EMPLOYEE LIFE INSURANCE – Basic Life (1x base salary) is priced at $.115 per $1,000. Life insurance elected in excess of 1x base pay is age banded. Your cost
increases in the month in which you move into a new age band.
AGE
<35
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70+
RATE PER $1,000
0.031
0.057
0.082
0.137
0.208
0.338
0.532
0.841
1.214
FAMILY LIFE INSURANCE
SPOUSE/DOMESTIC PARTNER COVERAGE
Amount
Cost
$ 5,000
$1.44
$10,000
$2.89
$25,000
$7.22
DEPENDENT CHILDREN
Amount
$ 2,000
$ 5,000
$10,000
Cost
$0.20
$0.50
$1.00
EMPLOYEE AND FAMILY
Amount
$ 50,000
$100,000
$150,000
Cost
$1.25
$2.50
$3.75
PERSONAL ACCIDENT INSURANCE
EMPLOYEE ONLY
Amount
$ 50,000
$100,000
$150,000
Cost
$0.85
$1.70
$2.55
January 2015
1
LONG TERM DISABILITY INSURANCE – Rates are per $100 of monthly covered salary
Amount of Coverage
60% after 6 month elimination period
Employee Group
Unrepresented exempt or nonexempt
SEIU, FOP-LE, FOP-SO
AAUP
UC Cost
0.19
.19
Your Cost
.19
.19
0.38
65% after 4 month elimination period
Unrepresented exempt or nonexempt
AFSCME, IUOE, SEIU,ONA,FOP
AAUP
0.21
0.21
0.20
0.20
0.41
Supplemental Coverage (coverage is for salary above $80,000) – Rates are per $100 of monthly covered salary
Amount of Coverage
Supplemental LTD coverage
60% after 6 month elimination
period
Supplemental LTD coverage
65% after 4 month elimination
period
Employee Group
Unrepresented Exempt/NonExempt
SEIU, FOP-LE, FOP-SO
UC Cost
Your Cost
Age based
Unrepresented Exempt/NonExempt
SEIU, FOP-LE, FOP-SO
Age based
Cost per $100 of monthly covered salary for supplemental coverage
Option 4
Option 5
0.065
0.065
0.08
0.08
0.102
0.102
0.138
0.138
0.197
0.197
0.262
0.262
0.342
0.342
0.466
0.466
0.633
0.633
Age
<30
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65+
January 2015
2