The Standard Accidental Death and Dismemberment Basic and Optional Plans and Rates 2015-16 Plan Year (no change from 2014-15) Basic Accidental Death and Dismemberment (AD&D) Plans Plan Design

Benefit Level

Rate per $1,000 of Benefit

Plan 1

$5,000

$0.015

Optional Employee AD&D Plan $10,000 - $500,000 Maximum Benefit Rate (per $10,000 of benefit)

$0.200

Plan 2

$7,500

$0.015

Optional Spouse AD&D Plan

Plan 3

$10,000

$0.015

$10,000 - $500,000 Maximum Benefit Rate (per $10,000 of benefit)

Plan 4

$15,000

$0.015

Plan 5

$20,000

$0.015

Plan 6

$25,000

$0.015

$0.200

Plan 7

$30,000

$0.015

Optional Child AD&D Plan

Plan 8

$35,000

$0.015

$2,000 - $10,000 Maximum Benefit

Plan 9

$40,000

$0.015

Plan 10

$50,000

$0.015

Plan 11

$100,000

$0.015

Plan 12

$110,000

$0.015

Plan 13

$200,000

$0.015

Plan 14

$300,000

$0.015

Plan 15

1 times annual pay, max $300,000

$0.015

Plan 16

2 times annual pay, max $300,000

$0.015

Plan 18

$150,000

$0.015

Page 1 of 1

Rate (per $2,000 of benefit)

$0.040

The Oregon Educators Benefit Board -- Proudly Serving Members and Their Families

Member Services: (888) 469-6322 www.oregon.gov/oha/oebb

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