Optional Accidental Death and Dismemberment Insurance (AD&D) – Employee
 



Amount of insurance for the employee: 1 to 5x annual salary

Maximum: $1,500,000 * (including the Basic Accidental Death and Dismemberment Insurance (AD&D) - Employee)

Termination of benefit: Your 70th birthday or retirement if earlier.

Please complete the beneficiary designation. To do so, at the end of your enrollment, click the «Confirm» button and your beneficiary form will show on your screen. Please print, complete, sign and return this form as indicated in the instructions.