outlined in the conversion brochure which may be requested as needed. Premiums may change at this time.
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1 Basic Term Life and Accident Insurance Overview Prepared for the employees of Ukpeagvik Inupiat Corporation Basic Term Life Insurance Coverage paid by your employer What would happen to your family if you and your income were gone? Could they maintain their standard of living? Pay for college tuition? Household bills? What Three about in 10 households monthly carry no mortgage life insurance or on rent? anyone in the household. Half of U.S. households now believe they are underinsure d. Household Trends in U.S. Life Insurance Ownership. LIMRA, 2010 All active full-time US employees working a minimum of 32 hours per week excluding Full-Time Board Directors. Benefit Amount and Maximum - The Lesser of 2x Annual Compensation to $200,000 Coverage begins on the first of the month coinciding with or next following date of hire Benefit Reduction Schedule Benefits will reduce 65% at age 70, 50% at age 75 No one may be covered more than once under this plan. Accelerated Death Benefit Terminal Illness If you are diagnosed by two unaffiliated physicians as terminally ill with a life expectancy of 12 months or less, the benefit for terminal illness provides for up to 80% of the Voluntary Term Life Insurance coverage amount inforce or $100,000, whichever is less, to be paid to the insured. This benefit is payable only once in the Other Coverage Features insured's lifetime, and will reduce the life insurance death benefit. Waiver of Premium If you are totally disabled prior to age 60 and can't work for at least 3 months, you won't need to pay premiums for your coverage while you are disabled, provided the insurance company approves you for this benefit. You are considered totally disabled when you are completely unable to engage in any occupation for wage or profit because of injury or sickness. This benefit will remain in force until age 65, subject to proof of continuing disability each year.
2 Extended Death Benefit The extended death benefit ensures that if you become disabled prior to age 60, and die before you qualify for Waiver of Premium, we will pay the life insurance benefit if you remain disabled during that period. If you qualify for this benefit and have insured your spouse or children, their coverage is also extended. Conversion If group life insurance coverage is reduced or ends for any reason except nonpayment of premiums, you can convert to an individual policy. To convert, you must apply for the conversion policy and pay the first premium payment within 31 days after your group coverage ends. Family members may convert their coverage as well. Converted policies are subject to certain benefits and limits as outlined in the conversion brochure which may be requested as needed. Premiums may change at this time. Portability This plan allows you to continue all of your voluntary coverage if you leave your employer. Premiums may change at this time. Just pay your premiums directly to the insurance company. Coverage may be continued for you until age 70. Exclusions This plan will not pay benefits if loss of life is the result of suicide that occurs within the first two years of coverage.
3 Personal Accident Insurance Coverage Basic Personal Accident Insurance Coverage paid by your employer All active full-time US employees working a minimum of 32 hours per week excluding Full-Time Board Directors. Benefit Amount and Maximum - The Lesser of 2X Annual Compensation to $200,000 Coverage begins on the first of the month coinciding with or next following date of hire Benefit Reduction Schedule Benefits will reduce 65% at age 70, 50% at age 75 No one may be covered more than once under this plan. If covered as an employee, you can not also be covered as a dependent. A Valuable Combination of Benefits A covered accident is a sudden, unforeseeable, external event, resulting directly and independently of all other causes, in a covered injury or covered loss that occurs while coverage is in force. To help survivors of severe accidents adjust to new living circumstances, we will pay benefits according to the chart below. If, within 365 days of a covered accident, bodily injuries result in: We will pay this % of the benefit amount: Loss of life 100% Total paralysis of upper and lower limbs, or Loss of any combination of two: hands, feet or eyesight, or 100% Loss of speech and hearing in both ears Total paralysis of both lower or upper limbs 75% Total paralysis of upper and lower limbs on one side of the body, or Loss of hand, foot or sight in one eye, or 50% Loss of speech or loss of hearing in both ears Total paralysis of one upper or lower limb, or Loss of all four fingers of the same hand, or 25% Loss of thumb and index finger of the same hand Loss of all toes of the same foot 20% Coma 1% Only one benefit (the largest) will be paid for losses from the same accident.
4 Additional Benefits of Personal Accident Insurance For Wearing a Seatbelt & Protection by an Airbag Additional 10% benefit but not more than $25,000 if the covered person dies in an automobile accident while wearing a seatbelt or approved child restraint. We will increase the benefit by an additional 5% but not more than $10,000 if the insured person was also positioned in a seat protected by a properlyfunctioning and properly deployed Supplemental Restraint System (Airbag). For Comas 1% of full benefit amount, for up to 11 months, if you are in a coma for 30 days or more as a result of a covered accident. If the covered person is still in a coma after 11 months, or dies, the full benefit amount will be paid. For Exposure & Disappearance Benefits are payable if you or an insured family member suffer a covered loss due to unavoidable exposure to the elements as a result of a covered accident. If your or an insured family member's body is not found within one year of the disappearance, wrecking or sinking of the conveyance in which you or an insured family member were riding, on a trip otherwise covered, it will be presumed that you sustained loss of life as a result of a covered accident. If the covered child dies before this benefit is payable, the benefit will be paid to his or her estate. For Rehabilitation If you or incur rehabilitative expenses within 2 years of the date of a covered loss, we will pay an additional 5% of the benefit amount, up to $10,000 for each covered accident. What is Not Covered Self-inflicted injuries or suicide while sane or insane; commission or attempt to commit a felony or an assault; any act of war, declared or undeclared; any active participation in a riot, insurrection or terrorist act; bungee jumping; parachuting; skydiving; parasailing; hanggliding; sickness, disease, physical or mental impairment, or surgical or medical treatment thereof, or bacterial or viral infection; voluntarily using any drug, narcotic, poison, gas or fumes except one prescribed by a licensed physician and taken as prescribed; while operating any type of vehicle while under the influence of alcohol or any drug, narcotic or other intoxicant including any prescribed drug for which the covered person has been provided a written warning against operating a vehicle while taking it; while the covered person is engaged in the activities of active duty service in the military, navy or air force of any country or international organization (this does not include Reserve or National Guard training, unless it extends beyond 31 days); traveling in an aircraft that is owned, leased or controlled by the sponsoring organization or any of its subsidiaries or affiliates; air travel, except as a passenger on a regularly scheduled commercial airline or in an aircraft being used by the Air Mobility Command or its foreign equivalent; being flown by the covered person or in which the covered person is a member of the crew. When Your Coverage Begins and Ends Coverage becomes effective on the later of the program s effective date, the date you become eligible, the date we receive your completed enrollment form, or the date you authorize any necessary payroll deductions. Your coverage will not begin unless you are actively at work on the effective date. Dependent coverage will not begin for any dependent who on the effective date is hospital or home confined; receiving chemotherapy or radiation treatment; or disabled and under the care of a physician. Coverage will continue while you and your dependents remain elgible, the group policy is in force, and required premiums are paid. Programs Included at No Additional Cost Cigna Healthy Rewards Program Program provides you and your covered family member s discounts on health programs and
5 services like weight loss management, fitness, smoking cessation and more. Enjoy instant savings of up to 60% when you take advantage of this opportunity. Visit (Password: savings) or call: Cigna's Online Will and Health-related Legal Document and Funeral Preparation Program Offers you and your covered spouse access to a website that helps you build state-specific customized wills and other legal documents as well as create an end-of-life plan that spells out the handling of your estate and funeral arrangements. Visit Cignassurance for Beneficiaries Provides your family with bereavement counseling with certified specialists, financial information from experienced professionals and legal consultation services. Cigna's Identity Theft Program Provides access to personal case managers who give step-by-step assistance and guidance if you have had your identity stolen. Cigna's Secure Travel Program Provides emergency travel assistance, available 24 hours a day/365 days a year from anywhere in the world, any time you are more than 100 miles from home on personal, nonbusiness travel. Services include: medical assistance (including medical evacuation when necessary), travel and communication services, assistance with legal issues or lost or stolen items, and pre-departure planning information regarding immunization, visa and passport requirements, and tourism advisories. This information is a brief description of the important features of the plan. It is not a contract. Terms and conditions of life insurance coverage are set forth in Group Policy No. OK , issued in Delaware to Ukpeagvik Inupiat Corporation. The group policy is subject to the laws of the jurisdiction in which it is issued. The availability of this offer may change. Please keep this material as a reference. Coverage is underwritten by Life Insurance Company of North America, 1601 Chestnut Street, Philadelphia, PA. As used in this brochure, the term Cigna and Cigna Group Insurance are registered service marks of Life Insurance Company of North America, a CIGNA company, which is the insurer of the Group Policy. Insurance products and services are provided by the individual CIGNA companies and not by the Corporation itself. Cigna 2011
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