¾ÅÉ«ÊÓƵ

Accidental Death and Dismemberment insurance is available to benefit-eligible faculty and staff. You may also purchase coverage for your family at a percentage of your own coverage.

Retiree coverage is available to eligible retirees who enrolled in the plan prior to retiring. Coverage amounts are reduced based upon age as of January 1 for the plan year. See "Reduction Amount for Retirees" section for additional information.

Coverage for dependents

Dependents may include:

• Spouse or Sponsored Adult Dependent of an employee
• A child of an employee who is younger than 26 years of age
• A child of an employee over the age of 26 who is mentally or physically incapable of self-sustaining employment and meets other plan requirements
• Child for whom health care coverage is required through a Qualified Medical Child Support Order or other court/administrative order.

You should ensure you understand the details of your status by accessing the Summary Plan Description (SPD) for the insurance plan and reading the full definition.

For Active Employees

Monthly premium cost* for active employees, by coverage level per amount listed:

• Self only
  • $25,000 coverage: $0.35
  • $50,000 coverage: $0.70
  • $75,000 coverage: $1.05
  • $100,000 coverage: $1.40
  • $125,000 coverage: $1.75
  • $150,000 coverage: $2.10
• Self and dependents
  • $25,000 coverage: $0.50
  • $50,000 coverage: $1.00
  • $75,000 coverage: $1.50
  • $100,000 coverage: $2.00
  • $125,000 coverage: $2.50
  • $150,000 coverage: $3.00

*Premiums for faculty on a nine-month contract paid over nine months are different. For more information, visit the Premiums for 9-month faculty paid over 9 months webpage.

For Retirees

Monthly premium cost for eligible retirees, by coverage level per amount listed:

• Self only
  • $10,000 coverage: $0.35
  • $25,000 coverage: $0.875
  • $50,000 coverage: $1.75
• Self and dependents
  • $10,000 coverage: $0.47
  • $25,000 coverage: $1.175
  • $50,000 coverage: $2.35

Coverage amounts are reduced for retirees based upon age as of January 1 for the plan year.

• $50,000 at retirement:
  • Age 70-74 (as of Jan. 1): $25,000
  • Age 75-80* (as of Jan. 1): $10,000
• $25,000 at retirement:
  • Age 70-74 (as of Jan. 1): $25,000
  • Age 75-80* (as of Jan. 1): $10,000
• $10,000 at retirement:
  • Age 70-74 (as of Jan. 1): $10,000
  • Age 75-80* (as of Jan. 1): $10,000

*Coverage ends on the December 31 of the plan year in which you turn age 80.