Benefit Reference Guide - The School District of Palm Beach County

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Voluntary Universal Life Insurance Plan Optional EZ Value Plan — This plan also offers the EZ Value Plan Option, an inflation-fighting option which automatically increases coverage annually on each of the first five or ten policy anniversaries. For employees and their spouses under 65, the amount of the Death Benefit Increase is equal to the amount of protection an additional $1 per week deduction (or $2 per week for employees only) would purchase on the first five anniversaries. An increase of $1 per week on each of the first 10 anniversaries is available to employees and spouses up to age 60. Existing EZ Value participants may extend to the 10-year options (with restrictions) if they choose to do so. Death Benefit Restoration Rider — Automatically increases the Death Benefit to restore the advanced death benefits for home healthcare, adult day care or long-term care confinement in a nursing home. Example: An insured party has a $50,000 death benefit with the Home Health and Long-Term Care rider and dies after 10 months of long-term care confinement. With Rider Without Rider Total Benefits Paid $70,000 $50,000 Death Benefit $50,000 $30,000 Living LTC Benefits $20,000 $20,000 Long Term Care Rider Upgrade — For those with an older plan who haven’t yet upgraded the LTC Rider, all current participants may request to receive the enhanced LTC benefits at no additional cost to you. The LTC enhancements include a 4% per month benefit for Nursing Home Confinement, Home Health and Adult Day Care Services (current rider provides a 2% per month benefit). It also provides benefits for ADL assistance in an Assisted Living Facility. All new applicants will receive the LTC rider enhancements. How do I apply? Have your Enrollment Counselor fill out the Universal Life Insurance plan application. Employees – Guaranteed Issue of amount purchased by $10 per week in premium (ages 18 - 64) who have never applied for coverage, plus you may apply for coverage amounts up to $200,000 (not to exceed $14 per week in premiums). Spouses may apply for up to $4 per week in premium, and children ages 0 days to 23 years may apply for up to $4.32 per week certificate. In most cases, only two medical questions will be asked. Current Participants – Employees may apply for $5/week up to a total of new and existing coverage of $200,000; spouses may apply for an additional $2/week of coverage. Both employees and spouses may add the EZ Value Plan Option to their coverage. In most cases only two medical questions will be asked. Any employee or spouse applying for amounts of insurance over these limits and up to the plan maximum of $300,000, or previous participants whose Trustmark coverage has terminated, must answer a few additional questions concerning health history. Can I continue my Universal Life coverage if I terminate employment or retire? Yes. This plan is portable after the first payroll deduction. You can continue with the full amount of insurance coverage and arrange for premiums to be billed directly to you. Your coverage and rates stay the same. Waiver of Premium (optional) Premiums for base coverage and added riders and benefits may be waived if the primary insured is totally disabled as defined in the rider prior to the policy anniversary date nearest his or her 60th birthday. www.myFBMC.com 106
Voluntary Universal Life Insurance Plan What about the group term life policy I already have with the School District? This Universal Life Insurance plan complements any group term life insurance you may have, and enables you to vary your premiums, coverage, and cash value accumulation as your needs change. You can adjust the death benefit and premium upward and downward throughout your lifetime, subject to certificate limits. What if I become disabled? You can have your premiums waived in case of total disability with the optional Waiver of Premium rider, available to ages 18-60. Your Counselor can discuss with you the features and costs for this additional rider. What payroll deduction premiums will I pay? You select the coverage and premium that best fits your budget and family needs. As a School District of Palm Beach County employee, your group purchasing power ensures you receive a high insurance value at an affordable cost. Speak with your Enrollment Counselor for more information. Remember, this contract is offered in addition to any employer coverage and is paid solely by the employee through post-tax contributions. How do I make changes to my coverage? For more information regarding coverage changes, call Trustmark Customer Service at 1-866-636-5525.. Plan Provider Trustmark Insurance Company, Lake Forest, Illinois, underwrites this plan. The A.M. Best Company, an organization that compares and rates the financial strength and performance of insurance companies, rates Trustmark “A-” (Excellent). Universal Life Insurance is available on a post-tax basis, and a separate application is required. This employer-provided information is in advance of more complete coverage information from the insurer. Issue Ages: Employee 18 to 80 Spouses 18 to 70 Children 0 to 23* *Children and grandchildren are eligible the day after they leave the hospital. Policy Form GUL-205 and Riders HH/LTC and BRR What if I have questions about my certificate? After you enroll, you can get answers about your certificate by calling the dedicated Trustmark Customer Service at 1-866-636-5525. Did you read about... • Plan features? • Eligibility? • How to apply? www.myFBMC.com 107
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2012 The School District of Palm Be
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Table of Contents 4 What’s New fo
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School District of Palm Beach Count
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Enrollment Information and Deadline
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Employee Responsibilities In this s
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Enrollment Process In this sectioN.
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Employee Eligibility Requirements I
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School District of Palm Beach Count
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PALM BEACH COUNTY SCHOOL DISTRICT D
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Changing Your Coverage In this sect
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Changing Your Coverage Event Major
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Event Major Medical Dental and Visi
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Benefits While on Leave of Absence
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Coverage Termination In this sectio
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Appeals In this section... • How
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Healthcare Terms I Need To Know Wha
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Medical Plan Comparison Charts Unit
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Medical Plan Contribution 2012 Empl
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Healthcare Benefits Where should I
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Healthcare Decision Tools and Resou
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Healthcare Benefits - Preventative
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Dental In this section... • Denta
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Dental Using a Pedodontist With bot
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BENEFIT Deductible Dental Commonly
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Vision In this section... • Visio
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Vision Additional Purchases and Out
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Employee Wellness In this section..
Page 55 and 56: Healthcare Benefits - Wellness Rewa
Page 57 and 58: Healthcare Benefits - Wellness Serv
Page 59 and 60: Healthcare Benefits - Online Servic
Page 61 and 62: Employee Wellness HealthyLiving-Les
Page 63 and 64: Flexible Spending Accounts Receivin
Page 65 and 66: Health Care FSA In this section...
Page 67 and 68: Health Care FSA Is orthodontic trea
Page 69 and 70: myFBMC Card ® In this section...
Page 71 and 72: myFBMC Card ® How do I use my myFB
Page 73 and 74: Dependent Care FSA Partial List of
Page 75 and 76: FSA Leave of Absence (LOA) Palm Bea
Page 77 and 78: Getting Answers Getting answers to
Page 79 and 80: Special Retirement Plan How Does it
Page 81 and 82: Special Retirement Plan Investment
Page 83 and 84: Information FRAUD WARNING In some s
Page 85 and 86: Special Retirement Plan All registe
Page 87 and 88: Disability Income Protection About
Page 89 and 90: Disability Income Protection When C
Page 91 and 92: Disability Income Protection 24 Pay
Page 93 and 94: Disability Income Protection 22 Pay
Page 95 and 96: Group Term Life Post-tax Benefits I
Page 97 and 98: Group Term Life Post-tax Benefits P
Page 99 and 100: CIGNA’s Will Preparation Program
Page 101 and 102: CIGNA Identity Theft Program CIGNA
Page 103 and 104: Critical Illness Insurance Plan A P
Page 105: Voluntary Universal Life Insurance
Page 109 and 110: Florida Adoption Benefit Program Pa
Page 111 and 112: COBRA Notification Important Contin
Page 113 and 114: COBRA Notification Important Contin
Page 115 and 116: Beyond Your Benefits Social Securit
Page 117 and 118: Employee Self Service Self Service
Page 119 and 120: INDEX 401(a) Dollars 10, 13, 25, 35
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Benefit Reference Guide - The School District of Palm Beach County

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