Page 27 - Apricity Benefits Guide
P. 27
2020
Apricity Benefits Overview
Voluntary Life—Employee Contributions
Employee And Spouse*
Employee’s Age Non-smoker rate per $1k per month Smoker rate per $1k per month
<29 $0.036 $0.070
30-34 $0.036 $0.080
35-39 $0.070 $0.140
40-44 $0.113 $0.260
45-49 $0.170 $0.390
50-54 $0.316 $0.720
55-59 $0.494 $1.070
60-64 $0.510 $1.100
65-69 $1.053 $1.800
70-74 $2.250 $3.540
75-79 $6.759 $10.480
80+ $14.670 $22.640
Child(ren)
Age Monthly rate
Up to 26 $1.600
Note: Same monthly rate for children, regardless of the number of children enrolled.
* Rates for spouse are based on employee’s age, however, smoking status for the spouse is speciic to the spouse.
Voluntary Life Insurance Premium Estimator*
Before you elect voluntary life insurance coverage, it’s wise to consider how much you and your
family need. Think about the amount of money and number of years your family will need support
after your death. Once you decide the total amount, calculate your life insurance premium below
to estimate how much you’ll spend each pay period:
Step 1
Coverage amount ÷ 1,000 = Step 1 total
Step 2
Total from step 1 X Monthly cost according to = Your estimated monthly voluntary life
age premium
Step 3
Monthly voluntary life X 12 = Step 3 total
premium ÷ 26 = Your estimated per paycheck contribution
Be sure to estimate your spouse’s weekly premium for voluntary life insurance too, using the same
formula. Remember, spouses can elect up to $250,000 in increments of $5,000 or 100% of the
employee’s life insurance amount, whichever is less.
* This is an estimate only. Your rate will be calculated during the enrollment process.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 27
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
Apricity Benefits Overview
Voluntary Life—Employee Contributions
Employee And Spouse*
Employee’s Age Non-smoker rate per $1k per month Smoker rate per $1k per month
<29 $0.036 $0.070
30-34 $0.036 $0.080
35-39 $0.070 $0.140
40-44 $0.113 $0.260
45-49 $0.170 $0.390
50-54 $0.316 $0.720
55-59 $0.494 $1.070
60-64 $0.510 $1.100
65-69 $1.053 $1.800
70-74 $2.250 $3.540
75-79 $6.759 $10.480
80+ $14.670 $22.640
Child(ren)
Age Monthly rate
Up to 26 $1.600
Note: Same monthly rate for children, regardless of the number of children enrolled.
* Rates for spouse are based on employee’s age, however, smoking status for the spouse is speciic to the spouse.
Voluntary Life Insurance Premium Estimator*
Before you elect voluntary life insurance coverage, it’s wise to consider how much you and your
family need. Think about the amount of money and number of years your family will need support
after your death. Once you decide the total amount, calculate your life insurance premium below
to estimate how much you’ll spend each pay period:
Step 1
Coverage amount ÷ 1,000 = Step 1 total
Step 2
Total from step 1 X Monthly cost according to = Your estimated monthly voluntary life
age premium
Step 3
Monthly voluntary life X 12 = Step 3 total
premium ÷ 26 = Your estimated per paycheck contribution
Be sure to estimate your spouse’s weekly premium for voluntary life insurance too, using the same
formula. Remember, spouses can elect up to $250,000 in increments of $5,000 or 100% of the
employee’s life insurance amount, whichever is less.
* This is an estimate only. Your rate will be calculated during the enrollment process.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 27
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
