Page 14 - Anzea 2020 Benefit Guide_Revised 9-25-2020

Life / AD&D Insurance

Mutual of Omaha

Employee Life / AD&D Spouse Life / AD&D Child Life Monthly Cost
AGE Monthly Cost per $1,000 of Monthly Cost per $1,000 of for $10,000 Benefit on ALL
Face Amount Face Amount Eligible Children to Age 26
$2.00 One Price covers
Under 25 $0.10 $0.10
All Children
25 - 29 $0.10 $0.10 N/A

30 - 34 $0.11 $0.11 N / A

35 - 39 $0.12 $0.12 N / A

40 - 44 $0.18 $0.18 N / A

45 - 49 $0.28 $0.28 N / A

50 - 54 $0.44 $0.44 N / A

55 - 59 $0.67 $0.67 N / A

60 - 64 $1.03 $1.03 N / A

65 - 69 $1.82 $1.82 N / A

70 - 74 $3.24 N/A N / A

75 - 79 $5.32 N/A N / A

80 + $10.75 N/A N / A

Employees are responsible for paying the cost of voluntary life coverage through payroll deduction. Spouse rates are based on
Employee’s age on the effective date of the plan. Spouse terminates at age 70. Calculate the cost by dividing the amount of voluntary
life insurance by 1,000 and multiplying 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 matching $100,000 AD&D.

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

$100,000 / 1000 = 100 X $0.12 $12.00

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

Example amount Monthly Cost Multiplied by 12 Months Annual Cost Divided by 52
of Insurance Pay Periods
$100,000 $12.00 X 12 = $144.00 $2.77

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