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Life and AD&D Insurance

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Continued Benefits

Conversion and Portability Waiver of Premium
Employee Forms -Provide Evidence of Insurability- Medical History Statement -To Apply for Benefits- Accelerated Benefits Accidental Dismemberment Benefits Accidental Death Higher Education Benefit Life Insurance Benefits -To Continue Your Coverage- Group Life Insurance Portability Application Request for Life Conversion Materials Waiver of Premium Claim Packet Booklet/Brochure Group Additional Life and Voluntary AD&D Insurance Medex® Travel Assist Certificates AD&D Insurance Certificate Life Insurance Certificate Human Resources Forms -Claim Forms- Accelerated Benefits Accidental Death Higher Education Benefit Accidental Dismemberment Benefits Life Insurance Benefits -Coverage Continuation- Group Life Insurance Portability Application Waiver of Premium Claim Packet



Life and AD&D Insurance

life and ad&d

Calculators

Maricopa County provides a Basic Life and AD&D insurance plan at no cost if you are an active regular employee scheduled to work at least 20 hours per week, an elected official, or benefit-eligible contract employee. The Basic plan is 1 times your annual earnings to a maximum of $500,000, for both Life insurance and AD&D coverage.

Additional Life and Dependents Life Insurance

The County recognizes that individuals have different needs and has provided you the opportunity to apply for the right amount of protection for you and your family at very competitive group rates. Additional Life may be elected in the amount of 1 to 5 times your annual earnings to a maximum of $1,000,000 when combined with Basic Life. Dependents Life for your spouse may be elected in any multiple of $10,000, to a maximum of $100,000. Dependents Life for your child(ren) may be elected in any multiple of $5,000, to a maximum of $20,000.

Voluntary AD&D Insurance

You may choose to elect Voluntary AD&D insurance in the amount of 1 to 5 times your annual earnings to a maximum of $500,000, to cover you or both you and your dependents.

Some late enrollments and requests for coverage increases are subject to medical underwriting approval.

For answers to exclusions, limitations and reductions, please review the Group Additional Life and Voluntary AD&D Insurance Booklet.


MEDEX® Travel Assist

Designed to respond to most medical care situations and many other emergencies you and your family experience when you travel 100 miles or more from your home, MEDEX® provides a wide-ranging program of information, referral, coordination and assistance services. These services include pre-trip assistance, medical assistance, emergency transportation, travel and technical assistance, legal services and medical supplies. Assistance is available 24 hours a day, 365 days a year whether you are 100 or 10,000 miles from home. Simply print out and carry the MEDEX® Travel Assist Card. See the MEDEX® Travel Assist brochure for more detailed information.