The cost per pay period would be the "Annual Cost" divided by 24.
Employee may purchase in $10,000 increments to a maximum of $250,000, not to exceed 50% of employee's Supplemental Life Benefit.
| Age Group | Benefit Amount ($) | Annual Cost ($) |
|---|---|---|
| <25 | 10000 | 8.40 |
| <25 | 20000 | 16.80 |
| <25 | 30000 | 25.20 |
| <25 | 40000 | 33.60 |
| <25 | 50000 | 42.00 |
| <25 | 60000 | 50.40 |
| <25 | 70000 | 58.80 |
| <25 | 80000 | 67.20 |
| <25 | 90000 | 75.60 |
| <25 | 100000 | 84.00 |
| <25 | 110000 | 92.40 |
| <25 | 120000 | 100.80 |
| <25 | 130000 | 109.20 |
| <25 | 140000 | 117.60 |
| <25 | 150000 | 126.00 |
| <25 | 160000 | 134.40 |
| <25 | 170000 | 142.80 |
| <25 | 180000 | 151.20 |
| <25 | 190000 | 159.60 |
| <25 | 200000 | 168.00 |
| <25 | 210000 | 176.40 |
| <25 | 220000 | 184.80 |
| <25 | 230000 | 193.20 |
| <25 | 240000 | 201.60 |
| <25 | 250000 | 210.00 |
| 25-29 | 10000 | 9.60 |
| 25-29 | 20000 | 19.20 |
| 25-29 | 30000 | 28.80 |
| 25-29 | 40000 | 38.40 |
| 25-29 | 50000 | 48.00 |
| 25-29 | 60000 | 57.60 |
| 25-29 | 70000 | 67.20 |
| 25-29 | 80000 | 76.80 |
| 25-29 | 90000 | 86.40 |
| 25-29 | 100000 | 96.00 |
| 25-29 | 110000 | 105.60 |
| 25-29 | 120000 | 115.20 |
| 25-29 | 130000 | 124.80 |
| 25-29 | 140000 | 134.40 |
| 25-29 | 150000 | 144.00 |
| 25-29 | 160000 | 153.60 |
| 25-29 | 170000 | 163.20 |
| 25-29 | 180000 | 172.80 |
| 25-29 | 190000 | 182.40 |
| 25-29 | 200000 | 192.00 |
| 25-29 | 210000 | 201.60 |
| 25-29 | 220000 | 211.20 |
| 25-29 | 230000 | 220.80 |
| 25-29 | 240000 | 230.40 |
| 25-29 | 250000 | 240.00 |
| 30-34 | 10000 | 12.12 |
| 30-34 | 20000 | 24.24 |
| 30-34 | 30000 | 36.36 |
| 30-34 | 40000 | 48.48 |
| 30-34 | 50000 | 60.60 |
| 30-34 | 60000 | 72.72 |
| 30-34 | 70000 | 84.84 |
| 30-34 | 80000 | 96.96 |
| 30-34 | 90000 | 109.08 |
| 30-34 | 100000 | 121.20 |
| 30-34 | 110000 | 133.32 |
| 30-34 | 120000 | 145.44 |
| 30-34 | 130000 | 157.56 |
| 30-34 | 140000 | 169.68 |
| 30-34 | 150000 | 181.80 |
| 30-34 | 160000 | 193.92 |
| 30-34 | 170000 | 206.04 |
| 30-34 | 180000 | 218.16 |
| 30-34 | 190000 | 230.28 |
| 30-34 | 200000 | 242.40 |
| 30-34 | 210000 | 254.52 |
| 30-34 | 220000 | 266.64 |
| 30-34 | 230000 | 278.76 |
| 30-34 | 240000 | 290.88 |
| 30-34 | 250000 | 303.00 |
| 35-39 | 10000 | 14.28 |
| 35-39 | 20000 | 28.56 |
| 35-39 | 30000 | 42.84 |
| 35-39 | 40000 | 57.12 |
| 35-39 | 50000 | 71.40 |
| 35-39 | 60000 | 85.68 |
| 35-39 | 70000 | 99.96 |
| 35-39 | 80000 | 114.24 |
| 35-39 | 90000 | 128.52 |
| 35-39 | 100000 | 142.80 |
| 35-39 | 110000 | 157.08 |
| 35-39 | 120000 | 171.36 |
| 35-39 | 130000 | 185.64 |
| 35-39 | 140000 | 199.92 |
| 35-39 | 150000 | 214.20 |
| 35-39 | 160000 | 228.48 |
| 35-39 | 170000 | 242.76 |
| 35-39 | 180000 | 257.04 |
| 35-39 | 190000 | 271.32 |
| 35-39 | 200000 | 285.60 |
| 35-39 | 210000 | 299.88 |
| 35-39 | 220000 | 314.16 |
| 35-39 | 230000 | 328.44 |
| 35-39 | 240000 | 342.72 |
| 35-39 | 250000 | 357.00 |
| 40-44 | 10000 | 18.36 |
| 40-44 | 20000 | 36.72 |
| 40-44 | 30000 | 55.08 |
| 40-44 | 40000 | 73.44 |
| 40-44 | 50000 | 91.80 |
| 40-44 | 60000 | 110.16 |
| 40-44 | 70000 | 128.52 |
| 40-44 | 80000 | 146.88 |
| 40-44 | 90000 | 165.24 |
| 40-44 | 100000 | 183.60 |
| 40-44 | 110000 | 201.96 |
| 40-44 | 120000 | 220.32 |
| 40-44 | 130000 | 238.68 |
| 40-44 | 140000 | 257.04 |
| 40-44 | 150000 | 275.40 |
| 40-44 | 160000 | 293.76 |
| 40-44 | 170000 | 312.12 |
| 40-44 | 180000 | 330.48 |
| 40-44 | 190000 | 348.84 |
| 40-44 | 200000 | 367.20 |
| 40-44 | 210000 | 385.56 |
| 40-44 | 220000 | 403.92 |
| 40-44 | 230000 | 422.28 |
| 40-44 | 240000 | 440.64 |
| 40-44 | 250000 | 459.00 |
| 45-49 | 10000 | 24.96 |
| 45-49 | 20000 | 49.92 |
| 45-49 | 30000 | 74.88 |
| 45-49 | 40000 | 99.84 |
| 45-49 | 50000 | 124.80 |
| 45-49 | 60000 | 149.76 |
| 45-49 | 70000 | 174.72 |
| 45-49 | 80000 | 199.68 |
| 45-49 | 90000 | 224.64 |
| 45-49 | 100000 | 249.60 |
| 45-49 | 110000 | 274.56 |
| 45-49 | 120000 | 299.52 |
| 45-49 | 130000 | 324.48 |
| 45-49 | 140000 | 349.44 |
| 45-49 | 150000 | 374.40 |
| 45-49 | 160000 | 399.36 |
| 45-49 | 170000 | 424.32 |
| 45-49 | 180000 | 449.28 |
| 45-49 | 190000 | 474.24 |
| 45-49 | 200000 | 499.20 |
| 45-49 | 210000 | 524.16 |
| 45-49 | 220000 | 549.12 |
| 45-49 | 230000 | 574.08 |
| 45-49 | 240000 | 599.04 |
| 45-49 | 250000 | 624.00 |
| 50-54 | 10000 | 39.24 |
| 50-54 | 20000 | 78.48 |
| 50-54 | 30000 | 117.72 |
| 50-54 | 40000 | 156.96 |
| 50-54 | 50000 | 196.20 |
| 50-54 | 60000 | 235.44 |
| 50-54 | 70000 | 274.68 |
| 50-54 | 80000 | 313.92 |
| 50-54 | 90000 | 353.16 |
| 50-54 | 100000 | 392.40 |
| 50-54 | 110000 | 431.64 |
| 50-54 | 120000 | 470.88 |
| 50-54 | 130000 | 510.12 |
| 50-54 | 140000 | 549.36 |
| 50-54 | 150000 | 588.60 |
| 50-54 | 160000 | 627.84 |
| 50-54 | 170000 | 667.08 |
| 50-54 | 180000 | 706.32 |
| 50-54 | 190000 | 745.56 |
| 50-54 | 200000 | 784.80 |
| 50-54 | 210000 | 824.04 |
| 50-54 | 220000 | 863.28 |
| 50-54 | 230000 | 902.52 |
| 50-54 | 240000 | 941.76 |
| 50-54 | 250000 | 981.00 |
| 55-59 | 10000 | 70.44 |
| 55-59 | 20000 | 140.88 |
| 55-59 | 30000 | 211.32 |
| 55-59 | 40000 | 281.76 |
| 55-59 | 50000 | 352.20 |
| 55-59 | 60000 | 422.64 |
| 55-59 | 70000 | 493.08 |
| 55-59 | 80000 | 563.52 |
| 55-59 | 90000 | 633.96 |
| 55-59 | 100000 | 704.40 |
| 55-59 | 110000 | 774.84 |
| 55-59 | 120000 | 845.28 |
| 55-59 | 130000 | 915.72 |
| 55-59 | 140000 | 986.16 |
| 55-59 | 150000 | 1,056.60 |
| 55-59 | 160000 | 1,127.04 |
| 55-59 | 170000 | 1,197.48 |
| 55-59 | 180000 | 1,267.92 |
| 55-59 | 190000 | 1,338.36 |
| 55-59 | 200000 | 1,408.80 |
| 55-59 | 210000 | 1,479.24 |
| 55-59 | 220000 | 1,549.68 |
| 55-59 | 230000 | 1,620.12 |
| 55-59 | 240000 | 1,690.56 |
| 55-59 | 250000 | 1,761.00 |
| 60-64 | 10000 | 92.04 |
| 60-64 | 20000 | 184.08 |
| 60-64 | 30000 | 276.12 |
| 60-64 | 40000 | 368.16 |
| 60-64 | 50000 | 460.20 |
| 60-64 | 60000 | 552.24 |
| 60-64 | 70000 | 644.28 |
| 60-64 | 80000 | 736.32 |
| 60-64 | 90000 | 828.36 |
| 60-64 | 100000 | 920.40 |
| 60-64 | 110000 | 1,012.44 |
| 60-64 | 120000 | 1,104.48 |
| 60-64 | 130000 | 1,196.52 |
| 60-64 | 140000 | 1,288.56 |
| 60-64 | 150000 | 1,380.60 |
| 60-64 | 160000 | 1,472.64 |
| 60-64 | 170000 | 1,564.68 |
| 60-64 | 180000 | 1,656.72 |
| 60-64 | 190000 | 1,748.76 |
| 60-64 | 200000 | 1,840.80 |
| 60-64 | 210000 | 1,932.84 |
| 60-64 | 220000 | 2,024.88 |
| 60-64 | 230000 | 2,116.92 |
| 60-64 | 240000 | 2,208.96 |
| 60-64 | 250000 | 2,301.00 |
| 65-69 | 10000 | 168.72 |
| 65-69 | 20000 | 337.44 |
| 65-69 | 30000 | 506.16 |
| 65-69 | 40000 | 674.88 |
| 65-69 | 50000 | 843.60 |
| 65-69 | 60000 | 1,012.32 |
| 65-69 | 70000 | 1,181.04 |
| 65-69 | 80000 | 1,349.76 |
| 65-69 | 90000 | 1,518.48 |
| 65-69 | 100000 | 1,687.20 |
| 65-69 | 110000 | 1,855.92 |
| 65-69 | 120000 | 2,024.64 |
| 65-69 | 130000 | 2,193.36 |
| 65-69 | 140000 | 2,362.08 |
| 65-69 | 150000 | 2,530.80 |
| 65-69 | 160000 | 2,699.52 |
| 65-69 | 170000 | 2,868.24 |
| 65-69 | 180000 | 3,036.96 |
| 65-69 | 190000 | 3,205.68 |
| 65-69 | 200000 | 3,374.40 |
| 65-69 | 210000 | 3,543.12 |
| 65-69 | 220000 | 3,711.84 |
| 65-69 | 230000 | 3,880.56 |
| 65-69 | 240000 | 4,049.28 |
| 65-69 | 250000 | 4,218.00 |
| 70+ | 10000 | 482.28 |
| 70+ | 20000 | 964.56 |
| 70+ | 30000 | 1,446.84 |
| 70+ | 40000 | 1,929.12 |
| 70+ | 50000 | 2,411.40 |
| 70+ | 60000 | 2,893.68 |
| 70+ | 70000 | 3,375.96 |
| 70+ | 80000 | 3,858.24 |
| 70+ | 90000 | 4,340.52 |
| 70+ | 100000 | 4,822.80 |
| 70+ | 110000 | 5,305.08 |
| 70+ | 120000 | 5,787.36 |
| 70+ | 130000 | 6,269.64 |
| 70+ | 140000 | 6,751.92 |
| 70+ | 150000 | 7,234.20 |
| 70+ | 160000 | 7,716.48 |
| 70+ | 170000 | 8,198.76 |
| 70+ | 180000 | 8,681.04 |
| 70+ | 190000 | 9,163.32 |
| 70+ | 200000 | 9,645.60 |
| 70+ | 210000 | 10,127.88 |
| 70+ | 220000 | 10,610.16 |
| 70+ | 230000 | 11,092.44 |
| 70+ | 240000 | 11,574.72 |
| 70+ | 250000 | 12,057.00 |