2011 Benefits Open Enrollment
Accidental Death and Dismemberment
Instructions and Information for
Completing Your Personal Enrollment
These instructions will assist you in completing your Personal Enrollment for The University of Iowa Benefits Program.
This program offers you a variety of life insurance coverage levels and family options. If you would like to participate, you may select a coverage level between $100,000 and $1,000,000. Coverage is available in $100,000 increments. The column to the right gives the monthly costs which vary depending upon whether you wish to insure only yourself or your family. If you do not want to participate in this program, enter “90” on the “Option Code” line. Once you have made your selection, enter that number on the “Option Code” line.
Accidental Death and Dismemberment insurance provides coverage at all times for most accidents that occur on or off the job, at home or away, or anywhere in the world (when traveling by train, airplane or other conveyances). However, there are some exclusions listed in the master policy. Coverage includes loss of life and limbs. Benefits include worldwide travel assistance and a waiver of premium provision. In case of your death, benefits also include dependent children education assistance and a day care allowance.
Coverage is available in $100,000 increments up to a maximum of $1,000,000 for:
- Plan I:
Employee and spouse or domestic partner. Your spouse or domestic partner is covered at 60% of your benefit
Employee and children. Each eligible child’s coverage is 20% of your benefit up to a maximum of $100,000
Employee and Family. Your spouse's or domestic partner’s coverage is 60% of your benefit and each eligible child’s coverage is 20% of your benefit up to a maximum of $100,000
Children must be at least 14 days old and no older than age 18, unless a full-time student or disabled. If your child is disabled and classified as a dependent for tax purposes, there is no maximum age for coverage.
Coverage ends at the attainment of age 70 for any spouse covered under this plan.
Dual University of Iowa employed spouses/partners and any children may not double insure each other or dependents. An individual may only be included once under this policy.
Staff members may name their beneficiary/beneficiaries and may change these at any time by completing the proper form available at the University Benefits Office or available online at the Benefits E-forms web site. Any change of beneficiary will not become effective until acknowledged and recorded by the University.
For estate planning purposes the designation of beneficiaries can be assigned to another party. Contact the Benefits Office if you are interested in this process.
Singles = $2.30 per $100,000 per month
Employee/Spouse = $3.30 per $100,000 per month
Employee/Children = $2.70 per $100,000 per month
Family = $3.60 per $100,000 per month
If you have questions or concerns regarding the enrollment process, please contact:
Web Site: www.uiowa.edu/hr/benefits
Phone: 319-335-2676 or
877-830-4001 (toll free)