# Group Life, AD&D and Dependents Insurance

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1 Group Life, AD&D and Dependents Insurance FOR EMPLOYEES OF FLE X TRONICS INTERNATIONAL USA, INC. Answers to your questions about coverage from Standard Insurance Company S TA N D A R D I N S U R A N C E C O M PA N Y

10 Spouse/Domestic Partner Life Rates The monthly premium rate for Dependents Life insurance for spouses/domestic partners is indicated in the table below. Premiums for this coverage will be deducted directly from the employee s paycheck. A change in premium rate due to a change in the spouse/domestic partner s age is effective on the January 1 coinciding with or next following the date of the change in age. Spouse s/dp s Age (as of January 1) Rate (per \$1,000 of coverage) <30...\$ to \$ to \$ to \$ to \$ to \$ to \$ to \$ to \$ \$2.060 To calculate the premium for Example: Spouse spouse/domestic partner Enter your selection age 32 on January 1 1. Amount elected write the amount of Dependents Life coverage requested for your spouse/domestic partner. Line 1: \$25, Divide Line 1 by \$1,000 and enter on Line 2. Line 2: Select your rate from the table above and enter on Line 3. Line 3: \$ Multiply Line 2 by Line 3. Line 4: \$2.43 (This is the estimated monthly cost) Employees paid on a semi-monthly basis can determine their semi-monthly premium deductions by calculating the monthly cost (from line 4. above), then dividing by 2. Employees paid on a bi-weekly basis can determine their bi-weekly premium deductions as follows: Calculate the monthly cost (from line 4. above), then multiply that amount by 12, and divide it by 26. Employees paid on a weekly basis can determine their weekly premium deductions as follows: Calculate the monthly cost (from line 4. above), then multiply that amount by 12, and divide it by Standard Insurance Company

17 About Standard Insurance Company Flextronics has chosen Standard Insurance Company to provide group Life and AD&D coverage to eligible employees. The Standard has earned a solid reputation for its quality products, superior customer service, expert resources, steady growth, innovation and strong financial performance. Founded in 1906, The Standard has developed a national presence in the employee benefits industry, providing customers with group and individual disability insurance and retirement plans, and group life and dental insurance. Just as others count on you, you can count on The Standard for insurance in a time of need. Talk with your Benefits Department for more information about group Life and AD&D insurance from The Standard. Standard Insurance Company 1100 SW Sixth Avenue Portland OR SI 10391D (5/16) GP190-LIFE

Group Additional Life Insurance F O R E M P L O Y E E S O F M O N T A N A U N I V E R S I T Y S Y S T E M Answers to your questions about coverage from Standard Insurance Company S T A N D A R D I N S

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