OCT Life and Accidental Death and Dismemberment

MetLife

Life Insurance

The Plan's Life Insurance benefit is fully insured by MetLife. In the unfortunate event of your or your dependent's death (if your plan allows for dependent coverage) while covered under this Plan, the Fund will pay the designated beneficiary a Death Benefit. The amount of the Death Benefit varies by Plan. Please reference the Summary Plan Description booklet in your enrollment packet or on the Documents page of our website.

Beneficiary Designation

You can designate a life insurance beneficiary on your enrollment form when you become eligible for benefits. To change your designated beneficiary at any time, simply submit a Designation of Beneficiary Form online. Any designation or change of beneficiary will become effective when the completed form is received by the Fund office; however, no change will be effective if it is received after the date of death.

Payment of Benefits

Upon your death, your designated beneficiary must contact the Fund office to initiate the claim process. Proof of death in addition to the appropriate claim form must be provided to the Fund office timely. The Fund office will work with MetLife to facilitate the claim submission process and ensure proper documentation is in order.

If there is no Designation of Beneficiary form on file with the Fund office at the time of your death, or if the beneficiary you have named is no longer living or, intentionally caused your death, then the benefit shall be paid according to a schedule of assignment, unless otherwise directed by a legal document.

Accidental Death and Dismemberment Benefits

The Plan's Accidental Death and Dismemberment benefit is also fully insured by MetLife. If you are involved in an accident on or off the job which results in loss of life, loss of limbs or loss of sight through external, violent, and accidental means, an Accidental Death and Dismemberment Benefit becomes payable to you or your beneficiary, in addition to any other benefits payable under this Plan, provided that you did not contribute directly or indirectly to the cause of the loss.

Additional Benefits

  • Seatbelt Benefit - If the covered individual dies as a result of injuries sustained from an accident while driving or riding as a passenger in a passenger car and wearing a seat belt which was properly fastened at the time of the accident, an additional 10% of the full life insurance benefit is paid to the beneficiary.
  • Air Bag Benefit - If the covered individual dies as a result of injuries sustained from an accident while driving or riding as a passenger in a passenger car equipped with an Air Bag(s), was riding in a seat protected by an air bag, and was wearing a seat belt which was properly fastened at the time of the accident, an additional 5% of the full life insurance benefit is paid to the beneficiary.
  • Common Carrier Benefit - If the covered individual dies as a result of an accidental injury resulting in death while traveling in a Common Carrier, an additional benefit will be paid. A common carrier means a government regulated entity that is in the business of transporting fare paying passengers.
  • Repatriation Expense Benefit - If the covered individual dies as a result of an accidental injury at least 100 miles from their place of residence, an additional benefit equal to the charges incurred for the preparation and transportation of the deceased's body to the city of the deceased's principal residence; not to exceed $5,000.

Benefit Exclusions and Limitations

Benefits shall not be payable for any loss which is due to the exclusions set forth in your life insurance policy from time to time.

The provisions on Accidental Death and Dismemberment Benefits are subject to any further terms of the group life insurance policy purchased by the Plan, a copy of which is available for your review at the Fund Office.