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 Oct. 1 of this year is:

Amount of Optional Life coverage I'd like to apply for:

Tobacco use (Select One)

Tobacco User

Non-tobacco user

Coverage amount you are eligible to apply for:

Estimated Monthly Premium:

Spouse/Domestic Partner - Dependents Life

Spouse/Domestic Partner age on Oct. 1 of this year is:

Amount of Dependents Life coverage for your spouse, which you would like to apply for:

Tobacco use (Select One)

Tobacco User

Non-tobacco user

Coverage amount your spouse is eligible to apply for:

Estimated Monthly Premium:

Total Life Insurance Options

Estimated total monthly premiums for selected options noted below:

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

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Active Employee - Optional Life

Spouse/Domestic Partner - Dependents Life

Dependent Children - Dependents Life

Total Life Insurance Options