Page 28 - 2022 Chartwell Hospitality - Non-Managers
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Spouse Non-Tobacco User Semi-Monthly Premiums       Spouse Tobacco User Semi-Monthly Premiums

                    Employee                                           Employee
                                    $10,000    $15,000    $20,000                    $10,000   $15,000   $20,000
                      Age                                                Age

                     17 - 24        $0.56        $0.84      $1.13       17 - 24       $0.61      $0.91     $1.21
                                    $0.86        $1.28      $1.71                     $0.96      $1.45     $1.93
                     25 - 29                                            25 - 29
                     30 - 34        $1.16        $1.74      $2.32       30 - 34       $1.38      $2.06     $2.75
                     35 - 39        $1.60        $2.40      $3.21       35 - 39       $2.04      $3.06     $4.07
                     40 - 44        $2.45        $3.67      $4.90       40 - 44       $3.55      $5.33     $7.11
                     45 - 49        $3.81        $5.72      $7.63       45 - 49       $6.36      $9.54     $12.72
                     50 - 54        $5.42        $8.13    $10.83        50 - 54       $9.90      $14.8     $19.80
                                                                                                   5
                     55 - 59        $7.27       $10.90    $14.54        55 - 59       $14.34     $21.5     $28.69
                                                                                                   2
                                    $10.24      $15.36    $20.48                      $21.75     $32.6     $43.51
                     60 - 64                                            60 - 64                    3
                     65 - 69        $14.31      $21.47    $28.62        65 - 69       $32.16     $48.2     $64.33
                                                                                                   5
                     70 - 99        $27.58      $41.37    $55.16        70 - 99       $51.99     $77.9    $103.98
                                                                                                   8
                                             Dependent Children  Semi-Monthly Premiums

                                            Age Range       $2,500   $5,000    $10,00
                                                                                  0
                                               0 - 26       $0.48    $0.95      $1.91
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