Group Term Life Insurance – CIGNA | Human Resources

Basic Life Insurance: EMPLOYER-Paid

Term Life Insurance can help protect your loved ones’ financial health if you are no longer there to support them.

Who Is Covered

The employee, legal spouse and unmarried natural and legally adopted children; live birth to age 26 years are eligible for life benefits.
The eligible employee only is covered under accidental death and dismemberment benefits.
To maintain coverage, payment of premiums is required when applicable.
Proper enrollment is required for each person to be covered.

Basic Coverage Information:

Employee Death Benefit:	2 x salary
Minimum:	$18,300
Maximum:	$50,000
Spouse Death Benefit:	$3,000
Dependent Death Benefit:	$3,000
Waiver of Premium:	Yes, after 6 month waiting period
AD&D:	Employee only

Summary of Benefits

Voluntary Life Insurance: EMPLOYEE-paid

Term Life Insurance can help protect your loved ones’ financial health if you are no longer there to support them.

Affordable group rates
Convenient payroll deduction
Access to knowledgeable service representatives.

Summary of Benefits
Voluntary Life Insurance (PDF)

Link to Medical Underwriting Form*

*Please complete the NEOED Life Insurance Coverage Enrollment Form before the Medical Underwriting.

Update beneficiaries - Current Employees

Employees with current Group/Supplemental Life Insurance coverage, submit a Beneficiary Change form within NEOED (in the Forms section) to update beneficiaries.

Payment is made to the designated beneficiary on file. In the absence of a beneficiary on file, payment will be made to:
(1) the executors or administrators of your estate,
(2) widow or widower,
(3) surviving children,
(4) surviving parents,
(5) surviving brothers and sisters,
(6) personal representative, in that order, or as ordered by a court.

Cost Guide/New York Life Medical Underwriting

Employees, past the 1st 31 days of employment at UT, and want to start Supplement Life Insurance OR increase the coverage. Use the helpful cost guide to determine the cost, thereafter complete the New York Life Medical Underwriting form. New York Life Insurance has courteous, knowledgeable customer service representatives who can assist you with the completion of your enrollment form by calling 1-800-732-1603 toll-free anytime from Monday through Friday, 8 a.m. to 6 p.m. Eastern time.

New York Life Medical Underwriting (online)*

*Please complete the NEOED Enrollment Form before the Medical Underwriting

Amount of Life Insurance

The amount of term insurance coverage for the employee is two times salary. Coverage for the spouse is $3,000 and dependents are covered at $3,000. Coverage remains constant to age 65. Benefits decrease thereafter as listed:

Age	% of Regular Benefit Reduction
65	35%
70	60%
75	75%

Accidental Death and Dismemberment Benefits

Accident or accidental injury means injury that is the direct result of an unpremeditated event of external cause, independent of disease or bodily infirmity or other cause. The benefits for accidental death and dismemberment are:

Life: Principle Sum
Two limbs or both eyes or combination: Principle Sum
One limb or one eye: 1/2 Principle Sum

Accidental Death and Dismemberment Exclusions:

No benefit will be paid for death or dismemberment caused by or resulting from:

Suicide or self-inflicted injury, whether sane or insane.
Travel or flight in an aircraft if the insured is lessee, owner, crew member, trainee or test pilot.
Disease, physical or mental infirmity, medical or surgical treatment, bacterial or other infection, pregnancy, childbirth, or miscarriage.
War or any act of war, whether declared or undeclared.

Death Benefit

The benefit will be paid to the named beneficiary (or as provided in this policy) upon request of claim form and a certified death certificate or other satisfactory evidence showing that the insured has died.

Seat Restraint Benefits

If an insured is killed in an auto accident while wearing an approved seat restraint, the death benefit will be adjusted as shown:

Employee:	Basic Death Benefit + $5,000
Spouse:	Basic Death Benefit + $5,000
Dependent Child:	2 Times Basic Death Benefit

Termination of Benefits

Benefits under this program automatically terminate on the earliest of the following:

The date of termination of the policy.
The date of expiration of the period for which the last required premium was paid for the insured, or if the insured is no longer a full-time, salaried employee.
The date the insured enters the armed services of any country for active, full-time duty.
The end of the period for which the last contribution was made if a spouse is no longer married to the insured employee.
The end of the period for which the last contribution was made for a dependent child who turns age 26.
The end of the period for which the last contribution was made for if a dependent child, under age 26, who gets married.