Life and AD&D Benefits

Name: Repario Data
Address: United States

100% Employer Paid

Benefits
Basic Life Coverage	2x earnings up to $200,000
AD&D Coverage	2x earnings up to $200,000

Evidence of insurability will be requires for any new election or increase of coverage after the initial enrollment period.

Benefits
Employee	$10,000 Minimum Benefit, $500,000 Maximum Benefit, $100,000* Guaranteed Issue. *Employees under age 60; Any amounts over the guaranteed issue will require EOI
Spouse	$5,000 Minimum Benefit, $250,000 Maximum Benefit, $30,000* Guaranteed Issue. *Spouses under age 60; Any amounts over the guaranteed issue will require EOI
Child(ren)	$10,000 Benefit from Birth to age 20 (26 if full-time student)

AD&D benefit must equal the Voluntary Life election.
All coverage is Guaranteed Issue.
Benefit is payable for accidents only; illness is not covered

Benefits
Employee	$10,000 Minimum Benefit, $500,000 Maximum Benefit
Spouse	$5,000 Minimum Benefit, $250,000 Maximum Benefit
Child(ren)	$10,000 Minimum Benefit, $10,000 Maximum Benefit

Provided By

Mutual of Omaha

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