MONTHLY DEDUCTIONS |
AD&D |
|
|
|
|
Principal Sum |
Employee Only Plan |
Family Plan |
$10,000 |
0.34 |
0.5 |
20,000 |
0.68 |
1 |
30,000 |
1.02 |
1.5 |
40,000 |
1.36 |
2 |
50,000 |
1.7 |
2.5 |
60,000 |
2.04 |
3 |
70,000 |
2.38 |
3.5 |
80,000 |
2.72 |
4 |
90,000 |
3.06 |
4.5 |
100,000 |
3.4 |
5 |
110,000 |
3.74 |
5.5 |
120,000 |
4.08 |
6 |
130,000 |
4.42 |
6.5 |
140,000 |
4.76 |
7 |
150,000 |
5.1 |
7.5 |
160,000 |
5.44 |
8 |
170,000 |
5.78 |
8.5 |
180,000 |
6.12 |
9 |
190,000 |
6.46 |
9.5 |
200,000 |
6.8 |
10 |
210,000 |
7.14 |
10.5 |
220,000 |
7.48 |
11 |
230,000 |
7.82 |
11.5 |
240,000 |
8.16 |
12 |
250,000 |
8.5 |
12.5 |
|
|
|
Rate: Employee- $.034 per $1,000 of covered benefit, Family-$.050 per $1,000 of covered benefit |
For amounts above $150,000, the Principal Sum requested cannot exceed the lesser of 10 times |
Your Earnings or the maximum above. |