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Employee Basic Life & AD&D
Contribution
Amount of Benefit
When Benefits Begin
Contribution
Amount of Benefit
When Benefits Begin
Contribution
Employee (New Hire)
Spouse (New Hire)
Dependent Life
Employee Rates
$1,000
$10,000
$20,000
$40,000
$50,000
$100,000
Voluntary AD&D Monthly Rate
Voluntary Life and AD&D Coverage
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Life Insurance, AD&D and Disability Coverage - Prudential
Employer Paid Life & AD&D Coverage
Your employer provides this coverage on your behalf.
Short Term Disability (STD)
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Long Term Disability (LTD)
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Employee
Child
Spouse
Eligible Child(ren)
Monthly contribution based on employee's
age and coverage
Age
Employee & Spouse Coverage -- Monthly Premium For:
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U N D E R S TA N D I N G
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