Optional Accidental Death and Dismemberment Insurance

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Human Resources - Group Benefits
Optional Accidental Death and Dismemberment Insurance

You have the option of enrolling yourself and your family in this program. If you or your covered family member dies as a result of an accident (on or off the job), the beneficiary will receive a benefit based on the amount of coverage you select. If you choose the family coverage, your spouse’s coverage is 60% of your amount and each child’s coverage is 20% of your amount. The plan also pays partial benefits if a covered person is seriously injured in an accident and suffers the loss of a limb or eyesight. You pay the cost of coverage according to the following schedule:

Amount of Employee’s Coverage	Monthly Cost Employee Only	Amount of Spouse’s Coverage	Amount of Child’s Coverage	Monthly Cost Employee & Family
$ 25,000	$ .75	$ 15,000	$ 5,000	$1.25
50,000	1.50	30,000	10,000	2.50
75,000	2.25	45,000	15,000	3.75
100,000	3.00	60,000	20,000	5.00
125,000	3.75	75,000	25,000	6.25
150,000	4.50	90,000	30,000	7.50
*175,000	5.25	105,000	35,000	8.75
*200,000	6.00	120,000	40,000	10.00
*225,000	6.75	135,000	45,000	11.25
*250,000	7.50	150,000	50,000	12.50
*275,000	8.25	165,000	55,000	13.75
*300,000	9.00	180,000	60,000	15.00

*You are limited to 15 times your annual salary (rounded up to the next level) for all coverage amounts in excess of $150,000. Maximum coverage is $300,000.

Resignation - You may convert to an individual policy.

Retirement - This coverage is not available in retirement.

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University of Arkansas • Division of Agriculture
Cooperative Extension Service
2301 South University Avenue
Little Rock, Arkansas 72204 • USA
Phone (501) 671-2000

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Cooperative Extension Service Departments Human Resources - Group Benefits Optional Accidental Death and Dismemberment Insurance

Cooperative Extension Service Departments
Human Resources - Group Benefits
Optional Accidental Death and Dismemberment Insurance