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COST OF COVERAGE , CONT I NUED

V O L U N T A R Y L I F E A N D A D & D

Voluntary Life And AD&D

Rates Per $1,000

Employee /

Spouse Monthly

Rates

Age 15 - 29

$0.076

Age 30 - 34

$0.085

Age 35 - 39

$0.125

Age 40 - 44

$0.217

Age 45 - 49

$0.336

Age 50 - 54

$0.510

Age 55 - 59

$0.814

Age 60 - 64

$1.361

Age 65 - 69

$2.208

Age 70 - 74

$3.588

Age 75 - 79

$6.352

Age 80 - 84

$12.516

Age 85 - 89

$20.603

Age 90 - 94

$32.264

Age 95 - 99

$32.264

Child Voluntary Life

Monthly Rate per $1,000

$0.167

Child Voluntary AD&D

Monthly Rate per $1,000

$0.042

S H O R T T E R M D I S A B I L I T Y

Voluntary Short-Term

Disability (STD)

Your Monthly

Rates

Age 0 - 24

$0.58

Age 25 - 29

$0.58

Age 30 - 34

$0.58

Age 35 – 39

$0.58

Age 40 – 44

$0.58

Age 45 – 49

$0.58

Age 50 – 54

$0.58

Age 55 – 59

$0.58

Age 60 – 64

$0.58

Age 65 – 69

$0.58

Age 70 & over

$0.58

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