Page 11 - First Bank- Open Enrollment Guide 2015
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First Bank
Vision
Vision Service Plan—Choice Plan
Employee $4.24
Employee + Spouse $7.87
Employee + Child (ren) $7.72
Employee + Family $11.82
Supplemental Life Insurance
Variable rate based on age and volume of coverage.
Short Term Disability
Variable rate based on salary.
Accidental Death and Dismemberment (AD&D)
Accidental Death and Dismemberment (AD&D)
Amount Employee Family
$500,000 $5.00 $7.50
$475,000 $4.75 $7.13
$450,000 $4.50 $6.75
$425,000 $4.25 $6.38
$400,000 $4.00 $6.00
$375,000 $3.75 $5.63
$350,000 $3.50 $5.25
$325,000 $3.25 $4.88
$300,000 $3.00 $4.50
$275,000 $2.75 $4.13
$250,000 $2.50 $3.75
$225,000 $2.25 $3.38
$200,000 $2.00 $3.00
$175,000 $1.75 $2.63
$150,000 $1.50 $2.25
$125,000 $1.25 $1.88
$100,000 $1.00 $1.50
$75,000 $0.75 $1.13
$50,000 $0.50 $0.75
$25,000 $0.25 $0.38
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Vision
Vision Service Plan—Choice Plan
Employee $4.24
Employee + Spouse $7.87
Employee + Child (ren) $7.72
Employee + Family $11.82
Supplemental Life Insurance
Variable rate based on age and volume of coverage.
Short Term Disability
Variable rate based on salary.
Accidental Death and Dismemberment (AD&D)
Accidental Death and Dismemberment (AD&D)
Amount Employee Family
$500,000 $5.00 $7.50
$475,000 $4.75 $7.13
$450,000 $4.50 $6.75
$425,000 $4.25 $6.38
$400,000 $4.00 $6.00
$375,000 $3.75 $5.63
$350,000 $3.50 $5.25
$325,000 $3.25 $4.88
$300,000 $3.00 $4.50
$275,000 $2.75 $4.13
$250,000 $2.50 $3.75
$225,000 $2.25 $3.38
$200,000 $2.00 $3.00
$175,000 $1.75 $2.63
$150,000 $1.50 $2.25
$125,000 $1.25 $1.88
$100,000 $1.00 $1.50
$75,000 $0.75 $1.13
$50,000 $0.50 $0.75
$25,000 $0.25 $0.38
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