Page 14 - National Door_Benefit Guide 2021

Life / AD&D Insurance:

Mutual of Omaha

Spouse Life / AD&D Child Life / AD&D
Employee Life / AD&D
AGE Per Pay Period Cost per Per Pay Period Cost per $1,000 Per Pay Period Cost for $10,000
$1,000 of Face Amount of Face Amount (Age Based on Benefit on ALL
Employees Age) Eligible Children to Age 26

Bi-weekly Bi-weekly Bi-weekly

Under 25 $0.0462 $0.0462 $0.09231

25 - 29 $0.0462 $0.0462 N/A

30 - 34 $0.0508 $0.0508 N/A

35 - 39 $0.0600 $0.0600 N/A

40 - 44 $0.0877 $0.0877 N/A

45 - 49 $0.1338 $0.1338 N/A

50 - 54 $0.2169 $0.2169 N/A

55 - 59 $0.3277 $0.3277 N/A

60 - 64 $0.5031 $0.5031 N/A

65 - 69 $0.8954 $0.8954 N/A

70 - 74 $1.5923 N/A N/A

75 - 79 $2.6169 N/A N/A

80 + $5.2892 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. Follow the example below to determine your Per
Pay Period cost. This example provides $100,000 of Basic Life and additional $100,000 AD&D for Total of $200,000. Same rate for males or
females and Tobacco users.

Example amount Divided by 1,000 Multiplied by rate of 30 year Example Cost Per
of Insurance old Pay Period
$100,000 / 1000 = 100 X $0.0508 $5.08

Example amount Multiplied by rate of 45 year Example Cost Per
Divided by 1,000
of Insurance old Pay Period
$100,000 / 1000 = 100 X $0.1338 $13.38

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