Approved For Release 2001/ 8( /f~ yifHA k'}828g p(64ft0. 001
7 June 1963
OS NOTICE NO. 63-4
FOR : All Office of Security Employees
SUBJECT: Available Insurance Coverage for Agency Employees
1. Recently it has been brought to my attention that certain Agency
employees and/or their relatives have experienced severe financial hard-
ships because the employees concerned did not avail themselves of the
opportunity to obtain Health and/or.Life Insurance Coverage offered by
the Agency.
2. The purpose of this Notice iszto remind all personnel in the
Office of Security of the extensive insurance and hospitalization coverage
that is available to them and to emphasize to employees at all grade levels,
the importance of analyzing ones insurance needs based on individual
circumstances, requirements, etc.
3, Each Federal civilian employee is automatically covered by
the Federal Employees Group Life Insurance Act unless a waiver is
signed requesting no coverage. This statutory plan provides term
insurance based on the salary of the person insured. Additional protection
is provided for each employee through the Federal Employees Compensa-
tion Act which provides compensation for disability or death resulting from
an accidental injury sustained in the performance of duty.
4. Within the Agency the Government Employees Health Association,
an independent non-profit organization, offers members an opportunity to
obtain a variety of other excellent insurance plans at very reasonable rates.
The following is a brief outline of the insurance coverage available within
the Association:
LIFE INSURANCE (Group Term)
For full-time employees who are U. S. citizens and have not yet
attained age 60 years.
Approved For Release 2001/0$= :I14* Q' g%R AO$080014-9
/ I 0- 8000400080014-9
? Approved For Release 20I ~T
WAEPA
Underwritten by Equitable Life Insurance Company of America.
Face Value $15, 000. 00. In case of accidental death $40, 000. 00.
through age 40
$ 8. 63 per month
$103. 56 per year
41 through 50
$10. 72 per month
$128. 64 per year
51 through 65
$12. 80 per month
$153. 60 per year
The premiums shown include $ . 30 per month for up to $1, 000. 00
life insurance coverage on each eligible dependent.
UBLIC
Underwritten by United Benefit Life Insurance Company of Omaha.
Five Plans
Face Value
If By Accident
Monthly Prem.
Yearly Prem.
Class 1
$ 3,000
$ 6,000
$ 2.13
$ 25. 56
Class 2
6,000
12,000
3.96
47. 52
Class 3
9, 000
18, 000
5.79
69.48
Class 4
12, 000
24, 000
7. 62
91. 44
Class 5
15,000
30,000
9.45
113.40
The premiums shown include $. 30 per month for up to $1, 000 life
insurance coverage on each eligible dependent.
EMPLOYEES. HEALTH BENEFITS
ASSOCIATION BENEFIT PLAN (Hospital and Surgical)
Approved by the Civil Service Commission under the Federal Employees
Health Benefits Act of 1959.
Cost To You (Each Pay Period)
High Option
Low Option
Self Only
$ 1. 30
$ .74
Self and Family
4. 02
Z. 03
Approved For Release 2001/08/01 : CIA-RDP80-01826R000400080014-9
CIA INTERNAL USE. ONLY
Approved For Release 2rP0WI8~ 1n8Y004000880014-9
Self and Family $ 5. 32
(Female & Non-
Dependent Husband)
$ 2.84
Next Open Season Will be October 1 - 15, 1963.
DREAD DISEASES PLAN
Provides coverage against attacks of poliomyelitis, leukemia,
scarlet fever, diphtheria, smallpox, spinal or cerebral meningitis,
encephalitis, tetanus or rabies. Payments to you are made regardless
of and in addition to any other forms of compensation received from any
other sources. Benefits pay up to as much as $10, 000. 00 for each
incidence of each such disease, within three years after the date of the
first treatment.
PREMIUMS
Single $4. 00 per year Family $10. 00 per year
INCOME REPLACEMENT
Provides for weekly payments beginning with the 31st day of
disability and continues for as long as life, if resulting from accident,
or for up to 10 years if resulting from illness.
Weekly, Benefit
Annual Premium
Class 1
$ 25.00
$ 30. 20
Class 2
50.00
60.40
Class 3
75.00
90.60
Class 4
100.00
120. 80
Provides coverage for the insured in event of death or loss of
limb or sight while a passenger on a scheduled airline. It also provides
limited payments for medical expenses connected with accidents covered
by the policy. Coverage is for travel on one-way or round-trip flight
as described in the application. This does NOT cover travel on MATS
or any other type of military or private aircraft.
Approved For Release 2001/08/01 : CIA-RDP80-01826R000400080014-9
CIA INTERNAL USE ONLY
Approved For Release 20 8/ j%M88 ft8 ?JQ1Q400080 -9
VWL
Domestic
Foreign
$ 20, 000 (Minimum
$ . 50
$15, 000 (Minimum)
$ .50
50,000
1.25
52,000
1.75
100,000
2.50
75,000
2.50
120,000
3.00
105,000
3.50
159, 000,
3, 75
150, 000 (Maximum)
5. 00
MILITARY AIR FLIGHT TRIP
Provides coverage as a passenger only similar to "Air Flight
Trip" but is extended to cover trips in any aircraft (other than a single
engine jet) operated by the U. S. Department of Defense including MATS
and military aircraft used primarily for transporting passengers.
Domestic
Amount
One-way
Round-trip
$12,500
$ .50
$1.00
Z5,000
1.00
2.00
50,000
2.00
4.00
Foreign
$12,500
$1.00
$2. 00
25,000
2.00
4.00
50,000
4.00
8.00
Provides coverage for the individual while traveling, as a
passenger, on any public transportation vehicle, including aircraft
operated by MATS and its Canadian and British equivalents. It covers
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loss of life, limb or sight, and includes payment (up to specified
amounts) for medical expenses in connection with covered injuries.
Premiums are paid on an annual basis.
$ 25, 000 (Minimum)
50, 000
75, 000
100, 000 (Maximum)
FLITE PLAN
Annual Premium $16. 00
31. 00
'46. 00
61.00
Provides coverage, as a passenger, similar to "Travel-Matic",
but extends coverage to civilian non-scheduled aircraft validly
transporting passengers commercially, and to most non-MATS military
aircraft used primarily for transporting passengers. Premiums are
paid on an annual basis.
Rates
Annual premium for each $1, 000 of coverage $1. 20
Minimum $8, 000
Maximum $100, 000
PARENTS ASSOCIATED MEDICAL ASSURANCE,(New)
Initial enrollment period 1 May - 30 June 1963.
Eligibility Requirements:
Parents, Step-Parents, and Parents-in-Law of Staff Employees and
Staff Agents will be eligible for PAMA coverage when they have attained
the age of 65. They need not be financially dependent upon the employee
to be eligible for enrollment.
Premium:
The premium cost is $6. 85 per month per parent covered.
STATINTL (Se for additional information).
5. With the exception of the Federal Employees Group Life
Insurance Plan and the Association Benefit Hospitalization Plan for which
premiums are paid by means of payroll deductions, premiums for any of
Approved For Release 2001/08/01 : CIA-RDP80-01826R000400080014-9
CIA INTERNAL USE ONLY
Approved For Release 2091/08/01 : CIA-RDP80-01826R000400080`011.4-9
the various plans outlined here can be paid by cash, check or money order
made payable to GEHA, Inc. Payments should be submitted to the Insurance
Branch,. Room 1J-33, Headquarters Building.
For each of the Life Insurance Plans, WAEPA and UBLIC,
premiums can be paid on a monthly, quarterly, semi-annual or
annual basis. Premiums for at least two months are required
with the application for either of these plans. Premiums for the
other.plans are payable as follows:
DREAD DISEASES PLAN - Annual premium
which is renewable 1 December each year. Premiums
are pro rated at time of application.
INCOME REPLACEMENT PLAN Semi-annual
or annual premium.
AIR FLIGHT and MILITARY AIR TRIP PLAN -
Premium is; paid at time of application for the specific
flight.
TRAVEL-MATIC PLAN - Annual premium
renewable on anniversary date each year.
FLITE PLAN - Annual premium renewable on
anniversary date each year.
6. Additional information or assistance in applying for any of the
plans offered by the Association can be obtained from the Personnel Branch,
A&TS, Room 4E-63, Headquarters Building, or from the Insurance Office,
Room 1J-33, Headquarters Building.
STATINTL
e t wart s
Director of Security
CIA INTERNAL USE ONLY
Approved For Release 2001/08/01 : CIA-RDP80-01826R000400080014-9