Life and AD&D Plans
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Member Services: 800.525.4542
| PLAN DOCUMENTS | ||
| Company Paid Basic Life and AD&D | Voluntary Life and AD&D | |
| Benefit Summary | download |
download |
| VOLUNTARY LIFE PLAN COSTS PER $1,000 OF COVERAGE | |
| Age | Cost |
| Age 0-24 | $0.033 |
| Age 25-29 | $0.040 |
| Age 30-34 | $0.068 |
| Age 35-39 | $0.133 |
| Age 40-44 | $0.221 |
| Age 45-49 | $0.348 |
| Age 50-54 | $0.573 |
| Age 55-59 | $0.573 |
| Age 60-64 | $0.976 |
| Age 65-69 | $1.588 |
| Age 70+ | $3.154 |
| Employee/Spouse/Child AD&D | $0.030 |
| Child Vol. Life | $0.171 |
VOLUNTARY LIFE PREMIUM EXAMPLE: For a 30-year-old employee, the monthly cost for $100,000 of coverage would be $7.03 a month ($100,000 x ($.07/1,000) + $0.03).
Naming Your Beneficiary
Now is a good time to confirm that your beneficiary designation for this benefit is up to date. Review this information on our ADP website by clicking here.
Carrier Forms and Flyers
- Will Prep Flyer
- How to Use Guardian Benefits
- Life Claims Packet (Eng)
- Life Claims Packet (Sp)
- Evidence of Insurability Form (Eng)
- Evidence of Insurability Form (Sp)
- Group Term Life Portability Rates
- Group Term Life Insurance Portability Election Form
- Conversion of Group Life Insurance Form
- Conversion of Group Life Insurance to Individual Life Insurance Form
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Enrollment Information
If you've made your plan selections and are ready to enroll, click the button below for instructions on how to access our online enrollment system.
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