Page 29 - Acadia 2022 Benefits Guide | Tower
P. 29
2022 Employee Supplemental Life
and Disability Rates
Supplemental Life and AD&D Coverage Short and Long Term Disability Coverage
SUPPLEMENTAL LIFE AND AD&D SEMI-MONTHLY RATE
AGE BAND AGE BAND
RATE PER $1,000 (24 PAY PERIODS) (24 PAY PERIODS) PREMIUM FACTORS
Less than 30 $0.040 STD LTD
30-34 $0.050 Less than 25 $0.01512 $0.00047
35-39 $0.060 25-29 $0.01539 $0.00074
40-44 $0.070 30-34 $0.01311 $0.00134
45-49 $0.110 35-39 $0.01254 $0.00215
50-54 $0.175 40-44 $0.01170 $0.00369
55-59 $0.290 45-49 $0.01284 $0.00483
60-64 $0.425 50-54 $0.01482 $0.00682
65-69* $0.580 55-59 $0.01911 $0.00879
70+* $0.935 60-64 $0.02253 $0.00678
Child Rate Flat Rate $0.40 65-69 $0.02595 $0.00457
70-99 $0.02595 $0.00333
* Beneits and premium amounts relect age reductions. Spouse
rate based on spouse’s age; coverage terminates at age 70.
Calculating your STD Premium Per
Calculating Supplemental Life Premium Pay Period
Per Pay Period Example: $610 x $0.01254 (age 35) = $7.65 semi-monthly
Example: $50,000/$1,000 x $0.060 (age 38) = $3.00 semi-monthly
Enter your weekly earnings:
Enter amount desired:
(Maximum covered payroll - $1,667 weekly)
Divide by $1,000:
Multiply by premium factor above:
Multiply by age band rate from table:
Semi-monthly premium:
Semi-monthly premium:
Note: Amount cannot exceed guaranteed issue or max allowed Calculating your LTD Premium Per
Pay Period
Employee Voluntary Life—beneits begin reducing at age 70 Example: $2,643 x $0.00215 (age 35) = $5.68 semi-monthly
Spouse Voluntary Life—beneits begin reducing at age 65 Enter your monthly earnings:
Reference the Lincoln EOC on the My Company page in Ultipro for (Maximum covered payroll - $8,333 monthly)
more detailed information.
Multiply by premium factor above:
Semi-monthly premium:
This is an estimate. Actual deductions may vary slightly due to
rounding.
2022 Employee Beneits Guide | 29
and Disability Rates
Supplemental Life and AD&D Coverage Short and Long Term Disability Coverage
SUPPLEMENTAL LIFE AND AD&D SEMI-MONTHLY RATE
AGE BAND AGE BAND
RATE PER $1,000 (24 PAY PERIODS) (24 PAY PERIODS) PREMIUM FACTORS
Less than 30 $0.040 STD LTD
30-34 $0.050 Less than 25 $0.01512 $0.00047
35-39 $0.060 25-29 $0.01539 $0.00074
40-44 $0.070 30-34 $0.01311 $0.00134
45-49 $0.110 35-39 $0.01254 $0.00215
50-54 $0.175 40-44 $0.01170 $0.00369
55-59 $0.290 45-49 $0.01284 $0.00483
60-64 $0.425 50-54 $0.01482 $0.00682
65-69* $0.580 55-59 $0.01911 $0.00879
70+* $0.935 60-64 $0.02253 $0.00678
Child Rate Flat Rate $0.40 65-69 $0.02595 $0.00457
70-99 $0.02595 $0.00333
* Beneits and premium amounts relect age reductions. Spouse
rate based on spouse’s age; coverage terminates at age 70.
Calculating your STD Premium Per
Calculating Supplemental Life Premium Pay Period
Per Pay Period Example: $610 x $0.01254 (age 35) = $7.65 semi-monthly
Example: $50,000/$1,000 x $0.060 (age 38) = $3.00 semi-monthly
Enter your weekly earnings:
Enter amount desired:
(Maximum covered payroll - $1,667 weekly)
Divide by $1,000:
Multiply by premium factor above:
Multiply by age band rate from table:
Semi-monthly premium:
Semi-monthly premium:
Note: Amount cannot exceed guaranteed issue or max allowed Calculating your LTD Premium Per
Pay Period
Employee Voluntary Life—beneits begin reducing at age 70 Example: $2,643 x $0.00215 (age 35) = $5.68 semi-monthly
Spouse Voluntary Life—beneits begin reducing at age 65 Enter your monthly earnings:
Reference the Lincoln EOC on the My Company page in Ultipro for (Maximum covered payroll - $8,333 monthly)
more detailed information.
Multiply by premium factor above:
Semi-monthly premium:
This is an estimate. Actual deductions may vary slightly due to
rounding.
2022 Employee Beneits Guide | 29
