2023 Employee Benefits Guide | Page 11

Vision
Voluntary Life and AD & D
Short-Term Disability
Accident

Rates Continued ...

Vision

Employee Premiums
Low Plan Biweekly Monthly Employee Only $ 1.97 $ 4.27 Employee + Children $ 4.89 $ 10.60
Employee + Spouse
$ 4.16
$ 9.01
Employee + Family
$ 6.41
$ 13.89
Employee Premiums
High Plan Biweekly Monthly Employee Only $ 2.25 $ 4.87 Employee + Children $ 5.49 $ 11.89
Employee + Spouse
$ 4.68
$ 10.14
Employee + Family
$ 7.19
$ 15.57

Voluntary Life and AD & D

Employee & Spouse Premiums per $ 1,000 Age Biweekly Monthly
24 & under 0.025 0.054 25-29 0.029 0.062 30-34 0.032 0.070 35-39 0.040 0.086 40-44 0.058 0.126 45-49 0.094 0.204 50-54 0.156 0.338 55-59 0.232 0.503 60-64 0.349 0.756

Short-Term Disability

Employee Premiums per $ 10 Biweekly Monthly
Employee Only $ 0.17 $ 0.36
65-69 0.514 1.113
70-74
2.045
4.430
75 +
6.904
14.959
AD & D - Employees Only
0.011
0.024
* Automatically added to life premiums listed above .
Child ( ren ) Premiums : $ 10,000 Biweekly Monthly
Child ( ren )** $ 0.77 $ 1.66 ** Flat rate regardless of number of children .

Accident

Employee Premiums Biweekly
Monthly Employee Only $ 5.43 $ 11.76 Employee + Children $ 11.85 $ 25.67
Employee + Spouse
$ 9.76
$ 21.14
Employee + Family
$ 18.30
$ 39.64

Critical Illness

Employee & Spouse Premiums
Please refer to the Flyer for Age-Banded Non-Tobacco and Tobacco Rates .