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 Group Term Life
Insurance Plan
Underwritten by New York Life Insurance Company
| PREMIUM INFORMATION... |
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The following are current SEMI-ANNUAL rates as of 2005...
MEMBER RATES
(if spouse is applying as member, use member rates) |
Age
Nearest
Birthday |
$50,000 |
$100,000 |
$150,000 |
$200,000 |
$250,000 |
$300,000 |
$400,000 |
$500,000 |
| <20 |
$22.00 |
$44.00 |
$63.00 |
$84.00 |
$102.50 |
$123.00 |
$164.00 |
$205.00 |
| 20-24 |
25.50 |
51.00 |
72.00 |
96.00 |
117.50 |
141.00 |
188.00 |
235.00 |
| 25-29 |
27.00 |
54.00 |
78.00 |
104.00 |
125.00 |
150.00 |
200.00 |
250.00 |
| 30-34 |
29.50 |
59.00 |
84.00 |
112.00 |
135.00 |
162.00 |
216.00 |
270.00 |
| 35-39 |
37.50 |
75.00 |
108.00 |
144.00 |
175.00 |
210.00 |
280.00 |
350.00 |
| 40-44 |
55.50 |
111.00 |
159.00 |
212.00 |
257.50 |
309.00 |
412.00 |
515.00 |
| 45-49 |
85.50 |
171.00 |
246.00 |
328.00 |
395.00 |
474.00 |
632.00 |
790.00 |
| 50-54 |
133.50 |
267.00 |
382.50 |
510.00 |
617.50 |
741.00 |
988.00 |
1,235.00 |
| 55-59 |
207.50 |
415.00 |
595.50 |
794.00 |
957.50 |
1,149.00 |
1,532.00 |
1,915.00 |
| 60-64* |
312.00 |
624.00 |
895.50 |
1,194.00 |
1,440.00 |
1,728.00 |
2,304.00 |
2,880.00 |
* Please contact the Administrator for rates over age 64.
SPOUSE RATES |
Age
Nearest Birthday |
$50,000 |
$100,000 |
$150,000 |
$200,000 |
$250,000 |
$300,000 |
$400,000 |
$500,000 |
| <20 |
$19.50 |
$39.00 |
$55.50 |
$74.00 |
$90.00 |
$108.00 |
$144.00 |
$180.00 |
| 20-24 |
22.00 |
44.00 |
63.00 |
84.00 |
102.50 |
123.00 |
164.00 |
205.00 |
| 25-29 |
23.50 |
47.00 |
67.50 |
90.00 |
110.00 |
132.00 |
176.00 |
220.00 |
| 30-34 |
25.50 |
51.00 |
73.50 |
98.00 |
117.50 |
141.00 |
188.00 |
235.00 |
| 35-39 |
32.50 |
65.00 |
93.00 |
124.00 |
150.00 |
180.00 |
240.00 |
300.00 |
| 40-44 |
48.50 |
97.00 |
139.50 |
186.00 |
225.00 |
270.00 |
360.00 |
450.00 |
| 45-49 |
74.50 |
149.00 |
214.50 |
286.00 |
347.50 |
417.00 |
556.00 |
695.00 |
| 50-54 |
116.00 |
232.00 |
334.50 |
446.00
|
540.00 |
648.00 |
864.00 |
1,080.00 |
| 55-59 |
180.50 |
361.00
|
520.50 |
694.00 |
840.00 |
1,008.00 |
1,344.00 |
1,680.00 |
| 60-64* |
271.00 |
542.00
|
780.00
|
1,040.00
|
1,260.00
|
1,512.00
|
2,016.00
|
2,520.00
|
* Please contact the Administrator for rates over age 64.
All Children - $8.64. Benefits: $4,000 each from the age of 6 months and 20 years (24 years if a full-time
student); $100 each between 15 days and 6 months.
- Rates shown are the rates New York Life currently charges. On the July 1st coinciding with or next following
attainment of age 70, benefits reduce to the lesser of 50% of your current amount of insurance, or $100,000.
Coverage ends on the July 1st coinciding with or next following age 75.
- Spouse coverage is available even if the Member is not insured. In this situation, the spouse will be considered a
member and will pay the member rate.
- MAXIMUM COVERAGE PERMITTED, $500,000 (not including Benefit Enhancer or Benefit Booster)
- Initial and renewal premiums will be based on insured’s age as of July 1.
- 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 agreement between the policyholder and New York Life.
- DIVIDENDS IF DECLARED WILL BE USED SOLELY FOR THE BENEFIT OF INSURED PERSONS.
- If coverage is effective on a date other than July 1, the policy anniversary, your premium will be pro-rated from
your individual effective date to the next semi-annual premium due date and billed at that time. Semi-annual
premium due dates are July 1 and January 1 of each year.
HOW TO DETERMINE YOUR
TOTAL SEMI-ANNUAL PREMIUM |
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| Example: |
Member, age 37, applies for $100,000 of coverage. Spouse, age 34, also applies for $100,000 of coverage. And 3 children also are to be insured. |
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Member $75.00
Spouse 51.00
Children 8.64 |
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TOTAL: $ 134.64 semi-annual premium |
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