DOCUMENTS & FORMS
- Vol Life & AD&D Benefit Summary - Class 1
- Vol Life & AD&D Benefit Summary - Class 2
- Vol Life & AD&D Benefit Summary - Class 3
- Vol Life & AD&D Benefit Summary - Class 4
- Vol Life & AD&D Benefit Summary - Class 5
Voluntary Life Insurance Plan
In addition to the basic coverage, you can purchase additional life and Accidental Death & Dismemberment (AD&D) under the City of Burlingame’s group policy through Cigna. If you elect Voluntary Life Insurance for yourself, you can elect Voluntary Life Insurance for your spouse/domestic partner and/or child(ren).
EMPLOYEE LIFE AND AD&D
$10,000 increments not to exceed 5 times annual salary up to $500,000 maximum depending on your Class.
*Guarantee Issue Amount is $200,000.
SPOUSE / DOMESTIC PARTNER
$5,000 increments not to exceed 50% of employee amount or $500,000 maximum
*Guarantee Issue Amount is $25,000.
Birth to 6 months: $500
6 months to age 26: $2,500 increments not to exceed 50% of employees amount or $10,000 maximum
Conversion: If group life insurance coverage is reduced or ends for any reason except nonpayment of premiums, you can convert to an individual policy. To convert, you must apply for the conversion policy and pay the first premium payment within 31 days after your group coverage ends. Family members may convert their coverage as well. Converted policies are subject to certain benefits and limits as outlined in the conversion brochure which may be requested as needed. Premiums may change at this time.
Portability: This plan allows you to continue your voluntary coverage if you leave your employer. Premiums may change at this time. Just pay your premiums directly to the insurance company. Coverage may be continued for you and your spouse until age 70. Coverage may also be continued for your children.
- 1-800-445-0402 (Life AD&D)
- 1-800-858-6843 (LTD)