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| Group Life Insurance |
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| Core Life/AD &D: |
Paid 100% by employer
One times salary |
| Voluntary Life/AD&D |
Paid 100% by employee
Employee may purchase in amounts of $10,000 up to five times annual salary rounded to nearest thousand. Rate based on age and amount of coverage. |
Must provide Proof of Good Health for any amounts over $50,000.
Must provide Proof of Good Health for any additional amounts after initial enrollment.
| Dependent Life |
| Options for Coverage on Spouse: |
Options for Coverage on Child(ren): |
$10,000
$25,000
$50,000
$75,000
$100,000 (subject to EOI) |
$5,000 ($0.34 monthly rate)
$10,000 ($0.68 monthly rate
(Birth to 19, 25 if full-time student) |
Rate based on EE age & amount of coverage
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July 23, 2008
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Eastern Maine Healthcare
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