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Accidental Death and Dismemberment Insurance
Underwritten by New York Life Insurance Company
| Remarkable Values at Affordable Group Rates |
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Design your own plan... choose the benefit amount that's right for your situation.
Current Semi-Annual Rates as of 2005
24-Hour Coverage |
Common Carrier Benefit |
Additional Seat Belt Benefit |
Semi-Annual Rates per Member or Spouse* |
| $100,000 |
$200,000 |
$50,000 |
$51.00 |
| $ 150,000 |
$300,000 |
$50,000 |
$76.50 |
| $ 200,000 |
$400,000 |
$50,000 |
102.00 |
| $ 250,000 |
$500,000 |
$50,000 |
127.50 |
| $ 300,000 |
$600,000 |
$50,000 |
153.00 |
| $ 350,000 |
$700,000 |
$50,000 |
178.50 |
| $ 400,000 |
$800,000 |
$50,000 |
204.00 |
| $ 450,000 |
$900,000 |
$50,000 |
229.50 |
| $ 500,000 |
1,000,000 |
$50,000 |
255.00 |
| A semi-annual rate of $12.00 covers all of your dependent children for $10,000 of coverage with an additional $5,000 seat belt benefit. |
* New York Life reserves the right to change rates on any premium due date and on any date on which benefits are changed. Future benefits are subject to change by agreement between New York LIfe and the policyholder.
| How To Determine Your Total Semi-Annual Premium |
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| Example: |
Member applies for $200,000 of coverage. Spouse applies for $100,000 of coverage. 3 children to be insured for $10,000 each. |
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Member:
Spouse
Children
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$102.00
51.00
12.00
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TOTAL: |
$165.00 Semi-Annual Premium |
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