Term Life Insurance and Optional AD&D

Term Life Insurance is offered to eligible employees through two different vendors, UnitedHealthcare and Prudential. 

 

 

Employee Coverage

This plan provides guaranteed issue of coverage up to 5 times your annual salary or $500,000, whichever is less, if you enroll within 30 days of your benefits eligibility. Premiums are age-based and will adjust according to age. 

The maximum amount you may purchase cannot exceed $1,000,000. Any amount purchased over $500,000 will require you to provide evidence of good health/insurability. If elected, your AD&D policy will be equal to the term life insurance amount. 

Spouse Coverage

Spouse coverage is available up to 50% of the amount of employee coverage, up to $100,000, if you enroll him/her within 30 days of your benefits eligibility or within 30 days from your date of marriage. AD&D coverage available in increments of $5,000, $5,000 minimum to $100,000, not to exceed 50% of the employees amount.   

Child(ren) Coverage

You may elect child(ren) Life Insurance coverage in the amount(s) of $5,000, $10,000, $15,000 or $20,000 for each eligible dependent child – no medical information required. Dependent Child(ren) are 14 days to 26 years of age. AD&D coverage available in increments of $5,000, $5,000 minimum to $20,000, not to exceed 50% of the employees amount.  

*It is the employee’s responsibility to notify the Payroll Department to stop deductions when the youngest child is no longer eligible.   

Additional Life Insurance Benefits     

 

Accidental Death & Dismemberment (AD&D) Insurance

AD&D provides benefits due to certain injuries or death from an accident. The covered injuries can occur up to 365 days after the accident. The AD&D insurance pays certain percentages of the benefit amount based on the injury sustained. If elected, AD&D must match voluntary life elected amount. Click here for the Premium Calculation Sheets

Scheduled benefit amounts*

  • Loss of Life - 100%
  • Paraplegia - 75%
  • Coma - 50%
  • Loss of sight in both eyes - 100%
  • Loss of hearing - 50%

     *Sample of scheduled benefits

Terminating Employment/Portability forms

To cancel Term Life Insurance coverage, submit the Enrollment/Change Form and indicate cancel coverage. 

If you are terminating employment (not retiring), but would like to continue your Term Life Insurance coverage with UHC, you may port coverage if you meet both of the criteria:

  • In good health/not terminating employment due to health problems
  • Under age 70

 

prudential life insurance lsu

 

Employee Coverage

This coverage is offered by Prudential through payroll deduction for State of Louisiana employees and offers two plan options at a flat rate of $0.50 per $1,000 of coverage for both plans. Both of these plans allow you to continue coverage into retirement at the same rate.  

The Basic Plan offers $5,000 of coverage.
The Basic + Supplemental Plan offers coverage of 1.5 times your salary up to $50,000.

Terminating Employment/Portability forms

To cancel your Term Life Insurance coverage with Prudential, you will need to use the Enrollment/change form and indicate that you would like to cancel your coverage.

If you are terminating employment but would like to continue your Term Life Insurance coverage with Prudential, you can port your coverage using these forms:

Click here for the OGB State Group Life Insurance Portability Application form

Click here for the OGB State Group Life Insurance conversion form

Click here for the OGB State Group Life Insurance Short Form Health Statement Questionnaire form

Click here for the OGB State Group Life Insurance Portability rates

 

To File a Life Insurance and/or AD&D Claim:

Employee/family member needing to file a claim should contact the Office of Human Resource Management, 225-578-8200. 

LIFE INSURANCE AD&D

UnitedHealthcare Customer Service: 1-888-299-2070

Policy #303972

VISIT UnitedHealthCare

 

Prudential Customer Service: 1-800-272-8451

VISIT PRUDENTIAL

 

UNITEDHEALTHCARE FORMS & RESOURCES

2017 SUMMARY OF BENEFITS

Change benefitS Job Aid

*Life Insurance can be added at any time with medical underwriting (E of I form).

EVIDENCE OF INSURABILITY (E of I) FORM

Manage BeneficiarieS Job Aid

PREMIUM CALCULATION SHEETS

COVERAGE POLICY FOR EMPLOYEES

COVERAGE POLICY FOR RETIREES

PORTABiLITY FORM

CONVERSION FORM

 

OGB STATE GROUP LIFE INSURANCE  FORMS & RESOURCES

Change Benefits

*State Group Life Insurance can only be added during Annual Enrollment with E of I form.

List of Qualifying Events

Manage Beneficiaries

EVIDENCE OF INSURABILITY FORM

PREMIUM CALCULATION SHEET

PLAN OPTIONS

PLAN DOCUMENT

PORTABILITY FORM

CONVERSION FORM