The Trust administers basic life insurance for Union-represented State employees
through the Prudential Life Insurance Company of America (Prudential). Coverage is automatically provided to you at no cost on the first of the
month following one year of continuous State service.
Plan Highlights
Your benefit will be paid to your beneficiary if you die while covered under this plan.
Your
benefit equals one times your Basic Annual Earnings (rounded to the next higher thousand) up to the $150,000 maximum.
Basic Annual Earnings equals your regular pay (the "total rate" on your paystub),
not counting commissions, bonuses, overtime pay or any other pay or fringe benefits, times 2,080 hours (for full-time employees) or 1,040 hours (for
part-time employees).
| Notes |
| • |
One-year
waiting period |
| • |
No cost to you. |
| • |
Separate
from Trust-sponsored supplemental life insurance coverage. |
| To Enroll |
| • |
Coverage
is automatic, but you need to designate your beneficiary. |
| • |
If your employment ends, you may convert your coverage. See your booklet-certificate
for details. |
Accidental Death Benefit
This coverage provides an additional benefit that could double your normal basic life benefit, up to a
combined maximum of $300,000. Accidental death coverage varies by Union and unit. See your booklet-certificate from Prudential for details.
Occupational-Only Accidental Death
OCSEA, SCOPE/OEA, FOP/OLC unit 48, CWA
If you sustain an injury while on the job and die within 365 days as a result of the injury, your combined
basic life and accidental death benefit is double your Basic Annual Earnings up to the maximum.
24-Hour Accidental Death and Dismemberment
District 1199/SEIU, OSTA, FOP/OLC unit 2 and 46
If you sustain an injury and die within 365 days as a result of the injury, your combined basic
life and accidental death benefit is double your Basic Annual Earnings up to the maximum.
Accelerated Death Benefit
If you :
have been diagnosed with a terminal illness and
have less than 12 months to live, according to the diagnosis,
this benefit allows you to take a cash advance of a portion of your total life insurance benefit.
You may request up to 50% of the basic life policy amount, up to the $75,000 cap. When combined with supplemental life insurance, your total accelerated
death benefit may not exceed $150,000.
Limits & Exclusions
See your plan booklet; for the final authority, your booklet-certificate from Prudential.
To
Collect Benefits
Benefits are paid to your designated beneficiary in the event of your death. You may name or
change your beneficiary at any time by completing a Beneficiary form and mailing it to Prudential. Your change is not effective until
the plan receives your documentation.
If you don't name a beneficiary or none of your beneficiaries survives you, equal payment
is made to the first of the following: spouse, children, parents, brothers and sisters, your estate.
When a covered member dies, a certified copy of the death certificate must be sent to:
Prudential Insurance Company of America
ATTN: Life Claims Supervisor
PO Box 13676
Philadelphia, Pennsylvania, 19101
Please call Prudential if you have questions at 800-778-3827
Benefits are paid to the beneficiary (or beneficiaries) on file.
Updated July 2006
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