Page 23 - CPSS Benefit Guide Class 3 Employee

Additional Benefit Rates

Short Term Disability/Long Term Disability Rates
Voluntary Critical Illness
Payroll
Wage STD LTD Deduction Monthly Monthly Rate Requested Requested Requested
$10.00 $3.66 $3.28 $6.94 $13.87 Age From Age To per $5,000 $10,000 $15,000 $20,000
$11.00 $4.02 $3.61 $7.63 $15.26 0 29 $0.91 $1.80 $2.71 $3.60
$12.00 $4.39 $3.94 $8.32 $16.64 30 39 $1.65 $3.29 $4.94 $6.61
$13.00 $4.75 $4.26 $9.02 $18.03 40 49 $3.94 $7.91 $11.85 $15.80
$14.00 $5.12 $4.59 $9.71 $19.42 50 59 $9.14 $18.31 $27.45 $36.60
$15.00 $5.48 $4.92 $10.40 $20.81 60 69 $20.19 $40.41 $60.60 $80.80
$16.00 $5.85 $5.25 $11.10 $22.19 70 79 $37.66 $75.29 $112.95 $150.61
$17.00 $6.21 $5.58 $11.79 $23.58 80 99 $50.20 $100.40 $150.61 $200.81
$18.00 $6.58 $5.90 $12.48 $24.97
$19.00 $6.95 $6.23 $13.18 $26.35
$20.00 $7.31 $6.56 $13.87 $27.74
$21.00 $7.68 $6.89 $14.56 $29.13
$22.00 $8.04 $7.22 $15.26 $30.52 Voluntary Accident Premium
$23.00 $8.41 $7.54 $15.95 $31.90
$24.00 $8.77 $7.87 $16.64 $33.29 Tier Monthly Cost Per Payroll
$25.00 $9.14 $8.20 $17.34 $34.68
$26.00 $9.50 $8.53 $18.03 $36.06 Employee $11.33 $5.67
$27.00 $9.87 $8.86 $18.73 $37.45
$28.00 $10.24 $9.18 $19.42 $38.84
Employee + Spouse $16.94 $7.82
$29.00 $10.60 $9.51 $20.11 $40.23
$30.00 $10.97 $9.84 $20.81 $41.61 Employee + Children $24.09 $12.05
$31.00 $11.33 $10.17 $21.50 $43.00
$32.00 $11.70 $10.50 $22.19 $44.39 Employee + Family $31.56 $15.78
$33.00 $12.06 $10.82 $22.89 $45.77
$34.00 $12.43 $11.15 $23.58 $47.16
$35.00 $12.79 $11.48 $24.27 $48.55
$36.00 $13.16 $11.81 $24.97 $49.93
$37.00 $13.52 $12.14 $25.66 $51.32
$38.00 $13.89 $12.46 $26.35 $52.71
$39.00 $14.26 $12.79 $27.05 $54.10
$40.00 $14.62 $13.12 $27.74 $55.48
$41.00 $14.99 $13.45 $28.44 $56.87
$41.65 $15.22 $13.66 $28.89 $57.77
$43.00 maxed out maxed out maxed out maxed out
$44.00 maxed out maxed out maxed out maxed out
$45.00 maxed out maxed out maxed out maxed out
$46.00 maxed out maxed out maxed out maxed out
$47.00 maxed out maxed out maxed out maxed out
$48.00 maxed out maxed out maxed out maxed out
$49.00 maxed out maxed out maxed out maxed out
$50.00 maxed out maxed out maxed out maxed out

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