Small Group Rate Table "A" for Life and Short-Term Disability

Table A rates apply to all standard industries.

Life/AD&D RATES   SHORT TERM DISABILITY RATES
PER $1,000 OF BENEFIT   PER $10 OF BENIFIT
From Through   From Through  
Age Age   Age Age   1/8/13 1/8/26
15 29 $ 0.20 15 29 $ 0.41 0.52
30 39 $ 0.27   30 39 $ 0.51 0.62
40 44 $ 0.43   40 44 $ 0.65 0.79
45 49 $ 0.61   45 49 $ 0.74 0.91
50 54 $ 0.93   50 54 $ 0.89 1.10
55 59 $ 1.61   55 59 $ 1.15 1.39
60 64 $ 2.55   60 64 $ 1.29 1.53
65 69 $ 3.94   65 69 $ 1.81 2.32
70 74 $ 6.16   70 74 $ 2.81 3.65
75 79 $ 9.54   75 79 $ 4.50 5.60
80 100 $ 14.65   80 100 $ 6.98 7.75
 
DEPENDENT LIFE $1.00 PER FAMILY UNIT $2,000 SPOUSE
  $100 CHILD(REN) BIRTH TO 6 MONTHS
  $1,000 CHILD(REN) 6 MONTHS TO 19 YEARS OLD


Small Group Rate Table B for Life and Short Term Disability

Table B rates apply to "special" industries.

Life/AD&D RATES   SHORT TERM DISABILITY RATES
PER $1,000 OF BENEFIT   PER $10 OF BENIFIT
From Through   From Through  
Age Age   Age Age   1/8/13 1/8/26
15 29 $ 0.26 15 29 $ 0.55 0.69
30 39 $ 0.35   30 39 $ 0.69 0.83
40 44 $ 0.56   40 44 $ 0.87 1.05
45 49 $ 0.80   45 49 $ 0.99 1.21
50 54 $ 1.23   50 54 $ 1.19 1.47
55 59 $ 2.14   55 59 $ 1.53 1.85
60 64 $ 3.39   60 64 $ 1.72 2.04
65 69 $ 5.24   65 69 $ 2.41 3.09
70 74 $ 8.20   70 74 $ 3.75 4.87
75 79 $ 12.71   75 79 $ 6.00 7.47
80 100 $ 19.52   80 100 $ 9.31 10.33
 
DEPENDENT LIFE $1.00 PER FAMILY UNIT $2,000 SPOUSE
  $100 CHILD(REN) BIRTH TO 6 MONTHS
  $1,000 CHILD(REN) 6 MONTHS TO 19 YEARS OLD


Special Industry Table B List

Agriculture - Crop Trucking
Agriculture - Livestock Sanitary Services
Agriculture Services Auto Dealers
Forestry Gas Stations
Fish Hatcheries & Preserves Eating & Drinking Places
General Building Contractor Realtors & Developers
Heavy Construction Apartment Managers
Painting, Paper Hanging Repair Shops
Roofing, Siding, Sheet Metal Car Washes
Water Well Drilling Leasing Services
Special Trade Social Services
Saw Mills Membership Organizations
Millworks Churches
Primary Metal Products Mfg. Associations
Railroad Transportation Police, Fire & Public Safety
Local & Interurban Transit  


The following industries are not eligible for small group coverage:
Aviation, Logging, Hunting/Fishing, Mining


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