The Prudential Insurance Company of America
HELP PROTECT YOUR LOVED ONES— AND YOUR INCOME
Cherokee County Board of Education All Full-Time Employees Basic Term Life InsuranceBasic Accidental Death & Dismemberment InsuranceOptional Term Life Insurance Optional Dependent Term Life InsuranceOptional Accidental Death & Dismemberment Insurance
Exp. 08.2019 0308125-00001-00 Ed. 04.2015 ECEd. 02.2018-25800
0308125-00001-00
Summary of BenefitsCherokee County Board of EducationAll Full-Time EmployeesBasic Term Life, Basic Accidental Death & Dismemberment, Optional Term Life, Optional Dependent Term Life and Optional Accidental Death & DismembermentIssued by The Prudential Insurance Company of AmericaEffective: 5/1/2018
Basic Term Life
100% Employer Paid n Basic Term Life: You are automatically enrolled for 1.0 times your covered annual earnings to $200,000. Please refer to your plan certificate(s) to review the required minimum and maximum coverage amounts allowed.
n If you are terminally ill, you can get a partial payment of your group life insurance benefit. You can use this payment as you see fit. The payment to your beneficiary will be reduced by the amount you receive with the Accelerated Benefit Option.* Refer to the plan booklet for details.
n Payment of premium can be waived if you are totally disabled for 9 months, you are less than 60 years old when the disability begins, and you continue to be totally disabled. This waiver terminates at age 65. This provision may vary by state.
n Coverage will be reduced as you age - by 35% at age 65.
n Coverage will end on your termination of employment or as specified in the plan booklet. You may convert your insurance to an individual life insurance policy issued by the Prudential Insurance Company of America.
Basic Accidental Death & Dismemberment
100% Employer Paid n Basic AD&D pays you and your beneficiary a benefit for the loss of life or other injuries resulting from a covered accident -- 100% for loss of life and a lesser percentage for other injuries. Injuries covered may include loss of sight or speech, paralysis, and dismemberment of hands or feet. Basic AD&D benefits are paid regardless of other coverages you may have.
n Basic AD&D: You are automatically enrolled for an amount equal to your Basic Term Life coverage amount.
Optional Term Life
100% Employee Paid n Purchase coverage for:
1. No Coverage2. $50,0003. $100,0004. $150,0005. $200,0006. $250,000
n New Hires: If you are newly eligible, you can elect a coverage amount up to the Guaranteed Issue amount of $150,000, without providing evidence of insurability to The Prudential Insurance Company of America.
n 5/1/2018 Open Enrollment: During the open enrollment period, you can elect a coverage amount up to $150,000, without providing evidence of insurability to Prudential. Evidence of insurability satisfactory to The Prudential Insurance Company of America is required for all coverage amounts over the Guaranteed Issue amount or if enrolling after the open enrollment period.
n Current Employees who were denied coverage in the past, Current Employees who waived coverage in the past or Late Entrants (did not enroll when first eligible): Evidence of insurability satisfactory to The Prudential Insurance Company of America is required for all coverage amounts.
n If terminally ill, you can get a partial payment of your group term life insurance benefit. You can use this payment as you see fit. In the event of your death, your beneficiary will receive a benefit payout which has been reduced by the amount you receive.
n Payment of premium can be waived if you are totally disabled for 9 months, you are less than 60 years old when the disability begins, and you continue to be totally disabled. This waiver terminates at age 65. This provision may vary by state. Refer to the plan booklet for details.
n Coverage will be reduced as you age - by 35% at age 65.
n Upon termination of employment, you (if eligible to port) may choose to continue a coverage amount equal to or lower than your current benefit amount. Coverage amounts will be subject to maximum of five times your annual earnings or $1 million, whichever is less.
Spouse - Optional Dependent Term Life
100% Employee Paid n Purchase coverage for your spouse with the options listed below. Please note: The Dependent Term Life Insurance coverage amount on your spouse may not exceed 50% of your Optional Term Life coverage amount.
1. No Coverage2. $25,0003. $50,0004. $100,000
n New Hires: If your spouse is newly eligible, you can elect a coverage amount for your spouse up to the Guaranteed Issue amount of $25,000, without providing evidence of insurability to The Prudential Insurance Company of America.
n 5/1/2018 Open Enrollment: During the open enrollment period, you can elect a coverage amount for your spouse up to $25,000, without providing evidence of insurability to Prudential. Evidence of insurability satisfactory to The Prudential Insurance Company of America is required for all coverage amounts over the Guaranteed Issue amount or if enrolling after the open enrollment period.
n Current Employees whose spouse has been denied coverage in the past, Current Employees who waived spouse coverage in the past or Late Entrants (did not enroll when first eligible): Evidence of insurability satisfactory to The Prudential Insurance Company of America is required for all coverage amounts.
n Coverage will be reduced as you age - by 35% at age 65.
n Upon termination of employment, your spouse (if eligible to port) may choose to continue a coverage amount equal to or lower than your current benefit amount. Coverage amounts for you and your spouse will be subject to a maximum of five times your annual earnings or $1 million, whichever is less.
Child - Optional Dependent Term Life
100% Employee Paidn Purchase coverage for your children with the options listed below. Please note: The Optional Dependent Term Life Insurance coverage amount on your children may not exceed 50% of your Optional Term Life coverage amount. There are no health requirements for this coverage.
1. No Coverage2. 14 days to 6 months: $1,000; 6 months to age 26: $4,0003. 14 days to 6 months: $1,000; 6 months to age 26: $10,000
n Coverage begins from 14 days, and continues to age 26, if unmarried.
n Upon termination of employment, you (if eligible to port) may choose to continue a dependent child coverage amount equal to or lower than your current benefit amount.
Employee - Optional Accidental Death & Dismemberment
100% Employee Paid n Purchase coverage for:
1. No Coverage2. $50,0003. $100,0004. $150,0005. $200,0006. $250,000
n Coverage will be reduced as you age - by 35% at age 65.
Spouse - Optional Accidental Death & Dismemberment
100% Employee Paid n Purchase coverage for your spouse with the options listed below:
1. No Coverage2. $25,0003. $50,0004. $100,000
n Coverage will be reduced as you age - by 35% at age 65.
Child - Optional Accidental Death & Dismemberment
100% Employee Paid n Purchase coverage with the options listed below:
1. No Coverage2. 14 days to 6 months: $1,000; 6 months to age 26: $4,0003. 14 days to 6 months: $1,000l; 6 months to age 26: $10,000
n Coverage begins from live birth and continues to age 26, if unmarried.
Benefits, exclusions and provisions may vary by state. Refer to the plan booklet for details.
For your coverage to become effective, you must be actively at work on the effective date of the plan. If you apply for an amount thatrequires satisfactory evidence of insurability to The Prudential Insurance Company of America, you must be actively at work on the dateof approval for the amount requiring satisfactory evidence of insurability.
*Accelerated Death Benefit option is a feature that is made available to group life insurance participants. It is not a health, nursinghome, or long-term care insurance benefit and is not designed to eliminate the need for those types of insurance coverage. The deathbenefit is reduced by the amount of the accelerated death benefit paid. There is no administrative fee to accelerate benefits. Receiptof accelerated death benefits may affect eligibility for public assistance and may be taxable. The federal income tax treatment ofpayments made under this rider depends upon whether the insured is the recipient of the benefits and is considered "terminally ill" or"chronically ill." You may wish to seek professional tax advice before exercising this option.
Optional Term Life, Dependent Term Life, Long Term Disability, Short Term Disability, Accidental Death & Dismemberment Insurance coverages are issued by ThePrudential Insurance Company of America, a Prudential Financial company, Newark, NJ 07102. The Booklet-Certificate contains all details, including any policyexclusions, limitations, and restrictions, which may apply. Contract Series: 83500
© 2016 Prudential Financial, Inc. and its related entities.
Prudential, the Prudential logo, and the Rock symbol are service marks of Prudential Financial, Inc. and its related entities, registered in many jurisdictions worldwide.
Rate Sheet
Implementation of the insurance plan(s) will depend on having a specific percentage of all eligible employees enrolling in the plan(s).If this percentage of enrollment level is not met, these coverage(s) may not be effective. 0270257
How much it will cost
Cherokee County Board of EducationAll Full-Time EmployeesIssued by The Prudential Insurance Company of America
Effective: 5/1/2018
Employee - Optional Term LifeMonthly Non-Smoker Cost per Coverage Amount
Coverage is available in increments of $50,000 to a maximum of $250,000. Refer to the Optional Term Life section for evidence of insurability details. Initial rates based on age as of effective date of your coverage. Rates will change based on the following age schedule.
Please refer to your plan certificate(s) to review the required minimum and maximum coverage amounts allowed.
$50,000 $100,000 $150,000 $200,000 $250,000
Age< 25 $4.55 $9.10 $13.65 $18.20 $22.75
25-29 $4.55 $9.10 $13.65 $18.20 $22.7530-34 $5.20 $10.40 $15.60 $20.80 $26.0035-39 $6.90 $13.80 $20.70 $27.60 $34.5040-44 $9.70 $19.40 $29.10 $38.80 $48.5045-49 $15.90 $31.80 $47.70 $63.60 $79.5050-54 $26.75 $53.50 $80.25 $107.00 $133.7555-59 $40.85 $81.70 $122.55 $163.40 $204.2560-64 $55.30 $110.60 $165.90 $221.20 $276.5065-69 $108.65 $217.30 $325.95 $434.60 $543.2570-74 $202.85 $405.70 $608.55 $811.40 $1,014.2575+ $202.85 $405.70 $608.55 $811.40 $1,014.25
Employee - Optional Term LifeMonthly Smoker Cost per Coverage Amount
Coverage is available in increments of $50,000 to a maximum of $250,000. Refer to the Optional Term Life section for evidence of insurability details. Initial rates based on age as of effective date of your coverage. Rates will change based on the following age schedule.
Please refer to your plan certificate(s) to review the required minimum and maximum coverage amounts allowed.
$50,000 $100,000 $150,000 $200,000 $250,000
Age
< 25 $8.15 $16.30 $24.45 $32.60 $40.7525-29 $8.15 $16.30 $24.45 $32.60 $40.7530-34 $11.25 $22.50 $33.75 $45.00 $56.2535-39 $15.90 $31.80 $47.70 $63.60 $79.5040-44 $23.75 $47.50 $71.25 $95.00 $118.7545-49 $39.85 $79.70 $119.55 $159.40 $199.2550-54 $64.25 $128.50 $192.75 $257.00 $321.2555-59 $89.75 $179.50 $269.25 $359.00 $448.7560-64 $110.50 $221.00 $331.50 $442.00 $552.5065-69 $195.05 $390.10 $585.15 $780.20 $975.2570-74 $324.65 $649.30 $973.95 $1,298.60 $1,623.2575+ $324.45 $648.90 $973.35 $1,297.80 $1,622.25
Rates may change as the insured enters a higher age category. Also, rates may change if plan experience requires a change for all
Spouse - Optional Dependent Term LifeMonthly Cost per Coverage Amount
Coverage is available in increments of $25,000, $50,000, or $100,000, not to exceed 50% of your Optional Term Life coverage amount. Refer to the Optional Dependent Term Life section for evidence of insurability details. Initial rates based on age as of effective date of your coverage. Rates will change based on the
following age schedule.
$25,000 $50,000 $100,000
Age
< 25 $2.55 $5.10 $10.2025-29 $2.55 $5.10 $10.2030-34 $2.80 $5.60 $11.2035-39 $3.55 $7.10 $14.2040-44 $5.60 $11.20 $22.4045-49 $10.00 $20.00 $40.0050-54 $16.40 $32.80 $65.6055-59 $23.70 $47.40 $94.8060-64 $36.35 $72.70 $145.4065-69 $67.10 $134.20 $268.4070-74 $116.80 $233.60 $467.2075+ $116.80 $233.60 $467.20
Rates may change as the insured enters a higher age category. Also, rates may change if plan experience requires a change for allinsureds.
Spouse rate is based on employee's age.
Children - Optional Dependent Term Life Monthly Cost per Coverage Amount
One premium rate covers all eligible children
$4,000 $10,000
$1.08 $2.70
Rates may change if plan experience requires a change for all insureds.
Employee - Optional Accidental Death & Dismemberment Monthly Cost per Coverage AmountCoverage is available in increments of $50,000 to a maximum of $250,000. . Refer to the Optional AD&D
section for evidence of insurability details. Please refer to your plan certificate(s) to review the required minimum and maximum coverage amounts allowed.
$50,000 $100,000 $150,000 $200,000 $250,000
$2.00 $4.00 $6.00 $8.00 $10.00
Spouse - Optional Accidental Death & Dismemberment Monthly Cost per Coverage Amount Coverage is available in increments of $25,000, $50,000, or $100,000. Refer to the Optional AD&D section for evidence of insurability details.
$25,000 $50,000 $100,000
$1.00 $2.00 $4.00
Children - Optional Accidental Death & Dismemberment Monthly Cost per Coverage Amount One premium rate covers all eligible children
Coverage is available in increments of $4,000 to a maximum of $10,000.
$4,000 $10,000
$0.16 $0.40
Benefits, exclusions and provisions may vary by state. Refer to the plan booklet for details.
For your coverage to become effective, you must be actively at work on the effective date of the plan. If you apply for an amount thatrequires satisfactory evidence of insurability to The Prudential Insurance Company of America, you must be actively at work on the date ofapproval for the amount requiring satisfactory evidence of insurability.*Accelerated Death Benefit option is a feature that is made available to group life insurance participants. It is not a health, nursing home,or long-term care insurance benefit and is not designed to eliminate the need for those types of insurance coverage. The death benefit isreduced by the amount of the accelerated death benefit paid. There is no administrative fee to accelerate benefits. Receipt of accelerateddeath benefits may affect eligibility for public assistance and may be taxable. The federal income tax treatment of payments made underthis rider depends upon whether the insured is the recipient of the benefits and is considered "terminally ill" or "chronically ill." You maywish to seek professional tax advice before exercising this option.
Optional Term Life, Dependent Term Life, Long Term Disability, Short Term Disability, Accidental Death & Dismemberment Insurance coverages are issued by The PrudentialInsurance Company of America, a Prudential Financial company, Newark, NJ 07102. The Booklet-Certificate contains all details, including any policy exclusions, limitations,and restrictions, which may apply. Contract Series: 83500
© 2016 Prudential Financial, Inc. and its related entities.
Prudential, the Prudential logo, and the Rock symbol are service marks of Prudential Financial, Inc. and its related entities, registered in many jurisdictions worldwide.
0270257-00002-00
backcover
Ed. 04.2015 ECEd. 02.2018-25800 Exp. 08.2019
