2-9 Employer Group Benefit Plans
Basic Life and Accidental Death & Dismemberment
- Flat Benefit Plans from $10,000 to $50,000 (in increments of $10,000)
- Earnings Plans of 1 or 2 times annual earnings to a maximum of %75,000
Occupational Class Schedules
| Plan #1 | Plan #2 | |
| Class A—Management Employees earning at least $50,000 | $50,000 | $30,000 |
| Class B—All other active full-time employees | $25,000 | $15,000 |
> Accidental Death & Dismemberment and Common Carrier Benefits included
Life Waiver of Premium—If an employee becomes totally and permanently disabled before age 60, premiums will be waived to the earlier of retirement or attainment of age 70.
Basic Life/AD&D benefits after age 65—Benefits will be reduced to 65% of the original amount at age 65; to the lesser of 45% or $5,000 at age 70 and to the lesser of 25% or $2,000 at age 75.
Monitor Life Insurance Company of New York · 70 Genesee Street · Utica · New York 13502—Policy Form Series Number 50242
Available in the District of Columbia and the following states: AR, AZ, CO, CT, IA, IL, IN, KS, LA, MA, MD, MS, MT, NY, NV, OH, OK, PA, TN, TX, UT, VA and WV
Fidelity Security Life Insurance Company, PO Box 41831 · 3130 Broadway · Kansas City · MO 64141-9131—Policy Form Series Number 80242
Available in AK, AL, CA, DE, GA, ID, KY, ME, MI, MN, MO, NE, NH, NJ, NM, NC, ND, OR, RI, SC, SD, VT, WI and WY
Guaranteed Issue Table
| No. of Participating Employees | Basic Life/AD&D |
| 2-5 | $10,000 |
| 6-9 | $30,000 |
Participation Requirements
If the employer pays the entire premium, all eligible employees must be enrolled in the plan.
If the employees pay any part of the premium, the following participation requirements apply:
| Number of Eligible Employees: | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
| Participation Required: | 2 | 3 | 4 | 5 | 5 | 6 | 6 | 7 |