  
Eligibility
To qualify for life insurance benefits, you must have Plan I Earned Eligibility or Senior Performer Eligibility at the time of your death. Life insurance benefits are not available if you are covered under Plan II Earned Eligibility or the Self-Pay Program. Life insurance coverage starts when your Earned Plan I or Senior Performers Eligibility commences. However, if
an Earned Plan I participant dies in the three month waiting period between the Base Earnings Period and the Benefit Period, the life insurance benefit will be payable (but not the accidental death & dismemberment benefit).
Life Insurance Benefit
- Plan I Earned Eligibility $10,000
- Senior Performer $ 5,000
The life insurance benefit will be paid to the beneficiary(ies) you named on the most recent Performer Information Form on file with the Plan Office. The Performer Information Form is discussed on page 65.
Please call the Plan Office to request a new Performer Information Form for any changes that may affect your personal profile, such as a change in beneficiary designation.
Funeral Expenses
Up to $500 can be reimbursed to an individual who has incurred the cost for funeral expenses on behalf of an eligible participant. However, a claim needs to be submitted prior to the payment of the life insurance. The amount of life insurance benefit payable will be reduced by the amount paid for funeral expenses. In order to receive reimbursement of funeral expenses, you must submit a copy of the itemized charges, a certified copy of the death certificate and proof of payment.
Accelerated Life Insurance Benefit
In order to provide some financial assistance to terminally ill participants, the Plan provides an accelerated life insurance provision which allows terminally ill participants to receive 50% of their life insurance benefit while still living. To qualify for this benefit, the participant must be Totally Disabled and Terminally Ill as follows:
Total Disability: A participant will be considered Totally Disabled if he or she is prevented, solely because of disease or accidental bodily injury, from engaging in any occupation.
Terminally Ill: A participant will be considered Terminally Ill if he or she has a medical condition for which no effective treatment exists (or for whom known effective treatments have been tried without success) and who is certified, by at least two physicians, as unlikely to survive for longer than two years. One of the two physicians must be the Health Plan’s medical consultant.
Loss of Eligibility
When you lose Earned Eligibility under Plan I, your life insurance (but not the accidental death & dismemberment benefit) coverage will remain in effect for 31 days following the date you lost Earned Eligibility. You can convert your life insurance (but not the AD&D) coverage to an individual policy during that 31 day period without undergoing a medical examination. You may convert $5,000 if you are losing Plan I Earned Eligibility and gaining Senior Performers Eligibility. Otherwise you may convert $10,000.
If you are Totally Disabled, as defined by the Plan, at the time of loss of Earned Eligibility, and you are under age 65, your life insurance can remain in effect on a non-payment of premium basis. Benefits will be payable upon your death if you were Totally Disabled for at least nine months. You must apply for a waiver of premium with Metropolitan Life Insurance Company within 12 months from the date your Earned Eligibility ends. You will be required to provide proof of continued disability each year. Contact the Plan Office for information and forms.
|
