sane, or
self-inflected injury while insane.
- active participation in a riot.
- an attempt to commit or commission of a crime under
state or federal law.
- the use of any prescription or non-prescription drug,
poison, fume or other chemical substance unless used according to the
prescription or direction of your physician. This exclusion will not apply to
you if the chemical substance is ethanol.
- disease of the body or diagnostic, medical or
surgical treatment or mental disorder as set forth in the latest edition of
the Diagnostic and Statistical Manual of Mental Disorders.
- being intoxicated
- operating any motorized vehicle while intoxicated.
- war, declared or undeclared, or any act of war.
Your beneficiary designation is maintained in your Human Resources personnel
file and may also be viewed through Employee Direct Access. You can change
your beneficiary at any time by completing a new beneficiary designation form.
The change is effective the date that it is received by Human Resources. A
person’s right as a beneficiary ends if:
- you name more than one beneficiary, they will share
equally unless you state otherwise,
- a beneficiary dies before you, his or her share will be paid equally to
the surviving beneficiaries, unless you state otherwise. Any amount for which
a beneficiary is not named will be paid to your estate.
meet the eligibility criteria, you are automatically covered under this plan.
Erlanger Health System pays the entire cost of
the plan for active, eligible employees.