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PLAN YEAR 2027

Survivor Benefits

It’s hard to think about, but it’s important to have a plan in place to provide for your family if something were to happen to you. Survivor benefits provide financial protection in the event of an unexpected event.

Survivor Benefits

Coverages

Basic Employee Life/AD&D

Amount
2x annual base pay
Who Pays
Lhoist North America
Benefits Payable
If you die, lose a limb, or suffer paralysis in an accident while covered under the Plan.
Maximum Benefit
2x annual base pay to a maximum of $1,500,000
EOI Required
No

Voluntary Employee Life

Amount
1 to 4 times your annual base pay to a maximum of $1,500,000 combined with your Basic Term Life coverage amount.
Who Pays
Employee (voluntary, full cost)
Benefits Payable
If you die while covered under the Plan.
Maximum Benefit
$1,500,000 combined with your Basic Term Life coverage amount.
EOI Required
Evidence of Insurability is required. New Hires: Eligible to elect $300,000 without answering medical questions if enrolling when first eligible. Amounts over $300,000 will require completion of EOI. Current Participants: During Annual Enrollment you may increase current coverage amount by 1 times your covered annual earnings, up to a total coverage amount of $300,000 without answering medical questions. Any Increase above 1x your covered earnings and/or $300,000 will require EOI.

Voluntary Spouse Life

Amount
$20,000, $50,000 or $75,000
Who Pays
Employee (voluntary, full cost)
Benefits Payable
If your spouse dies while covered under the Plan.
Maximum Benefit
$75,000, not to exceed 100% of your combined Optional Term. You must elect at least 1x covered earnings for yourself to purchase coverage for your spouse.
EOI Required
New Hires: EOI is required for coverage amounts over $20,000. Current Employees: EOI is required for all coverage amounts.

Voluntary Child Life

Amount
$10,000
Who Pays
Employee (voluntary, full cost)
Benefits Payable
If your child dies while covered under the Plan.
Maximum Benefit
$10,000. You must elect at least 1x covered earnings for yourself to purchase coverage for your dependents.
EOI Required
No

Voluntary Employee AD&D

Amount
1 - 4x annual base pay
Who Pays
Employee (voluntary, full cost)
Benefits Payable
If you die, lose a limb, or suffer from paralysis in an accident while covered under the Plan.
Maximum Benefit
$1,500,000 combined with your Basic AD&D amount.
EOI Required
No

Voluntary Spouse AD&D

Amount
$20,000, $50,000 or $75,000
Who Pays
Employee (voluntary, full cost)
Benefits Payable
If your spouse dies, loses a limb, or suffers from paralysis in an accident while covered under the Plan.
Maximum Benefit
$75,000
EOI Required
No

Voluntary Child AD&D

Amount
$10,000
Who Pays
Employee (voluntary, full cost)
Benefits Payable
If your child dies, loses a limb, or suffers from paralysis in an accident while covered under the Plan.
Maximum Benefit
$10,000
EOI Required
No

Voluntary Employee Life Insurance - Premium Rates/$1000

0-29

EMPLOYEE
$0.070

30-34

EMPLOYEE
$0.080

35-39

EMPLOYEE
$0.097

40-44

EMPLOYEE
$0.150

45-49

EMPLOYEE
$0.246

50-54

EMPLOYEE
$0.414

55-59

EMPLOYEE
$0.642

60-64

EMPLOYEE
$1.000

65-69

EMPLOYEE
$1.808

70+

EMPLOYEE
$2.060

Voluntary Spouse Life Insurance - Premium Rates/$1000

$20,000

Spouse rate
$3.016

$50,000

Spouse rate
$8.880

$75,000

Spouse rate
$13.320

Voluntary AD&D Insurance - Premium Rates/$1000

Rate

Monthly Rate
$0.048

Voluntary Child Life Insurance - Premium Rates/$1000

Rate

Monthly Rate
$1.128