Transcription
Aires, LLCWhat you need to know: Are you eligible? Benefits are available to employees who are actively at work on the effective date of coverage and working theminimum number of hours per week stated in the contract. Your premiums and benefits may vary. Actual premiums and benefit amounts will be calculated by OneAmerica andmay change upon reaching certain ages, according to contract terms, and are subject to change. Volumes and benefit amounts shownmay be subject to reductions due to age. Enroll timely for guaranteed issue coverage. You may be eligible for coverage without having to answer any health questions ifyou enroll during the initial enrollment period when benefits are first offered by OneAmerica , or if you enroll as a newly hiredemployee within 31 days after any applicable waiting period. Enrolling later requires approval. If you decline coverage now, you will lose your only chance to apply for group insurancecoverage without having to first undergo medical underwriting. If you decide to enroll later, you will need to submit a Statement ofInsurability form for review. OneAmerica will then decide to approve or deny your coverage based on your health history. You may not beapproved for any type of coverage at a later date if you have any current or future medical conditions.What you need to do: Carefully review the contents of this packet. Enclosed is personal information about the benefits offered to you by OneAmericaon behalf of your employer. This is your opportunity to learn more about group insurance from OneAmerica, but it is not a completeexplanation of benefits. For more information, consult the contract about exclusions, limitations, reduction of benefits, and terms underwhich the contract may be continued in force or discontinued. Review the Notices and Limitations. Visit www.employeebenefits.aul.com to find the Notices and Limitations,G-14320 (05 NonPrudent) 12/28/12. Go to Forms, Policy/Employee Admin, and Notices and Limitations. Submit your enrollment form. Please return your completed enrollment form to your employer.Note: Products issued and underwritten by American United Life Insurance Company (AUL), a OneAmerica company.Not available in all states or may vary by state. OneAmerica is the marketing name for the companies of OneAmerica.
Protecting Your Loved Ones — NoMatter What“Will my loved ones be OK when I’m gone?” It’s a difficult question to askyourself, but an important one all the same.If you were to pass away unexpectedly, how wouldyour loved ones cope financially? Would theybe taken care of? Or would they find themselvesstruggling to make ends meet while still in the midstof their grief?A Growing Gap for FamiliesAcross the country, American families face agrowing insurance gap. In early 2020, 46% of U.S.adult consumers didn’t own life insurance.1 Yet, 44%also stated that their families would begin to feel thefinancial effects within six months of a primary wageearner passing away — and 28% would do so withinjust a month.1But life insurance isn’t just about protecting your lovedones in the short term. It can also be a way of providingfor them for decades to come, by keeping them ontrack for their long-term goals, whether they be collegeeducation, home ownership or even retirement.1. Source: ometer-study/ June 16,2020.46%of U.S. adult consumersdon’t own life insurance.44%state that their familieswould begin to feel the financialeffects within six months ofa primary wage earnerpassing away.To learn more, or if you have questionsabout the life insurance options availablethrough your employer, contact yourhuman resources department today.is the marketing name for the companies of OneAmerica OneAmerica.com1 of 2 2020 OneAmerica Financial Partners, Inc. All rights reserved.G-27785 09/30/20
Why Purchase Term Life Insurance?Group rates provide affordable coverage Premium payments are easily madethrough payroll deduction In some cases, you can purchase coverage foryour spouse and/or dependent children You may be able to take your coverage withyou in the event you leave your employer Note: Products issued and underwritten by American UnitedLife Insurance Company (AUL), Indianapolis, IN, a OneAmericacompany. Not available in all states or may vary by state.How Much Do You Need?Everyone’s circumstances are different. The amountof life insurance that’s appropriate for yours willdepend on factors such as age, current finances andthe financial needs of your loved ones. That’s why it’simportant to start the conversation now, both with thepeople closest to you and with a financial professionalwho can help guide you down a positive path.Nobody knows what the future holds.That’s why preparation is so critical.By taking steps now to secure termlife insurance coverage, you and thosewho mean the most to you will havethe peace of mind that comes withknowing that yes, they will be OK, nomatter what tomorrow brings.is the marketing name for the companies of OneAmerica OneAmerica.com2 of 2 2020 OneAmerica Financial Partners, Inc. All rights reserved.G-27785 09/30/20
What you need to know about your Basic Life and AD&D BenefitsGuaranteed Issue:Employee: 20,000Accidental Death andDismemberment (AD&D):Additional life insurance benefits may be payable in the event of an accident which results in death ordismemberment as defined in the contract. Additional AD&D benefits include seat belt, air bag, repatriation,child higher education, child care, paralysis/loss of use, severe burns, disappearance, and exposure.Accelerated Life Benefit:If diagnosed with a terminal illness and have less than 12 months to live, you may apply to receive 25%, 50% or75% of your life insurance benefit to use for whatever you choose.Reductions:Upon reaching certain ages, your original benefit amount will reduce to the percentage shown in the followingschedule.Age:Reduces To:6565%7050%Basic Employee Life and AD&D CoverageYour Life and AD&D insurance coverage amount is 20,000.Coverage is provided at no cost to you. OneAmerica is the marketing name for the companies of OneAmerica.Aires, LLCClass: 1Rate Effective Date: 7/1/2021
What you need to know about your Voluntary Term Life and AD&D BenefitsEmployee: 10,000 to 500,000, in 1,000 increments, not to exceed 5 times your annual salaryFlexible Options:Spouse under age 70: 5,000 to 250,000, in 500 increments, not to exceed 50% of the employee’s amountEmployee: 175,000Guaranteed Issue:Spouse: 30,000Child: 10,000Dependent Life Coverage: Optional dependent life coverage is available to eligible employees. You must select employee coverage in order tocover your spouse and/or child(ren).Additional life insurance benefits may be payable in the event of an accident which results in death orAccidental Death andDismemberment (AD&D): dismemberment as defined in the contract. Additional AD&D benefits include seat belt, air bag, repatriation, childhigher education, child care, paralysis/loss of use, severe burns, disappearance, and exposure.Accelerated Life Benefit: If diagnosed with a terminal illness and have less than 12 months to live, you may apply to receive 25%, 50% or75% of your life insurance benefit to use for whatever you choose.Guaranteed Increase InBenefit:You may be eligible to increase your coverage annually until you reach your maximum amount without providingevidence of insurability.Reductions:Upon reaching certain ages, your original benefit amount will reduce to the percentage shown in the followingschedule. The amounts of dependent life insurance and dependent AD&D principal sum will reduce according tothe employee's reduction schedule.Age:Reduces To:7050%Payroll Deduction Illustration: 2 Times Per MonthEmployee OptionsLife & AD&D 10,000 30,000 50,000 70,000 100,000 110,000 130,000 150,000 160,000 175,0000-1920-2425-2930-3435-3940-44 .30 .30 .33 .38 .48 .6645-4950-54 .98 1.4855-5960-6465-69 2.16 2.90 4.4970-74 7.52 .89 .89 .97 1.12 1.43 1.97 2.92 4.42 6.47 8.68 13.45 22.54 66.19 1.48 1.48 1.61 1.86 2.38 3.28 4.86 7.36 10.78 14.46 22.41 37.56 110.31 2.07 2.07 2.25 2.60 3.33 4.59 6.80 10.30 15.09 20.24 31.37 52.58 154.43 2.95 2.95 3.20 3.70 4.75 6.55 9.70 14.70 21.55 28.90 44.80 75.10 220.60 3.25 3.25 3.53 4.08 5.23 7.21 10.68 16.18 23.71 31.80 49.29 82.62 242.67 3.84 3.84 4.17 4.82 6.18 8.52 12.62 19.12 28.02 37.58 58.25 97.64 286.79 4.43 4.43 4.81 5.56 7.13 9.83 14.56 22.06 32.33 43.36 67.21 112.66 330.91 4.72 4.72 5.12 5.92 7.60 10.48 15.52 23.52 34.48 46.24 71.68 120.16 352.96 5.17 5.17 5.61 6.48 8.32 11.47 16.98 25.73 37.72 50.58 78.41 131.43 386.06Spouse OptionsLife & AD&D 5,000 10,000 15,000 20,000 30,00075 0-64 .16 .16 .17 .20 .25 .34 .50 .75 1.09 1.46 2.25 .30 .30 .33 .38 .48 .66 .98 1.48 2.16 2.90 4.49 .45 .45 .49 .56 .72 .99 1.46 2.21 3.24 4.34 6.73 .59 .59 .64 .74 .95 1.31 1.94 2.94 4.31 5.78 8.96 .89 .89 .97 1.12 1.43 1.97 2.92 4.42 6.47 8.68 13.45Child OptionsChild(ren) 6 months to age 19,Child(ren) live birth to 6or 25 if full-time studentmonthsLife & AD&D 2,500 5,000 7,500 10,000Option 1:Option 2:Option 3:Option 4: 1,000 1,000 1,000 1,00065-69Deduction amountChild(ren) 0.32 0.63 0.95 1.27Note: Employee and Spouse premiums are based on your age as of 07/01 and amount of coverage chosen. Child premiums are for all eligible childrencombined. OneAmerica is the marketing name for the companies of OneAmerica.Aires, LLCClass: 1Rate Effective Date:7/1/2021
American United Life Insurance Company a ONEAMERICA companyOne American Square, P.O. Box 6123Indianapolis, IN 46206-6123(800) 553-5318www.employeebenefits.aul.comGroup Enrollment FormApplicant's Full Legal Name:Employment Status:Applicant's Social Security Number:Date of Birth:Applicant's State of Residence:Marital Status:Applicant's Residential Zip ployer:Aires, LLCApplicant's Telephone Number:business hours):()(normalApplicant's E-mail Address:Employed Full-Time:YesNoAre you authorized to work and reside in the US?YesNoCOVERAGE BEING APPLIED FOR: Apply for or decline each coverage listed below. Not checking a box or boxes will be considered a declination of that coverage.Benefit Amount / Option RequestedBasic Term Life & AD&DEmployee Voluntary Term Life & AD&D DeclineSpouse Voluntary Term Life & AD&D DeclineChild Voluntary Term Life & AD&D*If spouse is included in dependent coverage:Option Elect DeclineName Date of birth .For AUL Term Life Coverages, identify your Beneficiary Designation to ensure proceeds can be paid according to your wishes.Name of Primary Beneficiary:Percentage:Relationship:SSN/Date of Birth:Name of Contingent Beneficiary:Percentage:Relationship:SSN/Date of Birth:If you live in a community property state you will need to obtain the signature of your spouse if your spouse will not be named as a primarybeneficiary. Community property states currently include: AZ, CA, ID, LA, NV, NM, TX, WA, and WI. I hereby apply for the requested group life and/or disability insurance coverage for which I and my dependents, if any, are eligible andavailable under AUL’s policy. I understand receipt of any coverage greater than the guaranteed issue amount or application for coverageafter the approved enrollment period first requires medical underwriting and written approval by AUL. I authorize my employer to deduct from my wages the amount of premium required for the amount of coverage approved by AUL,including any premium increases due to age bracket or salary changes when applicable. Premium payments greater than the amount ofpremium owed will not result in additional coverage under AUL’s policy. The undersigned represents any information or documents provided to AUL by the undersigned prior to and after the date of theapplication for insurance and the facts and other matters contained in the foregoing are true and accurate to the best of theundersigned’s knowledge and belief. The undersigned understands and agrees 1. any insurance coverage or benefit are contingent upon any statements made toAUL as being complete and correct and 2. benefits under any group life or disability insurance policy will be paid only if AUL orits third party administrator decides in its discretion the applicant is entitled to them. The undersigned have read, understand,and retained the notices, limitations, and exclusions for his/her records.Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information inan application for insurance may be guilty of a crime and may be subject to fines and confinement in prison.Signature of Applicant: Date:In Community Property States, Spouse Signature: Date:ENROLL A(2006)Page 1G-13416 7/10/15
American United Life Insurance Company a ONEAMERICA companyOne American Square, P.O. Box 6123Indianapolis, IN 46206-6123(800) 553-5318www.employeebenefits.aul.comGroup Enrollment FormGroup Policy #:Class # :Employer:Occupation:MUST BEAires, LLCCOMPLETEDMode: [ ] Hourly [ ] Weekly [ ] Bi-Weekly [ ] Semi-Monthly [ ] Monthly [ ] AnnuallySalary:BY THEEMPLOYER F/T Requirements (hours, days, weeks, etc.):ENROLL A(2006)Page 2Employer's State:AZDate HiredFull Time:G-13416 7/10/15
Beneficiary Designation UnderGroup Life Insurance PolicyProducts and financial services provided byAmerican United Life Insurance Company a OneAmerica companyOne American Square, P.O. Box 6123Indianapolis, IN 46206-61231-800-553-5318Fax: T: PLEASE READ INSTRUCTIONS AND SAMPLE DESIGNATIONS ON REVERSE SIDE BEFORE COMPLETING FORM.CHECK IF BENEFICIARY FOR:All Policies orBasic LifeSupplementalVoluntary Term LifeAD&DList OtherGroup Policy/Participating Unit NumberName of Group Policyholder/Participating UnitName of Insured PersonInsured Person’s SSNInsured Person’s Date of BirthSubject to the provisions of the policy, applicable laws, and the rights of any valid assignee of record with American United Life InsuranceCompany (AUL), it is requested the beneficiary of any policy proceeds payable at the death of the Insured Person be as follows:PRIMARY ageSSNPercentageTotal1CONTINGENT BENEFICIARY(S) IF THE PRIMARY BENEFICIARY(S) PREDECEASES YOUNameRelationshipAddressDOBTotal2It is understood and agreed upon receipt of this beneficiary designation by AUL at its principal office, such beneficiary designation will becomeeffective and shall relate back to the date this beneficiary designation is signed, but without prejudice to AUL on account of any payment made priorto the receipt of and acknowledgement of the validity of the beneficiary designation by AUL. AUL shall not be obligated to honor this beneficiarydesignation unless and until it has been received by AUL, acknowledged by the appropriate officer of AUL, and determined by AUL to comply withapplicable law at the time a claim is made. This beneficiary designation supersedes and cancels all prior beneficiary designations by the InsuredPerson for the policy(s) indicated. If no beneficiary designation is named on any additional AUL coverage, the undersigned understands that thisbeneficiary designation will be used by AUL for any additional coverage.The undersigned hereby declares that he/she has not been declared incompetent and no court order or laws prevent naming the above designee(s).It is agreed that AUL assumes no responsibility for the validity or effect of any purported beneficiary designation or transfer of rights under the policy.The undersigned represents and warrants any information or documents provided to AUL by the undersigned prior to and after thedate of the application for insurance and the facts and other matters contained in the foregoing are true and accurate to the best ofthe undersigned’s knowledge and belief. The undersigned understands and agrees: 1) any insurance coverage or benefits is contingent upon anystatements made to AUL as being complete and correct and 2) benefits under any policy will be paid only if AUL decides the applicant is entitled tothem under the policy.Signature of InsuredSignature of Witness(The Witness must have no interest in the policy/contract or be a named beneficiary)Printed NamePrinted NameDateDateLack of Notice of Community Property Interest: If AUL has not previously received written notice of a community property interest and if the spacefor consent below is not signed by a person having such an interest, then AUL shall be entitled to rely upon its good faith that no such interestexists. AUL assumes no responsibility of inquiry regarding such interest and, in consideration of acknowledgement of this designation, the insuredperson listed above, for himself/herself and his/her estate, heirs, successors and assigns, agrees to indemnify AUL and hold it harmless from theconsequences of acknowledging this beneficiary designation.Spouse’s signature and consent (if applicable):3Date1 Total percentage must equal 100%. If percentages do not equal 100%, then benefits will be paid on a pro-rata basis, according to the percentages shown. If no percentages are shown, benefits will bedistributed equally.2 Total percentage must equal 100%. If percentages do not equal 100%, then benefits will be paid on a pro-rata basis, according to the percentages shown. If no percentages are shown, benefits will bedistributed equally.3 Spouse’s signature is needed only if Insured/Beneficiary lives in a community property state which currently include AZ, CA, ID, LA, NM, NV, TX, WA and WI.G-131178/19/14
SAMPLE BENEFICIARY DESIGNATIONSThe beneficiary wording should be absolutely clear and without question as to whom the proceeds are to be paid. Listed below are samplebeneficiary designations. Please note state laws may prohibit naming certain entities and individuals as a beneficiary. If you live in a communityproperty state, you should obtain the signature of your spouse if your spouse will not be named as a primary beneficiary. Community propertystates currently include: AZ, CA, ID, LA, NM, NV, TX, WA and WI.To ensure the correct individual or entity receives the benefits and the intended benefit amount, please provide the following: The beneficiary’s social security number, tax identification number and date of birth. Distribution of proceeds should be shown in fractions or percentages if multiple beneficiaries are designated. Do not list dollar amounts as theamount of the insured’s life benefit may change. If no distribution is shown, benefits will be divided equally among the living beneficiaries.ACCEPTABLE BENEFICIARY DESIGNATIONS1) One Beneficiary – State the full name and relationship to the insured.Sample: John Doe, husband2) Two Beneficiaries in Equal Shares –Sample: Jane Doe and Mary Doe, cousins, in equal shares, or their survivors.3) Three or More Beneficiaries in Equal Shares –Sample: Jane Doe, Mary Doe, and Richard Doe, cousins, in equal shares, or their survivors.4) Two Beneficiaries in Succession – If the primary beneficiary dies, the second person named will receive the proceeds and is known as thecontingent beneficiary.Sample: Martha Doe, wife, or, in the event of her death, Richard Doe, cousin.5) Three or More Beneficiaries in succession – If the primary and secondary beneficiaries die, the third person named will receive theproceeds.Sample: Martha Doe, wife, or, in the event of her death, Richard Doe, cousin, or in the event of his death, Jane Doe, niece.6) One Beneficiary Followed by Two Beneficiaries in Equal Shares –Sample: Martha Doe, wife, or, in the event of her death, Jane Doe and Mary Doe, cousins, in equal shares, or their survivors.7) One Beneficiary Followed by Three or More Beneficiaries in Equal Shares –Sample: John Doe, husband, or, in the event of his death, Jane Doe, Mary Doe, and Richard Doe, cousins, in equal shares,or their survivors.8) Two Beneficiaries Shown in Percentages –Sample: John Smith, cousin 40%, Sally Smith, aunt 60%.9) Two or More Beneficiaries Shown in Percentages –Sample: Mary Doe, wife 50%, Jane Doe, cousin 25%, John Doe, cousin 25%.10) Estate – Do not identify the name of the executor of executrix since this name may change as wills are updated.Sample: Estate of John Doe11) Custodian for Minor Children – Please note any minor child beneficiary designation should nominate a custodian (i.e. bank, adult, trustee)followed by the words “as custodian for (minor child’s name) under the (child’s residential state) uniform transfers to minors act.” Thisdesignation may avoid a court appointed guardianship for the payment of the death benefit.Sample: John Doe as custodian for Jimmy Smith under the Indiana Uniform Transfers to Minors act.12) Trust Agreement – State the name of the trust and the date of the trust agreement.Sample: John Doe Trust dated . Payment to trustee shall discharge the company.13) Wife or Unnamed Children –Sample: Martha Doe, wife, or in the event of her death, our children, if any, or their survivors.14) Unnamed Children –Sample: Children, if any, in equal shares, or their survivors.15) Beneficiary - No Relationship –Sample: Mary Doe, friend16) To a Church or Organization – It is preferable to indicate both the name and address and the wording “or its successors or assigns.”Sample: Christ Lutheran Church or its successors or assigns17) Irrevocable Beneficiary – This is acceptable, but not preferable, as the beneficiary must then approve any future beneficiary change.Sample: John Smith, husband, irrevocable beneficiary.18) Employee Unable to Sign – This designation must contain the person’s mark and be signed by two disinterested witnesses.UNACCEPTABLE BENEFICIARY DESIGNATIONS1) Collateral assignments, e.g. to banks, finance companies, etc. as creditors on a loan.2) The Employer3) Funeral Homes
Call Your ComPsych GuidanceResources program anytime for confidential assistance.Call: 855.387.9727Go online: guidanceresources.comTDD: 800.697.0353Your company Web ID: ONEAMERICA3Personal issues, planning for life events or simply managing daily life can affect your work, health and family.Your GuidanceResources program provides support, resources and information for personal and work-life issues.The program is company-sponsored, confidential and provided at no charge to you and your dependents.This flyer explains how GuidanceResources can help you and your family deal with everyday challenges.Confidential CounselingGuidanceResources OnlineThis no-cost counseling service helps you address stress, relationshipand other personal issues you and your family may face. It is staffedby GuidanceConsultants SM —highly trained master’s and doctoral levelclinicians who will listen to your concerns and quickly refer you toin-person counseling (up to 3 sessions per issue per year) and otherresources for:GuidanceResources Online is your one stop for expert informationon the issues that matter most to you.relationships, work, school,children, wellness, legal, financial, free time and more. 3 Session Plan›› Stress, anxiety and depression›› Relationship/marital conflicts›› Problems with childrenKnowledge at your fingertips.›››Job pressuresGrief and lossSubstance abuseFinancial Information and ResourcesDiscover your best options.Speak by phone with our Certified Public Accountants and CertifiedFinancial Planners on a wide range of financial issues, including:›› Getting out of debt›› Credit card or loan problems›› Tax questions›››Retirement planningEstate planningSaving for collegeLegal Support and ResourcesExpert info when you need it.Talk to our attorneys by phone. If you require representation, we’llrefer you to a qualified attorney in your area for a free 30-minuteconsultation with a 25% reduction in customary legal fees thereafter.Call about:›› Divorce and family law›› Debt and bankruptcy›› Landlord/tenant issues››››› Timely articles, HelpSheets , tutorials, streaming videos andSMself-assessments›› “Ask the Expert” personal responses to your questions›› Child care, elder care, attorney and financial planner searchesFree Online Will PreparationGet peace of mind.EstateGuidance lets you quickly and easily write a will on yourcomputer. Just go to www.guidanceresources.com and click on theEstateGuidance link. Follow the prompts to create and downloadyour will at no cost. Online support and instructions for executingand filing your will are included. You can: ›› Name an executor to manage your estate›› Choose a guardian for your children›› Specify your wishes for your property›› Provide funeral and burial instructionsJust call or click to access your services.Real estate transactionsCivil and criminal actionsContractsWork-Life SolutionsDelegate your “to-do” list.Our Work-Life specialists will do the research for you, providingqualified referrals and customized resources for:›› Child and elder care›› Moving and relocation›› Making major purchases›››College planningPet careHome repairOneAmerica is the marketing name for American United Life Insurance Company(R) (AUL). AUL marketsComPsych services. ComPsych Corporation is not an affiliate of AUL and is not a OneAmerica company.Copyright 2015 ComPsych Corporation. All rights reserved.To view the ComPsych HIPAA privacy notice, please go to www.guidanceresources.com/privacy.Your ComPsych GuidanceResources ProgramCALL ANYTIMECall: 855.387.9727TDD: 800.697.0353Online: guidanceresources.comYour company Web ID: ONEAMERICA3Copyright 2015 ComPsych Corporation. All rights reserved.
Peace of Mind When TravelingTravel assistanceEmergencies happen, but help is now only a phone call or email away. OnCall International offers a suite of services to help you in your time of need— from small inconveniences like losing your luggage to life-threateningsituations — all delivered with a caring, human touch.Find comfort in knowing you and your loved onesare protected by the Travel Assistance benefitwhen traveling more than 100 miles from home forbusiness or leisure. The Travel Assistance benefitprotects you when covered under a OneAmerica company group life insurance policy. It also extendscoverage to your spouse, domestic partner andchildren (under 21 or 25 and living at home as a fulltime student) even when they are traveling withoutyou. The Travel Assistance benefit requires noadditional premium; however, exclusions do apply.Medical assistance and transportation servicesPre-trip plan to provide up-to-date informationregarding required vaccinations, health risks, travelrestrictions and weather conditions.Medical monitoring and review of documentationutilizing professional case managers and medicalprofessionals to ensure appropriate care is received.Coordination of benefits by requesting healthinformation from the participant and attemptingto coordinate benefits during an active travelassistance case.Emergency medical evacuation to arrange andcoordinate air and/or ground transportation andmedical care during transportation to the nearesthospital where appropriate care is available.Medical repatriation to arrange the transport ofthe participant with a qualified medical attendant,if medically necessary, to their residence or homehospital.Return of remains to arrange the transportation ofa participant’s remains to their home in the event oftheir death while traveling.24-hour nurse help line to provide clinical assessment,education and general health information.Replacement of prescriptions and eyeglassesthat have been lost or stolen by consulting with theprescribing provider to transfer prescription to orarranging an appointment with a local provider.Medical, behavioral or mental health, dentaland pharmacy referrals to assist in finding careproviders and medical facilities.24-hour travel assistanceTravel Assistance is made available throughOneAmerica by an agreement with On Call International 1-866-816-2103 (US/Canada)1-603-328-1754 (call collect from other locations)Email: mail@oncallinternational.comis the marketing name for the companies of OneAmerica OneAmerica.com1 of 2 2020 OneAmerica Financial Partners, Inc. All rights reserved.G-33508 01/08/20
Travel assistance services Pre-trip information24/7 emergency travel arrangementsTranslator and interpreter referralEmergency travel funds assistanceLegal consultation and referralLost or stolen travel documents assistanceEmergency messagingLost luggage assistanceNote: Group life products are issued and underwritten byAmerican United Life Insurance Company (AUL), Indianapolis,IN., a OneAmerica company. Not available in all states ormay vary by state. Travel assistance provided by On CallInternational , On Call International is not an affiliate ofAUL, and is not a OneAmerica company. On Call Internationalprovides noted services for covered individuals and approveddependents. Services may be unavailable in countries currentlyunder U.S. economic or trade santions. Please refer to yourpolicy for covered limits and eligibility details.This is a brief summary of coverage for insured participants.This is not a contract of insurance. Coverage is governed byan insurance policy issued to OneAmerica . The policy isunderwritten by International Insurance Co. of Hannover Ltd.Complete information on the insurance is contained in theCertificate of Insurance on file with OneAmerica. If there is adifference between this program description and the certificatewording, the certificate controls.When contacting On Call International,be prepared to provide: First and last name The name of your employer A phone number where you can be reachedis the marketing name for the companies of OneAmerica OneAmerica.com2 of 2 2020 OneAmerica F
Visit www.employeebenefits.aul.com to find the Notices and Limitations, G-14320 (05 NonPrudent) 12/28/12. Go to Forms, Policy/Employee Admin, and Notices and Limitations. Review the Notices and Limitations. Submit your enrollment form. Please return your completed enrollment form to your employer.
