How do I enroll?
The MainePERS Group Life Insurance program is available to
State, teacher and those PLD employees whose employers have
elected to participate in the program, and whose positions
are eligible for coverage. If you complete an application
for group life coverage within the first 31 days of becoming
eligible, you may select coverage for yourself and your
dependents without having to show evidence of insurability.
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What coverage is available?
You may choose basic and supplemental coverage on yourself
and dependent coverage for your eligible dependents. Basic
coverage is equal to your annual gross compensation rounded
up to the next one thousand dollars. Supplemental coverage
is available at one, two or three times your basic coverage.
Insurance on the employee also includes Accidental Death and
Dismemberment coverage.
Dependent coverage allows you to choose up to $10,000 of
coverage on your spouse and up to $5,000 on each child
depending on their age and marital status.
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How much does it cost?
The cost of coverage varies with employers. In some cases
employers will pay for basic coverage while you pay for
supplemental and dependent coverage. In other cases, you are
responsible for all or part of your basic coverage plus any
supplemental or dependent coverage you choose. For the cost
of your coverage, please check with your employer's payroll
personnel.
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Evidence of Insurability
When there is a request for basic and/or additional
insurance that requires evidence of insurability, the member
needs to complete
Form# GI-0874. This form is used when an employee
desires to increase their coverage or to obtain Dependent
coverage.
This may also be as a result of late submission of their
Application for Coverage when first eligible, or
cancellation/reduction of previous coverage. Employers
should not begin deducting premiums until approval has been
received. The submission of a request for coverage does not
guarantee acceptance. The process generally takes about 12
weeks to complete.
The MainePERS Survivor Services Unit will forward an
Evidence of Insurability form for the employee to complete
and submit to the insurance underwriter.
Any additional information required by the underwriter will
be requested directly from the employee. If the employee
does not respond in the time frame outlined by the carrier,
the request will be cancelled due to lack of response. If
the employee chooses to, they may begin the process again.
If the request for coverage is approved by the underwriter,
coverage will take effect on the first day of the month
following the date the employee completes one full month of
additional service in an eligible class. The employer will
receive information from the Survivor Services Unit
indicating the level and effective date of coverage.
Active Work Rule: If the employee
happens to be ill or injured and away from work on the date
the coverage would take effect, the coverage will not take
effect until the employee returns to work for one full
regularly scheduled work day.
If the employee is approved for coverage, MainePERS will
send a Certificate of Coverage to the employee’s home
address, along with a Designation of Beneficiary form.
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Beneficiary Forms
You may change your life insurance beneficiary at any time
and as often as you wish. Designation of Beneficiary - Group
Life Insurance forms may be obtained from your payroll
personnel, by
contacting MainePERS or you may download them from the
links below. In order for a change of beneficiary form to
be valid, it must be received at MainePERS or postmarked
prior to your date of death.
Designation of Beneficiary - Group Life Insurance (GI-0912)
Designation of Beneficiary - Pre-Retirement Death Benefits
(CL-0722)
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Contact the Survivor Services
Unit
We're here to assist you with any questions regarding your
group life coverage as a MainePERS member. Contact us via
one of the following methods:
Mailing Address: 46 State House
Station Augusta, ME 04333-0046
Phone: (800) 451-9800 (207)
512-3244
Fax: (207) 512-3101
E-mail:
SurvivorServices@mainepers.org
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