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Supplemental Life Insurance


Employee and Spouse Rates
If you elect Additional Life insurance, your monthly premium rate for this
plan is indicated in the table below. Premiums for this coverage will be
deducted directly from your paycheck.


Child(ren) Rates

If you elect Dependent Life insurance for your eligible child(ren), your
monthly Premium rate for this coverage is $0.80 for $10,000 per month,

regardless of the number of eligible children covered.

Supplemental Life Insurance
Age Rate (per $1,000 of Total Coverage)
Employee Tobacco Employee Non-Tobacco Spouse
<30 $0.051 $0.051 $0.043
30–34 $0.077 $0.068 $0.051
35–39 $0.111 $0.077 $0.077
40–44 $0.180 $0.120 $0.128
45–49 $0.317 $0.214 $0.240
50–54 $0.514 $0.351 $0.377
55–59 $0.822 $0.548 $0.599
60–64 $1.310 $0.882 $0.967
65–69 $2.020 $1.370 $1.489
70–74 $3.689 $2.500 $2.714
75+ $5.855 $3.946 $4.280






























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