HOW TO ENROLL
Rate Sheet
Children Voluntary Life
Voluntary Life (per $10,000) Employee Age
Employee
Spouse
$5,000.00
$1.00
<24
$0.40
$0.50
$10,000.00
$2.00
25-29
$0.50
$0.60
30-34
$0.65
$0.80
35-39
$0.70
$0.90
Employee Only
$0.20
40-44
$0.80
$1.00
Family
$0.40
45-49
$1.20
$1.50
50-54
$1.80
$2.30
55-59
$3.40
$4.20
60-64
$5.20
$6.50
65-69
$12.50
$12.50
AD&D (per $10,000)
Emergency Transportation Employee & Family
$14
Identity Theft Monitoring
70+ $20.30 $20.30 Spouse rates are based on Employee's age and cannot exceed 100% of the employees supplemental life amount.
1B
Platinum
Employee Only
$7.95
$11.95
Employee and Family
$14.95
$22.95
Hospital Indemnity Option 1
Option 2
Employee Only
$14.28
$25.25
Employee and Spouse
$25.48
$44.87
Employee and Child(ren)
$26.52
$46.33
Employee and Family
$39.74
$69.45
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