coverage in detail. goes into effect subject to the terms and conditions of the policy. You must be

Transcription

1 E EBL1_Value Basic Life and AD&D Insurance T his this text box here. A post process uses the text above to do a "Find/Replace" of variable text and the header. Template: Basic_Life_BHS Basic Life and AD&D Insurance Benefit Highlights JetBlue Pilots, Technicians, Airways Corporation Inspectors & Dispatchers What is B asic Life and A D&D Insurance? Am I eligible? Jetblue Y our employer provides, provides, at no cost at no to cost you, to two you, forms Basic of coverage, Life and AD&D Basic Insuranc Life and ead&d i n an amount Insurance, e qual to $ 100,00 each in 0. an Life amount insurance of $100,000. pays beneficiary (please see below) a benefit if you die while you are covered. This This highlight highlight sheet sheet is is an an overview overview of of Basic Basic Life Life and and AD&D AD&D Insuranc Insurance. e. Once Once a grou group p policy p is issued to Jetblue, employer, a certificate a certificate of insurance of insurance will be will available be available to explain to explain coverage in detail. Y ou are eligible if you are an active Full-time or Part-time Pilot, Technician, Inspector or Dispatcher who works at least 15 hours per week on a regularly scheduled basis. When can I enroll? When is it effective? Benefit Reductions As an eligible C rewmember, you are automatically covered by B asic Life and AD& D Insurance; you do not have to enroll. If you have not already done so, you must designate a beneficiary as described below. Coverage C goes into effect subject to the terms and conditions of the policy. You must be actively at work with Jetblue employer on the day on the day coverage coverage takes effect. takes effect. C overage will be reduced by 35% at age 65 and 50% of original amount at age 70. All coverage cancels at retirement. What is a beneficiary? Y our beneficiary is the person (or persons) or legal entity (entities) who receives a benefit p ayment if you die while you are covered by the policy. You must select beneficiary when you complete enrollment application; selection is legally binding. J etblue Airways Corporation Basic Life BHS Page 1 of 3

2 AD&D Coverage A D&D provides benefits due to certain injuries or death from an accident. The covered injuries or death can occur up to 365 days after that accident. The insurance pays: 100% of the amount of coverage you purchase in the event of accidental loss of life, t wo limbs, the sight of both eyes, one limb and the sight of one eye, or speech and hearing in both ears or quadriplegia. 75% for paraplegia or triplegia (paralysis of three limbs). O ne-half (50%) for accidental loss of one limb, sight of one eye, or speech or hearing in both ears or hemiplegia. O ne-quarter (25%) for accidental loss of thumb and index finger of the same hand or uniplegia. Y our total benefit for all losses due to the same accident will not be more than 100% of the amount of coverage you purchase. Can I keep my life coverage if I leave my employer? Yes, subject to the contract, you have the option of: Converting group life coverage to own individual policy (policies). I If f you leave Jetblue, employer, portability portability is an option is an option that allows that allows you to you continue to continue life life i insurance coverage. To be eligible, you must terminate employment prior to SSocial Security Normal Retirement Age Age.. This This option allows you you to to continue all all or or a p ortion of life insurance coverage under separate portability term policy. P portion ortability of is subject life insurance to minimum coverage of $5,000 under and a separate maximum portability of $ 1,000,00 term policy. 0 a nd does n Portability ot includeis coverage subject to for a minimum dependent of $5,000 s. Toand elect a portability, maximum of you $1,000,000 must applyand anddoes pay t not he premium include coverage within 31for days ofdependents. the termination To of elect portability, life insurance. you must Evidence apply of and insurability pay the premium will not within be required. 31 days of the termination of life insurance. Evidence of insurability will not be required. W hat is the Living Benefits Option? If you are diagnosed as terminally ill with a 12 m onth life expectancy, you may be eligible t o receive payment of a portion of life insurance. The remaining amount of life insurance would be paid to beneficiary when you die. Important Details A s is standard with most term life insurance, this insurance coverage includes certain limitations and exclusions: t he amount of coverage may be reduced when you reach certain ages. : AD&D insurance does not cover losses caused by or contributed by sickness; disease; or any treatment for either; a ny infection, except certain ones caused by an accidental cut or wound; i ntentionally self-inflicted injury, suicide or suicide attempt; war or act of war, whether declared or not; i njury sustained while in the armed forces of any country or international authority; t aking prescription or illegal drugs unless prescribed for or administered by a licensed physician; i njury sustained while committing or attempting to commit a felony; the injured person s intoxication. J etblue Airways Corporation Basic Life BHS Page 2 of 3

3 O Other exclusions may apply depending upon coverage. Once a group policy is issued to Jetblue, employer, a certificate a certificate of of insurance will be available to explain coverage in in detail. T his benefit highlights sheet is an overview of the insurance being offered and is provided for illustrative purposes only and is n This ot a benefit contract. highlights It in no way sheet changes is an overview or affects of the the policy insurance as actually being offered issued. and Only is the provided insurance for illustrative policy issued purposes to the policyholde only and is r ( not a employer) contract. It can in no fully way describe changes allor ofaffects the provisions, the policy terms, as actually conditions, issued. limitations Only the and insurance exclusions policy ofissued insurance to the c policyholder overage. In the (Jetblue) event can of any fully difference describe between all of the the provisions, benefit highlights terms, conditions, sheet and limitations the insurance and exclusions policy, the of terms of insurance the insurance coverage. policy In the apply. event of any difference between the benefit highlights sheet and the insurance policy, the terms of the insurance policy apply. J etblue Airways Corporation Basic Life BHS Page 3 of 3

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5 S VL1_Value Voluntary Life and AD&D Insurance T his this text box here. A post process uses the text above to do a "Find/Replace" of variable text and the header. Template: Life_BHS Supplemental Voluntary Life Life and and AD&D AD&D Insurance Benefit Highlights JetBlue Pilots, Technicians, Airways Corporation Inspectors & Dispatchers What Wis hat Supplemental is V oluntary Life e a and AD&D Insurance?? Am I eligible? When can I enroll? When is it effective? How H much Supplemental V oluntary Life Life and AD&D and AD&D Insurance Insurance c can I purchase? V Supplemental oluntary Life and Life AD&D and AD&D Insurance Insurance is coverage is coverage that you that pay you for. pay for. VSupplemental oluntary Life and Life AD&D and AD&D Insurance Insurance p ayspays beneficiary beneficiary (please (please see below) see below) a benefit a if you benefit dieif while you die youwhile are covered. you are covered. This T highlight sheet is an overview of Supplemental Voluntary Life and Life AD&D and AD&D Insuranc Insurance. Once a Once g roupa policy group ispolicy issuedis to issued employer, to Jetblue, a certificate of of insurance will will be be available to to explain coverage in in detail. Y ou are eligible if you are an active Full-time or Part-time Pilot, Technician, Inspector or Dispatcher who works at least 15 hours per week on a regularly scheduled basis. You Enrollment can enroll in Supplemental within 31 days Life of the and date AD&D you Insurance have a change begins in 10/16/2014 family status, and or ends within 31 Enrollment in V oluntary Life and AD&D Insurance begins 10/16/2014 a nd ends 1 days 10/30/ /30/2014 of the. completion A Special Enrollment of eligibility in early waiting 2015 period will allow as for stated easy in plan registration group policy. without evidence of insurability. C Coverage goes into effect subject to the terms and conditions of the policy. You must be actively at work with Jetblue employer on the on day the daycoverage coverage takes effect. takes effect. You Y can purchase V Supplemental oluntary Life and Life AD&D and AD&D Insuranc Insurance e in increments increments of 1 t of imes 1 times annual a Earnings E s up to 6 times t annual Earnings. E The T maximum amount you can purchase cannot be more than the t lesser of 6 times t r annual a Earnings E sor o r$1,500,000. $ 0. Annual A Earnings E sare areas a s defined in The Hartford's Hartford s contract t with employer. with Jetblue. J etblue Airways Corporation Life BHS Page 1 of 4

6 AD&D Coverage A D&D provides benefits due to certain injuries or death from an accident. The covered injuries or death can occur up to 365 days after that accident. The insurance pays: 100% of the amount of coverage you purchase in the event of accidental loss of life, t wo limbs, the sight of both eyes, one limb and the sight of one eye, or speech and hearing in both ears or quadriplegia. 75% for paraplegia or triplegia (paralysis of three limbs). O ne-half (50%) for accidental loss of one limb, sight of one eye, or speech or hearing in both ears or hemiplegia. O ne-quarter (25%) for accidental loss of thumb and index finger of the same hand or uniplegia. Y our total benefit for all losses due to the same accident will not be more than 100% of the amount of coverage you purchase. I already I already have have Supplemental V oluntary L Life and and AD&D Insurance c coverage; do do I I have to to do do anything? A re A m I guaranteed coverage? What is a beneficiary? there other limitations to enrollment? If you take no action, coverage and coverage for eligible dependents w ill automatically continue with The Hartford subject to the terms of the contract. I f you are electing coverage for the first time, or electing to increase current c overage, you will be required to provide evidence of insurability that is satisfactory to The Hartford before coverage can become effective. Y our beneficiary is the person (or persons) or legal entity (entities) who receives a benefit p ayment if you die while you are covered by the policy. You must select beneficiary when you complete enrollment application; selection is legally binding. I f you do not enroll within 31 days of first day of eligibility, you will be considered a l ate entrant. Typically, late entrants may need to show evidence of insurability and may be responsible for the cost of physical exams or other associated costs if they are required. Spouse S pouse Supplemental VoluntaryLife Insurance I (includes ( s domestic domestic partner) partner) I You If f you may elect choose VSupplemental oluntary to to purchase Life Life andspouse AD&D AD&D Voluntary Insuranc Insurance elife for Life for Insurance self, yin o you uincrements may may choose of $25,000, toof $25,000, purchase to a e S Voluntary Life Insurance in increments of $ 25,000, to a of $ 0. to maximum Spouse a maximum Supplemental of $250,000. of $250,000. Life Insurance increments of $25,000, to a maximum of $250,000. C Coverage cannot exceed 100% 1 % of othe f theamount of of Crewmember C combined voluntary/supplemental r basic and v voluntary/supplemental life insurance coverage. life You insurance may not coverage. elect coverage You. Y ou may for may not not elect spouse elect coverage if they are for in foractive Fulls spouse Time military if they service are in inactive or is already Full-Time full-time covered military as service an Crewmember or oris isalready under covered this policy. as as a Crewmember an employee under this policy. I If f spouse is confined in ina hospital or or elsewhere because because of disability of disability on the on the date date his or hisher o insurance r her insurance would normally would normally have become have become effective, effective, coverage coverage (or an increase (or anin increase coverage) in will c be overage) deferred will until bethat deferred dependent until that is no dependent longer confined is noand longer has confined performed and all has the normal performed a activities ll the normal of a healthy activities person of a healthy of the same person age of for the at same least 15 age consecutive for at least days. 15 consecutive days. If you are electing coverage for the first time, or electing to increase spouse's current I f you are electing coverage for the first time, or electing to increase spouse's current coverage, spouse will need to provide evidence of insurability that is satisfactory to c overage, spouse will need to provide evidence of insurability that is satisfactory to The Hartford before coverage can canbecome becomeeffective. effective. J etblue Airways Corporation Life BHS Page 2 of 4

7 Child(ren) C Voluntary Supplemental Life Life Insurance D oes my coverage reduce as I get older? IIf You f you may elect choose VSupplemental oluntary to purchase Life and Life Child(ren) AD&D and AD&D Insuranc Supplemental Insurance e for self, for Life self, Insurance u may you may choose coverage choose to purchas in to the e C purchase amount(s) hild(ren) Child(ren) Voluntary of $10,000 Supplemental Life for Insurance each child Life c - overage no Insurance medical in the information coverage amount(s) in is the of required. $ amount(s) 10,000 f or of each $10,000 child n for o medical each child information - no medical is required information. is required. I f dependent child(ren) is confined in a hospital or elsewhere because of d isability on the date his or her insurance would normally have become effective, c overage (or an increase in coverage) will be deferred until that dependent is no l onger confined and has performed all the normal activities of a healthy person of the same age for at least 15 consecutive days. Your child(ren) must be f rom L ive Birth but not yet age 26 to be covered. C hild(ren) age 26 or older may be covered if they were disabled prior to attaining age 26. W With respect to Voluntary Supplemental Life, Life, coverage coverage will be will reduced be reduced by 35% by 35% at age at 65 age and 65 by and 50% by of y 50% our original of original amount amount at age 70. at age With 70. respect With respect to Voluntary to Supplemental AD&D, coverage AD&D, will coverage be reduced b will y 35% be reduced at age 65. by AD&D 35% at coverage 65. AD&D terminates coverage at age terminates 70. A ll coverage at 70. cancels All coverage at retirement. cancels at retirement. C an I keep my life c overage if I leave my e mployer? Yes, subject to the contract, you have the option of: Converting group life coverage to own individual policy (policies). Converting group life coverage to own individual policy (policies). If you leave Jetblue, portability is an option that allows you to continue life I insurance f you leavecoverage. employer, To be portability eligible, you is an must option terminate that allows employment you to continue prior to life i nsurance coverage. To be eligible, you must terminate employment prior to S Social ocial Security Security Normal Normal Retirement Retirement Age Age.. This This option option allows allows you you to to continue continue all all or or a p portion of of life insurance coverage under a separate portability term policy. PPortability is is subject to a minimum of $5,000 and a maximum of $ $1,000,000 0 a and does i include ccoverage for r sspouse e a and cchild(ren). To To elect portability, you you must apply y a and pay pay the the premium premium within within days days of of the the termination termination of of life life insurance. insurance. Evidence Evidence of insurability will not be required. of insurability will not be required. Dependent spouse portability is subject to a maximum of $50,000. Dependent child(ren) portability is subject to a maximum of $10,000. W hat is the living benefits option? D o I still pay my life i nsurance premiums if I become disabled? If you are diagnosed as terminally ill with a 12 m onth life expectancy, you may be eligible t o receive payment of a portion of life insurance. The remaining amount of life insurance would be paid to beneficiary when you die. If you become totally disabled before age 60 and disability lasts for at least 6 m onths, life insurance premium may be waived. T he premium for dependent s coverage w ill also be waived if you are disabled and approved for waiver of premium. Coverage for dependents will end if the policy terminates. Important Details As is standard with most term life insurance, this insurance coverage includes certain limitations and exclusions: the amount of coverage may be reduced when you reach certain ages. death by suicide (two years). J etblue Airways Corporation Life BHS Page 3 of 4

8 AD&D insurance does not cover losses caused by or contributed by: sickness; disease; or any treatment for either; a ny infection, except certain ones caused by an accidental cut or wound; i ntentionally self-inflicted injury, suicide or suicide attempt; war or act of war, whether declared or not; i njury sustained while in the armed forces of any country or international authority; t aking prescription or illegal drugs unless prescribed for or administered by a licensed physician; i njury sustained while committing or attempting to commit a felony; the injured person s intoxication. O Other exclusions may apply depending upon coverage. Once a group policy is issued to Jetblue, employer, a certificate a certificate of of insurance will will be be available to to explain coverage in in detail. T his benefit highlights sheet is an overview of the insurance being offered and is provided for illustrative purposes only and is n This ot a benefit contract. highlights It in no way sheet changes is overview or affects of the policy insurance as actually being offered issued. and Only is the provided insurance for illustrative policy issued purposes to the only policyholde and is r ( not a employer) contract. It can in no fully way describe changes allor ofaffects the provisions, the policy terms, as actually conditions, issued. limitations Only the and insurance exclusions policy ofissued insurance to the c policyholder overage. In (Jetblue) the event can of any fully difference describe between all of the the provisions, benefit highlights terms, conditions, sheet and limitations the insurance and exclusions policy, the of terms of insurance the insurance coverage. policy In the apply. event of any difference between the benefit highlights sheet and the insurance policy, the terms of the insurance policy apply. J etblue Airways Corporation Life BHS Page 4 of 4