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| LIFE INSURANCE |
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| Voluntary
Term Life Insurance |
You may purchase coverage in addition to the basic life insurance through
the Valassis Voluntary Term Life Insurance program. You pay for this
coverage through payroll deductions.
Coverage is available in increments of 1-5 times your salary and may
not exceed $1,000,000. Coverage over $400,000, 3-times your salary or
whichever is less is subject to evidence of insurability.
Cost
The following table reflects the cost of voluntary life insurance,
which is based on your age and salary.
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Age Bands
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Rate/cost per thousand
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less than 25
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$0.05
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age 25 - 29
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$0.05
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age 30 - 34
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$0.08
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age 35 - 39
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$0.09
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age 40 - 44
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$0.10
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age 45 - 49
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$0.15
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age 50 - 54
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$0.23
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age 55 - 59
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$0.43
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age 60 - 64
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$0.66
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age 65 - 69
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$1.27
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age 70 and older
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$2.03
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Example:
| If you are age 32 and your salary is $29,300 and electing
1 times your salary for voluntary life insurance. |
| Amount of additional insurance desired (1-5 times
salary, rounded up to nearest thousand) |
A
|
$30,000 |
| Divide "A" by 1000 |
B
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$30.00 |
| Determine rate/cost per thousand by age
band and multiply it by "B" |
C
|
Represents monthly cost: $2.40 |
| To determine the weekly or bi-weekly cost: |
|
|
| Multiply "C" by 12 and divide by 52 (weekly) |
|
Represents weekly cost: $0.55 |
| Multiply "C" by 12 and divide by 26 (bi-weekly) |
|
Represents bi-weekly cost: $1.11 |
Evidence of Insurability
If you do not elect voluntary life insurance within 31 days of
your date of hire or eligibility, you must provide evidence of insurability
to enroll for this coverage. You must also provide evidence of insurability
if you wish to increase your coverage during open enrollment more than
one level or your total coverage is over 3-times your salary or $400,000
(or whichever is less).
During open enrollment, associates will be sent a letter with instructions
on how to apply for Evidence of Insurabilty (EOI). An EOI is required
for Voluntary and Dependent Life.
Sun Life's evidence of insurability form is available here.
Qualified Change in Status
If you have a qualified change in status, you may be able to
enroll for Voluntary Life Insurance within 31 days of the event, but
evidence of insurability will be required if you are not newly eligible
or you increase your coverage more than one level. You may be able to
decrease coverage depending on the life status event. Qualified changes
in status generally include changes in:
- Your marital status, including marriage, civil union, divorce,
legal separation, annulment or death of a spouse;
- 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;
- 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; or
- Dependent status (for example, your dependent child over age 19
is no longer a full-time student)
- You get married;
- You and your spouse divorce;
- Your child is born or you adopt or become the legal guardian of
a child;
- Your spouse dies;
- Your child is no longer financially dependent on you or dies;
- Your spouse is no longer employed, which results in a loss of group
insurance; or
- You have a change in classification from part-time to full-time
or from full-time to part-time.
If Valassis Communications, Inc. and NCH associates paid through ADP
have a qualified change in status, they must contact their HR Representative.
Valassis Direct Mail and Sales & Marketing associates paid through
PeopleSoft 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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