Use this calculator to determine the monthly premium for the Optional Life insurance coverage you wish to elect.

Active Employee - Optional Life

My age on October 1 of this year is:
Amount of Optional Life coverage I'd like to apply for:	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
Tobacco use (Select One):	Tobacco user
	Non-tobacco user
	Calculate    Clear
Benefit amount you are eligible to apply for:
Estimated monthly premium:

 

Spouse/Domestic Partner - Dependent Life

Spouse/Domestic Partner age on October 1 of this year is:
Amount of Dependents Life coverage I'd like to apply for:	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
Tobacco use (Select One):	Tobacco user
	Non-tobacco user
	Calculate     Clear
Benefit amount your spouse is eligible to apply for:
Estimated monthly premium:

 

Dependent Children - Dependent Life

Please select a Dependent Life Insurance option:	Select One  $2,000 $4,000 $6,000 $8,000 $10,000
	Calculate     Clear
Estimated monthly premium:

 

Total Life Insurance Options

Estimated total monthly premiums for selected options noted below:	Clear All

To determine if you are eligible for Additional Life insurance, and for more information about the features and benefits of this coverage, as well as costs, exclusions and reductions, review the Coverage Highlights, Booklet and Group Life Certificate of Insurance.