Contents
Cal Poly Pomona

Accidental Death & Dismemberment Voluntary Insurance

 

The Accidental Death and Dismemberment (AD&D) plan is offered by The Standard. This plan pays a benefit to the employee or his/her selected beneficiary in the event of death due to an accident or dismemberment at a benefit level selected by the employee.

 

Voluntary Accidental Death and Dismemberment Insurance Summary

Vendor

    • The Standard
    • http://www.standard.com/mybenefits/csu/
      Customer Service: 800-378-5745

CSU Eligibility

Employee Coverage Limits

    • Minimum: $25,000
    • Maximum: $1,000,000
    • Amounts may not exceed ten times the employee’s basic annual earnings.

Spouse Coverage

    • Coverage available at an additional cost.
    • Up to 60% of employee’s amount.

Dependent Child(ren) Coverage

    • Coverage available at an additional cost.
    • Up to 15% of employee’s amount, not to exceed $25,000 for each child.

Enrollment Period

    • This plan does not have a designated enrollment period.
    • Employees can enroll at anytime during the year and will not be subject to Evidence of Insurability.

Guaranteed Issue Amount

    • Full Benefit

Coverage Effective Date

    • The first of the month following the pay period that the deduction was taken (i.e., first deduction taken out of the April pay period, coverage effective May 1st).

Coverage End Date

    • Coverage ends on the date that employment ends, or
    • The last day of the month following the pay period that the last deduction was taken (i.e., if the last deduction was taken out of the November pay period, coverage would end on December 31st).

Can an Employee Cancel Their Coverage Mid-Year?

    • There is no minimum enrollment period for this plan.
    • Employees can cancel this policy at any time during the year.

Monthly Plan Premium

    • Varies by insured

Payment Options

    • Monthly payroll deduction

Payroll Deduction Information

    • Deductions will be processed on pre-paid basis.
    • Post-tax.