Basic Life/AD&D

You are automatically enrolled in basic life and accidental death and dismemberment (AD&D) insurance. New York Life Group Benefit Solutions administers the plan.

How It Works

Life insurance provides a benefit to a designated beneficiary in the event of your death. AD&D offers financial protection for you and your eligible family members in the event of accidental death or dismemberment. Stimson pays the full cost of your coverage.

Designate a Beneficiary

Go to UltiPro to list the beneficiary or beneficiaries who will receive your insurance benefits.

Eligibility

You are eligible for coverage if you are an active, full-time hourly or salaried employee who regularly works at least 30 hours per week.

BASIC LIFE FEATURES Hourly Employees Salaried Employees
When Coverage Begins The first of the month following your date of hire.
Employee Benefit Amount
Company provided coverage equal to $20,000

Company provided coverage equal to one times  annual compensation,, up to $350,000

Note: Coverage amounts above $50,000 are assessed an “imputed” cost based on the IRS premium table rate and are subject to Social Security and Medicare taxes.

Provides you 24-hour financial protection if you die (100% of benefit amount) or suffer a serious injury (percentage of benefit amount). Benefits are paid to you and/or your beneficiary for loss of life or certain serious injuries.

Seatbelt Benefit 
Paid in addition to any other AD&D benefits
10% of the full amount of your AD&D benefit, up to $2,000
10% of the full amount of your AD&D benefit, up to $35,000

Note: Loss of life occurs while riding in a private passenger car and properly worn seatbelt fails to protect the insured.

*If you are age 65 or older, the basic life insurance benefit amount will reduce by 65%.

BASIC AD&D FEATURES Hourly Employees Salaried Employees
When Coverage Begins The first of the month following your date of hire.
Employee Benefit Amount
Company provided coverage equal to $20,000
Company provided coverage equal to one times annual compensation, up to $350,000

Note: Coverage amounts above $50,000 are assessed an “imputed” cost based on the IRS premium table rate and are subject to Social Security and Medicare taxes.

Provides you 24-hour financial protection if you die (100% of benefit amount) or suffer a serious injury (percentage of benefit amount). Benefits are paid to you and/or your beneficiary for loss of life or certain serious injuries.

Seatbelt Benefit 
Paid in addition to any other AD&D benefits
10% of the full amount of your AD&D benefit, up to $2,000
10% of the full amount of your AD&D benefit, up to $35,000


Note: 
Loss of life occurs while riding in a private passenger car and properly worn seatbelt fails to protect the insured.

File a Claim

To file a claim, send your completed Life/AD&D Claim Form and required documents to New York Life by email, fax or mail:

  • Email: New York Life Group Benefit Solutions
  • FAX: 877-300-6770
  • Mail: New York Life Group Benefit Solutions (NYL GBS)
    Life & Accident Claim Services
    P.O. Box 22328
    Pittsburgh, PA 15222-0328

Claims should be reported within 31 days of the date of loss and “proof of loss” within 90 days. Call 888-842-4462 with questions.

Conversion to an Individual Policy

If you leave Stimson, you can elect to continue your coverage directly with New York Life Group Benefit Solutions by completing the following:

 

KEY TERM

Ultipro

Username: STMSN plus 6-digit clock number. If clock number is less than 6 digits (e.g., 1234), add zeros to ensure a total of 6-digits: STMSN000123.

KEY TERM

Annual Compensation

Your annual wage or salary as reported by Stimson for work performed for Stimson on the date the covered loss occurs; it does not include bonuses, commissions, overtime pay or other extra compensation.