LIFE AND AD&D BENEFIT SUMMARIES – 2023

When providing a benefit summary to an applicant or Blue Shield member, you must also include a Notice of Language Assistance. (PDF, 1 MB)

The following benefit summaries are for groups of 101 or more employees, effective 2023.

Life plans Benefit Summaries
Group Life and AD&D Insurance $15,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $20,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $25,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $30,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $35,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $40,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $50,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $60,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $65,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $75,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $80,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $100,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $120,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $125,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $150,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $175,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance $200,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 1 x Annual Salary to $100,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 1 x Annual Salary to $150,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 1 x Annual Salary to $200,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 1 x Annual Salary to $300,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 1 x Annual Salary to $500,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 2 x Annual Salary to $100,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 2 x Annual Salary to $150,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 2 x Annual Salary to $200,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 2 x Annual Salary to $300,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)
Group Life and AD&D Insurance, 2 x Annual Salary to $500,000 English (PDF, 150 KB)
Spanish (PDF, 139 KB)

© California Physicians' Service DBA Blue Shield of California 1999-2024. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.

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