Accidental Death and Dismemberment (AD&D) Insurance
This plan provides protection for all benefits-eligible faculty and staff if you, your spouse, or your dependent children (up to age
26) die or are dismembered as a result of an accident. The plan provides full coverage 24 hours-a-day, 365 days-a-year. You may
purchase one of four coverage amounts for you and/or your family:
If you choose coverage for yourself, your beneficiary will receive 100% of this coverage if you should die in an accident. If you are
dismembered in an accident, you will receive a percentage of your benefit amount. If you choose coverage for your family, the
chart below shows your family’s death benefit amounts. Your spouse is eligible until age 70. A Legally Domiciled Adult (LDA) is
|Accidental Death and Dismemberment Insurance (AD&D)|
|If you cover your …||The death beneﬁt amount paid would be …|
|Spouse only||50% of your benefit for spouse up to a maximum of $150,000|
|Child(ren) only||20% of your benefit up to a maximum of $30,000 per child|
|Spouse and Child(ren)||40% of your benefit for your spouse up to a maximum of $150,000 and
10% of your benefit per child
Additional Benefits through AD&D
On-Call International, Inc. is a 24-hour network of emergency medical and legal resources offering valuable protection for you
and your family when you travel more than 100 miles from home. With just one call, covered employees and their families have
access to qualified multilingual professionals trained to manage any medical emergency. Phoning the toll-free number within the
U.S. can access these services: (800) 456-3893. If you are traveling outside the U.S., you may call collect at (603) 328-1966.
Designating a Beneficiary – for All Life Insurance
Life insurance benefits are paid to the beneficiary on file when a life insurance claim is processed. You are automatically the beneficiary of any Supplemental Life Insurance you elect for your spouse and children. Your beneficiary designation form allows you to specify both a primary and secondary beneficiary for your own insurance coverage. You may change your beneficiary at any time during the calendar year. Below is an example of suggested wording for identifying your beneficiary.
|How to Designate Your Beneﬁciary for Life Insurance Beneﬁts|
|Type of Beneﬁciary||Wording to Be Used|
|To your estate||Estate|
|One beneficiary||Mary J. Smith, wife|
|Two beneficiaries (equal shares)||James Jones, brother, and Mary Scott, friend, in equal shares or the
survivor, if any.
|Two beneficiaries (unequal shares)||John J. Wills, father, as to two-thirds and Mark I. Wills, brother, as to
one-third or the survivor, if any.
|One primary and one contingent||Jane Doe, wife, if living; otherwise Tom Doe, son.|
Continuation of Life Insurance
Life insurance ends on your last day worked. Dependent life insurance coverage terminates either when your coverage ends or
when the individual ceases to be your eligible dependent. For life insurance purposes, a dependent child, who is eligible for life
insurance benefits, is covered up to age 26. You may have portability options to continue your life insurance, provided you are not sick or injured. Portability permits a portion of your existing (group) coverage to be continued through the carrier after your
University employment ends and the University contacts Reliance Standard Life Insurance within 31 days of your last day worked.
Alternatively, you have the option to convert your group life insurance to an individual (permanent) whole life policy with the
carrier, Reliance Standard. You must act within 31 days of your termination date to continue coverage under either option.
Elective Termination of Life and AD&D Insurance
You have the option to terminate your life insurance election(s), such as Employee Supplemental Life, Dependent Spouse Life,
Child Life, and AD&D, typically during the annual Benefits Open Enrollment period. If you choose to re-elect your life insurance,
this can be done only during a Benefits Open Enrollment period or if you experience a qualifying event. Loyola’s life insurance
carrier will request that you complete its Evidence of Insurability form. Your life insurance (term life) ends on the last day worked
(refer to Continuation of Life Insurance referenced above).
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