|
Male |
Female |
| Age on January 1* |
Non-Smoker** |
Smoker |
Non-Smoker** |
Smoker |
| Under 25 |
$1.18 |
$1.93 |
$0.95 |
$1.55 |
| 25 - 29 |
$1.18 |
$1.93 |
$0.95 |
$1.55 |
| 30 - 34 |
$1.18 |
$1.93 |
$0.95 |
$1.55 |
| 35 - 39 |
$1.33 |
$2.58 |
$1.13 |
$2.23 |
| 40 - 44 |
$1.75 |
$3.90 |
$1.13 |
$2.68 |
| 45 - 49 |
$2.48 |
$5.58 |
$1.63 |
$3.80 |
| 50 - 54 |
$4.05 |
$8.00 |
$2.55 |
$5.28 |
| 55 - 59 |
$6.15 |
$12.83 |
$3.90 |
$7.88 |
| 60 - 64† |
$10.33 |
$18.85 |
$7.33 |
$11.90 |
| 65 - 69‡ |
$18.95 |
$31.85 |
$12.80 |
$18.10 |
| 70 |
Coverage Terminates |
PLEASE NOTE: Members who are covered for Term Life Insurance are automatically enrolled for Dependent Term Life Insurance for their spouse and dependent children. $1.24 per month covers all your dependent family members. Each dependent family member is covered for a life benefit of $5,000.
| Benefit Amount |
Monthly Premium |
| $5,000 |
$1.24 |