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Benefit Election Rates (Effective 4-1-17)




                                               Ancillary Benefit Plan Costs (continued)



          Short-Term Disability: Cost per week
                        <25          25-29        30-34       35-39         40-44        45-49        50-54         55-60         60+



        Premium         $0.30        $0.34        $0.44       $0.38         $0.36        $.40         $0.49         $0.61         $0.870
        Rate





          Critical Illness: Cost per week



                                         <30                30-39       40-49           50-59           60-69               70+

       $5,000 Benefit Amount             $0.64              $1.11       $2.55           $5.14           $8.17               $15.50


       $10,000 Benefit Amount            $1.27              $2.22       $5.10           $10.27          $16.34              $30.99


       $15,000 Benefit Amount            $1.90              $3.32       $7.65           $15.40          $24.51              $46.49


       $20,000 Benefit Amount            $2.54              $4.43       $10.20          $20.54          $32.68              $61.99

       $25,000 Benefit Amount            $3.17              $5.54       $12.75          $25.67          $40.85              $77.48







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