Page 15 - 2024-25 Gas Clip Technologies Benefit Guide EMPLOYEES

Voluntary Life / AD&D Insurance:

Equitable

Employee Life / AD&D Spouse Life / AD&D Child Life/ AD&D Monthly Cost
AGE Monthly Cost per $1,000 of Face Monthly Cost per $1,000 of Face for $10,000 Benefit on ALL Eligi-
Amount Amount ble Children to Age 25

$0.251 One Price covers
Under 25 $0.150 $0.150
All Children

25 - 29 $0.150 $0.150 N/A

30 - 34 $0.170 $0.170 N / A

35 - 39 $0.190 $0.190 N / A

40 - 44 $0.270 $0.270 N / A

45 - 49 $0.430 $0.430 N / A

50 - 54 $1.020 $1.020 N / A

55 - 59 $1.020 $1.020 N / A

60 - 64 $1.560 $1.560 N / A

65 - 69 $2.770 $2.770 N / A

70 - 74 $4.910 $4.910 N / A

75 - 79 $4.910 $4.910 N / A

80 + $4.910 $4.910 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. Follow the example for a 35 year old below to
determine your monthly cost. This example provides $100,000 of Voluntary Life and additional $100,000 AD&D for Total of $200,000.

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

$100,000 / 1000 = 100 X $0.190 $19.00

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

Example amount Monthly Cost Multiplied by 12 Months Annual Cost Divided by
of Insurance 24 Pay Periods

$100,000 $19.00 X 12 = $228.00 $9.50

15