University Human Resource Services
Insurance Supplemental Group Life Insurance
Eligible employees can add supplemental amounts to Basic Group Life Insurance. Choosing Supplemental insurance does not affect your Basic insurance.
- Provides a death benefit to the designated beneficiary up to 4 times the employee's base annual salary reduced to the nearest 1,000
- At age 65, the amount of life insurance is reduced by 35 percent
- Continues to pay life insurance premiums if a covered employee becomes totally disabled
- Allows covered employees to convert group life coverage to an individual policy without proof of good health, once they are no longer an active employee
- Offers an accelerated death benefit, which allows terminally ill employees the opportunity to collect all or part of their life insurance prior to death
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.
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.
- The cost for supplemental coverage is automatically deducted from the employee's paycheck.
- The employee will be informed of the premium amount at the time of enrollment.
- All employees who are covered under Basic Group Life Insurance are eligible to elect supplemental coverage.
- Employees are eligible on the day they became part of an eligible group — usually the day the employee was hired
- Must be made within 30 days after becoming an eligible employee by submitting the appropriate paperwork to the campus HR office.
- If an election for supplemental coverage or an increase in supplemental coverage is made after this initial 30 day period, a Medical History Statement form will be required.
Updating Beneficiary Information
- Changes to beneficiary designations can be made at anytime.
- Benefits will be paid to the most current beneficiary listed at the time of death.
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.
Premium rates are based on the participant's age at the time monthly payroll transactions are processed:
Effective April 1, 2007
|
|
$1,000 of Coverage |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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 salaryPlug the above information into this formula:
|
|
X |
|
= |
|
|
= |
|
X |
|
= |
|
|
(see chart above) |

