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Program Sponsor
This program is sponsored by the University of North Carolina at Chapel Hill. The plan administrator is Reliance Standard Life Insurance Company.
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Description
This insurance program provides a benefit if you suffer a loss as the result of a covered accident while you are insured under the plan. It also pays a benefit if you suffer certain disabling injuries while covered. The coverage is effective 24 hours a day, 365 days a year. It includes accidents on or off the job, while traveling by car, plane, train, boat or any other public or private form of transportation.
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Eligibility
All permanent part-time (20-29 hours per week) and full-time (30-40 hours per week) employees can elect AD&D coverage. You can elect coverage for your spouse or domestic partner and dependent children up to age 19 years (or 26 years if a full-time student). Your spouse/domestic partner's coverage level cannot exceed your coverage level under the plan.
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Cost
Premiums: Premiums for this plan are paid solely through employee contribution as an after-tax payroll deduction. Premiums are determined by the amont of insurance you choose for yourself and your spouse/domestic partner and dependent children:
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Benefit amount
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Employee under 75
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Spouse/Domestic Partner
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Each Child
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$10,000
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$.20
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$.20
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$.20
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$20,000
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.40
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.40
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.40
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25,000
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--
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--
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.50
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30,000
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.60
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.60
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--
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50,000
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1.00
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1.00
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1.00
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75,000
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--
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--
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1.50
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100,000
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2.00
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2.00
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150,000
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3.00
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3.00
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200,000
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4.00
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4.00
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250,000
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5.00
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5.00
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300,000
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6.00
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6.00
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400,000
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8.00
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500,000
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10.00
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If you are paid on a monthly basis, the full monthly contribution is deducted from each paycheck. If you are paid on a biweekly basis, half of your monthly contribution is deducted from the first two paychecks of the month.
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Enrollment
You must enroll within 30 days of your hire date or a qualifying family status change, or during annual enrollment.
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Questions
If you have questions about the benefits offered through this program, please contact your department's Benefit Specialist.
If you have questions about processing a claim form, contact Reliance at:
Reliance Standard Life Insurance Company Martha Dosher, CLU (919) 787-2386
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Policy Revisions
The Benefits Administration Department, Office of Human Resources, is responsible for reviewing and revising as needed the content of this page.
The information contained in this website is not a contract and is subject to change. It should be understood that explanations in this summary cannot alter, modify or otherwise change the controlling legal documents or general statutes in any way, nor can any right accrue by reason of any inclusion or omission of any statement in this presentation. The most current information will always be found at the benefit carrier's home page. The Office of Human Resources designs these pages to be as current as possible; however, the benefit information provided herein is always subject to change.
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| Related forms |
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