Cancer( Internal or Invasive) |
100 % |
Heart Attack( Myocardial Infarction) |
100 % |
Benign Brain Tumor |
100 % |
MS |
100 % |
ALS |
100 % |
Stroke( Ischemic or Hemorrhagic) |
100 % |
Major Organ Transplant |
100 % |
Kidney Failure( End Stage Renal Failure) |
100 % |
Bone Marrow Transplant( Stem Cell Transplant) |
100 % |
Sudden Cardiac Arrest |
100 % |
Severe Burns * |
100 % |
Paralysis ** |
100 % |
Coma ** |
100 % |
Loss of Speech / Sight / Hearing ** |
100 % |
|
Childhood Conditions: Cystic Fibrosis, Cerebral Palsy, Cleft
Lip, Down Syndorome, PKU, Spina Bifida, Type 1 Diabetes
|
50 % |
Coronary Artery Bypass Surgery |
25 % |
Carcinoma in Situ |
25 % |
Alzheimer’ s |
25 % |
Parkinson’ s |
25 % |
Autism Spectrum Disorder( One Time Benefit Amount) |
$ 3,000 |
Employee Non-Tobacco Monthly Premiums | ||||||
Age |
$ 5,000 |
$ 10,000 |
$ 15,000 |
$ 20,000 |
$ 25,000 |
$ 30,000 |
18-29 |
$ 5.43 |
$ 7.84 |
$ 10.25 |
$ 12.66 |
$ 15.07 |
$ 17.48 |
30-39 |
$ 7.15 |
$ 11.27 |
$ 15.40 |
$ 19.53 |
$ 23.65 |
$ 27.78 |
40-49 |
$ 11.35 |
$ 19.69 |
$ 28.02 |
$ 36.35 |
$ 44.69 |
$ 53.02 |
50-59 |
$ 19.50 |
$ 35.98 |
$ 52.45 |
$ 68.93 |
$ 85.41 |
$ 101.89 |
60 + |
$ 34.90 |
$ 66.78 |
$ 98.66 |
$ 130.54 |
$ 162.42 |
$ 194.30 |
Spouse Non-Tobacco Monthly Premiums | |||||
Age |
$ 5,000 |
$ 7,500 |
$ 10,000 |
$ 12,500 |
$ 15,000 |
18-29 |
$ 5.43 |
$ 6.63 |
$ 7.84 |
$ 9.04 |
$ 10.25 |
30-39 |
$ 7.15 |
$ 9.21 |
$ 11.27 |
$ 13.34 |
$ 15.40 |
40-49 |
$ 11.35 |
$ 15.52 |
$ 19.69 |
$ 23.85 |
$ 28.02 |
50-59 |
$ 19.50 |
$ 27.74 |
$ 35.98 |
$ 44.21 |
$ 52.45 |
60 + |
$ 34.90 |
$ 50.84 |
$ 66.78 |
$ 82.72 |
$ 98.66 |
Employee Tobacco Monthly Premiums | ||||||
Age |
$ 5,000 |
$ 10,000 |
$ 15,000 |
$ 20,000 |
$ 25,000 |
$ 30,000 |
18-29 |
$ 6.54 |
$ 10.07 |
$ 13.59 |
$ 17.12 |
$ 20.64 |
$ 24.17 |
30-39 |
$ 9.66 |
$ 16.29 |
$ 22.93 |
$ 29.56 |
$ 36.20 |
$ 42.83 |
40-49 |
$ 16.35 |
$ 29.68 |
$ 43.02 |
$ 56.35 |
$ 69.68 |
$ 83.01 |
50-59 |
$ 29.96 |
$ 56.90 |
$ 83.83 |
$ 110.77 |
$ 137.71 |
$ 164.65 |
60 + |
$ 53.18 |
$ 103.35 |
$ 153.51 |
$ 203.67 |
$ 253.83 |
$ 304.00 |
Spouse Tobacco Monthly Premiums | |||||
Age |
$ 5,000 |
$ 7,500 |
$ 10,000 |
$ 12,500 |
$ 15,000 |
18-29 |
$ 6.54 |
$ 8.31 |
$ 10.07 |
$ 11.83 |
$ 13.59 |
30-39 |
$ 9.66 |
$ 12.97 |
$ 16.29 |
$ 19.61 |
$ 22.93 |
40-49 |
$ 16.35 |
$ 23.02 |
$ 29.68 |
$ 36.35 |
$ 43.02 |
50-59 |
$ 29.96 |
$ 43.43 |
$ 56.90 |
$ 70.37 |
$ 83.83 |
60 + |
$ 53.18 |
$ 78.26 |
$ 103.35 |
$ 128.43 |
$ 153.51 |