• Life Insurance You and Your Family Can Count On: Term coverage is the purest kind of life insurance with no costly savings features. Here's term life insurance you can depend on for a full ten years with premiums that are designed to not go up and benefits that will not go down*. You can renew coverage up to age 75, subject to all termination of coverage provisions.
• Available exclusively to HSBA Members/Employees And Spouses Age 60 and Under: With the HSBA Group 10-Year Level Term Life Insurance Plan, you can help protect your family from the unnecessary financial burdens of your or your spouse's premature death.
• Renewable Until Age 75: You can renew your life insurance under this HSBA Plan until age 75, subject to all termination of coverage provisions.
• High Amounts of Member/Employee and Spouse Coverage: Select a coverage amount to help meet your needs, from $200,000 up to $1,000,000 (in $25,000 units). (Note:  spouse coverage may not exceed 100 percent of member/employee coverage.)

ELIGIBILITY
Available exclusively to HSBA members/employees age 60 or under, who may apply for coverage for themselves, their lawful spouses age 60 or under and all unmarried dependent children ages 14 days to under 21 years (25 if a full-time student).

A person may be insured as a member/employee or spouse, but not both.

Unmarried, dependent children ages 14 days to under 21 years (25 if full–time student) are eligible for $5,000 or $10,000 of coverage.

APPLY FOR UP TO $1,000,000 OF COVERAGE
Choose the amount of Group 10–Year Level Term Life insurance you need to help protect you and your family for the next 10 years–without the worry of premiums that could go up or benefits that could go down.*
Amounts Of Insurance:
Members/Employees–$200,000 to $1,000,000 in $25,000 increments.
Spouse–$200,000 to $1,000,000 in $25,000 increments.
Children–$5,000 or $10,000
(Note:  spouse coverage may not exceed 100 percent of member/employee coverage.)

PLAN FEATURES

Pay Less If You’re a Qualified Non-tobacco user
Non-tobacco users meeting the highest underwriting standards may qualify for the Plan’s lowest rates.

Continuing Insurance After the 10–Year Term Ends
Premiums are designed to remain level for the first 10 years of coverage*. At the end of the 10–year period, if you still meet the requirements of eligibility, you may apply for re-entry. A written application and proof of good health satisfactory to ReliaStar Life is required.

Or coverage can be automatically transferred to group annual renewable term life coverage with attained age rates, without proof of good health and subject to all terms and eligibility requirements of the group policy. The initial premium rate will be based on the insured’s age at the time of transfer.

Keep Your Cost Manageable
Rates have been provided on a monthly basis per $1,000 of coverage to make it easier for you to compare this Plan with other insurance plans on the market today. Four modes of payment are available to suit your budget: quarterly billing, semiannual billing or annual billing; and our Monthly Pre–Authorized Check Payment Plan.

Your Cost
The cost of this life insurance is based upon the member/employee and spouse’s gender, amount of insurance requested, usage of tobacco/nicotine products and attained age on the date coverage is issued. Premium contributions will vary depending upon the options chosen.

Only non-tobacco users meeting the highest underwriting standards will qualify for "Preferred" rates. (Note: tobacco users may qualify for "Tobacco"). Upon approval of your application by the insurer, you will be notified of the rate classification for each approved person.

 

 

Hawaii State Bar Association, 66716-1 Member/Spouse/Employee of Member   Volume Band: $200,000 - $475,000 10-Year Group Level Term Monthly Rates Per $1,000 Rates as of January 1, 2024
	Male			Female
Issue Age	Tobacco	Non-Tobacco	Non-Tobacco Preferred	Tobacco	Non-Tobacco	Non-Tobacco Preferred
18-26	0.13	0.07	0.06	0.09	0.05	0.05
27	0.13	0.07	0.06	0.09	0.05	0.05
28	0.14	0.07	0.06	0.10	0.05	0.05
29	0.14	0.08	0.06	0.10	0.06	0.05
30	0.15	0.08	0.06	0.11	0.06	0.05
31	0.16	0.08	0.06	0.12	0.06	0.05
32	0.17	0.08	0.06	0.13	0.06	0.05
33	0.18	0.08	0.06	0.14	0.07	0.05
34	0.19	0.09	0.07	0.15	0.07	0.05
35	0.21	0.09	0.07	0.16	0.07	0.05
36	0.22	0.09	0.07	0.18	0.08	0.06
37	0.24	0.09	0.07	0.19	0.08	0.06
38	0.26	0.10	0.08	0.21	0.09	0.06
39	0.28	0.11	0.08	0.22	0.10	0.07
40	0.37	0.11	0.08	0.24	0.10	0.07
41	0.33	0.12	0.09	0.26	0.11	0.08
42	0.36	0.13	0.10	0.27	0.11	0.08
43	0.39	0.14	0.10	0.29	0.12	0.08
44	0.42	0.15	0.11	0.31	0.12	0.09
45	0.47	0.16	0.13	0.33	0.14	0.10
46	0.50	0.18	0.14	0.35	0.14	0.10
47	0.53	0.19	0.14	0.37	0.15	0.11
48	0.57	0.21	0.15	0.39	0.16	0.11
49	0.61	0.22	0.16	0.41	0.17	0.12
50	0.65	0.25	0.18	0.44	0.18	0.12
51	0.70	0.27	0.19	0.46	0.20	0.13
52	0.76	0.29	0.21	0.49	0.21	0.14
53	0.81	0.32	0.23	0.52	0.23	0.15
54	0.88	0.35	0.25	0.55	0.24	0.16
55	0.94	0.38	0.26	0.58	0.26	0.17
56	1.01	0.41	0.30	0.61	0.28	0.18
57	1.07	0.45	0.30	0.65	0.30	0.19
58	1.16	0.49	0.33	0.69	0.32	0.20
59	1.26	0.53	0.36	0.73	0.33	0.22
60	1.39	0.57	0.39	0.78	0.35	0.23

 

Hawaii State Bar Association, 66716-1 Member/Spouse/Employee of Member   Volume Band: $500,000 - $1,000,000 10-Year Group Level Term Monthly Rates Per $1,000 Rates as of January 1, 2024
	Male			Female
Issue Age	Tobacco	Non-Tobacco	Non-Tobacco Preferred	Tobacco	Non-Tobacco	Non-Tobacco Preferred
18-26	0.13	0.07	0.05	0.08	0.05	0.04
27	0.13	0.07	0.05	0.09	0.05	0.04
28	0.14	0.07	0.05	0.09	0.05	0.04
29	0.14	0.07	0.05	0.10	0.05	0.04
30	0.15	0.07	0.05	0.11	0.05	0.04
31	0.16	0.07	0.05	0.12	0.05	0.04
32	0.17	0.07	0.05	0.12	0.06	0.04
33	0.18	0.08	0.06	0.14	0.06	0.04
34	0.19	0.08	0.06	0.15	0.06	0.05
35	0.21	0.08	0.06	0.16	0.07	0.05
36	0.23	0.09	0.06	0.17	0.07	0.05
37	0.24	0.09	0.06	0.19	0.08	0.06
38	0.26	0.10	0.07	0.21	0.09	0.06
39	0.29	0.10	0.07	0.22	0.09	0.06
40	0.31	0.11	0.07	0.24	0.10	0.07
41	0.34	0.12	0.08	0.26	0.11	0.07
42	0.37	0.12	0.09	0.27	0.11	0.07
43	0.40	0.13	0.09	0.29	0.12	0.08
44	0.43	0.14	0.10	0.31	0.12	0.08
45	0.47	0.15	0.11	0.33	0.13	0.09
46	0.51	0.16	0.12	0.35	0.14	0.09
47	0.54	0.18	0.13	0.37	0.15	0.10
48	0.58	0.19	0.14	0.39	0.16	0.11
49	0.62	0.21	0.15	0.42	0.17	0.11
50	0.67	0.22	0.16	0.44	0.18	0.12
51	0.72	0.25	0.18	0.47	0.19	0.13
52	0.77	0.27	0.19	0.49	0.21	0.14
53	0.83	0.29	0.21	0.52	0.22	0.15
54	0.90	0.35	0.23	0.56	0.24	0.16
55	0.97	0.35	0.25	0.59	0.26	0.17
56	1.04	0.41	0.27	0.63	0.30	0.18
57	1.11	0.41	0.30	0.66	0.30	0.19
58	1.19	0.45	0.33	0.71	0.31	0.21
59	1.30	0.49	0.36	0.75	0.33	0.22
60	1.43	0.53	0.40	0.80	0.35	0.23
The initial premium will not change for the first 10 years unless the insurance company exercises its right to change premium rates for all insureds covered under the group policy with 60 days advance written notice. Coverage does not reduce during a level term period. Coverage terminates at age 75.
Dependent Child(ren) Coverage:  Monthly for $5,000 = $1.00; $10,000 = $2.00

The level term rate period begins on the effective date assigned by ReliaStar Life. To obtain a rate quote for other ages, benefit amounts, or for information on the 10-year Level Term Life Plan, call toll-free 1-866-810-9451. The classes of rates are “Super Preferred,” “Preferred,” and “Tobacco.” Only non-tobacco users may qualify for the “Super Preferred” and “Preferred” rates. (Note: Tobacco users may only qualify for the “Tobacco” rates). Upon approval of your application by the insurer, you will be notified of the rate classification for each approved person. Approval of coverage is subject to medical evidence of insurability as determined by ReliaStar Life. Depending on your age, amount of coverage you request and your answers on the application, a medical examination medical test(s) or other evidence of good health may be required. Any exams/tests requested by the insurer will be conducted at your convenience at no expense to you. If you are between the ages of 18 through 60, you may be eligible to apply for the HSBA Group 10-Year Level Term Life Insurance. For more information including eligibility, rates, benefit provisions, exclusions, limitations and termination provisions, please contact the HSBA Insurance Administrator at 1-866-810-9451. Coverage terminates at age 75.
 

If applicable, an additional $2.00 billing fee will be included on your billing notice payable to the administrator. To save the fee, select Electronic Funds Transfer (EFT) as a safe and secure payment option.
 

Send No Money Now!
All you need to do is return the completed application. You will be billed for the appropriate premium upon approval of your application by the insurer.

OTHER IMPORTANT INFORMATION

Accelerated Life Benefit This important plan option gives you the ability to collect part of your HSBA Level Term Life benefits before your death if your doctor diagnoses you with a terminal illness, as defined in the certificate, and a life expectancy of six months or less. You can collect up to 50 percent of your benefits (or $100,000, whichever is less) before you die—to use however you wish.

You must have at least $10,000 in Life Insurance coverage in force to qualify for this benefit.
 

This money can be used to help cover high prescription drug costs…medical bills…outstanding debts…to help pay for experimental treatments…the cost of modifications to your home…or for a family vacation—the choice is yours.
 

Receipt of accelerated benefit may be taxable, or may adversely affect your eligibility for Medicaid or other government benefits. You should consult your personal tax advisor to assess the impact of this benefit.

Waiver of Premium
If you become totally disabled, as defined in the certificate, for 6 months or longer before age 60 your coverage and benefits will continue at no cost to you—for as long as you’re disabled or until you reach age 75 (or the date of retirement for employees).

Exclusions
You’re covered 365 days a year, wherever you are. The only exclusion is suicide within the first two years of the date your insurance or increase in insurance starts. The Accelerated Life Benefit is subject to additional exclusions.
 

You Name Your Beneficiary
You may name anyone you wish as the beneficiary for this coverage, and you may change the beneficiary by contacting the Insurance Administrator in writing and advising them of the change.

You may also choose to name a beneficiary that you cannot change without his or her consent. This is an irrevocable beneficiary.

ADDITIONAL PLAN PROVISIONS
Effective Date
The member’s/employee’s/spouse’s insurance starts on the first day of the month on or after the later of the following dates:

• ReliaStar Life approves your proof of good health;
• Your premium is received;
• You become eligible for insurance; or
• You apply for insurance, if proof of good health is not required.

When Coverage Ends
As long as you remain an active member/employee of HSBA, pay your premium when due, and the group policy remains in force, you can keep your coverage. Your amount of insurance will not decrease due to age during a level term rate period.
 

For members/employees or spouses who are age 60 or under at the end of a level term period, coverage will not reduce until age 70. Coverage will reduce to 50% at age 70 and will terminate at age 75.

Your insurance stops on the earliest of the following dates:

• The last day of the month during which you are no longer eligible for insurance under the Group Policy;
• For members and spouses, the last day of the month on or after your 75th birthday.
• For employees, the last day of the month during which you were last actively at work for a member of the Policyholder;
• The date the Group Policy terminates;
• The end of the period for which you paid premiums, if you do not make the next required premium contribution when due;
• For Accelerated Life Benefit, the date your Life Insurance stops.

Renewal Payments and Claims
Once you are approved for coverage by the insurer, you will have a 60–day grace period for your payment of renewal premium contributions. When you want to submit a claim, call or write the Administrator for claim forms.

Certificate of Insurance
This information is only a brief description of the principal provisions and features of the Plan. The complete terms and conditions are set forth in the group certificate issued by ReliaStar Life.

When you become insured, you will be sent a Certificate of Insurance summarizing your benefits under the Group Policy.

30–Day Free Look
If you are not completely satisfied with the terms of your Certificate of Insurance, you may return it, provided no claims have been submitted or paid, within 30 days. Your coverage will be invalidated and you will be sent a full refund–no questions asked!

PLEASE KEEP FOR YOUR RECORDS
All members/employees and spouses must complete an application form for any new coverage or to increase coverage (including dependent coverage) or to begin an initial or subsequent 10–year Level Term Rate Period when proof of good health is required. Some applicants may be required to have a medical exam in order to apply for coverage. For more information on medical requirements, please contact your Plan Administrator. If there is an increase in the amount of your insurance, the increase will take effect on the first day of the month on or next following the date of the increase. If you are in a Level Term Rate Period, premiums for the increased amount of insurance will be based on your attained age on the effective date of the increase. Your HSBA Level Term Life Plan will start on the first day of the month after your application has been approved by the insurer and your first premium has been paid.

*The initial premium will not change for the first 10 years unless the insurance company exercises its right to change premium rates for all insureds covered under the group policy with 60 days advance written notice.

This is a summary of benefits only. A complete description of benefits, limitations, exclusions and termination of coverage will be provided in the certificate of coverage. All coverage is subject to the terms of the group policy. If there is any discrepancy between this document and the group policy documents, the policy documents will govern.

Life insurance coverage is provided under the terms of a group life insurance policy, Group Policy #66716-1, issued and delivered in the state of Hawaii, and is governed by its laws, to The Hawaii State Bar as the policyholder. The group life insurance policy is issued by ReliaStar Life Insurance Company, Minneapolis, Minnesota. The policy is administered on behalf of ReliaStar Life Insurance Company by AMBA Administrators, Inc., an insurance administrator licensed in the state of Hawaii. Product available may vary by state. Policy Form LP08GP.

The Hawaii State Bar receives a fee for its endorsement of the insurance programs. The fees are used to offset the cost of program oversight and support member benefits and services.