Page 13 - Saint Mary of the Woods CollegeFlipbook
P. 13

PLAN 1 PREMIUMS
             MODE       EE      EE + SP  EE + CH    F

             Weekly    $2.60    $6.29     $7.78    $9.83
            Bi-Weekly  $5.20    $12.58   $15.56    $19.66

           Semi-Monthly   $5.62  $13.62  $16.86    $21.29
             Monthly   $11.24   $27.23   $33.71    $42.58

             Annual   $134.96   $326.71  $404.56  $510.83
           EE=Employee; EE + SP = Employee + Spouse; EE + CH = Employee + Child(ren); F = Family
           For Internal Home Office use only
           Opt 1 ­ 4GVA6; 4G6DF; 4G6AUC; 4G6ERS; 5G6ADD; 4G6BER; 2G6OPT





















                              For use in enrollments sitused in: Indiana.  This rate insert is part of the approved flyer for Employer Name Required and form ABJ29986­4 and is not to be used on its own.
         This material is valid as long as information remains current, but in no event later than January 1, 2017. Allstate Benefits is the marketing name used by American Heritage Life Insurance Company (Home Office, Jacksonville, FL), a
         subsidiary of The Allstate Corporation. ©2016 Allstate Insurance Company. www.allstate.com or allstatebenefits.com.
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