Life / AD&D
The Plan provides death benefits for Employees and dependents, and accidental death and dismemberment benefits for Employees only.
To file a claim for death benefits or Accidental Death or Dismemberment Insurance, call the Trust Fund Office at (408) 288-4500.
|Class 1||All Active Full-Time Employees|
|Class 2||Retired Employees under age 65.|
|Class 3||Retired Employees age 65 and over.|
|Retiree Life Insurance Benefit|
|Class 1||Flat $20,000|
|Class 2||Flat $20,000|
|Class 3||Flat $6,000|
|Retiree AD&D Insurance Benefit|
|Matches Basic Life Benefit|
|Dependent Life Insurance|
|Child – Age:
-From birth through 5 months
-6 months but under 19 years
-Full-time students 19 years but under 24 years
Note: This chart is only a summary. Please see the evidence of coverage or disclosure form for the selected plan for a thorough description of its benefits, limitations, exclusions and conditions of coverage.
The amount of life insurance for each of your dependents will not be more than 50% of the amount of your life insurance. If the amount shown above for a dependent is more than 50% of your life insurance amount, it will be reduced to 50% of your life insurance amount.
Accidental Death And Dismemberment
|Both Hands||Full Benefit|
|Both Feet||Full Benefit|
|Both Eyes||Full Benefit|
|A Hand and a Foot||Full Benefit|
|A Hand and an Eye||Full Benefit|
|A Foot and an Eye||Full Benefit|
|A Hand||Half the Full Benefit|
|A Foot||Half the Full Benefit|
|An Eye||Half the Full Benefit|
Note: Loss of a hand or foot means the complete and permanent severance of the hand or foot at or above the wrist or ankle joint. Loss of an eye means the entire and permanent loss of the sight of that eye.
To file a life or AD&D insurance claim, please contact us at 408 288 4511