Page 27 - Acadia 2021 Benefits Guide DBI Wellplace
P. 27
2021 Employee Supplemental Life
& Disability Rates
Supplemental Life & AD&D Coverage Short & Long Term Disability Coverage
AGE BAND SUPPLEMENTAL LIFE & AD&D AGE BAND SEMI-MONTHLY RATE
RATE PER $1,000 (24 PAY PERIODS)
(24 PAY PERIODS) PREMIUM FACTORS
Less than 30 $0.040 STD LTD
Less than 25 $0.01512 $0.00047
30-34 $0.050
25-29 $0.01539 $0.00074
35-39 $0.060
30-34 $0.01311 $0.00134
40-44 $0.070
35-39 $0.01254 $0.00215
45-49 $0.110
40-44 $0.01170 $0.00369
50-54 $0.175
45-49 $0.01284 $0.00483
55-59 $0.290
50-54 $0.01482 $0.00682
60-64 $0.425
55-59 $0.01911 $0.00879
65-69* $0.580
60-64 $0.02253 $0.00678
70+* $0.935
65-69 $0.02595 $0.00457
Child Rate Flat Rate $0.40
70-99 $0.02595 $0.00333
*Beneits and premium amounts relect age reductions.
Spouse rate based on spouse’s age; coverage terminates at age 70.
Calculating your STD Premium
Per Pay Period
Calculating Supplemental Life Premium
Per Pay Period Example: $610 x $0.01254 (age 35) = $7.65 Semi Monthly
Example: $50,000/$1,000 x $0.060 (age 38) = $3.00 Semi-Monthly Enter Your Weekly Earnings:
(Maximum Covered Payroll - $1,667 Weekly)
Enter Amount Desired:
Multiply by Premium Factor Above:
Divide by $1,000:
Semi-Monthly Premium:
Multiply by Age Band Rate from Table: Calculating your LTD Premium
Semi-Monthly Premium: Per Pay Period
Note: Amount cannot exceed Guaranteed Issue or Max Allowed Example: $2,643 x $0.00215 (age 35) = $5.68 Semi Monthly
Employee Voluntary Life – beneits begin reducing at age 70 Enter Your Monthly Earnings:
Spouse Voluntary Life – beneits begin reducing at age 65 (Maximum Covered Payroll - $8,333 Monthly)
Reference the Lincoln EOC on the My Company page in Ultipro Multiply by premium factor above:
for more detailed information. Semi-Monthly Premium:
This is an estimate. Actual deductions may vary slightly due to
rounding.
2021 Employee Beneits Guide | 27
& Disability Rates
Supplemental Life & AD&D Coverage Short & Long Term Disability Coverage
AGE BAND SUPPLEMENTAL LIFE & AD&D AGE BAND SEMI-MONTHLY RATE
RATE PER $1,000 (24 PAY PERIODS)
(24 PAY PERIODS) PREMIUM FACTORS
Less than 30 $0.040 STD LTD
Less than 25 $0.01512 $0.00047
30-34 $0.050
25-29 $0.01539 $0.00074
35-39 $0.060
30-34 $0.01311 $0.00134
40-44 $0.070
35-39 $0.01254 $0.00215
45-49 $0.110
40-44 $0.01170 $0.00369
50-54 $0.175
45-49 $0.01284 $0.00483
55-59 $0.290
50-54 $0.01482 $0.00682
60-64 $0.425
55-59 $0.01911 $0.00879
65-69* $0.580
60-64 $0.02253 $0.00678
70+* $0.935
65-69 $0.02595 $0.00457
Child Rate Flat Rate $0.40
70-99 $0.02595 $0.00333
*Beneits and premium amounts relect age reductions.
Spouse rate based on spouse’s age; coverage terminates at age 70.
Calculating your STD Premium
Per Pay Period
Calculating Supplemental Life Premium
Per Pay Period Example: $610 x $0.01254 (age 35) = $7.65 Semi Monthly
Example: $50,000/$1,000 x $0.060 (age 38) = $3.00 Semi-Monthly Enter Your Weekly Earnings:
(Maximum Covered Payroll - $1,667 Weekly)
Enter Amount Desired:
Multiply by Premium Factor Above:
Divide by $1,000:
Semi-Monthly Premium:
Multiply by Age Band Rate from Table: Calculating your LTD Premium
Semi-Monthly Premium: Per Pay Period
Note: Amount cannot exceed Guaranteed Issue or Max Allowed Example: $2,643 x $0.00215 (age 35) = $5.68 Semi Monthly
Employee Voluntary Life – beneits begin reducing at age 70 Enter Your Monthly Earnings:
Spouse Voluntary Life – beneits begin reducing at age 65 (Maximum Covered Payroll - $8,333 Monthly)
Reference the Lincoln EOC on the My Company page in Ultipro Multiply by premium factor above:
for more detailed information. Semi-Monthly Premium:
This is an estimate. Actual deductions may vary slightly due to
rounding.
2021 Employee Beneits Guide | 27
