EMPLOYEE BENEFIT AGE <30 AGE 30-34 AGE 35-39 AGE 40-44 AGE 45-49 AGE 50-54 AGE 55-59 AGE 60-64 AGE 65-69 AGE 70-74 AGE 75-79 AGE 80+ $160,000 $4.80 $5.20 $6.80 $9.20 $14.40 $22.80 $36.00 $44.80 $76.40 $123.20 $188.80 $274.00 $170,000 $5.10 $5.53 $7.23 $9.78 $15.30 $24.23 $38.25 $47.60 $81.18 $130.90 $200.60 $291.13 $180,000 $5.40 $5.85 $7.65 $10.35 $16.20 $25.65 $40.50 $50.40 $85.95 $138.60 $212.40 $308.25 $190,000 $5.70 $6.18 $8.08 $10.93 $17.10 $27.08 $42.75 $53.20 $90.73 $146.30 $224.20 $325.38 $200,000 $6.00 $6.50 $8.50 $11.50 $18.00 $28.50 $45.00 $56.00 $95.50 $154.00 $236.00 $342.50 $210,000 $6.30 $6.83 $8.93 $12.08 $18.90 $29.93 $47.25 $58.80 $100.28 $161.70 $247.80 $359.63 $220,000 $6.60 $7.15 $9.35 $12.65 $19.80 $31.35 $49.50 $61.60 $105.05 $169.40 $259.60 $376.75 $230,000 $6.90 $7.48 $9.78 $13.23 $20.70 $32.78 $51.75 $64.40 $109.83 $177.10 $271.40 $393.88 $240,000 $7.20 $7.80 $10.20 $13.80 $21.60 $34.20 $54.00 $67.20 $114.60 $184.80 $283.20 $411.00 $250,000 $7.50 $8.13 $10.63 $14.38 $22.50 $35.63 $56.25 $70.00 $119.38 $192.50 $295.00 $428.13 $260,000 $7.80 $8.45 $11.05 $14.95 $23.40 $37.05 $58.50 $72.80 $124.15 $200.20 $306.80 $445.25 $270,000 $8.10 $8.78 $11.48 $15.53 $24.30 $38.48 $60.75 $75.60 $128.93 $207.90 $318.60 $462.38 $280,000 $8.40 $9.10 $11.90 $16.10 $25.20 $39.90 $63.00 $78.40 $133.70 $215.60 $330.40 $479.50 $290,000 $8.70 $9.43 $12.33 $16.68 $26.10 $41.33 $65.25 $81.20 $138.48 $223.30 $342.20 $496.63 $300,000 $9.00 $9.75 $12.75 $17.25 $27.00 $42.75 $67.50 $84.00 $143.25 $231.00 $354.00 $513.75 Premiums Per Pay Period VOLUNTARY LIFE AND AD & D C O S T O F C O V E R A G E - V O L U N T A R Y L I F E A N D A D & D R A T E S Spouse’s rates are based on the employee’s age. CHILD(REN) Benefit RATE $10,000 $0.60