Page 13 - NTNSC_Benefit Guide 2021

Voluntary Life / AD&D Insurance:

The Hartford

Child Life / AD&D
Employee Life / AD&D Spouse Life / AD&D
AGE Monthly Cost per $1,000 of Monthly Cost per $1,000 of Monthly Cost per $2,500 of Face
Amount
Face Amount Face Amount
ALL Eligible Children to Age 25
Under 30 .07 ¢ .07 ¢ .50 ¢

30 - 34 .09 ¢ .09 ¢ N/A

35 - 39 .14 ¢ .14 ¢ N/A

40 - 44 .23 ¢ .23 ¢ N/A

45 - 49 .35 ¢ .35 ¢ N/A

50 - 54 .55 ¢ .55 ¢ N/A
55 - 59 $ 1.00 $ 1.00 N/A

60 - 64 $ 1.50 $ 1.50 N/A
65 - 69 $ 2.24 $ 2.24 N/A

70 - 74 $ 3.85 $ 3.85 N/A

75 - 79 $ 10.17 $ 10.17 N/A

80—84 $ 15.93 $ 15.93 N/A

85-89 $ 25.14 $ 25.14 N/A

90-94 $ 45.89 $ 45.89 N/A

96-110 $ 50.90 $ 50.90 N/A
Employee’s are responsible for paying the cost of voluntary life coverage through payroll deduction.
Calculate the cost by dividing the amount of voluntary life insurance by 1,000 (or 2,500 for child[ren]) and
multiply by the appropriate rate above. Follow the example for a 35 year old below to determine your
monthly cost. This example provides $100,000 of Basic Life and AD&D. Benefits reduce 50% at age 70.

Example amount Multiplied by rate of 35 year
of Insurance Divided by 1,000 old Example Monthly Cost

$100,000 $100 .14 ¢ $14

To find the per pay period cost, follow the example below.

Example amount Monthly Cost Multiplied by 12 Months Annual Cost Divided by 26
of Insurance Pay Periods
$100,000 $14 $168 $6.46

13