Central New Mexico Community College Enroll October 9-30, 2017 Effective January 1, 2018 Welcome To Your New Group Life Insurance Plan Your life insurance carrier is changing to Minnesota Life Insurance Company, administered by Ochs. Please find details and rates for your NEW and ENHANCED supplemental life coverage on the Plan Summary flyer. ONE-TIME GUARANTEED ISSUE OFFER During this initial enrollment period, employees who are eligible for the supplemental life plan can elect or increase their current employee supplemental life coverage amount by $10,000 or $20,000 - No evidence of insurability is required! See below for details of this offer. Special Guaranteed Issue Offer Guaranteed Coverage Amounts One-Time Guaranteed Issue Offer Employee Term Life: or increase by $10,000 or $20,000 (provided the resulting total amount of elected supplemental life plus current supplemental life does not exceed $250,000)* Annual Enrollment Guaranteed Issue Offer Child Term Life: $10,000, $15,000, or $20,000 (one election covers all eligible children) Note: Employees can enroll in coverage for themselves beyond the guaranteed amount, up to the plan maximum of $500,000, as well as spouse life insurance, by completing the evidence of insurability form. Enroll Now Return forms by 10/30/17 *Total amount of $250,000 includes supplemental life coverage currently in force. Beneficiary designations should be reviewed and updated periodically. You are encouraged to update your elections at this time. Questions contact your employer or Ochs directly: 651-665-3789 1-800-392-7295 ochs@ochsinc.com
Central New Mexico Community College Plan Summary - Group Term Life and AD&D Insurance Group Life Insurance Program Your employer provides benefit eligible employees Term Life and Accidental Death & Dismemberment (AD&D) Insurance through Minnesota Life Insurance Company and administered by Ochs, Inc. LIFE and AD&D INSURANCE Protect yourself and your family from the unexpected loss of life and income during working years. Life Insurance provides a financial benefit to beneficiaries upon death; AD&D Insurance provides additional financial protection if the insured s death or dismemberment is due to a covered accident, whether it occurs at work or elsewhere. HOW MUCH LIFE INSURANCE DO YOU NEED? Check out the life insurance calculator at LifeBenefits.com/Insuranceneeds. Insurance helps cover Funeral/burial costs Medical bills Taxes & living expenses (i.e. mortgage, childcare) Automatically Enrolled Coverage - employer paid Employee Basic Term Life and AD&D Enrolled $50,000 Includes a matching AD&D benefit Supplemental Coverage - employee paid Employee Term Life and AD&D up to $500,000 maximum in $10,000 increments Includes a matching AD&D benefit Spouse* Term Life up to $250,000 maximum in $5,000 increments Child Term Life $10,000, $15,000 or $20,000 One premium insures all eligible children from live birth to age 26 First eligible newborn child benefit (see certificate of coverage) If your spouse or child is eligible for employee coverage, they cannot be covered as a dependent. Only one employee may cover a dependent child. *Any reference to spouse includes domestic partner; see your certificate for details. Over
MONTHLY COST Supplemental Rate per $1,000 Employee Term Life and AD&D Spouse Term Life (no AD&D) See rate grid for easy cost calculation. Age Employee Life and AD&D Spouse Life <25 $ 0.06 $ 0.04 25-29 $ 0.06 $ 0.04 30-34 $ 0.06 $ 0.04 35-39 $ 0.10 $ 0.08 40-44 $ 0.12 $ 0.10 45-49 $ 0.17 $ 0.14 50-54 $ 0.25 $ 0.22 55-59 $ 0.45 $ 0.42 60-64 $ 0.68 $ 0.66 65-69 $ 1.29 $ 1.26 70-74 $ 2.08 $ 2.06 75* $ 2.08 $ 2.06 *Rates beyond age 75 are available upon request. Rates increase with age and all rates are subject to change. Child Term Life $0.12 per $1,000 one premium insures all eligible children ENROLL NOW Turn in your completed forms to your employer by the enrollment deadline. Premiums will be automatically deducted from your paycheck. BENEFICIARY DESIGNATIONS Naming a beneficiary is an important right of life insurance ownership; this determines who receives the death benefit. It is recommended that you review and update your elections periodically. ADDITIONAL FEATURES Waiver of Premium - If you become totally and permanently disabled, life insurance premiums may be waived. Accelerated Benefit - If an insured person becomes terminally ill, he/she may be eligible to request early payment of life insurance in force. Continuation - If you are no longer eligible for coverage as an active employee, you may be eligible to continue your coverage, if elected during the limited enrollment period. Premiums may be higher than those paid by active employees. Contact your employer or Ochs for information. NEWLY ELIGIBLE EMPLOYEES A special guaranteed issue opportunity is available for newly eligible employees during their initial 30 day enrollment period. No evidence of insurability is required for the following guaranteed amounts: Employee - up to $250,000 Spouse - up to $50,000 Child - all coverage Evidence of insurability is required for elections above the guaranteed amounts. ANNUAL ENROLLMENT During your employer s designated annual enrollment period, no evidence of insurability is required for the following guaranteed amounts: Child - all coverage Evidence of insurability is required for elections above the guaranteed amounts and all other elections. OTHER ENROLLMENT If your policy or employer allows enrollment outside of their designated enrollment periods, Employee and Spouse supplemental life elections will require evidence of insurability. If you experience a family status change, check with your employer within 31 days to confirm guaranteed issue eligibility.? Contact Ochs ochs@ochsinc.com 651-665-3789 or 1-800-392-7295 This is a summary of plan provisions related to the insurance policy issued by Minnesota Life or Securian Life, affiliates of the Securian Financial Group, Inc. In the event of a conflict between this summary and the policy and/or certificate, the policy and/or certificate shall dictate the insurance provisions, exclusions, all limitations, and terms of coverage. Policy forms are offered under policy form series MHC-96-13180.30. Ochs, Inc. A Securian Company 400 Robert Street N, Ste. 1880, St. Paul, MN 55101 F-ochs Rev 9-2017 157093 Email: ochs@ochsinc.com Phone: 651-665-3789 1-800-392-7295 Web: ochsinc.com DOFU 5-2017
Employee - Supplemental Term Life and AD&D Monthly Rates (based on age) Note - See reverse side for Spouse Rates Age < 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74* Rate per $1,000 $0.06 $0.06 $0.06 $0.10 $0.12 $0.17 $0.25 $0.45 $0.68 $1.29 $2.08 Coverage $10,000 0.60 0.60 0.60 1.00 1.20 1.70 2.50 4.50 6.80 12.90 20.80 $20,000 1.20 1.20 1.20 2.00 2.40 3.40 5.00 9.00 13.60 25.80 41.60 $30,000 1.80 1.80 1.80 3.00 3.60 5.10 7.50 13.50 20.40 38.70 62.40 $40,000 2.40 2.40 2.40 4.00 4.80 6.80 10.00 18.00 27.20 51.60 83.20 $50,000 3.00 3.00 3.00 5.00 6.00 8.50 12.50 22.50 34.00 64.50 104.00 $60,000 3.60 3.60 3.60 6.00 7.20 10.20 15.00 27.00 40.80 77.40 124.80 $70,000 4.20 4.20 4.20 7.00 8.40 11.90 17.50 31.50 47.60 90.30 145.60 $80,000 4.80 4.80 4.80 8.00 9.60 13.60 20.00 36.00 54.40 103.20 166.40 $90,000 5.40 5.40 5.40 9.00 10.80 15.30 22.50 40.50 61.20 116.10 187.20 $100,000 6.00 6.00 6.00 10.00 12.00 17.00 25.00 45.00 68.00 129.00 208.00 $110,000 6.60 6.60 6.60 11.00 13.20 18.70 27.50 49.50 74.80 141.90 228.80 $120,000 7.20 7.20 7.20 12.00 14.40 20.40 30.00 54.00 81.60 154.80 249.60 $130,000 7.80 7.80 7.80 13.00 15.60 22.10 32.50 58.50 88.40 167.70 270.40 $140,000 8.40 8.40 8.40 14.00 16.80 23.80 35.00 63.00 95.20 180.60 291.20 $150,000 9.00 9.00 9.00 15.00 18.00 25.50 37.50 67.50 102.00 193.50 312.00 $160,000 9.60 9.60 9.60 16.00 19.20 27.20 40.00 72.00 108.80 206.40 332.80 $170,000 10.20 10.20 10.20 17.00 20.40 28.90 42.50 76.50 115.60 219.30 353.60 $180,000 10.80 10.80 10.80 18.00 21.60 30.60 45.00 81.00 122.40 232.20 374.40 $190,000 11.40 11.40 11.40 19.00 22.80 32.30 47.50 85.50 129.20 245.10 395.20 $200,000 12.00 12.00 12.00 20.00 24.00 34.00 50.00 90.00 136.00 258.00 416.00 $210,000 12.60 12.60 12.60 21.00 25.20 35.70 52.50 94.50 142.80 270.90 436.80 $220,000 13.20 13.20 13.20 22.00 26.40 37.40 55.00 99.00 149.60 283.80 457.60 $230,000 13.80 13.80 13.80 23.00 27.60 39.10 57.50 103.50 156.40 296.70 478.40 $240,000 14.40 14.40 14.40 24.00 28.80 40.80 60.00 108.00 163.20 309.60 499.20 $250,000 15.00 15.00 15.00 25.00 30.00 42.50 62.50 112.50 170.00 322.50 520.00 $260,000 15.60 15.60 15.60 26.00 31.20 44.20 65.00 117.00 176.80 335.40 540.80 $270,000 16.20 16.20 16.20 27.00 32.40 45.90 67.50 121.50 183.60 348.30 561.60 $280,000 16.80 16.80 16.80 28.00 33.60 47.60 70.00 126.00 190.40 361.20 582.40 $290,000 17.40 17.40 17.40 29.00 34.80 49.30 72.50 130.50 197.20 374.10 603.20 $300,000 18.00 18.00 18.00 30.00 36.00 51.00 75.00 135.00 204.00 387.00 624.00 $350,000 21.00 21.00 21.00 35.00 42.00 59.50 87.50 157.50 238.00 451.50 728.00 $400,000 24.00 24.00 24.00 40.00 48.00 68.00 100.00 180.00 272.00 516.00 832.00 $450,000 27.00 27.00 27.00 45.00 54.00 76.50 112.50 202.50 306.00 580.50 936.00 $500,000 30.00 30.00 30.00 50.00 60.00 85.00 125.00 225.00 340.00 645.00 1,040.00 *Additional rates available upon request Rates change according to age brackets. Rev 10-2017
Spouse - Supplemental Term Life Monthly Rates (based on age) Note - See reverse side for Employee Rates Age < 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74* Rate per $1,000 $0.04 $0.04 $0.04 $0.08 $0.10 $0.14 $0.22 $0.42 $0.66 $1.26 $2.06 Coverage $5,000 0.20 0.20 0.20 0.40 0.50 0.70 1.10 2.10 3.30 6.30 10.30 $10,000 0.40 0.40 0.40 0.80 1.00 1.40 2.20 4.20 6.60 12.60 20.60 $15,000 0.60 0.60 0.60 1.20 1.50 2.10 3.30 6.30 9.90 18.90 30.90 $20,000 0.80 0.80 0.80 1.60 2.00 2.80 4.40 8.40 13.20 25.20 41.20 $25,000 1.00 1.00 1.00 2.00 2.50 3.50 5.50 10.50 16.50 31.50 51.50 $30,000 1.20 1.20 1.20 2.40 3.00 4.20 6.60 12.60 19.80 37.80 61.80 $35,000 1.40 1.40 1.40 2.80 3.50 4.90 7.70 14.70 23.10 44.10 72.10 $40,000 1.60 1.60 1.60 3.20 4.00 5.60 8.80 16.80 26.40 50.40 82.40 $45,000 1.80 1.80 1.80 3.60 4.50 6.30 9.90 18.90 29.70 56.70 92.70 $50,000 2.00 2.00 2.00 4.00 5.00 7.00 11.00 21.00 33.00 63.00 103.00 $55,000 2.20 2.20 2.20 4.40 5.50 7.70 12.10 23.10 36.30 69.30 113.30 $60,000 2.40 2.40 2.40 4.80 6.00 8.40 13.20 25.20 39.60 75.60 123.60 $65,000 2.60 2.60 2.60 5.20 6.50 9.10 14.30 27.30 42.90 81.90 133.90 $70,000 2.80 2.80 2.80 5.60 7.00 9.80 15.40 29.40 46.20 88.20 144.20 $75,000 3.00 3.00 3.00 6.00 7.50 10.50 16.50 31.50 49.50 94.50 154.50 $80,000 3.20 3.20 3.20 6.40 8.00 11.20 17.60 33.60 52.80 100.80 164.80 $85,000 3.40 3.40 3.40 6.80 8.50 11.90 18.70 35.70 56.10 107.10 175.10 $90,000 3.60 3.60 3.60 7.20 9.00 12.60 19.80 37.80 59.40 113.40 185.40 $95,000 3.80 3.80 3.80 7.60 9.50 13.30 20.90 39.90 62.70 119.70 195.70 $100,000 4.00 4.00 4.00 8.00 10.00 14.00 22.00 42.00 66.00 126.00 206.00 $105,000 4.20 4.20 4.20 8.40 10.50 14.70 23.10 44.10 69.30 132.30 216.30 $110,000 4.40 4.40 4.40 8.80 11.00 15.40 24.20 46.20 72.60 138.60 226.60 $115,000 4.60 4.60 4.60 9.20 11.50 16.10 25.30 48.30 75.90 144.90 236.90 $120,000 4.80 4.80 4.80 9.60 12.00 16.80 26.40 50.40 79.20 151.20 247.20 $125,000 5.00 5.00 5.00 10.00 12.50 17.50 27.50 52.50 82.50 157.50 257.50 $130,000 5.20 5.20 5.20 10.40 13.00 18.20 28.60 54.60 85.80 163.80 267.80 $135,000 5.40 5.40 5.40 10.80 13.50 18.90 29.70 56.70 89.10 170.10 278.10 $140,000 5.60 5.60 5.60 11.20 14.00 19.60 30.80 58.80 92.40 176.40 288.40 $145,000 5.80 5.80 5.80 11.60 14.50 20.30 31.90 60.90 95.70 182.70 298.70 $150,000 6.00 6.00 6.00 12.00 15.00 21.00 33.00 63.00 99.00 189.00 309.00 $155,000 6.20 6.20 6.20 12.40 15.50 21.70 34.10 65.10 102.30 195.30 319.30 $160,000 6.40 6.40 6.40 12.80 16.00 22.40 35.20 67.20 105.60 201.60 329.60 $165,000 6.60 6.60 6.60 13.20 16.50 23.10 36.30 69.30 108.90 207.90 339.90 $170,000 6.80 6.80 6.80 13.60 17.00 23.80 37.40 71.40 112.20 214.20 350.20 $175,000 7.00 7.00 7.00 14.00 17.50 24.50 38.50 73.50 115.50 220.50 360.50 $180,000 7.20 7.20 7.20 14.40 18.00 25.20 39.60 75.60 118.80 226.80 370.80 $185,000 7.40 7.40 7.40 14.80 18.50 25.90 40.70 77.70 122.10 233.10 381.10 $190,000 7.60 7.60 7.60 15.20 19.00 26.60 41.80 79.80 125.40 239.40 391.40 $195,000 7.80 7.80 7.80 15.60 19.50 27.30 42.90 81.90 128.70 245.70 401.70 $200,000 8.00 8.00 8.00 16.00 20.00 28.00 44.00 84.00 132.00 252.00 412.00 $205,000 8.20 8.20 8.20 16.40 20.50 28.70 45.10 86.10 135.30 258.30 422.30 $210,000 8.40 8.40 8.40 16.80 21.00 29.40 46.20 88.20 138.60 264.60 432.60 $215,000 8.60 8.60 8.60 17.20 21.50 30.10 47.30 90.30 141.90 270.90 442.90 $220,000 8.80 8.80 8.80 17.60 22.00 30.80 48.40 92.40 145.20 277.20 453.20 $225,000 9.00 9.00 9.00 18.00 22.50 31.50 49.50 94.50 148.50 283.50 463.50 $230,000 9.20 9.20 9.20 18.40 23.00 32.20 50.60 96.60 151.80 289.80 473.80 $235,000 9.40 9.40 9.40 18.80 23.50 32.90 51.70 98.70 155.10 296.10 484.10 $240,000 9.60 9.60 9.60 19.20 24.00 33.60 52.80 100.80 158.40 302.40 494.40 $245,000 9.80 9.80 9.80 19.60 24.50 34.30 53.90 102.90 161.70 308.70 504.70 $250,000 10.00 10.00 10.00 20.00 25.00 35.00 55.00 105.00 165.00 315.00 515.00 *Additional rates available upon request Rates change according to age brackets. Rev 10-2017