LIFE INSURANCE

OGB offers two fully-insured life insurance plans for employees and retirees through The Prudential Insurance Company of America (Prudential). The state pays half of the life insurance premium for covered employees and retirees.
The two plans of life insurance available, along with the corresponding amounts of dependent life insurance offered under each plan, are noted below.

The policy through Prudential is Term insurance. Term Life insurance is a pure transference of risk in exchange for the payment of premium. Prudential, and prior carriers, have been providing coverage and assuming risk for the payment of premium. In the event a covered person were to pass, Prudential would honor their obligation/contract and pay the benefit. Absent that event, the insurer has earned the premium for the assumption of risk of the insurance. The Term Life policy has no cash value or paid up provision and to return premium at a later date would mean that Prudential provided free insurance coverage during the time they assumed the risk of the insured passing away.

BASIC LIFE

OPTION 1

OPTION 2

Employee

$5,000

Employee

$5,000

Spouse

$1,000

Spouse

$2,000

Each child

$500

Each child

$1,000

Dependent life

Employee pays $1.36/month

Dependent life

Employee pays $2.72/month

BASIC PLUS SUPPLEMENTAL PLAN

OPTION 1

OPTION 2

Employee

Schedule to a max of $50,000*

Employee

Schedule to a max of $50,000*

*Amount based on employee’s annual salary

*Amount based on employee’s annual salary

Spouse

$2,000

Spouse

$4,000

Each child

$1,000

Each child

$2,000

Dependent life

Employee pays $2.72/month

Dependent life

Employee pays $5.44/month

Important Notes

  • Newly hired employees who enroll within 30 days of employment are eligible for life insurance without providing evidence of insurability.
  • Employees who enroll in the life insurance plan after 30 days are required to supply evidence of insurability to the insurer.
  • Plan members currently enrolled who wish to add dependent life coverage for a spouse can do so by providing evidence of insurability. Eligible dependent children can be added without providing evidence of insurability to the insurer.
  • Employee pays 100 percent of dependent life premiums.

Accidental Death and Dismemberment (AD&D)

Who is eligible?

  • Basic and Basic Plus Supplemental Plans
    • Full-Time Employees
    • Eligible Retirees

If retired, coverage for AD&D automatically terminates on January 1 following the covered person’s 70th birthday. If the plan member is still actively employed at age 70, coverage terminates at midnight on the last day of the month in which retirement occurs.

Plan Changes at Age 65 and 70

Plan members enrolled in life insurance coverage will automatically have a 25 percent reduction in life coverage on January 1 following their 65th birthday. Another automatic 25 percent reduction in coverage will take effect on January 1 following their 70th birthday. Premium rates will be reduced accordingly.
Continued Coverage for Dependent Children
A covered child under age 26 who is or becomes incapable of self-sustaining employment is eligible to continue coverage as an overage dependent if OGB receives required medical documents verifying his or her incapacity before he or she reaches age 26. The definition of incapacity has been broadened to include mental and physical incapacity.


This coverage is not health insurance coverage (often referred to as “Major Medical Coverage”). This type of plan is NOT considered “minimum essential coverage” under the Affordable Care Act and therefore does NOT satisfy the individual mandate that you have health insurance coverage. If you do not have other health insurance coverage, you may be subject to a federal tax penalty.

This policy provides ACCIDENT insurance only. It does NOT provide basic hospital, basic medical, or major medical insurance as defined by the New York State Department of Financial Services.

IMPORTANT NOTICE – THIS POLICY DOES NOT PROVIDE COVERAGE FOR SICKNESS.

Group Insurance coverages are issued by The Prudential Insurance Company of America, a Prudential Financial Company, Newark, NJ. The Booklet-Certificate contains all details, including any policy exclusions, limitations, and restrictions, which may apply. Contract Series: 83500.

©2018 Prudential Financial, Inc. and its related entities. Prudential, the Prudential logo, the Rock symbol, and Bring Your Challenges are service marks of Prudential Financial, Inc. and its related entities, registered in many jurisdictions worldwide.

1013266-00001-00

 

Contact Information

OGB Customer Service
1-800-272-8451
8:00 AM – 4:30 PM CT Monday – Friday

Prudential Life Claim Customer Service
1-800-524-0542
8:00 AM – 8:00 PM ET Monday – Friday

Prudential Life Medical Underwriting
1-888-257-0412
8:00 AM – 8:00 PM ET Monday – Friday

Prudential Life Conversion
1-877-889-2070
8:00 AM – 8:00 PM ET Monday – Friday

Prudential Life Portability
1-800-778-3827
8:00 AM – 8:00 PM ET Monday – Friday

Death Notification

Please notify the human resources office at the plan member’s agency (or former agency, if retired) when a plan member or covered dependent dies.

A certified copy of the death certificate must be provided to the plan member’s agency.