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2017 Benefits Guide

12

Voluntary Supplemental Life Insurance (cont.)

The rates for supplemental life are as follows:

Spouse/Dependent Life Insurance

Associates currently have four options for spouse/dependent life insurance. No medical underwriting is

needed to enroll in any of the spouse/dependent life plans. The four plans and their rates are enclosed

below. During open enrollment associates will be permitted to enroll or make modifications to this benefit.

Cigna Supplemental Life Rates

(Effective 1-1-17)

Age

Employee

Rate per $1,000

<20-24

$0.080

25-29

$0.080

30-34

$0.080

35-39

$0.110

40-44

$0.150

45-49

$0.260

50-54

$0.430

55-59

$0.640

60-64

$1.030

65-69

$1.800

70-99

$1.800

Option

Amount of Spouse/Children Coverage

Cost per Bi-Weekly

Pay Period

Option 1

$5,000 spouse / $2,500 children

.94 per pay

Option 2

$10,000 spouse / $5,000 children

1.81 per pay

Option 3

$15,000 spouse / $7,500 children

2.81 per pay

Option 4

$20,000 spouse / $10,000 children

3.68 per pay