Page 14 - Summit LTC Management LLC - Benefit Guide GROUP 1 Effective Dec 1, 2019 Revised July 2020

Voluntary Life / AD&D:

Lincoln Financial

Employee Life and Spouse Life and Child Life
Matching AD&D Matching AD&D Semi-Monthly Pay Period
Semi-Monthly Pay Period Semi-Monthly Pay Period Cost per $15,000 Benefit
Cost per $1,000 Benefit Cost per $1,000 Benefit (ALL 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 of Divided by 1,000 Multiplied by rate for Example Cost Per
Insurance a 32 year old Pay Period

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

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