University Human Resource Services
University Human Resource ServicesBenefits for Academic, Staff and Hourly Employees and Students
skip navigationHome Benefits Salary Employee relations Employment HRMS Policies Training workers' compensation
Quick LinkEnroll in or increase Supplemental Life Insurance.

 

Indiana University

University Human Resource Services

Insurance Supplemental Group Life Insurance

Plan Provisions

Eligible employees can add supplemental amounts to Basic Group Life Insurance. Choosing Supplemental insurance does not affect your Basic insurance.

Options available:

Amount of Insurance
Guaranteed Issue
Maximum Coverage
ONE times salary
$50,000
$250,000
TWO times salary
$100,000
$500,000
THREE times salary
$150,000
$750,000
FOUR times salary
$200,000
$1,000,000

Differences between Guaranteed Issue and Maximum Coverage:

Example #1:
A person makes $51,000/year in base salary.

If they were to choose option two (2X Salary) with a Guaranteed Issue of up to $100,000, their beneficiary would only receive $100,000 upon their death.

If they were to choose option two (2X Salary) with the Maximum Coverage option, their beneficiary would receive the full amount of two times their base salary, which would be $102,000. (To enroll in Maximum Coverage, a Medical History Statement is required.)

Example #2:
A person makes $70,000/year in base salary.

If they were to choose option three (3X Salary) with the Guarantee Issue up to $150,000, their beneficiary would only receive $150,000 upon their death.

If they were to choose option three (3X Salary) with the Maximum Issue up to $750,000, their beneficiary would receive $210,000. (To enroll in Maximum Coverage, a Medical History Statement is required.)

Example #3:
A person makes $40,000/year in base salary.

If they were to choose option one (1X Salary) with the Guarantee Issue up to $50,000, their beneficiary would only receive $40,000 upon their death.

If they were to choose option one (1X Salary) with the Maximum Issue up to $250,000, their beneficiary would only receive $40,000 upon their death. (To enroll in Maximum Coverage, a Medical History Statement is required.)

*There is no difference in rates between the Guarantee Issue and the Maximum Coverage level.

* When electing between the available options, your base salary will determine the amount of insurance that will be paid to your designated beneficiary, based on the examples provided above.

 


Plan Contributions

Basic Group Life insurance coverage is provided to eligible employees without cost, courtesy of Indiana University.

Supplemental Life insurance is an elected benefit for which employees pay 100% of the premium.

 


Eligibility

 


Initiation of Coverage

 


Updating Beneficiary Information

 


Termination of Coverage

Coverage can be changed (increased/decreased) or terminated by the employee at any time, however, an increase in coverage will require a Medical History Statement form (complete the appropriate form below for the employee's area of residence).

Employee's Medical History Statement For Indiana Residents  For IU employees living in Indiana.

Employee's Medical History Statement For Non-Indiana Residents For IU employees not living in Indiana (ex. Kentucky and Ohio).

Coverage terminates when employment with Indiana University terminates; a covered employee can convert or port the prior amount of insurance to an individual policy (conversion or portability of coverage must be completed within 31 days after group coverage ends).

For questions regarding Portability or Conversion of Basic and Supplemental Life Insurance Coverage, please contact UHRS, at (812) 855-2007.

 


Premiums

Premium rates are based on the participant's age at the time monthly payroll transactions are processed:

Effective April 1, 2007

Age
Monthly Premium Per
$1,000 of Coverage
Under 30 
$.04
30-34
$.06
35-39
$.07
40-44
$.09
45-49
$.13
50-54
$.19
55-59
$.33
60-64
$.50
65-69
$.90
70-74
$1.60
Over 74 
$1.60

Premium Calculation   

Multiply annual budgeted base salary times the level of coverage selected (One, Two,Three, or Four times salary), reduce to nearest $1,000, divide by 1,000 and multiply by the appropriate premium rate from the chart above. 

Example: 

Sample Base Salary
$23,700
Sample Age
32
Desired Level of Coverage
Two times salary

 Plug the above information into this formula:

               

 



 

 

 

Page updated: 12 January 2009
UNIVERSITY HUMAN RESOURCE SERVICES
Poplars E165, 400 E. 7th St., Bloomington, IN 47405 • (812) 855-2172
Contact Benefits:

Indiana University is an Equal Employment Opportunity/Affirmative Action employer
and a provider of ADA services.