Life and Accidental Death and Dismemberment (AD&D)
Plan Details
Guaranteed Approved Coverage: No medical questions or tests for actively working Members.
Pre-existing conditions covered Day 1.
Member coverage available up to $250,000 in $10,000 increments.
Coverage includes an equal amount of Accidental Death and Dismemberment.
– If death is caused by an accident, the benefit doubles.
Spouse coverage available up to $50,000 when Member Life is elected (not to exceed 100% of Member election).
Dependent(s) are eligible for a flat $10,000 of coverage when Member Life is elected.
Member Life and AD&D
| MEMBER | MONTHLY COSTS BY AGE BRACKET | |||||||||||||
| COVERAGE* | <30 | 30-39 | 40-49 | 50-59 | 60-69 | |||||||||
| $10,000 | $2.95 | $3.05 | $4.05 | $6.64 | $11.83 | |||||||||
| $50,000 | $6.75 | $7.25 | $12.25 | $25.20 | $51.15 | |||||||||
| $100,000 | $11.50 | $12.50 | $22.50 | $48.40 | $100.30 | |||||||||
| $150,000 | $16.25 | $17.75 | $32.75 | $71.60 | $149.45 | |||||||||
| $200,000 | $21.00 | $23.00 | $43.00 | $94.80 | $198.60 | |||||||||
| $250,000 | $25.75 | $28.25 | $53.25 | $118.00 | $247.75 | |||||||||
*For additional benefit amounts not shown, please call (224) 770-5305.
Spouse Life and AD&D
| SPOUSE | MONTHLY COSTS BY AGE BRACKET | |||||||||||||
| COVERAGE* | <30 | 30-39 | 40-49 | 50-59 | 60-69 | |||||||||
| $5,000 | $2.45 | $2.50 | $3.00 | $4.29 | $6.89 | |||||||||
| $25,000 | $4.23 | $4.48 | $6.98 | $13.45 | $26.43 | |||||||||
| $50,000 | $6.45 | $6.95 | $11.95 | $24.90 | $50.85 | |||||||||
*Spouse costs are based on Member’s age. For additional benefit amounts not shown, please call (224) 770-5305.
Dependent Life and AD&D
| DEPENDENT | MONTHLY COSTS | |||||||||||||
| COVERAGE* | ALL DEPENDENTS UNDER 26 YEARS OLD | |||||||||||||
| $10,000 | $2.05 | |||||||||||||
*One cost covers all Dependents.
Important Information
IMPORTANT: The monthly cost for coverage is based on your age at the start of the coverage and will increase on the policy anniversary date after you move into a new age bracket.
Participation in this program is voluntary, and the decision to enroll rests solely with the Members. Members are responsible for bearing all associated costs. A $3 technology fee is included in all listed monthly costs for the following coverages: Short-Term Disability and Long-Term Disability. A $2 technology fee is included in all listed monthly costs for the following coverages: Member Life and Spouse Life.
IMPORTANT: If you depart from IBEW 103, opt out of paying dues, or retire, you must notify the Customer Service Center at (224) 770-5305. Not doing so within 90 days could delay or negate your eligibility for a refund.
We encourage Members to thoroughly review the complete policy booklet. Email info@unionone.com to request a copy.
This program is administered by Union One Benefits Administration.
This voluntary benefit plan is classified as a Safe Harbor plan and, as such, is not subject to the Employee Retirement Income Security Act of 1974 (ERISA). The IBEW does not contribute to the premiums for this plan on behalf of its Members, does not endorse the plan, and does not require Members to enroll in the plan. Furthermore, the Union receives no financial or other consideration in connection with the administration or promotion of this program.
For STD & LTD: These policies provide disability income insurance only and do NOT provide basic hospital, basic medical, or major medical insurance.
For Life: You have 31 days to notify Union One of your retirement if you wish to port or convert your Life Insurance.
Group Insurance coverages are issued by Sun Life Financial. Sun Life financial and the globe symbol are registered trade-marks. All rights reserved.
