10 Year Level Premium Group Term Life Insurance Plan
Underwritten by New York Life Insurance Company

Premium Payment

Your Premiums will be due semi annually, each January and July 1. If coverage is effective on a due date other than a premium due date, your premium invoice will be pro-rated from your effective date to the next semi-annual premium due date.

Reinstatement of coverage after nonpayment will require a new application and new evidence of insurability.

TABLE I
Insurance amounts from $100,000 but less than $250,000
(minimum amount $100,000) Current 2008 Annual Rate per $1,000
 
Male
Female
Insured’s Age
Preferred
Select
Standard
Preferred
Select
Standard
20
0.69
0.78
1.90
0.62
0.71
1.62
21
0.69
0.78
1.90
0.62
0.71
1.62
22
0.69
0.78
1.90
0.62
0.71
1.62
23
0.69
0.78
1.90
0.62
0.71
1.62
24
0.69
0.78
1.91
0.62
0.71
1.62
25
0.69
0.78
1.91
0.62
0.71
1.62
26
0.69
0.78
1.92
0.62
0.71
1.62
27
0.69
0.78
1.92
0.62
0.71
1.62
28
0.69
0.78
1.95
0.62
0.71
1.63
29
0.69
0.78
1.95
0.62
0.71
1.63
30
0.69
0.78
1.96
0.62
0.71
1.66
31
0.69
0.78
1.96
0.62
0.71
1.66
32
0.69
0.78
1.96
0.62
0.71
1.66
33
0.69
0.78
1.96
0.62
0.71
1.66
34
0.69
0.78
1.96
0.62
0.71
1.66
35
0.69
0.78
2.02
0.62
0.71
1.69
36
0.70
0.81
2.11
0.63
0.73
1.77
37
0.72
0.84
2.24
0.67
0.76
1.90
38
0.76
0.87
2.38
0.70
0.80
2.05
39
0.80
0.92
2.58
0.73
0.85
2.24
40
0.84
0.97
2.78
0.77
0.89
2.40
41
0.88
1.03
3.04
0.82
0.96
2.58
42
0.94
1.11
3.34
0.87
1.02
2.76
43
1.00
1.18
3.68
0.94
1.10
2.98
44
1.06
1.28
4.05
1.00
1.17
3.19
45
1.16
1.38
4.43
1.05
1.25
3.43
46
1.26
1.49
4.87
1.12
1.31
3.68
47
1.37
1.62
5.34
1.17
1.39
3.95
48
1.47
1.76
5.84
1.23
1.47
4.24
49
1.61
1.91
6.36
1.30
1.55
4.53
50
1.75
2.09
6.88
1.38
1.66
4.83
51
1.90
2.27
7.39
1.47
1.75
5.14
52
2.04
2.46
7.88
1.58
1.86
5.46
53
2.20
2.68
8.40
1.69
1.97
5.79
54
2.40
2.91
8.98
1.81
2.10
6.13
55
2.59
3.17
9.65
1.93
2.25
6.48
56
2.82
3.44
10.40
2.04
2.40
6.79
57
3.04
3.73
11.19
2.16
2.55
7.09
58
3.32
4.05
12.09
2.27
2.74
7.41
59
3.63
4.42
13.15
2.42
2.93
7.82
60
3.99
4.87
14.38
2.60
3.18
8.36
61
4.40
5.37
15.73
2.84
3.47
9.05
62
4.84
5.96
17.19
3.11
3.78
9.88
63
5.36
6.62
18.91
3.43
4.16
10.83
64
5.97
7.37
21.01
3.78
4.56
11.89

Children’s benefits: $4,000 between 6 months and age 20 (or 24 if a full-time student); $100 between 14
days and 6 months. Annual rate for all children (regardless of how many): $15

How to Determine Your Premium
 
Example: Female Member age 37 is approved for $100,000 coverage with Preferred rates and an effective date of July 1, Three children are also to be insured.
   
  Member: $.67 per $1000 x 100 = $67.00
Children $ 15.00
  Total Annual Premium $82.00
The amount that will be billed for the July 1 premium is $33.50 ($67 ÷ 2).
The premium amount is guaranteed not to change for 10 years.
 
See Tables II and III for rates for $250,000 to $1,000,000.
TABLE II
Insurance amounts from $250,000 but less than $500,000
(minimum amount $250,000) Current 2008 Annual Rate per $1,000
 
Male
Female
Insured’s Age
Preferred
Select
Standard
Preferred
Select
Standard
20
0.46
0.55
1.65
0.40
0.48
1.39
21
0.46
0.55
1.65
0.40
0.48
1.39
22
0.46
0.55
1.65
0.40
0.48
1.39
23
0.46
0.55
1.65
0.40
0.48
1.39
24
0.46
0.55
1.67
0.40
0.48
1.39
25
0.46
0.55
1.67
0.40
0.48
1.39
26
0.46
0.55
1.68
0.40
0.48
1.39
27
0.46
0.55
1.68
0.40
0.48
1.39
28
0.46
0.55
1.69
0.40
0.48
1.40
29
0.46
0.55
1.70
0.40
0.48
1.40
30
0.46
0.55
1.72
0.40
0.48
1.41
31
0.46
0.55
1.72
0.40
0.48
1.41
32
0.46
0.55
1.72
0.40
0.48
1.41
33
0.46
0.55
1.72
0.40
0.48
1.41
34
0.46
0.55
1.72
0.40
0.48
1.41
35
0.46
0.55
1.78
0.40
0.48
1.45
36
0.47
0.58
1.86
0.41
0.51
1.53
37
0.48
0.60
1.98
0.43
0.53
1.65
38
0.51
0.64
2.13
0.47
0.57
1.81
39
0.53
0.69
2.32
0.51
0.61
1.98
40
0.57
0.74
2.53
0.54
0.66
2.14
41
0.61
0.80
2.78
0.59
0.72
2.32
42
0.69
0.87
3.07
0.64
0.78
2.50
43
0.76
0.94
3.40
0.70
0.86
2.71
44
0.83
1.04
3.76
0.76
0.93
2.93
45
0.92
1.13
4.14
0.82
1.00
3.16
46
1.00
1.24
4.56
0.88
1.07
3.40
47
1.09
1.38
5.03
0.93
1.15
3.66
48
1.17
1.51
5.51
0.99
1.23
3.94
49
1.28
1.65
6.02
1.05
1.30
4.23
50
1.40
1.82
6.53
1.12
1.40
4.52
51
1.55
2.01
7.03
1.21
1.50
4.82
52
1.72
2.20
7.51
1.32
1.61
5.14
53
1.90
2.40
8.02
1.42
1.72
5.47
54
2.10
2.63
8.60
1.55
1.85
5.79
55
2.32
2.89
9.24
1.67
1.98
6.14
56
2.54
3.16
9.97
1.78
2.13
6.45
57
2.77
3.41
10.75
1.88
2.28
6.74
58
3.03
3.74
11.64
2.01
2.47
7.05
59
3.34
4.10
12.67
2.15
2.66
7.45
60
3.69
4.53
13.88
2.33
2.86
7.98
61
4.10
5.04
15.19
2.57
3.18
8.66
62
4.57
5.64
16.62
2.85
3.49
9.47
63
5.09
6.29
18.30
3.18
3.86
10.39
64
5.68
7.04
20.40
3.52
4.24
11.43

Children’s benefits: $4,000 between 6 months and age 20 (or 24 if a full-time student); $100 between 14 days and 6 months.
Annual rate for all children (regardless of how many): $15

How to Determine Your Premium
 
Example: Female Member age 47 is approved for $250,000 coverage with Preferred rates and an effective date of July 1, Three children are also to be insured.
   
  Member: $.93 per $1000 x 250 = $232.50
Children $ 15.00
  Total Annual Premium $247.50
The amount that will be billed is $123.75 ($247.50 ÷ 2).
The premium amount is guaranteed not to change for 10 years.
   
TABLE III
Insurance amounts from $500,000 to $1,000,000
Current 2008 Annual Rate per $1,000
 
Male
Female
Insured’s Age
Preferred
Select
Standard
Preferred
Select
Standard
20
0.41
0.51
1.59
0.35
0.44
1.33
21
0.41
0.51
1.59
0.35
0.44
1.33
22
0.41
0.51
1.59
0.35
0.44
1.33
23
0.41
0.51
1.59
0.35
0.44
1.33
24
0.41
0.51
1.60
0.35
0.44
1.33
25
0.41
0.51
1.60
0.35
0.44
1.33
26
0.41
0.51
1.61
0.35
0.44
1.33
27
0.41
0.51
1.61
0.35
0.44
1.33
28
0.41
0.51
1.63
0.35
0.44
1.34
29
0.41
0.51
1.64
0.35
0.44
1.34
30
0.41
0.51
1.65
0.35
0.44
1.35
31
0.41
0.51
1.65
0.35
0.44
1.35
32
0.41
0.51
1.65
0.35
0.44
1.35
33
0.41
0.51
1.65
0.35
0.44
1.35
34
0.41
0.51
1.65
0.35
0.44
1.35
35
0.41
0.51
1.71
0.35
0.44
1.39
36
0.42
0.53
1.79
0.36
0.46
1.47
37
0.44
0.55
1.91
0.39
0.48
1.59
38
0.46
0.59
2.05
0.42
0.52
1.74
39
0.48
0.64
2.24
0.46
0.57
1.91
40
0.52
0.69
2.45
0.49
0.61
2.07
41
0.57
0.74
2.70
0.54
0.67
2.24
42
0.64
0.82
2.98
0.59
0.73
2.42
43
0.71
0.89
3.30
0.65
0.80
2.62
44
0.78
0.98
3.66
0.71
0.88
2.84
45
0.86
1.08
4.03
0.77
0.95
3.07