Life Insurance

 

Life Insurance

Summary of Benefits

1. The plan will pay a life insurance benefit in the amount for which the participant was insured at the time of death.

2. Subject to the terms and conditions of the Aetna Life Insurance Company policy, the benefit will be payable to the designated beneficiary or beneficiaries upon satisfactory proof of death from any cause, at any place and at any time while the participant was insured.

Accidental death and dismemberment benefits

3. The plan will pay the benefits determined from the table of benefits below for loss of life, loss of hand or foot (by severance through or above the wrist or ankle joint) or permanent and complete loss of sight of either eye.

4. Benefits are payable if the loss:
(a) Occurs within 90 days after an accident that causes an injury to the participant while insured;
(b) Results directly and solely from an injury caused by the accident and not excluded in the limitations section below.

Table of benefits

5. The full amount for which the participant was insured will be paid for the accidental loss of:
(a) Life;
(b) Both hands;
(c) Both feet;
(d) One hand and one foot;
(e) One hand and the sight of one eye;
(f) One foot and the sight of one eye; or
(g) The sight of both eyes.

6. One half of the amount for which the participant was insured will be paid for the accidental loss of one hand, one foot or the sight of one eye.

Limitations

7. Accidental death and dismemberment coverage is only for losses due to accidents.

8. Benefits will be payable, however, for a loss which is:
(a) Caused by a pus-forming infection resulting directly and solely from an injury that is covered under the plan; or
(b) Caused by a surgical operation, which is:
(i) Needed solely because of an injury that is covered under the plan;
(ii) Performed within 90 days after the injury occurs.

9. This plan does not provide a benefit for any loss, other than those mentioned in the preceding sentence, which in any way is caused by any of the following:
(a) Bodily or mental infirmity;
(b) Disease, ptomaine or bacterial infections, of any kind;
(c) Medical or surgical treatment;
(d) Suicide or attempted suicide (sane or insane);
(e) Intentionally self-inflicted injury;
(f) War or any act of war (whether war is declared or not).

After-service benefit

10. Staff members who qualify for enrolment upon retirement in the after-service life insurance (ASLI) programme are reminded that their coverage is free and requires no application. The benefits for former staff members who die will be reduced, depending on the age of the participant at death, as follows:
(a) From the age of 55 through 69, 50 per cent of their coverage on the date of separation from service, unless it had already been reduced at age 62 while in service (see para. 13 (b) (iv) of the present circular). For appointments terminated for reasons of health, this reduction will occur at age 62;
(b) From the age of 70 through 74, 25 per cent of their coverage on the date of separation from service;
(c) From the age of 75 onwards, 10 per cent of their coverage on the date of separation from service, subject to a maximum of $10,000 and a minimum of $5,000, or the amount to which the former staff member had been entitled before age 70, whichever is less.