Rates for Active Employees, Disabled Employees, Employees on Leave of Absence, and their Spouses

The cost of insurance rates are automatically adjusted each January 1 to reflect your current age. The rates in the table below are in effect from January 1, 2020 to December 31, 2024. After December 31, 2024, the rates may be adjusted to reflect the experience of the group.

Monthly Cost of Insurance per $10,000 Coverage Unit
-Effective January 1, 2020 - December 31, 2024-

Age-BandsActive Non-SmokerActive Smoker
<30$0.182$0.208
30-34$0.242$0.270
35-39$0.303$0.339
40-44$0.398$0.447
45-49$0.615$0.686
50-54$0.918$1.033
55-59$1.585$1.782
60-64$2.581$2.900
65-69$6.798$7.651
70-74$12.384$13.914
75-79$20.135$22.637
80-84$31.289$35.178
85-89$47.422$53.100
90-94$69.254$77.867

Child(ren) coverage in the amount of $10,000 is available for $1.00 and covers all eligible children, regardless of the number of children in the family.

Retiree Rates*

Monthly Cost of Insurance per $10,000 Coverage Unit
-Effective January 1, 2020 - December 31, 2024-

*Must meet Rule of 75 to be eligible for retiree supplemental life rates

Age of Employee/
Spousal Equivalent
NonsmokerAge of Employee/
Spousal Equivalent
Smoker
<30$0.42<29$0.60
30-34$0.5529-33$0.80
35-39$0.7134-38$0.90
40-44$0.9339-43$1.16
45-49$1.4144-48$1.78
50-54$2.1249-53$2.68
55-59$3.6654-58$4.62
60-64$5.9559-63$7.52
65-69$12.7064-68$19.83
70-74$28.5769-73$36.06
75-79$46.4774-78$58.66
80-84$72.2079-83$91.16
85-89$109.4484-88$138.16
90-94$159.8489+$201.79

$1 Monthly Child Rate per $10,000

Terminated Employee Rates

Monthly Cost of Insurance per $10,000 Coverage Unit
-Effective January 1, 2020 - December 31, 2024-

Age of Employee/
Spousal Equivalent
NonsmokerSmoker
<29$0.94$1.16
30-34$1.21$1.49
35-39$1.58$1.90
40-44$2.06$2.48
45-49$3.16$3.83
50-54$4.74$5.74
55-59$8.18$9.90
60-64$13.29$16.13
65-69$35.04$42.49
70-74$63.74$77.30
75-79$103.69$125.75
80-84$161.11$195.40
85-89$244.20$296.14
90-94$356.66$432.54