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| LIFE INSURANCE |
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| Dependent
Term Life Insurance |
Part- and full-time associates who are scheduled to work 20 hours a
week or more may purchase insurance separately for your spouse, civil
union or domestic partner and children through the Valassis Dependent
Term Life Insurance program. You pay for this coverage through payroll
deductions.
You can choose between coverage of $50,000 for your spouse, civil union
or qualified domestic partner and/or $10,000 for each eligible child
$30,000 for your spouse, civil union or qualified domestic partner and/or
$10,000 for each eligible child or $10,000 for your spouse, civil union
or domestic partner and/or $5,000 for each eligible child.
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Coverage Amounts
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Monthly cost
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Weekly payroll cost (53 weeks in 2009)
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Bi-weekly payroll cost (26 weeks)
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$50,000/$10,000
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$3.89
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$0.88
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$1.80
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$30,000/$10,000
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$2.35
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$0.53
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$1.08
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$10,000/$5,000
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$0.81
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$0.18
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$0.37
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If your spouse, civil union or qualified domestic partner or child
should die from any cause, the dependent life insurance benefit will
automatically be paid to you.
Evidence of Insurability
If you do not elect dependent life insurance within 31 days of
your date of hire, you must provide evidence of insurability to enroll
your spouse for this coverage. Once you enroll, new dependent children
(through marriage or the birth of a child, for example) are automatically
covered.
All associates should complete the Valassis
Personal Health Application. This form can be submitted to Sun Life
for review and approval at the address on the form.
Deferred Effective Date:
When will the effective date for Dependent coverage or a change
in coverage be deferred?
If, on the date Your Dependent, is to become covered:
- under the Policy;
- for increased benefits; or
- for a new benefit;
he or she is:
- confined in a hospital; or
- confined elsewhere;
such coverage will not start until he or she:
- is discharged from the hospital; or
- is no longer confined elsewhere;
and has engaged in all the normal and customary activities of a person
of like age and gender, in good health, for at least 15 consecutive
days.
This Deferred Effective Date provision will not apply to disabled children
who qualify under the definition of Dependent Children.
Confined Elsewhere means your dependent is unable to perform,
unaided, the normal functions of daily living, or leave home or other
place of residence without assistance.
Qualified Change in Status
If you have a qualified change in status, you may be able to
enroll your spouse, civil union or domestic partner within 31 days of
the event, without providing evidence of insurability if they are newly
eligible. If you are already covered, you may increase your coverage
one level without providing evidence of insurability. You may also be
able to decrease or cancel coverage. Qualified changes in status generally
include changes in:
- Your marital status, including marriage, civil union, divorce,
legal separation, annulment or death of a spouse (no evidence of insurability
required);
- The number of your dependents, including birth, adoption, placement
for adoption or death or a dependent;
- Employment status for you, your spouse or dependent, such as starting
a new job or stopping employment (evidence is required for your spouse,
civil union or domestic if you do not currently have coverage;
- Work schedule, such as a reduction or increase in hours, a switch
between part-time and full-time employment or the start of, or return
from, unpaid leave; (evidence is required for your spouse, civil union
or domestic if you do not have coverage; or
- Dependent status (for example, your dependent child over age 19
is no longer a full-time student)
If Valassis Communications, Inc. or NCH associates have a qualified
change in status, they must contact their HR Representative. Valassis
Direct Mail and Sales and Marketing associates must make the appropriate
change on the enrollment site or notify the Associate Resource Center
immediately to report the change. Any forms must be completed and received
by the Human Resources Representative or Associate Resource Center within
31 calendar days of the qualified change in status.
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Summary Plan Description
The legal summary of this benefit will be included in the
2008 Benefits Handbook.
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