Life Insurance Options

Basic Life

Supplemental Life

Dependent Life

Personal Accident Insurance (AD/D)

Plan Documents

Basic Life Insurance

All benefits-eligible employees receive basic life insurance coverage in the amount of $25,000 at no cost.  Basic Life Insurance has an Accidental Death & Dismemberment (AD&D) provision.

Supplemental Life Insurance

Employees may purchase supplemental insurance in the amount of up to three times their annual salary (maximum coverage of $300,000) or a flat $15,000 policy.  Supplemental Life Insurance also has an Accidental Death & Dismemberment (AD&D) provision.

The rates for supplemental coverage for employees are as follows:

 

Age	Cost Per $1000 of Coverage
18 - 39	0.11
40 - 44	0.135
45 - 49	0.22
50 - 54	0.347
55 - 59	0.513
60 - 64	0.782
65 - 69	1.376
Over 69	2.414

Employees age 67 or older at the time of employment, reductions in Supplemental Life will apply. 

Dependent Life Insurance

Dependent Life insurance allows you to purchase life insurance for your spouse and child(ren). You are the beneficiary of this life insurance.

Dependent life insurance provides coverage in the amount of:

• $15,000 for spouse  
• $15,000 for children between six months and 19 years of age (unmarried children who are full-time students, may be covered to the age of 26) - student status documentation is required. 
• $2,000 for children who are between 14 days and six months of age

MCG also offers the option of purchasing life insurance for a Domestic Partner. If you elect to enroll in the Dependent Life - Domestic Partner plan, you will be required to complete a Domestic Partner Affidavit before the enrollment is approved.

• Applicants must meet the following criteria:

1. For at least 6 consecutive months prior to the effective date of the policy, we have resided together continuously and openly under an exclusive mutual interpersonal commitment.
2. Neither is married or a domestic partner to any person other than the person with whom we are executing this Affidavit.
3. We are not related by blood to a degree which is legally prohibited in marriage in the state in which we reside.
4. We each are legally competent to enter into a contract in the state in which we reside.
5. We each have provided for our common welfare during the time we have resided together, and we intend to continue to so provide.

* Click here for the Domestic Partner Affidavit is also available in the Benefits Office.

Premium is $5.81 per month for the entire family unit.

Personal Accident Insurance (AD/D)

Accidental Death & Dismemberment (AD&D) insurance provides your beneficiaries with additional financial security if you die or lose a limb or sight due to an accident.

• Employee - $0.25 per month/per $10,000
• Family - $0.35 per month/per $10,000

If you elect to enroll in the AD/D Family and include your Domestic Partner, you will be required to complete a Domestic Partner Affdavit before the enrollment is approved.

• Applicants must meet the following criteria:

1. For at least 6 consecutive months prior to the effective date of the policy, we have resided together continuously and openly under an exclusive mutual interpersonal commitment.
2. Neither is married or a domestic partner to any person other than the person with whom we are executing this Affidavit.
3. We are not related by blood to a degree which is legally prohibited in marriage in the state in which we reside.
4. We each are legally competent to enter into a contract in the state in which we reside.
5. We each have provided for our common welfare during the time we have resided together, and we intend to continue to so provide.

* Click here for the Domestic Partner Affidavit is also available in the Benefits Office.

*It is the employee's responsibility to notify the Human Resources Benefits & Data Management Staff @ 721-3770 if a dependent age 19 or older is no longer eligible for dependent life coverage. Failure to contact Human Resources may result in non-refundable premiums being paid to the vendor.

(Basic Life/Supplemental Life/Dependent Life Plan Document) 

(AD/D Life Insurance Plan Document)