Use the following calculators to determine the monthly estimated premium for your Additional Life and AD&D coverage.

Active Employee

Enter your age as of January 31*:
Select your benefit amount:	-- Select One -- $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 $100,000 $110,000 $120,000 $130,000 $140,000 $150,000 $160,000 $170,000 $180,000 $190,000 $200,000 $210,000 $220,000 $230,000 $240,000 $250,000 $260,000 $270,000 $280,000 $290,000 $300,000 $310,000 $320,000 $330,000 $340,000 $350,000 $360,000 $370,000 $380,000 $390,000 $400,000 $410,000 $420,000 $430,000 $440,000 $450,000 $460,000 $470,000 $480,000 $490,000 $500,000
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Estimated monthly premium:

* Premium changes as a result of your age will take effect on the first payroll of the month following your birthday.

Additional Spouse/Domestic Partner Life

Select your benefit amount: *	-- Select One -- $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000 $55,000 $60,000 $65,000 $70,000 $75,000 $80,000 $85,000 $90,000 $95,000 $100,000 $105,000 $110,000 $115,000 $120,000 $125,000 $130,000 $135,000 $140,000 $145,000 $150,000 $155,000 $160,000 $165,000 $170,000 $175,000 $180,000 $185,000 $190,000 $195,000 $200,000 $205,000 $210,000 $215,000 $220,000 $225,000 $230,000 $235,000 $240,000 $245,000 $250,000
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Estimated monthly premium:

* The amount of Additional Spouse/Domestic Partner Life insurance may not exceed 50 percent of your Additional Life coverage.

Dependent Children

Please select one of the Dependent Life and AD&D Insurance options:	Option A -- $5,000 Option B -- $10,000 Option C -- $15,000
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Estimated monthly premium:

If you have questions prior to enrollment, please review the Additional Life and Insurance Booklet and Group Life Insurance Certificate for answers to commonly asked questions, costs, exclusions, limitations and reductions.