Life & Accidental Death Benefit Plan
Symetra
The district provides life insurance benefits through Symetra Financial to all eligible employees
up to the limit as defined by the bargaining group agreement. Click on the appropriate Insurance Certificate link below in order to review or print the applicable insurance documentation for your employee group:
 Contact information
Basic Life Insurance
The district provides group life insurance protection for eligible employees at no cost to the employee. All
regular employees are eligible for an amount of life insurance based on salary. (See
chart for details) Employees eligible for life insurance benefits were initially given a benefit
card to designate a beneficiary. Beneficiary changes can be made at any time. Please include the name
of the person(s) you wish to receive your life insurance benefit upon your death, along with their social
security number, date of birth, relationship and the percentage of benefit you wish to provide them.
If a beneficiary is not elected, benefits will go to your estate. Person(s) you wish to receive
the life insurance benefit, in the event of the simultaneous death of you and your primary beneficiary,
should be listed under Contingent Beneficiary.
 Basic life insurance chart
Additionally,
the following benefits can be purchased by the employee:
| Dependent Life Insurance for active eligible employees |
To enroll, unenroll or make changes to Dependent Life Insurance, you
will need to stop by the Benefits Department in the Administration
Building to complete a new life insurance enrollment "Benefit Card" during
an open enrollment period.
There is a Dependent Life insurance policy the district has
made available for all eligible employees in the amount of $10,000 and
the premium will be paid by the employee. The $24 annual premium will
be deducted from the employee's first paycheck of the school year. This
policy will cover your spouse and eligible dependent children in the
event of their death. Please complete the Dependent Life section
on the bottom of the back page of the benefit card.
|
| |
|
|
| Supplemental Life Insurance for certain eligible employee groups |
Totem, AEA and Local 71 Custodians employees only
You can
calculate your cost for supplemental life coverage (if
available to your employee group) as follows:
-
Multiply your annual salary by 3 and round to the next higher $1,000.
-
Subtract the district-paid amount that is applicable to your bargaining unit.
-
Multiply this amount by .00013 to determine your monthly cost. Multiply
the results by 12 months for an annual cost for supplemental life and accidental death and dismemberment insurance.
-
Divide the annual cost from step 3 by 10 to determine your monthly payroll
deduction amount for the school year (September through June).
Example for employee earning $30,500 per year with a district-provided maximum of $50,000:
-
$30,500 x 3 = $91,500 rounded to $92,000
-
$92,000 - $50,000 = $42,000
-
$42,000 x .00013 = $5.46 monthly x 12 = $65.52 per year
-
$65.52 annual premium ÷ 10 = $6.56 per month, September through June
|
|
APA employees only
You may select one of three supplemental insurance options: $50,000; $100,000; $150,000
The premium is $0.13/1000. To determine your monthly payroll deduction for the school year
(September through June) multiply your choice by .00013, then multiply this amount by 12 and divide
by 10. F or example, if you choose $50,000 option:
-
$50,000 x .00013 = $6.50 monthly x 12 = $78.00 for supplemental insurance premium/year.
-
$78.00 ÷ 10 = $7.80 per month, to determine your 10-month payroll deduction (September – June)
|
Please note |
|
The plan certificate links provided on this site are solely to facilitate
the review of available benefits. The electronic text is in a “Read Only”
format. Alterations, additions, or deletions to the text are prohibited.
Any unauthorized review, use disclosure, or distribution of this text is
prohibited.
Efforts have been made to ensure this Web site contains accurate information. In
the event of a discrepancy between the electronic text and the hard copy plan
document, the hard copy plan document will prevail.
| PDF Forms |
Forms on this site are designed to be filled out by hand or on your computer, printed out, and mailed to the appropriate office. Due to the limitations of the free Adobe Acrobat Reader software you will be unable to save your changes unless you have a full version of Adobe Acrobat. |
|
|
|
 |
|
