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24

Cost of Coverage, continued

VOLUNTARY LIFE

Age

Employee & Spouse

Monthly Rates*

0 – 29

$0.46

30-34

$0.47

35-39

$0.64

40-44

$1.01

45-49

$1.65

50-54

$2.68

55-59

$4.35

60-64

$5.38

65-69

$8.05

70-74

$15.87

75-79

$15.87

*Rate is per $10,000 of coverage

VOLUNTARY CHILD LIFE

Policy Amounts

Child Monthly Rates*

$2,500

$0.18

$5,000

$0.35

$7,500

$0.53

$10,000

$0.70

VOLUNTARY AD&D

Eligible

AD&D Monthly Rates*

Employee

$0.02

Employee + Family

$0.03

*Rate is per $1,000 of coverage

*Monthly contribution covers all children-not per child

Sample Voluntary Life Calculation Example:

30

year old employee

(1)

Elects $60,000 life insurance

(2)

$60,000 / $10,000 = 6

(3)

6 x $0.47 = $2.82 per month

Sample Spouse Voluntary Life Calculation

Example:

50 year old spouse elects 50% of employee

amount

(1)

$30,000 of insurance

(2)

$30,000 / $10,000 = 3

(3)

3 x $2.68 = $8.04 per month

Sample Voluntary AD&D Calculation Example:

Employee Voluntary AD&D

(1)

Elects $60,000 of coverage

(2)

$60,000 / $1,000 = 60

(3)

60 x $0.02 = $1.20 per month