UNIVERSITY GROUP TERM LIFE INSURANCE PLANS

UNIVERSITY GROUP TERM

LIFE INSURANCE PLANS

University Plan | Optional Plan | Dependent Plan

Benefits Information by Phone

Call the SSC HR Contact Center at 734-615-2000 or 866-

647-7657 (toll free) for help with your U-M benefits.

Representatives are available to assist you by phone

Monday – Friday, 8:00 a.m. – 5:00 p.m. Have your UMID

number available when you call.

711 for Telecommunications Relay

Service

The Federal Communications Commission adopted use of

the 711 dialing code for access to Telecommunications

Relay Services (TRS). TRS permits persons with a hearing

or speech disability to use the telephone system via a text

telephone (TTY) or other device to call persons with or

without such disabilities. Dial 711 and ask the operator to

connect you to the SSC Service Center at 734-615-2000 or

toll free at 866-647-7657. For more information on TRS,

visit fcc.gov/guides/711-telecommunications-relay-service.

Limitations

The university in its sole discretion may modify, amend, or

terminate the benefits provided in this booklet with respect

to any individual receiving benefits, including active

employees, retirees, and their dependents. Although the

university has elected to provide these benefits this year, no

individual has a vested right to any of the benefits

provided. Nothing in these materials gives any individual

the right to continued benefits beyond the time the

university modifies, amends, or terminates the benefit.

Anyone seeking or accepting any of the benefits provided

will be deemed to have accepted the terms of the benefits

programs and the university’s right to modify, amend or

terminate them.

Every effort has been made to ensure the accuracy of this book.

However, if statements in this book differ from applicable

contracts, certificates, and riders, then the terms of those

documents will prevail. All benefits are subject to change.

Contents

Section 1: Life Insurance Plans

Plan Highlights ...................................................... 1

Life Insurance Plan Benefits .................................. 4

Faculty and Staff Member Monthly Rates

for Optional Life Insurance Plan ........................ 4

What You Pay for Your

Optional Plan Insurance ..................................... 5

Your Coverage in Retirement ................................ 6

When Changes Occur ............................................ 7

How Benefits Are Paid .......................................... 8

Section 2: Dependent Life Insurance Plan

Spouse or Other Qualified Adult ........................... 9

Dependent Children ............................................... 9

Dependent Life Insurance Plan Options ................ 9

Beneficiary ............................................................ 9

Continuation of Coverage ...................................... 9

Termination of Coverage ....................................... 9

Dependent Life Insurance Plan Options .............. 10

Section 3 Certificate of Coverage

Certificate of Group Coverage ............................... 11

Benefits .................................................................. 11

Employee Group Term Life Insurance .................. 11

Mode of Settlement Provisions .............................. 11

Conversion Privilege for You ................................ 11

Conversion Privilege for Your Dependents ........... 12

Incontestability of Life Insurance .......................... 12

Beneficiary Provisions ........................................... 12

Option to Accelerate Payment of

Death Benefits .................................................... 12

Modification of the Group Life

Coverage Provisions .......................................... 13

Assignments .......................................................... 13

Section 1: Life Insurance Plans

The university provides a basic level of life insurance

coverage at no cost to faculty and staff, with the

option to add more coverage for yourself or your

dependents.

The University Plan provides $30,000 of coverage

for you paid by the university.

The Optional Plan offers coverage for you at your

choice of coverage in amounts of $5,000, $50,000, or

one to eight times your annual salary up to $1.5

million.

The Dependent Plan provides coverage for your

spouse or other qualified adult at amounts of

$10,000, $25,000, $50,000, or $100,000; or coverage

for your dependent children at $2,000 or $5,000, paid

for by you.

Retired faculty and staff who were participating in

the University or Optional Plans on the date of their

retirement will transfer to the Retiree Life Insurance

Plan.

Plan Highlights

 The University Plan of $30,000 is paid for by the

university. There are no employee contributions.

 These term life plans have neither cash value nor

provision for loans, which means you must be

enrolled in the plan at the time of your death in

order for your beneficiary to receive benefits.

 Enrollment in the Optional Plan and Dependent

Plan is not automatic. You must enroll to

participate.

 New hires or newly eligible faculty and staff

hired after 1/1/2001 will be enrolled

automatically in the $30,000 University Plan at

no cost to the employee.

 Both the University Plan and Optional Plan have

a “Living Needs Benefit” option, or accelerated

payment of death benefit, which is an advance

payment of life insurance proceeds when you are

terminally ill and have a life expectancy of 12

months or less.

 If you are enrolled in the Optional Plan or have

Retiree Life Insurance, you are eligible for will

preparation services provided by attorneys who

participate in the Hyatt Legal Plan Network.

Hyatt Legal Plans is a wholly owned subsidiary

of MetLife and is the administrator of the

university’s Legal Services Plan.

 The Optional Plan gives you the flexibility of

setting your own level of coverage. There is a

$1.5 million maximum of coverage available.

You must be enrolled in the University Plan to

enroll in the Optional Plan.

 If you are a nonsmoker, you qualify for a

premium discount on the Standard Optional Plan

rates. A nonsmoker is defined as a person who

has not smoked for 12 months. If you do not

indicate your nonsmoker status on the

application, you will be defaulted to the Standard

Rate. See rates on page 4.

 Under the Optional Plan, if you choose coverage

based on your salary your coverage and its cost

will increase when your salary increases. Your

cost will also increase when you move into the

next higher age bracket.

 If your salary increase results in your coverage

increasing above $650,000, your coverage will

be capped at a flat $650,000 until you furnish

evidence of insurability that is satisfactory to

MetLife.

Who is eligible to participate in the

plan?

Faculty and staff members who:

 Have at least a 50% appointment, and

 Have departmental funding for a minimum of four

continuous months.

 GSRAs who have a least a 25% appointment and

department funding for a minimum of four

continuous months.

 Research Fellows who have more than a 0%

appointment and university funding. Stipend

money is not eligible.

Temporary hourly wage staff are not eligible.

How do I enroll?

New enrollment is not automatic for the Optional

Plan.

There are three times when you can enroll.

1. As a new hire to the university. You have

30 days to enroll. If you enroll as a new hire,

you will not be required to provide evidence

of insurability (a health statement) as long as

your Optional coverage is less than

$650,000.

2. As a newly eligible faculty or staff

member. As you become newly eligible for

life insurance due to a promotion or job

change that qualifies you for life insurance

benefits, you will receive an application

form. If you enroll within the 30 days

allowed, you will not be required to provide

evidence of insurability (a health statement)

as long as coverage is less than $650,000.

3. At any time. After the 30 days provided for

enrollment as a new employee or newly

eligible for life insurance benefits expires,

you can apply to enroll at any time you

choose, however you will be required to

provide evidence of insurability that is

satisfactory to MetLife. MetLife may also

require a physical examination before

approving coverage.

It is to your advantage to apply as soon as you are

eligible, and within the 30-day deadline.

Application Form

The application form is available at

hr.umich.edu/life-insurance-forms-documents.

Complete the form and return it to SSC Benefits

Transactions as indicated on the form.

Health Statement

If you enroll within 30 days of the date you become

eligible and choose less than $650,000 of coverage,

you will not need to provide a satisfactory health

statement as proof of insurability. Therefore, it is to

your advantage to enroll in Optional Life at the time

you become eligible.

The amount of coverage you elect and when you

enroll determines whether you need to submit a

health statement. You will need to submit a health

statement if you:

 Enroll in or increase Optional Plan coverage

less than $650,000 more than 30 days after

you become eligible.

 Elect Optional Plan coverage above

$650,000 at any time.

 Request increased Optional Plan coverage

above $650,000, or your salary increases

raising your coverage above $650,000.

 Enroll in the University Plan after the 30-

day deadline.

MetLife will send you notification by email when

you need to complete a health statement. Your

application for coverage is subject to approval from

MetLife. If you do not complete the health statement,

or if MetLife declines your application, your life

insurance coverage will be capped at $650,000.

Effective Date

If you are newly eligible, your insurance will become

effective on your service date or first day you are

newly eligible if you enroll within 30 days. If you are

not actively at work on the day your insurance would

otherwise become effective, you will become insured

on the day you return to active work. If proof of

insurability is required, your insurance will become

effective on the day the health statement is approved

by MetLife, the Benefits Office has been notified,

and you are actively at work.

Your Beneficiary

When you elect life insurance coverage for the first

time, you must complete the beneficiary designation

on the MetLife website, metlife.com/mybenefits. You

may choose any beneficiary you wish, such as a

family member, a friend, a trust, or an organization.

You can name a single beneficiary or you can name

two or more joint beneficiaries to receive the

insurance payment. You may change your

beneficiary at any time. If you do not designate a

beneficiary, or if none of the beneficiaries you name

survives you, death benefits will be paid to the first of

the following:

 Your surviving spouse or other qualified

adult;

 Surviving children in equal shares;

 Surviving parents in equal shares;

 Surviving siblings in equal shares; or

 Your estate.

You can choose different beneficiaries for each of the

different life insurance plans.

If you enroll in the plan and change the amount of

your coverage at a future date, the beneficiary you

designate now will remain your beneficiary until you

make a change. If you wish to change your

beneficiary, go to the MetLife website,

metlife.com/mybenefits.

This booklet is not the same as a

contract

This booklet describes your Group Term Life

Insurance Plans, but it is not a contract of insurance.

Likewise, possession of this booklet does not

constitute coverage. The complete terms of the Group

Term Life Insurance coverage are set forth in the

Group Term Life Insurance policy issued to the

University of Michigan by MetLife.

Life Insurance Plan Benefits

University Life Insurance Plan

If you are enrolled in the University Plan, $30,000 of

group term life insurance coverage is provided for

you, fully paid by the university. As of January 1,

2001, newly hired or newly eligible faculty and staff

members are enrolled automatically in the University

Plan.

You must be enrolled in the University Plan in order

to enroll in Dependent Life and or Optional Life.

Optional Life Insurance Plan

Benefits for Active Faculty and

Staff Members

If you are enrolled in University Life and want

additional life insurance coverage, you may enroll in

Optional Life. You pay the full amount for your

Optional Life coverage.

Optional Plan Coverage Options

These are your coverage options under the Optional

Life plan:

 No coverage

 $5,000

 $50,000

 1 times salary

 2 times salary

 3 times salary

 4 times salary

 5 times salary

 6 times salary

 7 times salary

 8 times salary

Maximum coverage is $1.5 million.

If the coverage option you elect results in coverage

over $650,000, your coverage will be capped at

$650,000 until you submit evidence of insurability

that is satisfactory to MetLife.

Your Cost for Optional Life

Coverage

The cost of your Optional Life coverage depends on

the coverage you select, your age, your smoking

status, and your annual salary if you select a coverage

level based on salary.

The amount of coverage and its cost will increase

when your salary increases if your coverage is based

on your salary. Your cost will also increase when you

move into the next higher age bracket.

Your monthly rates are calculated per $1,000 of

coverage.

Monthly Rates Per $1,000

Age

Standard

Nonsmoker

Discount

<30

$0.024

$0.011

30 - 34

$0.026

$0.024

35 - 39

$0.032

$0.029

40 - 44

$0.049

$0.042

45 - 49

$0.084

$0.072

50 - 54

$0.139

$0.119

55 - 59

$0.218

$0.185

60 - 64

$0.338

$0.307

65 - 69

$0.607

$0.512

70 & older

$1.088

$0.709

What You Pay for Your Optional Plan Insurance

To determine your monthly premiums for Optional Life, use the worksheet below, or use the Optional Life

Insurance Rate Calculator at: hr.umich.edu/optional-life-insurance-rate-calculator.

If you are paid monthly, your premiums will be deducted from your monthly paycheck. If you are paid bi-weekly,

your premiums will be deducted from your first and second paycheck each month. Your premiums will be deducted

on an aftertax basis.

Optional Life Insurance Premium Worksheet

1. Box A.

From the Monthly Rates Per $1,000 chart on the previous page, find your age and smoker status. This is your rate.

Write the amount in Box A below.

2. Box B.

If you wish coverage for a flat amount of $5,000 or $50,000, enter 5 or 50 in Box B below.

If you select a salary-based option (1 to 8 times your salary), multiply your annual salary by 1-8. For example, if

your annual salary is $18,000 and you elect 3 times salary, your coverage would be $18,000 x 3 = $54,000. Drop the

last three zeros and write the amount in Box B below.

3. Box C.

Multiply the rate, Box A, by the coverage, Box B, and enter the amount in Box C. This is your monthly cost.

A B C

Rate x Coverage = Your Monthly Cost

For example, a staff member between 30 and 34 years old and a nonsmoker has a rate of $0.024 per $1,000 of

coverage. If her annual salary is $18,000 and she elects coverage at 3 times her salary ($54,000), her monthly cost

would be:

$0.024 x 54 = $1.30 per month

Your Coverage in Retirement

Coverage during Phased

Retirement

Your life insurance coverage will not change because

you enter the university’s Phased Retirement

program unless other factors change, such as your

age and your salary. See page 7, Your Salary and

Age Affect Your Optional Life Insurance Cost.

How Retirement Affects Life

Insurance

When you retire, you will be covered under the

university’s Retiree Life Insurance Plan. Your

amount of insurance will be the lesser of:

 The amount for which you were insured on

your date of retirement from the university,

and

 The amount applicable to your age as of

January 1.

In any event, during retirement the amount of

insurance will decrease as your age increases until

you reach age 66, at which time coverage at $2,000

becomes effective and will remain in effect for the

rest of your life.

Under present policy, which is subject to change, the

entire cost of the continued life insurance protection

during retirement is paid by the university.

Amounts of Insurance

Your insurance coverage amount is based on your

age as of January 1.

Note: Retirees with a date of service on or after July

1, 1988 will pay the full cost of benefits up to the

month they turn age 62.

Your Age

On and After Retirement

Amount of

Insurance

50 years or less

$15,000

51 years but less than 52 years

$15,000

52 years but less than 53 years

$15,000

53 years but less than 54 years

$15,000

54 years but less than 55 years

$15,000

55 years but less than 56 years

$15,000

56 years but less than 57 years

$14,000

57 years but less than 58 years

$13,000

58 years but less than 59 years

$12,000

59 years but less than 60 years

$11,000

60 years but less than 61 years

$10,000

61 years but less than 62 years

$8,000

62 years but less than 63 years

$6,000

63 years but less than 64 years

$5,000

64 years but less than 65 years

$4,000

65 years but less than 66 years

$3,000

66 years and over

$2,000

When Changes Occur

If you Lose Eligibility

Your life insurance will terminate if:

 You become ineligible for the insurance;

 You discontinue contributions;

 You waive coverage;

 Your employment terminates; or

 The University or Optional Plans are

terminated by the university

However, if your coverage terminates for any reason,

your University Life and Optional Life Insurance

benefits will be paid in the event your death occurs

during the next 31 days after one of the events listed

above or during the remainder of the period for which

you have already paid the premium, whichever

occurs later. See Conversion Privilege for You on

page 11.

Leave of Absence or Temporary

Layoff

 If you are granted an official leave of

absence by the university, your life

insurance can be continued for the duration

of the leave, provided you make

arrangements with the Benefits Office prior

to the start of your leave to pay the

premiums during your leave.

 If you are temporarily laid off for any

reason, your life insurance can be continued

during the layoff for up to 12 months,

provided you make arrangements prior to

the layoff with the Benefits Office for the

payment of premiums. If you request and

qualify for “extended layoff,” coverage can

be continued an additional six months.

 If you choose not to continue coverage

during a leave of absence or layoff, and you

return to work at the university with an

eligible appointment, your coverage will be

reinstated at the same level at which you

were enrolled prior to your leave or layoff.

You must contact the Benefits Office within

30 days of your return to work if you need to

make allowable changes to your coverage.

If you become totally disabled and unable to work,

and you are enrolled in the university’s Long-Term

Disability Plan and approved for benefits, your life

insurance will remain in force, fully paid by the

university

Consult the University of Michigan Standard Practice

Guide (SPG) for the most up-to-date rules. Refer to

SPG 201.30-0 and 201.30-1 for information on

leaves, and SPG 201.72-0 and 201-72-1 about

layoffs.

Your Salary and Age Affect Your

Optional Life Insurance Cost

If you select a multiple of your salary for your

Optional Life coverage, the amount of coverage

selected and its cost will increase automatically when

your salary increases. Likewise your cost will

increase automatically when you move into the next

higher age bracket on the rate chart on page 4.

If you select a multiple of your salary for your

Optional Life coverage and your base salary is

reduced, your life insurance coverage and

contributions will be reduced to reflect your actual

salary.

How Benefits are Paid

If you die while your life insurance is in force,

regardless of how, where, or when death occurs, the

full amount of your insurance will be paid to your

beneficiaries when MetLife receives written proof of

your death. A certified copy of the death certificate is

required.

The beneficiary may choose a lump-sum payment.

Beneficiaries of active university employees can

open an interest-bearing checking account

immediately when the claim is processed, in lieu of a

lump-sum distribution.

Payment to your beneficiary will be made within 10

business days after all documentation is received by

MetLife.

Living Needs Benefit Option

The accelerated payment of death benefit or “Living

Needs Benefit” option is an advance payment of life

insurance proceeds for terminally ill persons, and is

available under this plan. Under this option, a plan

participant whose life expectancy is 12 months or

less may receive, in advance, up to 80% of life

insurance benefits that would otherwise be payable

only at death (with a maximum of $24,000 for the

University Plan and $650,000 for the Optional Plan).

The amount of life insurance benefit that may be

accelerated must equal or exceed $20,000. A

$20,000 policy, for example, would pay a benefit of

$16,000.00. Faculty and staff members can choose to

have the benefit paid out in one lump sum or three

equal monthly payments. The money can be used at

the discretion of the insured. Benefits not paid in

advance remain payable to the named beneficiaries at

the death of the insured.

Filing Claims

When there is a claim, your family, beneficiary, or

other designated person should notify the university’s

Shared Services Center HR Contact Center

immediately by calling (734) 615-2000 locally or

(866) 647-7657 toll free, Monday – Friday, 8 a.m. – 5

p.m. A certified death certificate must be submitted

to MetLife before a claim can be paid. MetLife will

process all claims.

Section 2: Dependent Life Insurance Plan

The group term Dependent Life Insurance plan is

available for your spouse or other qualified adult

(OQA) and any eligible children. You must be

enrolled in the University Plan to enroll in the

Dependent Plan.

Coverage for Your Spouse or OQA

Your may enroll your spouse or OQA in the

Dependent Plan at any time. He or she will need to

provide satisfactory evidence of insurability (health

statement). Coverage will go into effect when the

Dependent Plan application is received and

satisfactory evidence of insurability has been

received and approved by MetLife.

Coverage for Your Dependent

Children

No health statement is required to enroll your eligible

dependent children in the Dependent Plan, and you

may enroll them at any time.

No person may be insured as a Dependent of more

than one employee.

Dependent Plan coverage for newborns goes into

effect at age 15 days or when the application is

received, whichever is later.

Beneficiary

You are automatically the beneficiary when you

enroll in the Dependent Plan. You do not need to

designate a beneficiary. If you and your covered

dependent die within a 24-hour period, benefits from

life insurance on you and your dependent will be paid

to the beneficiary of your life insurance policy, or to

your estate.

Continuation of Coverage

If your dependent has been enrolled in the Dependent

Life Plan, you have the option to convert life

insurance for your dependent when coverage ends

because:

 You cease to be eligible for the Dependent

Life Plan;

 Your employment ends;

 The group policy ends, provided your

dependent has been insured for at least five

years; or

 The dependent ceases to qualify as an

eligible dependent.

See Conversion Privilege for Your Dependents on

page 12.

Terminating Coverage

You can terminate dependent coverage at any time.

To do so, complete a Group Term Life Insurance

Withdrawal Form and submit it as instructed on the

form. The form is available from

hr.umich.edu/life-insurance-forms-documents.

Dependent Spouse or OQA coverage terminates

when the faculty or staff member retires, terminates

employment with the university for any reason, or

dies.

In the case of divorce, Dependent Spouse Plan

coverage will terminate the date the faculty or staff

member’s divorce is final.

The Dependent OQA Plan coverage will terminate

the date the OQA is no longer an eligible dependent.

Cancellation is not automatic when your dependent

turns the age of 26. You must complete the Group

Term Life Insurance Withdrawal form to cancel

dependent life insurance. Cancellation is the first of

the following month following receipt of

withdrawal form.

Dependent Life Insurance Plan Options

Life Insurance For Your:

In These

Amounts

Cost Per Month

Health Statement Needed

Spouse or other qualified adult

$10,000

$25,000

$50,000

$100,000

$1.56

$3.90

$7.80

$15.60

Yes

Children

$2,000 per

child

$5,000 per

child

$0.10

$0.26

None

Enrollment in the Dependent Children Plan covers all of

your eligible dependent children.

Section 3: Certificate of Coverage

Certificate of Group Coverage

This Certificate of Group Coverage certifies that

subject to the terms and conditions of the Group

Policy, the insurance referred to herein is provided

for certain faculty and staff members of The Regents

of the University of Michigan, herein called the

Policyholder.

Benefits

The MetLife benefits for which you are insured are

described in this booklet in the sections preceding

this Certificate of Group Coverage. The benefits and

all provisions applicable to you are described in the

booklet and are effective only if you are eligible for

insurance, become insured, and remain insured in

accordance with the provisions of the Group Policy.

This certificate, which is merely evidence of

insurance provided under the Group Policy, is

furnished in accordance with, and subject to, the

Group Policy, which alone constitutes the agreement

under which payments are made. This certificate

replaces any certificates previously issued to you

with respect to the group coverage described herein.

Employee Group Term Life

Insurance

Upon receipt of written proof of your death, the

amount of Employee Group Term Life Insurance for

which you are insured under the Group Policy shall

be payable to the beneficiary designated by you in

accordance with the terms of the Group Policy. Any

part of such insurance for which no beneficiary is

designated or surviving at your death will be payable

in accordance with the terms of the Group Policy.

Mode of Settlement Provisions

Your life insurance will be paid to your beneficiary in

a lump sum. However, other methods of payment

may be arranged with MetLife. Information on the

available methods may be obtained from MetLife.

Conversion Privilege for You

If your life insurance ends or is reduced for any of the

reasons stated below, you have the option to buy an

individual policy from MetLife. This is referred to as

the “option to convert.” The maximum amount of

insurance that you may elect under the conversion

policy is the amount which ends under the Group

Policy. Evidence of your insurability will not be

required.

You have the option to convert when:

 Your life insurance ends because:

o You cease to be in an eligible class;

o Your employment ends;

o The Group Policy ends, provided you have

been insured at least 5 years; or

o The Group Policy is amended to end life

insurance for an eligible class of which you

are a member, provided you have been

insured for at least 5 years; or

 Your life insurance is reduced:

o On or after the date you attain age 60;

o Because you change from one eligible class

to another; or

o Due to an amendment of the Group Policy.

If you opt to convert your life insurance for any of

the reasons stated above, MetLife must receive a

completed conversion application form from you

within 31 days after the date your life insurance ends

or is reduced. Call the university’s SSC Contact

Center to request the conversion application.

If you die within 31 days after your life insurance

ends, the amount of life insurance you were entitled

to convert will be paid to your beneficiary, whether

or not you applied for conversion, when MetLife

receives due written proof of death (a certified death

certificate).

Conversion Privilege for Your

Dependents

If your dependent’s life insurance ends, you, or the

dependent, will have the option to buy an individual

policy on the life of the dependent. Evidence of the

dependent’s insurability will not be required.

You have the option to convert Dependent Life

Insurance when your dependent’s policy ends

because:

 You cease to be in an eligible class;

 Your employment ends;

 The Group Policy is amended to end life

insurance for dependents for an eligible

class of which you are member, provided

your dependent has been insured for at least

5 years; or

 Your dependent ceases to qualify as a

dependent.

If you opt to convert your dependent’s life insurance

for any of the reasons stated above, MetLife must

receive a completed conversion application form

from you within 31 days after the date your

dependent’s life insurance ends. Call the university’s

SSC Contact Center to request the conversion

application.

If your dependent dies within 31 days after their life

insurance ends, the amount of life insurance they

were entitled to convert will be paid to you, whether

or not they applied for conversion, when MetLife

receives due written proof of death (a certified death

certificate).

Incontestability of Life Insurance

All statements made by an insured person with

respect to the life insurance under this plan shall be

deemed representations and not warranties. With

respect to each amount of life insurance for which a

person is insured, no such statement shall be used in

any contest of such insurance unless a copy of the

instrument containing the statement is or has been

furnished to him/her or to his/her beneficiary. No

statement made by an insured person relating to

his/her insurability for such insurance shall be used in

contesting the validity of the insurance with respect

to which the statement as made after such insurance

has been in force prior to the contest for a period of

two years during his/her lifetime. Nor can such

statement be used unless it is contained in a written

instrument signed by him/her.

Beneficiary Provisions

These provisions apply to any coverage which pays a

benefit on account of your death. Any such benefit is

payable to the beneficiary you designate on a form

satisfactory to MetLife. You may change your

beneficiary at any time without your present

beneficiary’s consent. To do this, go to the MetLife

website, metlife.com/mybenefits. The new

designation will take effect on the date your change is

completed and is received by the Shared Services

Center or MetLife.

If you designate more than one beneficiary but do not

specify their shares, they will share equally. If a

beneficiary dies before you, his interest will

terminate and will be shared equally by any

remaining beneficiaries, unless you specify otherwise

in your beneficiary designation. Any amount of

insurance for which there is no beneficiary at your

death will be payable to the first of the following:

 Your surviving spouse or OQA;

 Surviving children in equal shares;

 Surviving parents in equal shares;

 Surviving siblings in equal shares; or

 Your estate.

Your beneficiary designation will be maintained by

MetLife and will not be contained or updated in this

Certificate.

Option to Accelerate Payment of

Death Benefits

Accelerated Payment of Death Benefits is an option

which provides early payment of life insurance

proceeds when you are terminally ill or totally and

permanently disabled with a life expectancy of 12

months or less. It is not intended or designated to

provide health, nursing home, or long-term care

insurance.

When you elect this option, the total amount of

Employee Term Life Insurance otherwise payable on

your death, including any amount under the extended

death benefit, will be reduced by the accelerated

proceeds. Also, any amount you could otherwise

have converted to an individual contract will be

reduced by the accelerated proceeds. In other words,

this benefit is in lieu of the benefits that would have

been paid on your death with respect to the

accelerated proceeds.

You are totally and permanently disabled for the

purposes of this option when you furnish proof,

including a certification by a doctor, that satisfies

MetLife that your life expectancy is 12 months or

less.

The terminal illness proceeds are equal to 80% of the

amount of life insurance in force on your life on the

date MetLife receives proof that you are totally and

permanently disabled, but not more than $24,000 for

the University Plan or $650,000 for the Optional

Plan. However, the accelerated proceeds may be

reduced if, within 6 months after the date MetLife

receives such proof, a reduction on account of age

would have applied to the amount of your Employee

Term Life Insurance. In that case, the amount of

terminal illness proceeds may not exceed the amount

of such insurance after applying the reduction.

If you elect this option, MetLife will make the

accelerated proceeds payable to you either in a lump

sum or in 3 monthly installments.

Your rights to be paid under this option are subject to

the following terms:

1. You must choose this option in writing in a

form that satisfies MetLife; and

2. Your Employee Term Life Insurance must

not be assigned.

3. Accelerated proceeds will be made available

to you on a voluntary basis only. Therefore:

a. If you are required by law to use

this option to meet the claims of

creditors, whether in bankruptcy or

otherwise, you are not eligible for

this benefit.

b. If you are required by a

government agency to use this

option in order to apply for,

receive, or maintain a government

benefit or entitlement, you are not

eligible for this benefit.

Modification of the Group Life

Coverage Provisions

The meaning of “Form” for an individual life

insurance contract which appears in the Conversion

Privilege of the Group Life Coverage provisions is

replaced by:

“Form: Any form of a life insurance contract that:

1. Conforms to Title VII of the Civil Rights

Act of 1964, as amended, having no

distinction based on sex; and

2. Is one that MetLife usually issues at the age

and amount applied for.”

This does not include term insurance or a contract

with disability or supplementary benefits.

Assignments

Irrevocable assignments to an individual or a trust are

permitted for the Optional Plan only.

Published by

Benefits Office

University of Michigan

Wolverine Tower – Low Rise G405

3003 South State Street

Ann Arbor, MI 48109-1278

Call the Shared Services Center (SSC) Contact

Center (734) 615-2000 locally, 5-2000 from the U-M

Ann Arbor campus, or ( 866) 647-7657 (toll-free for

off-campus long-distance calling) Monday-Friday,

8:00 a.m.–5:00 p.m.

Web: hr.umich.edu/benefits-wellness

The Benefits Office is a unit of University Human

Resources

Richard S. Holcomb, Jr.

Associate Vice President for Human Resources

Brian Vasher

Interim Senior Director for Benefits

January 2020

Regents

the University

of Michigan

Jordan B. Acker

Michael J. Behm

Mark J. Bernstein

Paul W. Brown

Shauna Ryder Diggs

Denise Ilitch

Ron Weiser

Katherine E. White

Mark S. Schlissel (ex officio)

Nondiscrimination Policy Statement

The University of Michigan, as an equal

opportunity/affirmative action employer, complies with all

applicable federal and state laws regarding

nondiscrimination and affirmative action. The University of

Michigan is committed to a policy of equal opportunity for

all persons and does not discriminate on the basis of race,

color, national origin, age, marital status, sex, sexual

orientation, gender identity, gender expression, disability,

religion, height, weight, or veteran status in employment,

educational programs and activities, and admissions.

Inquiries or complaints may be addressed to The Senior

Director for Institutional Equity, and Title IX/Section 504/

ADA Coordinator, Office of Institutional Equity, 2072

Administrative Services Building, Ann Arbor, Michigan

48109-1432, 734-763-0235, TTY 734-647-1388. For other

University of Michigan information call 734-764-1817.

Michigan 48109