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Request for Quotes
ABC with XYZ Acquisition
Page
11
of
14
NYDBL - $2.40/member
JN - $0.573
XYZ Plan
Life & Disability coverage was offered through Aetna since 2006 and until ABC acquisition.
Basic Life/AD&D
Employer paid
Employee: 2 x BAE rounded to next higher $1,000 to a max benefit of $1,000,000.
Spouse:
Child:
Voluntary Life & AD&D
1-5 x BAE rounded to the next higher $1,000 to a maximum of $1,000,000
EE GI: $500,000
SP GI: $100,000
Child GI: $10,000
Includes conversion and portability
LTD Plan 1 = 50% Benefit Plan
LTD Plan 2 = 60% Benefit Plan
LTD Plan 3 = Executive Plan
$0.53
STD Option 1 = 7/7 Plan
STD Option 2 = 14/14 Plan