Supplemental Life Insurance: Computing Your Monthly Costs
The monthly
cost for supplemental life insurance for you and your dependents is based on
age, amount of coverage you select and whether or not you or your spouse use
tobacco products. Use this worksheet and the rate chart to determine your monthly contributions.
| Number
of $10,000 Units of Coverage:
|
Total Amount
of Coverage
|
÷ |
$10,000
|
= |
Number of $10,000
Units of Coverage
|
Your Cost:
|
# of $10,000 Units
of Coverage (above)
|
X |
$
Life Rate
from chart
|
= |
(A)
Your Monthly
Cost
|
Your Spouse's Cost:
|
1,
2, 3 or 4 Units
# of $10,000 Units
of Coverage
|
X |
$
Life Rate
from chart
|
= |
(B)
Your Spouse's
Monthly Cost
|
Your Dependent Children's Cost:
|
$.99
Coverage
(Rate for $7,000
Insurance for Each
Covered Child)
|
|
|
= |
(C)
(Fill in $.99 if you are electing Dependent
Children's Supplemental Life Insurance)
|
TOTAL MONTHLY
COST = (A) + (B) + (C)
|
| |
|
|
= |
|
|
