Page 10 - Coast Sign Benefit Summary 2017 - Non- CA - sent 9.26.17

Rates and Contributions

Voluntary Life and AD&D - Cigna Voluntary Long Term Disability - Cigna

Monthly Rate Monthly Rate

Age of Employee Employee per Spouse per Age of Employee
$1,000 $1,000
Employee per
of benefit of benefit
$100 of Covered Salary

Under 25 $0.034 $0.056
Under 25 $ 0.072
25-29 $0.039 $0.064
25-29 $ 0.090
30-34 $0.048 $0.081
30-34 $ 0.153
35-39 $0.064 $0.117
35-39 $ 0.225
40-44 $0.088 $0.168
45-49 $0.140 $0.263 40-44 $ 0.306

50-54 $0.217 $0.410 45-49 $ 0.432
55-59 $0.356 $0.629 50-54 $ 0.585
60-64 $0.575 $1.076
55-59 $ 0.774
65-69 $1.018 $1.837
60+ $ 0.810
70-74 $1.840 $3.272
75+ $3.680 $6.556
AD&D per $1,000 $0.030 $0.025
Child(ren) per Life $0.180
$1,000 of benefit AD&D $0.030

How to Calculate Your Per-Paycheck Cost

Voluntary Life Cost Calculation Example

Monthly Cost per
Weekly
$1,000 Monthly
Age Benefit Divide = Cost
(not including Cost
( x 12 / 52)
AD&D)
Example 33 .048 X 100,000 / 1,000 = $4.80 $1.11

Voluntary LTD Cost Calculation Example

Monthly Cost per Weekly
Age $100 of monthly Monthly Divide = Monthly Cost
Salary
Cost
covered salary ( x 12 / 52)
Example 33 .153 X $2,000 / 100 = $3.06 $0.71

10