The chart below shows how much you pay bi-weekly based on who you cover. Applicable taxes may apply.


Your Extended Health/Vision Premium Cost

Single
$5.32
You + Family
$13.55

The chart below shows how much you pay bi-weekly based on who you cover. Applicable taxes may apply.


Your Dental Premium Cost

Single
$3.85
You + Family
$11.61

The chart below shows how much you pay monthly based on who you cover. Applicable taxes may apply.


Your Optional Life Insurance Premium Cost

Age Male Non-Smoker Rate per $10,000 of Coverage Male Smoker Rate per $10,000 of Coverage Female Non-Smoker Rate per $10,000 of Coverage Female Smoker Rate per $10,000 of Coverage
35–39 $.90 $1.70 $.90 $1.10
40–44 $1.50 $2.90 $1.40 $1.70
45–49 $2.50 $5.40 $2.20 $2.70
50–54 $4.40 $9.00 $3.40 $4.10
55–59 $7.50 $14.30 $5.40 $6.40
60–64 $11.00 $19.20 $7.60 $9.20
18–29 $.70 $1.30 $.50 $.70
30–34 $.80 $1.40 $.60 $.80

Your Optional AD&D Insurance Premium Cost

Coverage is $.31 per $10,000 of coverage. For example, your monthly deduction for $50,000 of coverage would be $1.55.

The chart below shows how much you pay monthly based on who you cover. Applicable taxes may apply.


Your Critical Illness Insurance Premium Cost

Age Male Non-Smoker Rate per $10,000 of Coverage Male Smoker Rate per $10,000 of Coverage Female Non-Smoker Rate per $10,000 of Coverage Female Smoker Rate per $10,000 of Coverage
35–39 $2.11 $3.01 $2.52 $3.85
40–44 $3.19 $5.32 $3.72 $6.72
45–49 $5.30 $10.45 $4.98 $10.13
50–54 $8.33 $18.81 $6.91 $14.64
55–59 $12.41 $30.03 $9.16 $18.94
60–64 $20.26 $47.91 $12.86 $24.23
18–29 $1.26 $1.48 $1.19 $1.39
30–34 $1.74 $2.37 $2.05 $2.72

Coverage for all dependent children is $2.91 per $10,000 of coverage. For example, your monthly deduction for $50,000 of coverage would be $14.55.