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Optional Benefits

Dependent Life Insurance

This Web page presents summary information only. Any error or omission here is unintentional and will be resolved in favor of plan documents or applicable federal or state law or rule.
Eligibility: 
All PEBB-eligible employees may enroll for life insurance coverage on their dependents. 
Effective Dates:
  • If you enroll within 30 days of your hire date or date of eligibility, the coverage becomes effective the first of the following month.
  • If you enroll during Open Enrollment, the coverage becomes effective January 1, of the new plan year. 
Description of Benefit:
  • This is Term-Life insurance. The beneficiary receives the benefit payment if the covered person dies while covered under the policy. In this case, that is while the employee who purchases the coverage is a PEBB-eligible state employee and premium payments for the coverage are current.
  • The Standard pays the benefit upon death from any cause, excluding suicide during the first two years of coverage. If the covered individual dies by suicide during the first two years of coverage, The Standard will not pay the benefit but will refund the premiums paid during that period.  
  • This insurance does not accumulate any kind of cash value.
Coverage Amount: 
  • Dependent Life Insurance for Spouse or Domestic Partner and Eligible Children of Active Employees: $5,000. 
  • You pay the premiums.
Beneficiaries:
  • You are the beneficiary.
Premium Rates:
If you elect Dependents Life insurance for your eligible spouse and/or child(ren), your monthly rate for this coverage is $1.29 regardless of the number of eligible dependents covered. Premiums for this coverage will be deducted directly from your paycheck.

If you elect Optional Dependent Life insurance for your spouse, your monthly rate for this coverage is indicated in the table below. Premiums for this coverage will be deducted directly from your paycheck.