Optional Life Insurance Rates per $1000

Calculate your premium rates by using insurance age*, annual fiscal pay and tobacco use. Multiply your annual fiscal pay (per $1,000) by the non-tobacco or tobacco rate that corresponds to your age. For example, to calculate non-tobacco, age 25, earning $30,000, multiply 30 x .014 = $0.42 (biweekly rate) for the 1x annual pay rate. Increase this rate appropriately for the 2x, 3x, 4x, 5x, or 6x annual pay coverage. Premiums are deducted each pay period on an after-tax basis. If you are in a group that is paid weekly, contact your local HR or Payroll department for weekly premium rates.

	Optional Life Insurance Employee Rates per $1,000 Quoted per biweekly pay period.
	Age Band*		Non-Tobacco Rate		Tobacco Rate**

	<25	.014	.026
	25 - 29	.014	.028
	30 - 34	.014	.037
	35 - 39	.018	.046
	40 - 44	.026	.061
	45 - 49	.044	.110
	50 - 54	.073	.175
	55 - 59	.110	.242
	60 - 64	.181	.378
	65 - 69	.361	.639
	70 - 74	.679	1.139
	75 +	.679	1.139
	*Your rate is based on your "Insurance age" as of the first of the plan year. To determine your "insurance" age, subtract your birth year from the plan year. The result is your "insurance" age for all of the current plan year. **Your use of any tobacco product within the last 12 months qualifies you for this rate.