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SCHEDULE OF BENEFITS
$9 VOLUNTARY LIFE PLAN
| SCHEDULE OF BENEFITS - $9 MONTHLY CONTRIBUTION |
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MEMBER |
DEPENDENT |
| Member's Age at Time of Claim |
Group Term Life Insurance 1 |
Group Accidental Death & Dismemberment Insurance |
Total Benefit for Accidental Death |
Group Term Life Insurance |
| Spouse |
Child(ren) |
| Less than 25 |
$121,000 |
$55,000 |
$176,000 |
$10,000 |
$2,000 |
| 25 - 29 |
$104,500 |
$55,000 |
$159,500 |
$10,000 |
(Age 14 days, but less than 21 years) |
| 30 - 39 |
$61,600 |
$33,000 |
$94,600 |
$10,000 |
| 40 - 44 |
$39,600 |
$28,000 |
$67,600 |
$10,000 |
| 45 - 49 |
$24,200 |
$22,000 |
$46,200 |
$9,000 |
| 50 - 54 |
$18,700 |
$19,000 |
$37,700 |
$6,000 |
| 55 - 59 |
$12,100 |
$16,000 |
$28,100 |
$4,000 |
| 60 - 64 |
$8,800 |
$15,000 |
$23,800 |
$3,000 |
| 65 and over |
$4,950 |
$2,000 |
$6,950 |
$2,000 |
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The total cost of coverage for the Member, their Spouse and eligible Children is $9 per month. Payment is made by payroll deduction.
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1 Total coverage purchased by premiums plus Accumulated Dividends
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