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Term 90 Life Insurance Monthly Premium Schedule
Member
Non-Tobacco User
| Age Under |
$50,000 |
$100,000 |
$150,000 |
$200,000 |
$250,000 |
| 39 |
$3.25 |
$6.50 |
$9.75 |
$13.00 |
$16.25 |
| 40-49 |
$3.75 |
$7.50 |
$11.25 |
$15.00 |
$18.75 |
| 50-59 |
$17.50 |
$35.00 |
$52.50 |
$70.00 |
$87.50 |
| 60-89 |
$32.00 |
$64.00 |
$96.00 |
$128.00 |
$160.00 |
Tobacco User
| Age Under |
$50,000 |
$100,000 |
$150,000 |
$200,000 |
$250,000 |
| 39 |
$6.50 |
$13.00 |
$19.50 |
$26.00 |
$32.50 |
| 40-49 |
$7.50 |
$15.00 |
$22.50 |
$30.00 |
$37.50 |
| 50-59 |
$33.50 |
$67.00 |
$100.50 |
$134.00 |
$167.50 |
| 60-89 |
$65.00 |
$130.00 |
$195.00 |
$260.00 |
$325.00 |
Dependent Spouse
Non-Tobacco User
| Age Under |
$25,000 |
$50,000 |
$75,000 |
$100,000 |
$125,000 |
$150,000 |
$175,000 |
$200,000 |
$225,000 |
$250,000 |
| 39 |
$1.65 |
$3.30 |
$4.95 |
$6.60 |
$8.25 |
$9.90 |
$11.50 |
$13.20 |
$14.80 |
$16.50 |
| 40-49 |
$1.90 |
$3.80 |
$5.70 |
$7.60 |
$9.50 |
$11.40 |
$13.30 |
$15.20 |
$17.10 |
$19.00 |
| 50-59 |
$8.75 |
$17.50 |
$26.25 |
$35.00 |
$43.75 |
$52.50 |
$61.25 |
$70.00 |
$78.75 |
$87.50 |
| 60-89 |
$16.25 |
$32.50 |
$48.75 |
$65.00 |
$81.25 |
$97.50 |
$113.75 |
$130.00 |
$146.25 |
$162.50 |
Tobacco User
| Age Under |
$25,000 |
$50,000 |
$75,000 |
$100,000 |
$125,000 |
$150,000 |
$175,000 |
$200,000 |
$225,000 |
$250,000 |
| 39 |
$3.30 |
$6.60 |
$9.90 |
$13.20 |
$16.50 |
$19.80 |
$23.10 |
$26.40 |
$29.70 |
$33.00 |
| 40-49 |
$3.80 |
$7.60 |
$11.40 |
$15.20 |
$19.00 |
$22.80 |
$26.60 |
$30.40 |
$34.20 |
$38.00 |
| 50-59 |
$16.75 |
$33.50 |
$50.25 |
$67.00 |
$83.75 |
$100.50 |
$117.25 |
$134.00 |
$150.75 |
$167.50 |
| 60-89 |
$32.50 |
$65.00 |
$97.50 |
$130.00 |
$162.50 |
$195.00 |
$227.50 |
$260.00 |
$292.50 |
$325.00 |
Dependent Children
| Member Coverage |
$50,000 |
$100,000
2 units |
$150,000
3 units |
$200,000
4 units |
$250,000
5 units |
| 6 months to 21 years |
N/A |
$5,000 |
$7,500 |
$10,000 |
12,500 |
| 14 days to 6 months |
N/A |
$1,000 |
$1,500 |
$2,000 |
$2,500 |
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