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Life Insurance

University-Paid Life Insurance

Regular full-time faculty and staff are covered by a University-paid group-term life insurance policy in the amount of $5,000. Coverage is effective on the date of appointment. Prudential is responsible for administering this insurance. The group policy number is 35200.

Employee-Paid Age-Graded Life Insurance

As a new employee, you may elect coverage up to three times your salary (rounded to the nearest $1,000) without providing any medical history or proof of good health. The maximum amount available during your first year is $150,000.

During your initial eligibility as a new employee and during subsequent open enrollment periods, age-graded life insurance enrollment and changes will be done on-line through ESSIC, the Employee Self Service Information Center.

During the annual open enrollment period, you may increase your age-graded life insurance amount by one times your salary, without providing medical history or evidence of insurability. The maximum amount may be increased each year up to the lesser of five times salary or $500,000.

To be sure that any benefits are paid correctly, you must name your beneficiary. You may change your beneficiary at any time and it is very important that you keep your beneficiary designations up-to-date as your life changes.

To make a beneficiary change you will need to complete the following forms:

Premiums

2012 Rates
AGE RANGE BIWEEKLY MONTHLY
Contributions (per $1,000 of coverage)
Less than 25 $.009 $.02
25-29 $.011 $.024
30-34 $.015 $.032
35-39 $.0165 $.036
40-44 $.0205 $.044
45-49 $.0295 $.064
50-54 $.048 $.104
55-59 $.0795 $.172
60-64 $.122 $.264
65-69 $.2345 $.508
70 and above $.3805 $.824
Calculations

Annual Salary X Coverage Amt (1 times your salary up to a max of 5 times) = Insurance Coverage Amt

Insurance Coverage Amount /1000 (per $1000 of coverage) x rate = Monthly Premium Amount

Example: Annual Salary is $51,000

Coverage Amount – 5 times Salary

$51,000 x 5 = Insurance Coverage Amount of $255,000

Age = 44

$255,000/1000 (per $1,000 of coverage) x .044 (2012 Rate Chart) = $11.22

2011 Rates
AGE RANGE BIWEEKLY MONTHLY
Contributions (per $1,000 of coverage)
Less than 25 $.02 $.05
25-29 $.03 $.06
30-34 $.04 $.08
35-39 $.04 $.09
40-44 $.05 $.11
45-49 $.07 $.16
50-54 $.12 $.26
55-59 $.20 $.43
60-64 $.30 $.66
65-69 $.59 $1.27
70 and above $.95 $2.06

Conversion of Coverage

When you end your employment with Penn State, either at retirement or termination, you may convert your life insurance coverage to an individual policy. To do so, visit Prudential's website for more information

Additional Resources

Forms

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