Group Life Insurance Life and AD&D
SUMMARY OF BENEFITS
Sponsored by:
University of Dallas
Life Benefit Employee
Amount One Times Annual Salary rounded to the next higher $1,000 Minimum Amount $10,000
Maximum Amount $100,000
AD&D Benefit Employee
Amount One Times Annual Salary rounded to the next higher $1,000 Minimum Amount $10,000
Maximum Amount $100,000
Benefit Reduction Employee
Benefits will reduce: 50% at age 70
Benefits will terminate upon retirement.
Additional Benefits Employee
See Definitions page for: Accelerated Death Benefit
See Definitions page for: Seat Belt, Airbag, and Common Carrier See Definitions page for: Conversion
See Definitions page for: Accident Plus
Eligibility Employee
All full-time active employees working 30 or more hours per week in an eligible class are eligible for coverage. A delayed effective date will apply if the employee is not actively at work.
(Please see other side)
Definitions Accelerated Death Benefit
Accelerated Death Benefit provides an option to withdraw a percentage of your life insurance coverage when diagnosed as terminally ill (as defined in the policy). The death benefit will be reduced by the amount withdrawn. To qualify, you have satisfied the Active Work rule and have been covered under this policy for the required amount of time as defined by the policy. Check with your tax advisor or attorney before exercising this option.
AD&D Accidental Death and Dismemberment (AD&D) insurance provides specified benefits for a covered accidental bodily injury that directly causes dismemberment (e.g., the loss of a hand, foot, or eye). In the event that death occurs from a covered accident, both the life and the AD&D benefit would be payable.
Conversion If you terminate your employment or become ineligible for this coverage, you have the option to convert all or part of the amount of coverage in force to an individual life policy on the date of termination without Evidence of Insurability. Conversion election must be made within 31 days of your date of termination.
Guarantee Issue For timely entrants enrolled within 31 days of becoming eligible, the Guarantee Issue amount is available without any Evidence of Insurability requirement. Evidence of Insurability will be required for any amounts above this, for late enrollees or increase in insurance and it will be provided at your own expense.
Seat Belt, Airbag, Common Carrier
If you die as a result of a covered auto accident while wearing a seat belt or in a vehicle equipped with an airbag, benefits are payable up to $10,000 or 10% of the principal sum, whichever is less. If loss occurs for you due to an accident while riding as a passenger in a common carrier, benefits will be double the amount that would otherwise apply as outlined in the certificate.
Accident Plus If loss occurs due to an accident, you may also receive the following Accident Plus benefits:
• Coma: Pays 5% of your principal sum up to a maximum of $5,000 if you are in a coma as a result of an accident covered under the policy and remain in a coma for 31 continuous days.
• Plegia: Pays 100% of your principal sum for quadriplegia and 50% of your principal sum for paraplegia and hemiplegia. Plegia must be caused by a covered accident. Benefits are doubled if accident is caused by a common carrier.
• Repatriation: Pays up to $5,000 for preparation and transportation of your body when the accident occurs more than 150 miles away from home. Death must be the result of a covered accident. • Education: As a result of your death, this benefit pays 5% of the principal sum up to a maximum of
$5,000 for your eligible dependent’s post-secondary education. The benefit is paid for up to four years.
• Spouse Training: As a result of your death, this benefit pays 5% of your principal sum up to a maximum of $5,000 for your spouse and covers the cost of classes taken to retrain or refresh skills needed for employment. Benefits will be paid for one year and enrollment must occur within 365 days of the covered accident.
• Child Care: As a result of your death, this benefit pays 5% of your principal sum up to a maximum of $5,000 for expenses paid to a licensed childcare facility for an eligible dependent attending on a regular basis. The benefit will be paid for up to four consecutive years, or until your child’s 13th birthday, whichever comes first.
Term Life Coverage provided to the designated beneficiary upon the death of the insured. Coverage is provided for the time period that you are eligible and premium is paid. There is no cash value associated with this product.
Additional Benefits
BeneficiaryConnectSM Support services for beneficiaries who have experienced a loss.
TravelConnectSM Travel assistance services for employees and eligible dependents traveling more than 100 miles from
home.
Group Long-Term Disability Insurance with Core Buy-Up Option
SUMMARY OF BENEFITS
Sponsored by:
University of Dallas
Long
-t
erm disability is intended to protect your income for a long duration after you have depleted short-term disability or any sick leave your company may offer.Eligibility All full-time active employees working 30 or more hours per week in an eligible class are eligible for coverage.
Maximum Monthly Benefit
50% of salary up to $2,500 per month
Elimination Period 180 days
The number of days you must be disabled prior to collecting disability benefits.
Own Occupation Period
24 Months
Accumulation of Elimination Days
You can satisfy the days of your elimination period with either total (off work entirely) or partial (working some hours at your current job) disability. If you are working on a partial basis, you will have 2x the elimination period days to satisfy the total of 180 days.
Plan Choices You have 2 plan choices to choose from. The core plan is paid for by your employer and there is no cost to you. If you elect a buy-up option, the cost will be deducted from your salary.
Monthly Benefit Max Benefit Elimination Period Benefit Duration Core Plan 50% $2,500 180 days RBD/SSNRA
Buy-Up Option 60% $5,000 180 days RBD/SSNRA
Pre-Existing Condition
You may not be eligible for benefits if you have received treatment for a condition within the past three months until you have been covered under this plan for 12 months.
Enrollment You are able to take advantage of this coverage now without a health examination. You may not be offered this opportunity again, or may be responsible for the cost of required
examinations.
Waiver of Premium You will not be required to pay premium during any time of approved total or partial disability.
Survivor Income Benefit
A survivor benefit may be paid to your beneficiary if you should die while receiving qualifying disability payments.
EmployeeConnectSM Access to an employee assistance program for the employee or an immediate household
family member who may be experiencing personal or workplace issues.
Benefit Limitations Mental Illness: 24 months Substance Abuse: 24 months Specified Illness: 24 months
Understanding Your Benefits
Own Occupation The occupation trade or profession you were employed in prior to your disability as defined by the US DOL Dictionary of Occupational Titles.
Total Disability You are considered totally disabled if, due to an injury or illness, you are unable to perform each of the main duties of your own occupation. Your “own” occupation is covered for a specific period of time. Following this, the definition of total disability becomes the inability to perform any occupation for which you are reasonably suited based on your experience, education, or training.
Partial Disability You are considered partially disabled if you are unable, due to an injury or illness, to perform the main duties of your regular occupation on a full-time basis. Partial Disability benefits may be payable if you are earning at least 20% of the income you earned prior to becoming disabled, but not more than 99%. Partial disability benefits allow you to work and earn income from your employer as well as continue to receive benefits, which may enable you to receive 100% of your income during your time of disability.
Continuation of Disability
If you return to work full-time but become disabled from the same disability within six months of returning to work, you will begin receiving benefits again immediately.
Benefit Duration Reduction
Your benefit duration may be reduced if you become disabled after age 65.
Pre-Existing Condition
Any sickness or injury for which you have received medical treatment, consultation, care, or services (including diagnostic measures or the taking of prescribed medications) during the specified months prior to the coverage effective date. A disability arising from any such sickness or injury will be covered only if it begins after you have performed your regular occupation on a full-time basis for the specified months following the coverage effective date.
Benefit Exclusions
You will not receive benefits in the following circumstances: • Your disability is the result of a self-inflicted injury.
• You are not under the regular care of a doctor when requesting disability benefits. • You were involved in a felony commission, act of war, or participation in a riot.
Benefit Reductions
Your benefits may be reduced if you are receiving benefits from any of the following sources:
• Any compulsory benefit act or law (such as state disability plans);
• Any governmental retirement system earned as a result of working for the current policyholder;
• Any disability or retirement benefit received under a retirement plan; • Any Social Security, or similar plan or act, benefits;
• Earnings the insured earns or receives from any form of employment; • Workers compensation;
• Salary continuance or employer contributions to an employer sponsored retirement plan.
Benefit Termination
This coverage will terminate when you terminate employment with this policyholder, or at your retirement.
For assistance or additional information
Group Long-Term Disability Insurance with Core Buy-Up Option
SUMMARY OF BENEFITS
Sponsored by:
University of Dallas
Semi-Monthly Buy-Up Premium Calculation
John Doe is 35 and earns $2,500 per month. $2,500 x 0.00049 = $1.23 Semi-Monthly premium
Attained Age Premium Factors Less than 30 0.00023 30 – 34 0.00039 35 – 39 0.00049 40 – 44 0.00053 45 – 49 0.00063 50 – 54 0.00106 55 – 59 0.00112 60 – 64 0.00114 65+ 0.00124 $___________________ X _____________ = $_________________ Your Monthly Salary * Premium Factor Your Semi-Monthly Cost
*Maximum covered payroll is $8,333 monthly
This is an estimate of premium cost. Actual deductions may vary slightly due to rounding and payroll frequency.
Voluntary Life Insurance with Accidental Death and Dismemberment(AD&D)
SUMMARY OF BENEFITS
Sponsored by:
University of Dallas
Life Benefit Employee Spouse Dependent
Amount Choice of $10,000 increments Not to exceed 5 times your salary. Employees age 70 and older, maximum benefit is $100,000.
Choice of $5,000 increments
Employee must elect coverage for spouse to be eligible. Not to exceed 50% of employee elected amount.
$250 Child: 14 days to six months $10,000 Child: Six months to age 19 (to age 25 if full-time student) Newborn children to age 14 days are not eligible for a benefit.
Employee must elect coverage for dependent to be eligible.
Minimum Amount $10,000 $5,000 $10,000
Maximum Amount $300,000 $50,000 $10,000
Guarantee Issue $150,000 under age 60 $50,000 age 60-69
No Guarantee Issue age 70 and older
$30,000 under employee's age 60
$10,000 employee's age 60-69
$10,000
AD&D Benefit Employee Spouse
Amount The benefit amount is equal to the life amount elected by you. Cost included in the schedule.
Same as employee
Benefit Reduction Employee Spouse
Benefits will reduce: 50% at age 70
and will terminate at age 80.
Benefits terminate at employee age 70 or retirement, whichever occurs first.
Additional Benefits
See Definition: Accelerated Death Benefit Conversion
Portability
Seat Belt, Airbag, and Common Carrier
Eligibility Employee Spouse and Dependents
All full-time active employees working 30 or more hours per week in an eligible class are eligible for coverage. A delayed effective date will apply if the employee is not actively at work.
University of Dallas
Employee Semi-Monthly Premium
Voluntary Life and AD&D Premium for sample benefit amounts
Employee and Spouse premiums are calculated separately. Refer to Program Specifications for your maximum benefit amounts. Benefits and premium amounts reflect age reductions.
AGE Semi-Monthly Rate per $1,000 $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 $100,000 < 30 $0.043 $0.43 $0.86 $1.29 $1.72 $2.15 $2.58 $3.01 $3.44 $3.87 $4.30 30 - 34 $0.053 $0.53 $1.06 $1.59 $2.12 $2.65 $3.18 $3.71 $4.24 $4.77 $5.30 35 - 39 $0.058 $0.58 $1.16 $1.74 $2.32 $2.90 $3.48 $4.06 $4.64 $5.22 $5.80 40 - 44 $0.083 $0.83 $1.66 $2.49 $3.32 $4.15 $4.98 $5.81 $6.64 $7.47 $8.30 45 - 49 $0.138 $1.38 $2.76 $4.14 $5.52 $6.90 $8.28 $9.66 $11.04 $12.42 $13.80 50 - 54 $0.213 $2.13 $4.26 $6.39 $8.52 $10.65 $12.78 $14.91 $17.04 $19.17 $21.30 55 - 59 $0.363 $3.63 $7.26 $10.89 $14.52 $18.15 $21.78 $25.41 $29.04 $32.67 $36.30 60 - 64 $0.513 $5.13 $10.26 $15.39 $20.52 $25.65 $30.78 $35.91 $41.04 $46.17 $51.30 65 - 69 $0.763 $3.82 $7.63 $11.45 $15.26 $19.08 $22.89 $26.71 $30.52 $34.34 $38.15 70+ $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000 $1.713 $8.57 $17.13 $25.70 $24.26 $42.83 $51.39 $59.96 $68.52 $77.09 $85.65
This is an estimate of premium cost. Actual deductions may vary slightly due to rounding and payroll frequency. Example:
Use this formula to calculate premium for benefit amounts over $100,000.
Age Semi-Monthly Rate Per
$1,000 X Benefit In $1,000’s = Semi-Monthly Cost
Example: 33 $0.053 X 150 = $7.95
X =
Dependent Children Rate = $1.00 Semi-Monthly
Premium covers all dependent children regardless of the number of children.
University of Dallas
Spouse Semi-Monthly Premium
Voluntary Life and AD&D Premium for sample benefit amounts
Employee and Spouse premiums are calculated separately. Spouse premiums will be calculated based on the Employee’s age. Refer to Program Specifications for your maximum benefit amounts. Benefits and premium amounts reflect age reductions.
AGE Semi-Monthly Rate per $1,000 $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000 < 30 $0.043 $0.22 $0.43 $0.65 $0.86 $1.08 $1.29 $1.51 $1.72 $1.94 $2.15 30 - 34 $0.053 $0.27 $0.53 $0.80 $1.06 $1.33 $1.59 $1.86 $2.12 $2.39 $2.65 35 - 39 $0.058 $0.29 $0.58 $0.87 $1.16 $1.45 $1.74 $2.03 $2.32 $2.61 $2.90 40 - 44 $0.083 $0.42 $0.83 $1.25 $1.66 $2.08 $2.49 $2.91 $3.32 $3.74 $4.15 45 - 49 $0.138 $0.69 $1.38 $2.07 $2.76 $3.45 $4.14 $4.83 $5.52 $6.21 $6.90 50 - 54 $0.213 $1.07 $2.13 $3.20 $4.26 $5.33 $6.39 $7.46 $8.52 $9.59 $10.65 55 - 59 $0.363 $1.82 $3.63 $5.45 $7.26 $9.08 $10.89 $12.71 $14.52 $16.34 $18.15 60 - 64 $0.513 $2.57 $5.13 $7.70 $10.26 $12.83 $15.39 $17.96 $20.52 $23.09 $25.65 65 - 69 $0.763 $3.82 $7.63 $11.45 $15.26 $19.08 $22.89 $26.71 $30.52 $34.34 $38.15
70+ N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
This is an estimate of premium cost. Actual deductions may vary slightly due to rounding and payroll frequency. Dependent Children Rate = $1.00 Semi-Monthly
Definitions
Accelerated Death Benefit Accelerated Death Benefit provides an option to withdraw a percentage of your life insurance coverage when diagnosed as terminally ill (as defined in the policy). The death benefit will be reduced by the amount withdrawn. To qualify, you have satisfied the Active Work rule and have been covered under this policy for the required amount of time as defined by the policy. Check with your tax advisor or attorney before exercising this option.
AD&D Accidental Death and Dismemberment (AD&D) insurance provides specified benefits for a covered accidental bodily injury that directly causes dismemberment (e.g., the loss of a hand, foot, or eye). In the event that death occurs from a covered accident, both the life and the AD&D benefit would be payable.
Conversion If you terminate your employment or become ineligible for this coverage, you have the option to convert all or part of the amount of coverage in force to an individual life policy on the date of termination without Evidence of Insurability. Conversion election must be made within 31 days of your date of termination.
Guarantee Issue For timely entrants enrolled within 31 days of becoming eligible, the Guarantee Issue amount is available without any Evidence of Insurability requirement. Evidence of Insurability will be required for any amounts above this, for late enrollees or increase in insurance, and it will be provided at your own expense.
Limited Activity A period when a spouse or dependent is confined in a health care facility; or, whether confined or not, is unable to perform the regular and usual activities of a healthy person of the same age and sex.
Portability If coverage has been in force for at least 12 months, you may continue coverage for a specified period of time after your employment by paying the required premium. Portability is available if you cease employment for a reason other than total disability or retirement. A written application must be made within 31 days of your termination.
Seat Belt, Airbag, Common Carrier
If you die as a result of a covered auto accident while wearing a seat belt or in a vehicle equipped with an airbag, benefits are payable up to $10,000 or 10% of the principal sum, whichever is less. If loss occurs for you due to an accident while riding as a passenger in a common carrier, benefits will be double the amount that would otherwise apply as outlined in the certificate.
Term Life Coverage provided to the designated beneficiary upon the death of the insured. Coverage is provided for the time period that you are eligible and premium is paid. There is no cash value associated with this product.
Exclusion: Suicide Benefits will not be paid if the death results from suicide within two years after coverage is effective. May apply if employee contributes toward the premium.
Additional Benefits
BeneficiaryConnectSM Support services for beneficiaries who have experienced a loss.
TravelConnectSM Travel assistance services for employees and eligible dependents traveling more
than 100 miles from home.
For assistance or additional information
Contact Lincoln Financial Group at (800) 423-2765 or log on to www.LincolnFinancial.com
NOTE: This is not intended as a complete description of the insurance coverage offered. Controlling provisions are provided in the policy, and this summary does not modify those provisions or the insurance in any way. This is not a binding contract. A certificate of coverage will be made available to you that describes the benefits in greater details. Should there be a difference between this summary and the contract, the contract will govern.
©2008 Lincoln National Corporation
Group Insurance products are issued by The Lincoln National Life Insurance Company (Ft. Wayne, IN), which is not licensed and does not solicit business
in New York. In New York, group insurance products are issued by Lincoln Life & Annuity Company of New York (Syracuse, NY). Both are Lincoln Financial
Group companies. Product availability and/or features may vary by state. Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affiliates. Each affiliate is solely responsible for its own financial and contractual obligations.
