PAY PERIOD DEDUCTED RATES FOR 2018-2019 BLOOMFIELD EDUCATION ASSOCIATION (BEA) NUMBER OF EMPLOYEE EMPLOYEE FAMILY MEDICAL AND DENTAL DEDUCTIONS BI-WEEKLY – DEDUCTIONS ONLY PLUS ONE COVERAGE Cigna PPO 20 $110.62 $244.86 $341.23 Cigna High Deductible Plan 20 $44.92 $96.45 $123.40 Cigna Dental (Same for either medical plan) 20 $3.60 $9.35 $11.37 VOLUNTARY TERM LIFE SUPPLEMENTAL RATES (AETNA) EMPLOYEE MONTHLY SPOUSE MONTHLY CHILD(REN) MONTHLY VOLUNTARY TERM LIFE RATES PER $1,000 RATES PER $1,000 RATES PER $1,000* AGE UNDER 25 $0.079 $0.068 $0.383 25-29 $0.091 $0.078 30-34 $0.113 $0.099 35-39 $0.160 $0.143 40-44 $0.229 $0.205 45-49 $0.365 $0.321 50-54 $0.580 $0.500 55-59 $0.892 $0.767 60-64 $1.392 $1.312 65-69 $2.416 $2.241 70-74 $4.311 $3.992 75+ $8.447 $7.997 Age Reduction 65% at age 70, 50% at age 65% at age 70, 50% at age 75 N/A 75 Guaranteed Issue Amount ** $110,000 $25,000 N//A Birth-6 Months Fixed $1,000 In increments of $10,000 $5,000 6 Months-19 yrs $2,000*** Lesser of 100% Employee Lesser of 100% Employee Life Maximum Amount $500,000 or 5X Salary Life Amt or $500,000 Amt or $10,000 *Monthly rate covers all children ** Guaranteed Issue” enroll for a min $10,000 and increase during annual enrollments until max GI of $110K “Forever ***Maximum age of 26 if full time student
PAY PERIOD DEDUCTED RATES FOR 2018-2019 BLOOMFIELD EDUCATION ASSOCIATION (BEA) MEDICAL AND DENTAL DEDUCTIONS – BI-WEEKLY NUMBER OF DEDUCTIONS EMPLOYEE ONLY EMPLOYEE PLUS ONE FAMILY COVERAGE Cigna PPO 20 $110.62 $244.86 $341.23 Cigna High Deductible Plan 20 $44.92 $96.45 $123.40 Cigna Dental (Same for either medical plan) 20 $3.60 $9.35 $11.37 VOLUNTARY TERM LIFE SUPPLEMENTAL RATES (AETNA) VOLUNTARY TERM LIFE EMPLOYEE MONTHLY RATES PER $1,000 SPOUSE MONTHLY RATES PER $1,000 CHILD(REN) MONTHLY RATES PER $1,000* AGE UNDER 25 $0.079 $0.068 $0.383 25-29 $0.091 $0.078 30-34 $0.113 $0.099 35-39 $0.160 $0.143 40-44 $0.229 $0.205 45-49 $0.365 $0.321 50-54 $0.580 $0.500 55-59 $0.892 $0.767 60-64 $1.392 $1.312 65-69 $2.416 $2.241 70-74 $4.311 $3.992 75+ $8.447 $7.997 Age Reduction 65% at age 70, 50% at age 75 65% at age 70, 50% at age 75 N/A Guaranteed Issue Amount ** $110,000 $25,000 N//A In increments of $10,000 $5,000 Birth-6 Months Fixed $1,000 6 Months-19 yrs $2,000*** Maximum Amount $500,000 or 5X Salary Lesser of 100% Employee Life Amt or $500,000 Lesser of 100% Employee Life Amt or $10,000 *Monthly rate covers all children ** “Forever Guaranteed Issue” enroll for a min $10,000 and increase during annual enrollments until max GI of $110K ***Maximum age of 26 if full time student
BEA%202018-19%20Rates.docx