Page 8 - 2016 Enrollment
P. 8
Spouse Voluntary Life Monthly Cost
Premium is based on employee age
Age Per $10,000 of Coverage
29 and Under $0.60
30–34 $0.90
35–39 $1.30
40–44 $2.00
45–49 $3.40
50–54 $6.00
55–59 $9.90
60–64 $16.40
Child(ren)
$2,500—$0.50 per month
Voluntary Accidental Death & Dismemberment
You may purchase Accidental Death & Dismemberment in $25,000
increments up to a maximum of $100,000 or ten times your annual salary
(whichever is less).
Voluntary AD&D Monthly Cost
Employee Per $25,000 of coverage $0.975
Spouse Per $5,000 of coverage $0.195
Child(ren) Per $5,000 of coverage $0.195
Voluntary AD&D coverage may be purchased on your dependents if you
elect coverage.
8
Benefits Enrollment
Premium is based on employee age
Age Per $10,000 of Coverage
29 and Under $0.60
30–34 $0.90
35–39 $1.30
40–44 $2.00
45–49 $3.40
50–54 $6.00
55–59 $9.90
60–64 $16.40
Child(ren)
$2,500—$0.50 per month
Voluntary Accidental Death & Dismemberment
You may purchase Accidental Death & Dismemberment in $25,000
increments up to a maximum of $100,000 or ten times your annual salary
(whichever is less).
Voluntary AD&D Monthly Cost
Employee Per $25,000 of coverage $0.975
Spouse Per $5,000 of coverage $0.195
Child(ren) Per $5,000 of coverage $0.195
Voluntary AD&D coverage may be purchased on your dependents if you
elect coverage.
8
Benefits Enrollment
