20 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.

Rates after the first 20 years may be changed by New york Life on any premium due date and any date on which benefits are changed but only on a classwide basis. A Class is a group of people with the same age and gender.

TABLE I
Insurance amounts from $100,000 but less than $250,000
Current 2010 Annual Rate per $1,000
 
Male
Female*
Issue Age
Preferred
Select
Standard
Preferred
Select
Standard
20
1.42
1.87
3.07
1.21
1.51
2.24
21
1.42
1.87
3.07
1.21
1.51
2.24
22
1.42
1.87
3.07
1.21
1.51
2.24
23
1.42
1.87
3.07
1.21
1.51
2.24
24
1.42
1.87
3.07
1.21
1.51
2.24
25
1.42
1.87
3.07
1.21
1.51
2.24
26
1.42
1.87
3.07
1.21
1.51
2.29
27
1.42
1.87
3.11
1.21
1.51
2.37
28
1.42
1.87
3.13
1.21
1.51
2.46
29
1.42
1.87
3.17
1.21
1.51
2.56
30
1.42
1.87
3.26
1.21
1.51
2.64
31
1.42
1.88
3.39
1.21
1.53
2.73
32
1.42
1.91
3.54
1.24
1.59
2.81
33
1.42
1.94
3.74
1.27
1.63
2.88
34
1.42
1.98
3.96
1.29
1.71
3.01
35
1.42
2.03
4.18
1.33
1.79
3.16
36
1.48
2.09
4.39
1.37
1.87
3.38
37
1.57
2.19
4.61
1.39
1.96
3.64
38
1.68
2.28
4.87
1.44
2.04
3.96
39
1.81
2.42
5.18
1.49
2.17
4.27
40
1.96
2.61
5.62
1.56
2.28
4.58
41
2.11
2.81
6.21
1.64
2.42
4.89
42
2.31
3.08
6.93
1.74
2.54
5.22
43
2.53
3.39
7.73
1.87
2.71
5.53
44
2.74
3.71
8.59
2.01
2.88
5.91
45
2.97
4.04
9.46
2.14
3.08
6.31
46
3.19
4.36
10.32
2.29
3.32
6.76
47
3.42
4.67
11.22
2.46
3.59
7.24
48
3.64
4.98
12.17
2.63
3.88
7.77
49
3.92
5.41
13.18
2.82
4.19
8.34
50
4.27
5.93
14.24
3.03
4.52
8.94
51
4.67
6.59
15.38
3.27
4.83
9.56
52
5.13
7.38
16.62
3.52
5.14
10.22
53
5.66
8.29
17.89
3.79
5.49
10.92
54
6.27
9.27
19.24
4.11
5.94
11.67

* Male rates apply to all Montana residents regardless of gender
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: $.1.39 per $1000 x 100 = $139.00
Children $ 15.00
  Total Annual Premium $154.00
The amount that will be billed for the July 1 premium is $77.00 ($154 ÷ 2).
The premium amount is guaranteed not to change for 20 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
Current 2010 Annual Rate per $1,000
 
Male
Female*
Issue Age
Preferred
Select
Standard
Preferred
Select
Standard
20
1.00
1.44
2.48
0.82
1.12
1.75
21
1.00
1.44
2.48
0.82
1.12
1.75
22
1.00
1.44
2.48
0.82
1.12
1.75
23
1.00
1.44
2.48
0.82
1.12
1.75
24
1.00
1.44
2.48
0.82
1.12
1.75
25
1.00
1.44
2.48
0.82
1.12
1.75
26
1.00
1.44
2.48
0.82
1.12
1.80
27
1.00
1.44
2.50
0.82
1.12
1.87
28
1.00
1.44
2.53
0.82
1.12
1.94
29
1.00
1.44
2.57
0.82
1.12
2.03
30
1.00
1.44
2.64
0.82
1.12
2.10
31
1.00
1.44
2.75
0.83
1.14
2.18
32
1.00
1.47
2.89
0.84
1.19
2.24
33
1.00
1.49
3.07
0.87
1.24
2.32
34
1.00
1.53
3.24
0.89
1.29
2.42
35
1.00
1.58
3.44
0.92
1.37
2.55
36
1.04
1.64
3.63
0.94
1.44
2.74
37
1.08
1.72
3.82
0.98
1.50
2.98
38
1.14
1.80
4.04
1.02
1.59
3.24
39
1.22
1.92
4.32
1.07
1.69
3.52
40
1.32
2.07
4.69
1.13
1.80
3.79
41
1.44
2.25
5.20
1.20
1.90
4.07
42
1.59
2.49
5.83
1.30
2.03
4.34
43
1.75
2.77
6.53
1.40
2.17
4.62
44
1.94
3.03
7.28
1.53
2.32
4.94
45
2.13
3.33
8.03
1.65
2.49
5.29
46
2.33
3.59
8.78
1.79
2.69
5.68
47
2.55
3.87
9.57
1.94
2.93
6.10
48
2.79
4.15
10.39
2.12
3.19
6.57
49
3.04
4.52
11.27
2.29
3.45
7.07
50
3.30
4.97
12.19
2.49
3.74
7.58
51
3.57
5.55
13.18
2.70
4.00
8.12
52
3.82
6.23
14.25
2.92
4.28
8.69
53
4.10
7.02
15.37
3.15
4.58
9.30
54
4.47
7.87
16.54
3.43
4.97
9.95

* Male rates apply to all Montana residents regardless of gender
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 $250,000 coverage with Preferred rates and an effective date of July 1, Three children are also to be insured.
   
  Member: $.98 per $1000 x 250 = $245.00
Children $ 15.00
  Total Annual Premium $260.00
The amount that will be billed for the July 1 premium is $130.00 ($260 ÷ 2).
The premium amount is guaranteed not to change for 20 years.
 
See Table III for rates for amounts between $500,000 and $1,000,000.
   
TABLE III
Insurance amounts from $500,000 to $1,000,000
Current 2010 Annual Rate per $1,000
 
Male
Female*
Issue Age
Preferred
Select
Standard
Preferred
Select
Standard
20
0.92
1.36
2.40
0.73
1.03
1.67
21
0.92
1.36
2.40
0.73
1.03
1.67
22
0.92
1.36
2.40
0.73
1.03
1.67
23
0.92
1.36
2.40
0.73
1.03
1.67
24
0.92
1.36
2.40
0.73
1.03
1.67
25
0.92
1.36
2.40
0.73
1.03
1.67
26
0.92
1.36
2.40
0.73
1.03
1.72
27
0.92
1.36
2.42
0.73
1.03
1.78
28
0.92
1.36
2.45
0.73
1.03
1.86
29
0.92
1.36
2.48
0.73
1.03
1.95
30
0.92
1.36
2.56
0.73
1.03
2.02
31
0.92
1.36
2.67
0.75
1.06
2.10
32
0.92
1.38
2.81
0.76
1.11
2.16
33
0.92
1.41
2.98
0.78
1.16
2.23
34
0.92
1.45
3.16
0.81
1.21
2.33
35
0.92
1.50
3.36
0.83
1.28
2.47
36
0.96
1.56
3.55
0.86
1.36
2.66
37
1.00
1.63
3.73
0.90
1.42
2.90
38
1.06
1.72
3.96
0.93
1.51
3.16
39
1.13
1.83
4.23
0.98
1.61
3.43
40
1.23
1.98
4.61
1.05
1.72
3.71
41
1.36
2.17
5.12
1.12
1.82
3.98
42
1.51
2.41
5.75
1.22
1.95
4.26
43
1.67
2.68
6.45
1.32
2.08
4.53
44
1.86
2.95
7.20
1.45
2.23
4.86
45
2.05
3.25
7.95
1.57
2.41
5.21
46
2.25
3.51
8.70
1.71
2.61
5.60
47
2.47
3.78
9.48
1.86
2.85
6.02
48
2.71
4.07
10.31
2.03
3.11
6.48
49
2.96
4.43
11.18
2.21
3.37
6.98
50
3.22
4.88
12.11
2.41
3.66
7.50
51
3.48
5.47
13.10
2.62
3.92
8.03
52
3.73
6.15
14.17
2.83
4.20
8.61
53
4.02
6.93
15.28
3.07
4.50
9.22
54
4.38
7.78
16.46
3.35
4.88
9.87

* Male rates apply to all Montana residents regardless of gender
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 $500,000 coverage with Preferred rates and an effective date of July 1, Three children are also to be insured.
   
  Member: $.90 per $1000 x 500 = $450.00
Children $ 15.00
  Total Annual Premium $465.00
The amount that will be billed for the July 1 premium is $232.50 ($465.00 ÷ 2).
The premium amount is guaranteed not to change for 20 years.
   

 
   
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