Page 13 - 2017 Benefits Enrollment
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Lanter Delivery Systems, Inc.
Voluntary Life Insurance
For Yourself You can purchase additional life
Beneit Amount $10,000 increments insurance on top of the company
Beneit Up to $500,000 or 5 times your salary, whichever is less paid amount in order to ensure a
Guarantee Issue Amount* $150,000
For Your Spouse certain level of inancial security
Beneit Amount $5,000 increments for your family members. We offer
Beneit Up to $200,000 or 100% of the employee voluntary life
amount, whichever is less a voluntary life insurance option
Guarantee Issue Amount* $30,000 with competitive group rates so
For Your Child(ren) you can purchase the additional
Beneit Amount $10,000
Guarantee Issue Amount $10,000 inancial protection you need.
Coverage is offered in partnership
How Much Your Voluntary Life Coverage Will Cost with Cigna.
Age Employee Employee Spouse
Non-Smoker Smoker Non-Smoker/Smoker
<20 $0.06 $0.17 $0.05 Cost of Coverage
20–24 $0.06 $0.17 $0.05
25–29 $0.06 $0.17 $0.05 Your individual premium rate will
30–34 $0.08 $0.17 $0.06 depend on your age and your tobacco
35–39 $0.10 $0.23 $0.08 status. Spouse rates will be based on
40–44 $0.20 $0.41 $0.13 the spouse’s age.
45–49 $0.27 $0.53 $0.18
50–54 $0.52 $0.93 $0.29
55–59 $0.82 $1.38 $0.40
60–64 $1.55 $2.49 $0.65
65–69 $2.59 $4.00 $1.18
70+ $2.59 $4.00 $1.19
Child Rate Per $1,000 $0.20
Cost Calculation Example
Rate Per $1,000 Beneit Amount Estimated Monthly Cost
Employee Age 33 Non-Smoker $0.08 x $100,000 / 1,000 = $8.00
Premium per Pay Period (monthly cost x 12/52) $1.85
Spouse Age 29 Non-Smoker $0.05 x $30,000 / 1,000 = $150
Premium per Pay Period (monthly cost x 12/52) $0.35
Child(ren) $0.20 x $10,000 / 1,000 = $2.00
Premium per Pay Period (monthly cost x 12/52) $0.46
Coverage will not take effect until approved by the carrier. Age reductions will apply to beneit amounts and guarantee issue amounts.
* The guarantee issue amount is available for new hires only. If you do not elect this coverage within the irst 31 days of becoming irst eligible,
you will be required to submit evidence of insurability (EOI) or proof of good health to enroll at a later date.
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Voluntary Life Insurance
For Yourself You can purchase additional life
Beneit Amount $10,000 increments insurance on top of the company
Beneit Up to $500,000 or 5 times your salary, whichever is less paid amount in order to ensure a
Guarantee Issue Amount* $150,000
For Your Spouse certain level of inancial security
Beneit Amount $5,000 increments for your family members. We offer
Beneit Up to $200,000 or 100% of the employee voluntary life
amount, whichever is less a voluntary life insurance option
Guarantee Issue Amount* $30,000 with competitive group rates so
For Your Child(ren) you can purchase the additional
Beneit Amount $10,000
Guarantee Issue Amount $10,000 inancial protection you need.
Coverage is offered in partnership
How Much Your Voluntary Life Coverage Will Cost with Cigna.
Age Employee Employee Spouse
Non-Smoker Smoker Non-Smoker/Smoker
<20 $0.06 $0.17 $0.05 Cost of Coverage
20–24 $0.06 $0.17 $0.05
25–29 $0.06 $0.17 $0.05 Your individual premium rate will
30–34 $0.08 $0.17 $0.06 depend on your age and your tobacco
35–39 $0.10 $0.23 $0.08 status. Spouse rates will be based on
40–44 $0.20 $0.41 $0.13 the spouse’s age.
45–49 $0.27 $0.53 $0.18
50–54 $0.52 $0.93 $0.29
55–59 $0.82 $1.38 $0.40
60–64 $1.55 $2.49 $0.65
65–69 $2.59 $4.00 $1.18
70+ $2.59 $4.00 $1.19
Child Rate Per $1,000 $0.20
Cost Calculation Example
Rate Per $1,000 Beneit Amount Estimated Monthly Cost
Employee Age 33 Non-Smoker $0.08 x $100,000 / 1,000 = $8.00
Premium per Pay Period (monthly cost x 12/52) $1.85
Spouse Age 29 Non-Smoker $0.05 x $30,000 / 1,000 = $150
Premium per Pay Period (monthly cost x 12/52) $0.35
Child(ren) $0.20 x $10,000 / 1,000 = $2.00
Premium per Pay Period (monthly cost x 12/52) $0.46
Coverage will not take effect until approved by the carrier. Age reductions will apply to beneit amounts and guarantee issue amounts.
* The guarantee issue amount is available for new hires only. If you do not elect this coverage within the irst 31 days of becoming irst eligible,
you will be required to submit evidence of insurability (EOI) or proof of good health to enroll at a later date.
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