Low-Option High-Option Standard Dental Superior Vision

2015-2016 Voluntary Benefits Monthly Premiums
High-Option
Standard Dental
EO
ES
EC
EF
Superior Vision
EO
ES
EC
EF
Lincoln Financial Voluntary Term Life
EO
Age 0-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75+
Child Life - $10,000
$37.866
$80.88
$73.32
$136.62
$15.96
$31.74
$34.38
$50.18
High Option
Low Option
$17.84
$38.40
$28.89
$52.74
$9.52
$20.48
$15.40
$28.12
Rate Per
$1,000 EE
$50,000
Policy EE
$0.050
$0.060
$0.070
$0.110
$0.150
$0.240
$0.370
$0.580
$1.140
$1.140
$1.140
$1.800
$2.50
$3.00
$3.50
$5.50
$7.50
$12.00
$18.50
$29.00
$57.00
$57.00
$57.00
Elimination Opt. 1-6
Period
Per $1,000
Standard Disability
0/7
14
30
60
90
180
Low-Option
$26.40
$21.60
$17.70
$14.50
$12.10
$9.10
Rate Per $25,000
$1,000 SP Policy SP
$0.055
$0.065
$0.075
$0.115
$0.155
$0.245
$0.375
$0.585
$1.145
$1.145
$1.145
$1.38
$1.63
$1.88
$2.88
$3.88
$6.13
$9.38
$14.63
$28.63
$28.63
$28.63
Opt. 7-12
Per $1,000
$35.90
$31.60
$26.80
$17.40
$15.00
$11.00
Colonial Cancer
EO
EF
$29.85
$49.55
Texas Texas Life - Example Only - Premium Calculated by System upon Election
25g
35
45
55
$25,000
$25,000
$25,000
$25,000
$10.50
$13.75
$26.00
$55.50
14