Page 14 - Tritrax Benefit Guide Effective 9-1-2020

Mutual of Omaha

Life / AD&D Insurance:

Child Life/ AD&D Monthly
Employee Life / AD&D Spouse Life / AD&D
AGE Monthly Cost per $1,000 of Monthly Cost per $1,000 of Cost for $10,000 Benefit on
ALL Eligible Children to
Face Amount Face Amount
Age 25
$1.75 One Price covers
Under 25 $0.08 $0.08
All Children
25 ‐ 29 $0.08 $0.08 N/A

30 ‐ 34 $0.10 $0.10 N / A

35 ‐ 39 $0.13 $0.13 N / A

40 ‐ 44 $0.21 $0.22 N / A

45 ‐ 49 $0.32 $0.32 N / A

50 ‐ 54 $0.53 $0.53 N / A

55 ‐ 59 $0.83 $0.83 N / A

60 ‐ 64 $1.09 $1.09 N / A

65 ‐ 69 $1.77 $1.77 N / A

70 ‐ 74 $3.14 N/A N / A

75 ‐ 79 $5.49 N/A N / A

80 + $5.49 N/A N / A

Employees are responsible for paying the cost of voluntary life coverage through payroll deduction. Calculate the cost by
dividing the amount of voluntary life insurance by 1,000 and multiply by the appropriate rate above. Follow the example for a
35 year old below to determine your monthly cost. This example provides $100,000 of Basic Life and additional $100,000
AD&D for Total of $200,000.

Example amount Multiplied by rate of 35 year
Divided by 1,000 Example Monthly Cost
of Insurance old

$100,000 / 1000 = 100 X $0.13 $13.00

To find the per pay period cost, follow the example below.

Example amount Monthly Cost Multiplied by 12 Months Annual Cost Divided by 26
of Insurance Pay Periods
$100,000 $13.00 X 12 = $156.00 $6.00

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