Accidental death & dismemberment insurance
Accidental Death and Dismemberment insurance is available to benefit-eligible faculty and staff. You may also purchase coverage for your family at a percentage of your own coverage.
Looking for plan providers or health care providers?
Visit our plan contacts page for more information.
Monthly premiums
Accidental Death and Dismemberment insurance is 100% employee-paid. Coverage is available in increments of $25,000 up to a maximum of $150,000.
|
Accidental Death and Dismemberment- Monthly premiums, 2017 |
||
|---|---|---|
| Coverage amount | Employee cost (per amount listed) | |
| Self coverage | Family coverage | |
| $25,000 | $0.53 | $0.73 |
| $50,000 | $1.05 | $1.45 |
| $75,000 | $1.58 | $2.18 |
| $100,000 | $2.10 | $2.90 |
| $125,000 | $2.63 | $3.63 |
| $150,000 | $3.15 | $4.35 |
- 2017 Accidental Death and Dismemberment Summary Plan Description (SPD)
- 2017 Benefits Enrollment Form - For active faculty and staff who are newly eligible for benefits (e.g., newly hired or newly promoted to a benefit-eligible job)
- 2017 Benefits Change Form - For active faculty and staff who have a family status change for the 2017 calendar year.
- Beneficiary Designation Form - for active faculty and staff; to be used for Basic Life, Supplementary Life, AD&D, and Pre-Retirement Death beneficiary designations.
- Retiree Beneficiary Designation Information, part of the Retiree Benefits Enrollment/Change Form - for retirees; to be used for Basic Life, Supplemental Life, and AD&D
- Proof of Relationship Requirement form
* In the event of a difference between this webpage and the plan document or summary plan description, the plan document and plan description prevail.
Reviewed January 03, 2017.
Woodrail Centre
1000 W Nifong
Building 7 - Suite 210
Columbia, MO 65211-8220
(573) 882-2146
(800) 488-5288
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