Insurance

Insurance

Life Insurance

Prudential | Policy # 60365 | Phone: (800) 524-0542 | www.prudential.com/mybenefits

Basic Life and
Accidental Death & Dismemberment

Rimini Street, Inc. provides Basic Life and Accidental Death and Dismemberment (AD&D) Insurance to help protect you and your loved ones, at no cost to you. (Applicable for Employee Only)

All regular full-time employees are automatically covered for 2 times your annual salary to a maximum $400,000 each for Basic Life Insurance and for Accidental Death and Dismemberment Insurance. (Applicable for Employee Only)

All Executive employees are automatically covered for 3 times your annual salary to a maximum of $600,000. (Applicable for Employee Only)

Coverage exceeding $50,000 is subject to imputed income. This means the premium for any amount over $50,000 must be included as income and will be subject to Social Security and Medicare taxes, which may be reflected in your paycheck.

Voluntary Life Insurance

Voluntary Life and
Accidental Death & Dismemberment

As a New Hire and during Open Enrollment, you can purchase additional Life Insurance coverage for yourself, your spouse/domestic partner, and your dependent children. Supplemental Life Insurance premiums are taken from your paycheck on a pre-tax basis.

You may purchase Voluntary Life Insurance for yourself up to a maximum of $500,000 in $10,000 increments. You must provide Evidence of Insurability (EOI) if you apply for Supplemental Life Insurance greater than $120,000.

You may purchase Voluntary Life Insurance for your spouse or domestic partner up to a maximum of $250,000, in $5,000 increments. You must provide evidence of good health if you apply for Life Insurance for your spouse or domestic partner greater than $50,000.

You may purchase Voluntary Life Insurance for your child or children up to a maximum of $10,000, in $2,500 increments.

After your New Hire event closes, any other requests to increase Voluntary Life Insurance will require you provide evidence of insurability.

The Prudential EOI Form -Personal Health Statement is the process of providing health information to qualify for certain types of insurance coverage. If you elect voluntary Life and AD&D coverage above the guaranteed issue limit or outside of the guaranteed issue period, you will be required to submit a health questionnaire (in some cases, a physical exam may be required). Your questionnaire will be reviewed by Prudential and you will be notified of their decision directly.

To complete this process, please complete the Prudential EOI Form -Personal Health Statement yourself and spouse (if applicable).

Your employee number is your Associate ID that starts with RS in ADP/WFN.

The completed form should be sent to [email protected] or faxed in 877-605-6671 or mailed to Prudential Group Medical Underwriting (P.O. Box 8796, Philadelphia, PA 19176).

You will have 30 days to complete the Prudential EOI Form -Personal Health Statement from your election date.

Disability

Prudential | Policy # 60365 | Phone: (800) 842-1718 | www.prudential.com/mybenefits

Short and Long Term Disability

Rimini Street, Inc. Provides Short-Term and Long-Term Disability Insurance coverage to you at no cost. Short-Term and Long-Term Disability benefits replace a portion of your pay if you become ill, injured, or disabled and are unable to work. These plans provide you valuable income protection and can help you and your dependents when you truly need it. (Applicable for Employee Only)

Short-Term Disability

Prudential | Policy # 60365 | Phone: (800) 842-1718 | www.prudential.com/mybenefits

The Short-Term Disability plan provides 60% of your weekly salary, to a maximum of $2,500 per week for the first 12 weeks of a disability (after a 7-day waiting period). These benefits may be offset by any state mandated disability plan or have Workers Compensation, for your certified medical disability. You will continue to receive benefits if you meet the definition of disability or reach 12 weeks of disability.

Percent of Earnings
Weekly Maximum
Elimination Period
Maximum Duration
60%
$2,500
7 Days
12 weeks

Long-Term Disability

Prudential | Policy # 60365 | Phone: (800) 842-1718 | www.prudential.com/mybenefits

The Long-Term Disability plan pays you a portion of your earnings if you cannot work for an extended time due to a disabling illness or injury. You are automatically enrolled in Long-Term Disability the date your Short-Term Disability payments end or 90 days following your injury or illness and at no cost to you.

Long-Term Disability coverage replaces 60% of your base salary to a monthly maximum of $10,000 if you are disabled for more than 180 days and are unable to work. You will continue to receive benefits if you meet the definition of disability or reach your Social Security Normal Retirement Age.

Percent of Earnings
Weekly Maximum
Elimination Period
Maximum Duration
60%
$10,000
90 Days
Up to Social Security Normal Retirement Age
Benefits are reduced by other sources of disability income you may qualify for such as Social Security and Workers’ Compensation.

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