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Life Insurance

Wachusett Regional School District life insurance is provided by Boston Mutual.

Boston Mutual - Life and Optional Life Insurance Enrollment Form
Basic Life Insurance Information
Optional Voluntary Life Insurance Information
Optional Life Insurance - Group Rate Chart
Beneficiary Change Form
Evidence of Insurability Form

 

Basic Life and AD&D Insurance Benefit
Policy #: G26673
Benefit Amount: $10,000
Maximum Benefit: $10,000
Accidental Death & Dismemberment: Included
50% Employer Paid Premium: Employee cost: $3.35 / mo.
District cost: $3.35 / mo.
Contact Information: Boston Mutual
120 Royall Street
Canton, MA 02021
 

 

Voluntary Life and AD&D Insurance Plan
Policy #: G26673
Benefit Amount: Increments of $10,000
Maximum Benefit: $500,000 not to exceed 7 times your annual salary
Accidental Death & Dismemberment: Included
Non-Medical Maximum: Under Age 70:  $150,000  Employee / $30,000 Spouse
Age 70 and Over: $20,000 Employee / $1,000 Spouse
Maximum Spouse Coverage:

Units of $5,000 to a maximum of $150,000 but not to exceed 100% of the employee coverage amount.

Child(ren) Coverage:

Dependent children age one year to 19 years (to age 25 if full-time student) are eligible for Life Insurance in the amount $5,000 or $10,000 and children 14 days to one year in the amount of $500 or $1,000.

Cost: 100% employee paid
Contact Information: Boston Mutual
120 Royall Street
Canton, MA 02021
 

This site provides a brief summary of your plans; it is not a contract. Please see insurance contracts (available from Human Resources) for complete policy details and limitations.