Page 22 - 2019 Franke Enrollment Guide
P. 22
2019 BENEFITS ENROLLMENT
Monthly Post Tax Critical Illness Premiums
You will make your elections for this benefit using the UltiPro platform and premiums will be calculated for you based
on your age and tobacco status as indicated by the tobacco status you enter in UltiPro.
Non-Tobacco Tobacco
$10,000 Employee/$5,000 Spouse/$2,500 Child(ren) $10,000 Employee/$5,000 Spouse/$2,500 Child(ren)
Attained Employee Employee Employee Employee Attained Employee Employee Employee Employee
+
+
age + spouse child(ren) + family age + spouse child(ren) + family
0–24 $4.72 $8.14 $5.00 $8.42 0–24 $5.72 $9.64 $6.00 $9.92
25–29 $5.32 $9.14 $5.60 $9.42 25–29 $6.92 $11.74 $7.30 $12.02
30–34 $6.52 $11.44 $6.80 $11.72 30–34 $9.52 $16.34 $9.80 $16.62
35–39 $9.52 $15.84 $9.80 $16.12 35–39 $16.12 $26.14 $16.40 $26.42
40–44 $12.02 $20.14 $12.30 $20.42 40–44 $21.72 $35.54 $22.00 $35.82
45–49 $16.92 $28.64 $17.20 $28.92 45–49 $33.02 $54.94 $33.30 $55.22
50–54 $26.02 $41.64 $26.30 $41.92 50–54 $49.92 $79.84 $50.20 $80.12
55–59 $37.02 $58.14 $37.30 $58.42 55–59 $69.92 $109.64 $70.20 $109.92
60–64 $49.32 $76.74 $49.60 $77.02 60–64 $89.22 $138.84 $89.50 $139.12
65–69 $61.12 $94.34 $61.40 $94.62 65–69 $101.32 $159.74 $101.60 $160.02
70–74 $84.72 $142.04 $85.00 $142.42 70–74 $134.12 $229.94 $134.50 $230.32
75–79 $117.92 $189.64 $118.30 $189.92 75–79 $165.52 $277.04 $165.90 $277.32
80–84 $152.52 $217.94 $152.80 $218.22 80–84 $203.62 $311.44 $203.90 $311.72
85+ $201.22 $323.44 $201.50 $323.82 85+ $240.92 $393.84 $241.20 $394.12
Non-Tobacco Tobacco
$20,000 Employee/$10,000 Spouse/$5,000 Child(ren) $20,000 Employee/$10,000 Spouse/$5,000 Child(ren)
Employee Employee
Attained Employee Employee + Employee Attained Employee Employee + Employee
age + spouse child(ren) + family age + spouse child(ren) + family
0–24 $7.62 $12.64 $8.10 $13.12 0–24 $9.62 $15.64 $10.10 $16.12
25–29 $8.82 $14.64 $9.30 $15.12 25–29 $12.02 $19.84 $12.70 $20.32
30–34 $11.22 $19.24 $11.70 $19.72 30–34 $17.22 $29.04 $17.70 $29.52
35–39 $17.22 $28.04 $17.70 $28.52 35–39 $30.42 $48.64 $30.90 $49.12
40–44 $22.22 $36.64 $22.70 $37.12 40–44 $41.62 $67.44 $42.10 $67.92
45–49 $32.02 $53.64 $32.50 $54.12 45–49 $64.22 $106.24 $64.70 $106.72
50–54 $50.22 $79.64 $50.70 $80.12 50–54 $98.02 $156.04 $98.50 $156.52
55–59 $72.22 $112.64 $72.70 $113.12 55–59 $138.02 $215.64 $138.50 $216.12
60–64 $96.82 $149.84 $97.30 $150.32 60–64 $176.62 $274.04 $177.10 $274.52
65–69 $120.42 $185.04 $120.90 $185.52 65–69 $200.82 $315.84 $201.30 $316.32
70–74 $167.62 $280.44 $168.10 $281.12 70–74 $266.42 $456.24 $267.10 $456.92
75–79 $234.02 $375.64 $234.70 $376.12 75–79 $329.22 $550.44 $329.90 $550.92
80–84 $303.22 $432.24 $303.70 $432.72 80–84 $405.42 $619.24 $405.90 $619.72
85+ $400.62 $643.24 $401.10 $643.92 85+ $480.02 $784.04 $480.50 $784.52
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Monthly Post Tax Critical Illness Premiums
You will make your elections for this benefit using the UltiPro platform and premiums will be calculated for you based
on your age and tobacco status as indicated by the tobacco status you enter in UltiPro.
Non-Tobacco Tobacco
$10,000 Employee/$5,000 Spouse/$2,500 Child(ren) $10,000 Employee/$5,000 Spouse/$2,500 Child(ren)
Attained Employee Employee Employee Employee Attained Employee Employee Employee Employee
+
+
age + spouse child(ren) + family age + spouse child(ren) + family
0–24 $4.72 $8.14 $5.00 $8.42 0–24 $5.72 $9.64 $6.00 $9.92
25–29 $5.32 $9.14 $5.60 $9.42 25–29 $6.92 $11.74 $7.30 $12.02
30–34 $6.52 $11.44 $6.80 $11.72 30–34 $9.52 $16.34 $9.80 $16.62
35–39 $9.52 $15.84 $9.80 $16.12 35–39 $16.12 $26.14 $16.40 $26.42
40–44 $12.02 $20.14 $12.30 $20.42 40–44 $21.72 $35.54 $22.00 $35.82
45–49 $16.92 $28.64 $17.20 $28.92 45–49 $33.02 $54.94 $33.30 $55.22
50–54 $26.02 $41.64 $26.30 $41.92 50–54 $49.92 $79.84 $50.20 $80.12
55–59 $37.02 $58.14 $37.30 $58.42 55–59 $69.92 $109.64 $70.20 $109.92
60–64 $49.32 $76.74 $49.60 $77.02 60–64 $89.22 $138.84 $89.50 $139.12
65–69 $61.12 $94.34 $61.40 $94.62 65–69 $101.32 $159.74 $101.60 $160.02
70–74 $84.72 $142.04 $85.00 $142.42 70–74 $134.12 $229.94 $134.50 $230.32
75–79 $117.92 $189.64 $118.30 $189.92 75–79 $165.52 $277.04 $165.90 $277.32
80–84 $152.52 $217.94 $152.80 $218.22 80–84 $203.62 $311.44 $203.90 $311.72
85+ $201.22 $323.44 $201.50 $323.82 85+ $240.92 $393.84 $241.20 $394.12
Non-Tobacco Tobacco
$20,000 Employee/$10,000 Spouse/$5,000 Child(ren) $20,000 Employee/$10,000 Spouse/$5,000 Child(ren)
Employee Employee
Attained Employee Employee + Employee Attained Employee Employee + Employee
age + spouse child(ren) + family age + spouse child(ren) + family
0–24 $7.62 $12.64 $8.10 $13.12 0–24 $9.62 $15.64 $10.10 $16.12
25–29 $8.82 $14.64 $9.30 $15.12 25–29 $12.02 $19.84 $12.70 $20.32
30–34 $11.22 $19.24 $11.70 $19.72 30–34 $17.22 $29.04 $17.70 $29.52
35–39 $17.22 $28.04 $17.70 $28.52 35–39 $30.42 $48.64 $30.90 $49.12
40–44 $22.22 $36.64 $22.70 $37.12 40–44 $41.62 $67.44 $42.10 $67.92
45–49 $32.02 $53.64 $32.50 $54.12 45–49 $64.22 $106.24 $64.70 $106.72
50–54 $50.22 $79.64 $50.70 $80.12 50–54 $98.02 $156.04 $98.50 $156.52
55–59 $72.22 $112.64 $72.70 $113.12 55–59 $138.02 $215.64 $138.50 $216.12
60–64 $96.82 $149.84 $97.30 $150.32 60–64 $176.62 $274.04 $177.10 $274.52
65–69 $120.42 $185.04 $120.90 $185.52 65–69 $200.82 $315.84 $201.30 $316.32
70–74 $167.62 $280.44 $168.10 $281.12 70–74 $266.42 $456.24 $267.10 $456.92
75–79 $234.02 $375.64 $234.70 $376.12 75–79 $329.22 $550.44 $329.90 $550.92
80–84 $303.22 $432.24 $303.70 $432.72 80–84 $405.42 $619.24 $405.90 $619.72
85+ $400.62 $643.24 $401.10 $643.92 85+ $480.02 $784.04 $480.50 $784.52
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