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| Disability Insurance, Premium Rates |
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Monthly Premiums
Per $100 Unit | Plan A
1 Year Benefit and a 30 Day Waiting Period | Under 40
40 to 49
50 to 59
60 to 64* | $1.08
$1.46
$2.28
$3.53 |
| Plan B
2 Year Benefit and a 60 Day Waiting Period | Under 40
40 to 49
50 to 59
60 to 64* | $0.88
$1.30
$2.20
$3.70 |
| Plan C
To Age 65 Benefits and a
Choice of 3 Waiting Periods | | (in days) | 90 | 180 | 365 | Under 40
40 to 49
50 to 59
60 to 64* | $1.35
$2.43
$4.30
$5.25 | $1.15
$2.05
$3.65
$4.45 | $1.01
$1.82
$3.23
$3.94 |
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| | *Renewal only. Coverage terminates at age 65. Rates change as you enter a new age bracket as shown above. All rates are subject to change. |
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| Dental Plan Fees |
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Dental Plan Fees | $9.95 per month individual or $11.95 per month (family) |
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| Group Life Premiums |
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| Affordable Group Term Life Rates | | | | Premium Per $25,000 Unit |  | | Insured's Age | Non-Tobacco User* | Tobacco User | | | Monthly | Monthly | | Under 30 | $1.75 | $2.60 | | 30-34 | $2.00 | $3.00 | | 35-39 | $2.70 | $4.05 | | 40-44 | $3.60 | $5.40 | | 45-49 | $5.55 | $8.35 | | 50-54 | $8.35 | $12.50 | | 55-59 | $12.75 | $19.15 | | 60-64** | $20.40 | $30.60 | | 65-69** | $27.25 | $40.85 | | 70 | Insurance Terminates | | | * | You may not have used tobacco products in the 12 months preceding application. | | ** | Rates provided for renewal purposes only. | | Rates change as you enter a new age bracket as shown above. All rates are subject to change. |
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| | | | Children's Coverage | | For $5,000 Benefit | | Monthly | | $0.60 | | | For $10,000 Benefit | | Monthly | | $1.20 | |
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| Family Accident Insurance, Premium Rates |
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Principal Sum Amount Per Unit | | Plan Type | Member | Spouse | Children | | A | $50,000 | $0 | $0 | | B | $40,000 | $10,000 | $0 | | C | $25,000 | $25,000 | $0 | | D | $30,000 | $10,000 | $5,000 | | E | $20,000 | $20,000 | $5,000 | | F | $40,000 | $0 | $5,000 |
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| Regardless of the Plan Type selected, the cost is only $3.00 a month for each unit of coverage selected. |
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