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Voluntary Life / AD&D:

Lincoln Financial

Child Life
Employee Life / AD&D Spouse Life / AD&D Pay Period Cost per
Pay Period Cost per Pay Period Cost per $15,000 Benefit (ALL
$1,000 Benefit $1,000 Benefit
Child(ren) Included

Under 20 $ 0.0375 $ 0.0375 $ 1.00

20—24 $ 0.0375 $ 0.0375 $ 1.00

25—29 $ 0.0375 $ 0.0375 n/a

30—34 $ 0.0375 $ 0.0375 n/a

35—39 $ 0.0525 $ 0.0525 n/a

40—44 $ 0.0825 $ 0.0825 n/a

45—49 $ 0.1175 $ 0.1175 n/a

50—54 $ 0.2125 $ 0.2125 n/a

55—59 $ 0.3275 $ 0.3275 n/a

60—64 $ 0.3425 $ 0.3425 n/a

65—69 $ 0.6275 $ 0.6275 n/a

70—74 $ 1.3125 n/a n/a

75—79 $ 3.8525 n/a n/a

80—99 $ 8.3675 n/a n/a

Employees 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 and multiply by the appropriate rate above. Below is an example of your monthly cost.

Example amount Divided by 1,000 Multiplied by rate for Example Cost Per
of Insurance a 32 year old Pay Period

$100,000 / 1000 = 100 X 0.0525 $5.25

Example amount Divided by 1,000 Multiplied by rate for Example Cost Per Pay
of Insurance a 32 year old Period

$200,000 / 1000 = 200 X 0.0525 $10.50

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