Page 5 - Excelligence 2022 Benefit Guide

Benefit costs (continued)
Age
2022 Employee and Spouse/Domestic Partner (Monthly Rate per $1,000 of Coverage)
Voluntary Life
$0.02
Voluntary AD&D
Combined Rate
$0.05
$0.04
$0.03
$0.03
$0.07
$0.09
$0.03
$0.12
$0.14
$0.17
$0.32
$0.03
$0.03
$0.35
$0.51
$0.53
$0.03
$0.54
$0.03
$0.56
$0.97
$0.03
$1.00
One contribution covers all dependent children
$2.62
$5.52
Voluntary Life
$0.149
$0.03
$2.65
$0.03
Child(ren) (Monthly Rate per $1,000 of Coverage)
Voluntary AD&D
$0.030
$5.55
Combined Rate
$0.179
<20-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74
75+
(Voluntary Life coverage available for employee only from age 70+)
2022 Short-Term Disability Rates*
Age
Monthly Rate per $10 of Weekly Gross Benefit
$0.480
$0.490
$0.510
$0.490
$0.530
$0.590
$0.700
$0.870
$1.040
$1.160
$1.510
$1.970
2022 Long-Term Disability Rates
Age
Monthly Rate per $100 of Covered Payroll
<20-24
$0.100
25-29
$0.190
30-34
$0.380
35-39
$0.600
40-44
$0.910
45-49
$1.220
50-54
$1.490
55-59
$1.680
60-64
$1.760
65-69
$1.850
70-74
$1.940
75+
$2.040
<20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74
75+
*STD rate for states with statutory benefits is $0.08 (per $10)
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