Support Staff Policy & Procedure for Voluntary Employee-Paid Accidental Death & Dismemberment Insurance
Policy
(Revised 6/11)
The University provides access to an Accidental Death and Dismemberment (AD&D) plan for eligible employees.
Eligibility: All regular full-time and part-time (50% time or more) faculty and academic staff and University support staff.
Effective date of benefit: Coverage will be effective as of the date of employment or appointment to an eligible status provided enrollment occurs within 60 days. Enrollment beyond 60 days cannot occur until the annual open enrollment period. Employees not actively at work on that day will become covered on the day they return to work.
Summary of benefits:
- The benefit is payable, in whole or in part, in the event of accidental:
- death,
- dismemberment, or
- loss of sight.
- Eight levels of AD&D coverage are available (see the chart below).
- Dependent options are available also (see the chart below).
| Plan | Coverage Levels for Employee Only | Family Coverage Levels | ||
| Accidental Death & Dismemberment (Optional) |
The benefit for employee-only coverage will be 100% of: |
The benefit when spouses and no children are covered under family coverage will be 60% of: |
The benefit when children but no spouse are covered under family coverage will be 20% per child of: |
The benefit when spouse and children are covered under family coverage will be 50% for the spouse and 15% for each child of: |
|
1 x Employee’s Base Annual Earnings 2 x Employee’s Base Annual Earnings 3 x Employee’s Base Annual Earnings 4 x Employee’s Base Annual Earnings 5 x Employee’s Base Annual Earnings 6 x Employee’s Base Annual Earnings 7 x Employee’s Base Annual Earnings 8 x Employee’s Base Annual Earnings
Maximum Employee Benefit: $1,000,000 Maximum Spouse Benefit: $600,000 Maximum Child Benefit: $100,000 |
||||
| Monthly Rate per $1,000 of Coverage | $0.015 per $1,000 of benefit coverage for employee-only coverage |
$0.023 per $1,000 of benefit coverage for family coverage |
||
Premium contribution: The program is entirely funded from employee premiums and rates are subject to change. The employee's monthly contributions are shown in the chart above or at the MSU Human Resources Benefits office.
Termination date of benefit:
- Coverage will terminate on the last day of the month following the month in which the last deduction is taken.
- Employees on unpaid leave of absence, who wish to maintain coverage, must forward the full premium payment to MSU Human Resources Benefits. Coverage allowed to lapse, due to non-payment of premiums, will automatically be reinstated to the coverage in effect prior to the leave. (The employee must return to an eligible status.)
- Dependent coverage terminates as above. In addition, certain changes to dependent status will terminate coverage for dependents.
Conversion of coverage: No conversion is possible.
Procedure
Application for enrollment:
Employee:
- Enroll within 60 days of initial employment or appointment to an eligible status by accessing the EBS Portal and entering your MSU NetID and password. Click on "Employee Self-Service", "Benefits" and then "Enrollment Services".
- If enrollment does not occur within 60 days of initial employment or appointment to an eligible status it is necessary to wait for an annual open enrollment period.
Changes in coverage or personal information:
Employee:
- Change the amount of coverage:
- may increase or decrease coverage
- may cancel coverage at any time, or
- may add eligible dependents.
- Change of beneficiary: May change beneficiary at any time by filling out a Beneficiary Designation Form and returning it to MSU Human Resources Benefits.
Filing a claim:
Department:
- Notify MSU Human Resources Benefits immediately upon the accidental death, dismemberment or loss of sight of an employee.
- Refer questions concerning benefits of deceased employee to MSU Human Resources Benefits.
Employee:
- Notify MSU Human Resources Benefits in the event of the accidental death of a covered dependent.
- Notify MSU Human Resources Benefits in the event of the accidental dismemberment or loss of sight of self or a covered dependent.
MSU Human Resources Benefits:
- Coordinates notification to appropriate University offices.
- Notifies carrier.
Refer questions to: MSU Human Resources Benefits (telephone 517-353-4434 or e-mail benefitsinfo@hr.msu.edu)
