The Omaha Public School District has had a Supplemental Group Term Life Insurance Program since 1985.  This program offers full-time employees the option to purchase additional term life insurance, up to $200,000 total additional coverage.  Application may be made at any time.  Employees who apply within 30 days of employment will not have to complete a health statement.  Future purchase or increases in coverage will require evidence of insurability. 

  

Your enrollment may be made by completing an enrollment card, available in each department and school office.  The monthly cost that you will pay through payroll deduction can be determined by the rates also available in each department and school office. 

 

(See Supplemental Life Plan booklet for more details)

 

Please return the signed enrollment card to the Compensation & Benefits Department.

Supplemental Life Insurance is available in the following coverage amounts:
$12,500     $25,000     $50,000     $75,000     $100,000   $150,000     $200,000

 

IF YOU ARE DISABLED
Your life insurance may continue while you are totally and continuously disabled.  Total disability, however, must begin prior to age 65 and while you are insured under the Plans.

 

Proof of disability must be submitted to the Insurance Company annually.

 

During the period that insurance is continued because of disability, the School District is required to pay the premium for Basic Life Insurance.  Supplemental Life Insurance will also be continued without payment of premium.

 

SUPPLEMENTAL LIFE INSURANCE MONTHLY PAYROLL

Attained Age                    Deduction for each $1,000
Under Age 30 . . . . . . . . . . . . . .  . . . . .$ .07
30 through 34. . . . . . . . . . . . . . . . . . . .$ .08
35 through 39 . . . . . . . . . . . . . . . .  . . .$ .11
40 through 44. . . . . . . . . . . . . . . . . . . .$ .17
45 through 49. . . . . . . . . . . . . . . . . . . .$ .25
50 through 54. . . . . . . . . . . . . . . . . . . .$ .40
55 through 59. . . . . . . . . . . . . . . . . . . .$ .64
60 through 64. . . . . . . . . . . . . . . . . . . .$ .94
65 through 69. . . . . . . . . . . . . . . . . . . .$1.49
70 through 74. . . . . . . . . . . . . . . . . . . .$2.30
75 through 79. . . . . . . . . . . . . . . . . . . .$3.42
80 and over  . . . . . . . . . . . . . . . . . . .. .$6.71
Example:  An employee is age 29 and wants to purchase $25,000 of Life Insurance.  The monthly cost would be $ .07 x 25 or $1.75 per month.

  

SUPPLEMENTAL LIFE INSURANCE CHANGE
If you are enrolled in one coverage amount you may transfer to another coverage amount only by submitting satisfactory evidence of insurability to the Insurance Company.  Such increase in benefits shall be effective the first of the month after the evidence of insurability is accepted by the Insurance Company.

 

TERMINATION OF INSURANCE
Your insurance under the Plan terminates on the first day of the month following the month you leave employment with the School District, or upon written request by the employee.