|  | | | | | SOMA Term Life Insurance Plan
Premium Rates | | | | | Spouse coverage (not to exceed member insured’s amount) is available on the same basis using the rates below. | | | | | | | | | SOMA NON-TOBACCO USER RATES SEMI-ANNUAL | | Attained Age | $50,000 | $100,000 | $150,000 | $200,000 | $250,000 | | Female | Male | Female | Male | Female | Male | Female | Male | Female | Male | | 18-24 | 10.68 | 31.44 | 21.36 | 62.88 | 32.04 | 94.32 | 42.72 | 125.76 | 53.40 | 157.20 | | 25-34 | 13.20 | 21.96 | 26.40 | 43.92 | 39.60 | 65.88 | 52.80 | 87.84 | 66.00 | 109.80 | | 35-44 | 30.72 | 50.16 | 61.44 | 100.32 | 92.16 | 150.48 | 122.88 | 200.64 | 153.60 | 250.80 | | 45-54 | 155.64 | 280.20 | 311.28 | 560.40 | 466.92 | 840.60 | 622.56 | 1120.80 | 778.20 | 1401.00 |
| | | | Top | | | | | SOMA NON-TOBACCO USER RATES ANNUAL | | Attained Age | $50,000 | $100,000 | $150,000 | $200,000 | $250,000 | | Female | Male | Female | Male | Female | Male | Female | Male | Female | Male | | 18-24 | 21.36 | 62.88 | 42.72 | 125.76 | 64.08 | 188.64 | 85.44 | 251.52 | 106.80 | 314.40 | | 25-34 | 26.40 | 43.92 | 52.80 | 87.84 | 79.20 | 131.76 | 105.60 | 175.68 | 132.00 | 219.60 | | 35-44 | 61.44 | 100.32 | 122.88 | 200.64 | 184.32 | 300.96 | 245.76 | 401.28 | 307.20 | 501.60 | | 45-54 | 311.28 | 560.40 | 622.56 | 1120.80 | 933.84 | 1681.20 | 1245.12 | 2241.60 | 1556.40 | 2802.00 |
| | | | Top | | | | | SOMA TOBACCO USER RATES SEMI-ANNUAL | | Attained Age | $50,000 | $100,000 | $150,000 | $200,000 | $250,000 | | Female | Male | Female | Male | Female | Male | Female | Male | Female | Male | | 18-24 | 14.52 | 42.72 | 29.04 | 85.44 | 43.56 | 128.16 | 58.08 | 170.88 | 75.60 | 213.60 | | 25-34 | 21.72 | 36.00 | 43.44 | 72.00 | 65.16 | 108.00 | 86.88 | 144.00 | 108.60 | 180.00 | | 35-44 | 60.48 | 98.76 | 120.96 | 197.52 | 181.44 | 296.28 | 241.92 | 395.04 | 302.40 | 493.80 | | 45-54 | 256.56 | 462.00 | 513.12 | 924.00 | 769.68 | 1386.00 | 1026.24 | 1848.00 | 1282.80 | 2310.00 |
| | | | Top | | | | | SOMA TOBACCO USER RATES ANNUAL | | Attained Age | $50,000 | $100,000 | $150,000 | $200,000 | $250,000 | | Female | Male | Female | Male | Female | Male | Female | Male | Female | Male | | 18-24 | 29.04 | 85.44 | 58.08 | 170.88 | 87.12 | 256.32 | 116.16 | 341.76 | 145.20 | 427.20 | | 25-34 | 43.44 | 72.00 | 86.88 | 144.00 | 130.32 | 216.00 | 173.76 | 288.00 | 217.20 | 360.00 | | 35-44 | 120.96 | 197.52 | 241.92 | 395.04 | 362.88 | 592.56 | 483.84 | 790.08 | 604.80 | 987.60 | | 45-54 | 513.12 | 924.00 | 1026.24 | 1848.00 | 1539.36 | 2772.00 | 2052.48 | 3696.00 | 2565.60 | 4620.00 |
| | | | | | Payment can be made by debit or credit card. There is a separate $0.50 administrative fee charged with each payment. | | | | SOMA Children's Rates (covers all eligible children) | | | $2,500 | $5,000 | $7,500* | $10,000* | | Semi-Annual | $4.38 | $8.76 | $13.14 | $17.52 | | Annual | $8.76 | $17.52 | $26.28 | $35.04 |
| | | | *Only available if Member purchases $150,000 or more. | | Top |
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