Page 14 - NextCare Holdings 2021 Annual Benefits Enrollment
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Voluntary Rates
Employee Supplemental Life/AD&D Cost Per Pay Period
Important: Maximum Coverage is Five (5) Times Your Current Annual Pay
Coverage Less Than 30–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70+ Years
30 Years
Amount Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Old
$10,000 $0 .36 $0 .46 $0 .56 $0 .69 $0 .99 $1 .54 $2 .63 $3 .62 $6 .54 $11 .75
$20,000 $0 .73 $0 .91 $1 .13 $1 .38 $1 .98 $3 .08 $5 .25 $7 .25 $13 .09 $23 .49
$30,000 $1 .09 $1 .37 $1 .69 $2 .08 $2 .96 $4 .62 $7 .88 $10 .87 $19 .63 $35 .24
$40,000 $1 .46 $1 .83 $2 .25 $2 .77 $3 .95 $6 .17 $10 .50 $14 .49 $26 .18 $46 .98
$50,000 $1 .82 $2 .28 $2 .82 $3 .46 $4 .94 $7 .71 $13 .13 $18 .12 $32 .72 $58 .73
$60,000 $2 .19 $2 .74 $3 .38 $4 .15 $5 .93 $9 .25 $15 .76 $21 .74 $39 .27 $70 .48
$70,000 $2 .55 $3 .20 $3 .94 $4 .85 $6 .91 $10 .79 $18 .38 $25 .36 $45 .81 $82 .22
$80,000 $2 .92 $3 .66 $4 .50 $5 .54 $7 .90 $12 .33 $21 .01 $28 .98 $52 .36 $93 .97
$90,000 $3 .28 $4 .11 $5 .07 $6 .23 $8 .89 $13 .87 $23 .64 $32 .61 $58 .90 $105 .72
$100,000 $3 .65 $4 .57 $5 .63 $6 .92 $9 .88 $15 .42 $26 .26 $36 .23 $65 .45 $117 .46
$110,000 $4 .01 $5 .03 $6 .19 $7 .62 $10 .86 $16 .96 $28 .89 $39 .85 $71 .99 $129 .21
$120,000 $4 .38 $5 .48 $6 .76 $8 .31 $11 .85 $18 .50 $31 .51 $43 .48 $78 .54 $140 .95
$130,000 $4 .74 $5 .94 $7 .32 $9 .00 $12 .84 $20 .04 $34 .14 $47 .10 $85 .08 $152 .70
$140,000 $5 .10 $6 .40 $7 .88 $9 .69 $13 .83 $21 .58 $36 .77 $50 .72 $91 .62 $164 .45
$150,000 $5 .47 $6 .85 $8 .45 $10 .38 $14 .82 $23 .12 $39 .39 $54 .35 $98 .17 $176 .19
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Employee Supplemental Life/AD&D Cost Per Pay Period
Important: Maximum Coverage is Five (5) Times Your Current Annual Pay
Coverage Less Than 30–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70+ Years
30 Years
Amount Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Old
$10,000 $0 .36 $0 .46 $0 .56 $0 .69 $0 .99 $1 .54 $2 .63 $3 .62 $6 .54 $11 .75
$20,000 $0 .73 $0 .91 $1 .13 $1 .38 $1 .98 $3 .08 $5 .25 $7 .25 $13 .09 $23 .49
$30,000 $1 .09 $1 .37 $1 .69 $2 .08 $2 .96 $4 .62 $7 .88 $10 .87 $19 .63 $35 .24
$40,000 $1 .46 $1 .83 $2 .25 $2 .77 $3 .95 $6 .17 $10 .50 $14 .49 $26 .18 $46 .98
$50,000 $1 .82 $2 .28 $2 .82 $3 .46 $4 .94 $7 .71 $13 .13 $18 .12 $32 .72 $58 .73
$60,000 $2 .19 $2 .74 $3 .38 $4 .15 $5 .93 $9 .25 $15 .76 $21 .74 $39 .27 $70 .48
$70,000 $2 .55 $3 .20 $3 .94 $4 .85 $6 .91 $10 .79 $18 .38 $25 .36 $45 .81 $82 .22
$80,000 $2 .92 $3 .66 $4 .50 $5 .54 $7 .90 $12 .33 $21 .01 $28 .98 $52 .36 $93 .97
$90,000 $3 .28 $4 .11 $5 .07 $6 .23 $8 .89 $13 .87 $23 .64 $32 .61 $58 .90 $105 .72
$100,000 $3 .65 $4 .57 $5 .63 $6 .92 $9 .88 $15 .42 $26 .26 $36 .23 $65 .45 $117 .46
$110,000 $4 .01 $5 .03 $6 .19 $7 .62 $10 .86 $16 .96 $28 .89 $39 .85 $71 .99 $129 .21
$120,000 $4 .38 $5 .48 $6 .76 $8 .31 $11 .85 $18 .50 $31 .51 $43 .48 $78 .54 $140 .95
$130,000 $4 .74 $5 .94 $7 .32 $9 .00 $12 .84 $20 .04 $34 .14 $47 .10 $85 .08 $152 .70
$140,000 $5 .10 $6 .40 $7 .88 $9 .69 $13 .83 $21 .58 $36 .77 $50 .72 $91 .62 $164 .45
$150,000 $5 .47 $6 .85 $8 .45 $10 .38 $14 .82 $23 .12 $39 .39 $54 .35 $98 .17 $176 .19
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