THE ALUMNI INSURANCE PLAN

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1 SPONSOR AND PRESENT THE ALUMNI INSURANCE PLAN GROUP INSURANCE UNDER YOUR PERSONAL CONTROL OPTIONAL ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE AVAILABLE DEVELOPED and ADMINISTERED by UNDERWRITTEN BY 1

2 Accidents happen, and when they do, the plans of a lifetime can be changed forever. Unfortunately, there is no way to guarantee that you or your family will never be involved in some form of accident. However, thanks to this Optional Accidental Death and Dismemberment Insurance Plan, financial compensation may be available if you or a member of your family dies or is injured as the result of an accident. How It Works Optional Accidental Death and Dismemberment Insurance is available in two forms: a Member Plan and a Family plan. It offers coverage in units of $50,000 up to the maximum principal sum of $300,000. The protection you receive is in force 24 hours a day, whether you're at work, home or on vacation. What's more, because the Memorial University Alumni Association has endorsed this plan, you can make your payments through no-charge monthly automatic bank deduction. What could be easier than that? Who s Eligible for Coverage? If you're under the age of 65, you and your spouse are eligible for coverage. Your unmarried, dependent children are also eligible for coverage if you choose the Family Plan. (We consider dependent children to be unmarried children of the member or the member's spouse who are less than 21 years, or up to 25 years if they are attending an accredited educational institution on a full-time basis.) What Does It Cover? Accidents resulting in death, loss of limbs or use of limbs, sight, speech or hearing are covered anytime, while at work, home, or on vacation. However, please remember that all coverage terminates at age 70. Coverage Limitations Your Optional Accidental Death and Dismemberment Insurance does not provide coverage for death or injury resulting from: any intentionally self-inflicted injury suicide while sane or insane viral or bacterial infections disease or illness physical or mental infirmity medical or surgical treatment war (declared or undeclared), insurrection, or participation in a riot air travel unless you are a passenger on a regularly-scheduled flight Service including part-time or temporary service in the armed forces of any country 2

3 What Are The Benefits? If any of the following losses occur within 365 days after the date of the accident, benefits will be paid as follows: Percentage of Principal Sum Life 100% Both hands, both feet or sight of both eyes 100% One hand and one foot 100% One hand and sight of one eye 100% One foot and sight of one eye 100% Speech and hearing in both ears 100% One arm or one leg 75% One hand, one foot or sight of one eye or speech or hearing in both ears 50% Thumb and index finger or at least four fingers of same hand 25% All toes of one foot 12.5% FOR LOSS OF USE OF: Both legs or both arms or both hands 100% One leg or one arm 75% One hand 50% Paraplegia 200% Quadriplegia 200% Hemiplegia 200% Family Plan Benefits If you select Family Plan Coverage, the amount of principal sum your dependents receive is determined by applying the following percentages to the amount of principal sum for which you are insured. your spouse and there are no children eligible for benefits 60% your spouse and there are children eligible for benefits 50% your child(ren) and there is no spouse eligible for benefits 15% your child(ren) and there is a spouse eligible for benefits 10% 3

4 What Does It Cost? This insurance is available in units of $50,000 up to a maximum of $300,000. MONTHLY COSTS SINGLE FAMILY $ 50,000 $ 2.70 $ 4.00 $100,000 $ 5.40 $ 8.00 $150,000 $ 8.10 $12.00 $200,000 $10.80 $16.00 $300,000 $16.20 $24.00 Alumni Association Benefits For its assistance in administering this plan, your Alumni Association will receive a percentage of the total premium paid. How To Apply / Further Questions If you have any questions about the plan or would like to apply for coverage, just call the Plan Administration Centre in St. John's at The above description is intended to highlight the features of the Optional Accidental Death and Dismemberment Insurance plan. The actual plan provisions are detailed in the group contract issued to your association by The Great West Life Assurance Company. The group contract shall be the governing document. Great-West Life Great-West Life is the leading group insurer in Canada and one of the largest life insurance companies in North America. A Canadian owned company, Great-West Life is dedicated to developing and offering a wide range of insurance coverages including Optional Accidental Death and Dismemberment Insurance designed to address the changing needs of Canadians. This brochure is intended to highlight the features of Optional Accidental Death and Dismemberment Insurance. The actual plan provisions are detailed in the group contract issued to your association by The Great-West Life Assurance Company. The group contract shall be the governing document. 4

5 DEVELOPED AND ADMINISTERED BY Etablished in 1880, Johnson Inc. is one of Canada s leading insurance brokers. Johnsons specializes in the development and administration of group insurance programs for a variety of Preferred Clients. A member of the Power Financial Corporation group of companies. 5

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