Supplemental Life Rates

Voluntary Term Life Coverage Selection and Premium Calculation

Employee Premium Table (26 Payroll Deductions Per Year)

Age	$10,000	$20,000	$30,000	$40,000	$50,000	$60,000	$70,000	$80,000	$90,000	$100,000
0-29	$0.32	$0.65	$0.97	$1.29	$1.62	$1.94	$2.26	$2.58	$2.91	$3.23
30-34	$0.42	$0.83	$1.25	$1.66	$2.08	$2.49	$2.91	$3.32	$3.74	$4.15
35-39	$0.46	$0.92	$1.38	$1.85	$2.31	$2.77	$3.23	$3.69	$4.15	$4.62
40-44	$0.51	$1.02	$1.52	$2.03	$2.54	$3.05	$3.55	$4.06	$4.57	$5.08
45-49	$0.78	$1.57	$2.35	$3.14	$3.92	$4.71	$5.49	$6.28	$706	$7.58
50-54	$1.15	$2.31	$3.46	$4.62	$5.77	$6.92	$8.08	$9.23	$10.38	$11.54
55-59	$2.17	$4.34	$6.51	$8.68	$10.85	$13.02	$15.18	$17.35	$19.52	$21.6
60-64	$3.37	$6.74	$10.11	$13.48	$16.85	$20.22	$23.58	$26.95	$30.32	$33.69
65-69	$6.46	$12.92	$19.38	$25.85	$32.31	$38.77	$45.23	$51.69	$58.15	$64.62
70+	$9.00	$18.00	$27.00	$36.00	$45.00	$54.00	$63.00	$72.00	$81.00	$90.00

Voluntary Spouse Term Life Coverage Selection and Premium Calculation

Your spouse鈥檚 rate is based on your age, so find your age bracket in the far-left column of the Spouse Premium Table. Your spouse鈥檚 benefit amount must be in an increment of $5,000.

Spouse Premium Table (26 Payroll Deductions Per Year)

Age	$5,000	$10,000	$15,000	$20,000	$25,000	$30,000	$35,000	$40,000	$45,000	$50,000
0-29	$0.16	$0.32	$0.48	$0.65	$0.81	$0.97	$1.13	$1.29	$1.45	$1.62
30-34	$0.21	$0.42	$0.62	$0.83	$1.04	$1.25	$1.45	$1.66	$1.87	$2.08
35-39	$0.23	$0.46	$0.69	$0.92	$1.15	$1.38	$1.62	$1.85	$2.08	$2.31
40-44	$0.25	$0.51	$0.76	$1.02	$1.27	$1.52	$1.78	$2.03	$2.28	$2.54
45-49	$0.39	$0.78	$1.18	$1.57	$1.96	$2.35	$2.75	$3.14	$3.53	$3.92
50-54	$0.58	$1.15	$1.73	$2.31	$2.88	$3.46	$4.04	$4.62	$5.19	$5.77
55-59	$1.08	$2.17	$3.25	$4.34	$5.42	$6.51	$7.59	$8.68	$9.76	$10.85
60-64	$1.68	$3.37	$5.05	$6.74	$8.42	$10.11	$11.79	$13.48	$15.16	$16.85
65-69	$3.23	$6.46	$9.69	$12.92	$16.15	$19.38	$22.62	$25.85	$29.08	$32.31

All Children Premium Table (26 Payroll Deductions Per Year)*

$1,000	$2,000	$3,000	$4,000	$5,000	$6,000	$7,000	$8,000	$9,000	$10,000
$0.06	$0.11	$0.17	$0.22	$0.28	$0.33	$0.39	$0.44	$0.50	$0.55

*Regardless of how many children you have, they are included in the 鈥淎ll Children鈥� premium amounts listed in the table above.

Beneficiary Designation

You MUST designate a beneficiary for your employer-provided life and AD&D insurance policy when you become eligible for coverage. Your 鈥渂eneficiary鈥� is the person (or people, estate, trust, etc.) who will receive your life insurance benefits in the event of your death.

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