Page 14 - NextCare Holdings 2022 Benefits Guide
P. 14
Spouse Life Cost Per Pay Period
Important: Maximum Coverage is 50% of the Amount You Select for Yourself (use
employee’s age)
Less Than
Coverage 30 Years 30–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70+ Years
Amount Years Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Old
Old
$5,000 $0.18 $0.23 $0.28 $0.35 $0.49 $0.77 $1.31 $1.81 $3.27 $5.87
$10,000 $0.36 $0.46 $0.56 $0.69 $0.99 $1.54 $2.63 $3.62 $6.54 $11.75
$15,000 $0.55 $0.69 $0.84 $1.04 $1.48 $2.31 $3.94 $5.43 $9.82 $17.62
$20,000 $0.73 $0.91 $1.13 $1.38 $1.98 $3.08 $5.25 $7.25 $13.09 $23.49
$25,000 $0.91 $1.14 $1.41 $1.73 $2.47 $3.85 $6.57 $9.06 $16.36 $29.37
$30,000 $1.09 $1.37 $1.69 $2.08 $2.96 $4.62 $7.88 $10.87 $19.63 $35.24
$35,000 $1.28 $1.60 $1.97 $2.42 $3.46 $5.40 $9.19 $12.68 $22.91 $41.11
$40,000 $1.46 $1.83 $2.25 $2.77 $3.95 $6.17 $10.50 $14.49 $26.18 $46.98
$45,000 $1.64 $2.06 $2.53 $3.12 $4.44 $6.94 $11.82 $16.30 $29.45 $52.86
$50,000 $1.82 $2.28 $2.82 $3.46 $4.94 $7.71 $13.13 $18.12 $32.72 $58.73
$55,000 $2.01 $2.51 $3.10 $3.81 $5.43 $8.48 $14.44 $19.93 $36.00 $64.60
$60,000 $2.19 $2.74 $3.38 $4.15 $5.93 $9.25 $15.76 $21.74 $39.27 $70.48
$65,000 $2.37 $2.97 $3.66 $4.50 $6.42 $10.02 $17.07 $23.55 $42.54 $76.35
$70,000 $2.55 $3.20 $3.94 $4.85 $6.91 $10.79 $18.38 $25.36 $45.81 $82.22
$75,000 $2.73 $3.43 $4.22 $5.19 $7.41 $11.56 $19.70 $27.17 $49.08 $88.10
$80,000 $2.92 $3.66 $4.50 $5.54 $7.90 $12.33 $21.01 $28.98 $52.36 $93.97
$85,000 $3.10 $3.88 $4.79 $5.88 $8.40 $13.10 $22.32 $30.80 $55.63 $99.84
$90,000 $3.28 $4.11 $5.07 $6.23 $8.89 $13.87 $23.64 $32.61 $58.90 $105.72
$95,000 $3.46 $4.34 $5.35 $6.58 $9.38 $14.64 $24.95 $34.42 $62.17 $111.59
$100,000 $3.65 $4.57 $5.63 $6.92 $9.88 $15.42 $26.26 $36.23 $65.45 $117.46
$105,000 $3.83 $4.80 $5.91 $7.27 $10.37 $16.19 $27.57 $38.04 $68.72 $123.33
$110,000 $4.01 $5.03 $6.19 $7.62 $10.86 $16.96 $28.89 $39.85 $71.99 $129.21
$115,000 $4.19 $5.25 $6.48 $7.96 $11.36 $17.73 $30.20 $41.67 $75.26 $135.08
$120,000 $4.38 $5.48 $6.76 $8.31 $11.85 $18.50 $31.51 $43.48 $78.54 $140.95
$125,000 $4.56 $5.71 $7.04 $8.65 $12.35 $19.27 $32.83 $45.29 $81.81 $146.83
$130,000 $4.74 $5.94 $7.32 $9.00 $12.84 $20.04 $34.14 $47.10 $85.08 $152.70
$135,000 $4.92 $6.17 $7.60 $9.35 $13.33 $20.81 $35.45 $48.91 $88.35 $158.57
$140,000 $5.10 $6.40 $7.88 $9.69 $13.83 $21.58 $36.77 $50.72 $91.62 $164.45
$145,000 $5.29 $6.63 $8.16 $10.04 $14.32 $22.35 $38.08 $52.53 $94.90 $170.32
$150,000 $5.47 $6.85 $8.45 $10.38 $14.82 $23.12 $39.39 $54.35 $98.17 $176.19
$155,000 $5.65 $7.08 $8.73 $10.73 $15.31 $23.89 $40.71 $56.16 $101.44 $182.07
14
Important: Maximum Coverage is 50% of the Amount You Select for Yourself (use
employee’s age)
Less Than
Coverage 30 Years 30–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70+ Years
Amount Years Old Years Old Years Old Years Old Years Old Years Old Years Old Years Old Old
Old
$5,000 $0.18 $0.23 $0.28 $0.35 $0.49 $0.77 $1.31 $1.81 $3.27 $5.87
$10,000 $0.36 $0.46 $0.56 $0.69 $0.99 $1.54 $2.63 $3.62 $6.54 $11.75
$15,000 $0.55 $0.69 $0.84 $1.04 $1.48 $2.31 $3.94 $5.43 $9.82 $17.62
$20,000 $0.73 $0.91 $1.13 $1.38 $1.98 $3.08 $5.25 $7.25 $13.09 $23.49
$25,000 $0.91 $1.14 $1.41 $1.73 $2.47 $3.85 $6.57 $9.06 $16.36 $29.37
$30,000 $1.09 $1.37 $1.69 $2.08 $2.96 $4.62 $7.88 $10.87 $19.63 $35.24
$35,000 $1.28 $1.60 $1.97 $2.42 $3.46 $5.40 $9.19 $12.68 $22.91 $41.11
$40,000 $1.46 $1.83 $2.25 $2.77 $3.95 $6.17 $10.50 $14.49 $26.18 $46.98
$45,000 $1.64 $2.06 $2.53 $3.12 $4.44 $6.94 $11.82 $16.30 $29.45 $52.86
$50,000 $1.82 $2.28 $2.82 $3.46 $4.94 $7.71 $13.13 $18.12 $32.72 $58.73
$55,000 $2.01 $2.51 $3.10 $3.81 $5.43 $8.48 $14.44 $19.93 $36.00 $64.60
$60,000 $2.19 $2.74 $3.38 $4.15 $5.93 $9.25 $15.76 $21.74 $39.27 $70.48
$65,000 $2.37 $2.97 $3.66 $4.50 $6.42 $10.02 $17.07 $23.55 $42.54 $76.35
$70,000 $2.55 $3.20 $3.94 $4.85 $6.91 $10.79 $18.38 $25.36 $45.81 $82.22
$75,000 $2.73 $3.43 $4.22 $5.19 $7.41 $11.56 $19.70 $27.17 $49.08 $88.10
$80,000 $2.92 $3.66 $4.50 $5.54 $7.90 $12.33 $21.01 $28.98 $52.36 $93.97
$85,000 $3.10 $3.88 $4.79 $5.88 $8.40 $13.10 $22.32 $30.80 $55.63 $99.84
$90,000 $3.28 $4.11 $5.07 $6.23 $8.89 $13.87 $23.64 $32.61 $58.90 $105.72
$95,000 $3.46 $4.34 $5.35 $6.58 $9.38 $14.64 $24.95 $34.42 $62.17 $111.59
$100,000 $3.65 $4.57 $5.63 $6.92 $9.88 $15.42 $26.26 $36.23 $65.45 $117.46
$105,000 $3.83 $4.80 $5.91 $7.27 $10.37 $16.19 $27.57 $38.04 $68.72 $123.33
$110,000 $4.01 $5.03 $6.19 $7.62 $10.86 $16.96 $28.89 $39.85 $71.99 $129.21
$115,000 $4.19 $5.25 $6.48 $7.96 $11.36 $17.73 $30.20 $41.67 $75.26 $135.08
$120,000 $4.38 $5.48 $6.76 $8.31 $11.85 $18.50 $31.51 $43.48 $78.54 $140.95
$125,000 $4.56 $5.71 $7.04 $8.65 $12.35 $19.27 $32.83 $45.29 $81.81 $146.83
$130,000 $4.74 $5.94 $7.32 $9.00 $12.84 $20.04 $34.14 $47.10 $85.08 $152.70
$135,000 $4.92 $6.17 $7.60 $9.35 $13.33 $20.81 $35.45 $48.91 $88.35 $158.57
$140,000 $5.10 $6.40 $7.88 $9.69 $13.83 $21.58 $36.77 $50.72 $91.62 $164.45
$145,000 $5.29 $6.63 $8.16 $10.04 $14.32 $22.35 $38.08 $52.53 $94.90 $170.32
$150,000 $5.47 $6.85 $8.45 $10.38 $14.82 $23.12 $39.39 $54.35 $98.17 $176.19
$155,000 $5.65 $7.08 $8.73 $10.73 $15.31 $23.89 $40.71 $56.16 $101.44 $182.07
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