Group Term Life Benefits

The information listed below is effective for the plan period beginning January 1, 2023.

Certificates of Coverage

Life Insurance - Plan 1

• ​Basic Life and AD&D
• Basic Spouse and  Dependent Life 

​Extra Group Term Life - Plan 2

• XL Plan - $10,000
• XL1 Plan - one times annual salary
• XL2 Plan - two times annual salary
• XL3 Plan - three times salary
• XL4 Plan - four times annual salary

Dependent Extra Group Life 

•  Option 1- Spouse: $10,000/ Child: $2,000
•  Option 2- Spouse: $20,000/ Child: $5,000
•  Option 3- Spouse: $30,000/ Child: $6,000
•  Option 4- Spouse: $40,000/ Child: $8,000
•  Option 5- Spouse: $50,000/ Child: $10,000

​Voluntary Life - Plan 3
​Voluntary Accidental Death and Dismemberment Certificate

• ​​Voluntary Accidental Death and Dismemberment

• AD&D Enrollment Form

Designation of Beneficiary

• Designation of Beneficiary Form

Benefit Summaries

Life Insurance

•  Basic Life Employer Paid
  • Spouse/Dependent Life (SDL)
• Basic Life Employee Paid
  • Spouse/Dependent Life (SDL)

​Extra Group Term Life

•     XL Plan - $10,000
•     XL1 Plan - one times annual salary 
•     XL2 Plan - two  times annual salary 
•     XL3 Plan - three  times annual salary 
•     XL4 Plan - four times annual salary  

Dependent Extra Group Life 

•  Option 1- Spouse: $10,000/ Child: $2,000
•  Option 2- Spouse: $20,000/ Child: $5,000
•  Option 3- Spouse: $30,000/ Child: $6,000
•  Option 4- Spouse: $40,000/ Child: $8,000
•  Option 5- Spouse: $50,000/ Child: $10,000

  Felonious Assault

• Felonious Assault Accidental Death and Dismemberment Insurance Certificate - ON ALL BANK EMPLOYEES

---

For More Information Contact:
Karen Coufal, Vice President, NBA Benefit Plans
Jennifer Muehlhausen, Assistant Vice President-Active Enrollment, NBA Benefit Plans
James Strickland, Billing/Accounting Coordinator, NBA Benefit Plans​
Scott Yank, Executive Vice President & CFO, NBISCO

​NBA Benefit Plans
233 South 13th Street, Suite 700
Lincoln, NE 68508
Phone: 888-419-8322 or 402-475-8322
Fax: 402-474-4376