Group Term Life Benefit Summary

The information listed below is effective for the plan period beginning January 1, 2020.

Benefit Summaries
​Basic Life

Basic Dependent Life 
​
Extra Group Term Life

• 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

​
Employee Voluntary Group Life
​
Voluntary Accidental Death and Dismemberment
​
Designation of Beneficiary

• Designation of Beneficiary Form

Certificate Booklets
Basic Life

• Non-Contributory (without Dependents)
• Non-Contributory (with Dependents)
• Contributory (without Dependents)
• Contributory (with Dependents)

​
Employee Extra Group Term Life (without dependent 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  

Employee Extra Group Term Life (with dependent 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​

Employee Voluntary Group Life

Voluntary Accidental Death and Dismemberment

• ​​Voluntary Accidental Death and Dismemberment Certificate

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

---

For More Information Contact:
Karen Coufal, Vice President, VEBA Program
Janelle Ekeler, Assistant Vice President, VEBA Program
Jennifer Muehlhausen, Enrollment Manager, VEBA Program
Scott Yank, Executive Vice President, NBISCO

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