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Supplemental Life rate sheet
0-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ $10,000 $0.80 $0.90 $1.15 $1.80 $2.70 $4.20 $6.20 $8.30 $14.90 $23.80 $40.70 $20,000 $1.60 $1.80 $2.30 $3.60 $5.40 $8.40 $12.40 $16.60 $29.80 $47.60 $81.40 $30,000 $2.40 $2.70 $3.45 $5.40 $8.10 $12.60 $18.60 $24.90 $44.70 $71.40 $122.10 $40,000 $3.20 $3.60 $4.60 $7.20 $10.80 $16.80 $24.80 $33.20 $59.60 $95.20 $162.80 $50,000 $4.00 $4.50 $5.75 $9.00 $13.50 $21.00 $31.00 $41.50 $74.50 $119.00 $203.50 $60,000 $4.80 $5.40 $6.90 $10.80 $16.20 $25.20 $37.20 $49.80 $89.40 $142.80 $244.20 $70,000 $5.60 $6.30 $8.05 $12.60 $18.90 $29.40 $43.40 $58.10 $104.30 $166.60 $284.90 $80,000 $6.40 $7.20 $9.20 $14.40 $21.60 $33.60 $49.60 $66.40 $119.20 $190.40 $325.60 $90,000 $7.20 $8.10 $10.35 $16.20 $24.30 $37.80 $55.80 $74.70 $134.10 $214.20 $366.30 $100,000 $8.00 $9.00 $11.50 $18.00 $27.00 $42.00 $62.00 $83.00 $149.00 $238.00 $407.00 $110,000 $8.80 $9.90 $12.65 $19.80 $29.70 $46.20 $68.20 $91.30 $163.90 $261.80 $447.70 $120,000 $9.60 $10.80 $13.80 $21.60 $32.40 $50.40 $74.40 $99.60 $178.80 $285.60 $488.40 $130,000 $10.40 $11.70 $14.95 $23.40 $35.10 $54.60 $80.60 $107.90 $193.70 $309.40 $529.10 $140,000 $11.20 $12.60 $16.10 $25.20 $37.80 $58.80 $86.80 $116.20 $208.60 $333.20 $569.80 $150,000 $12.00 $13.50 $17.25 $27.00 $40.50 $63.00 $93.00 $124.50 $223.50 $357.00 $610.50 $160,000 $12.80 $14.40 $18.40 $28.80 $43.20 $67.20 $99.20 $132.80 $238.40 $380.80 $651.20 $170,000 $13.60 $15.30 $19.55 $30.60 $45.90 $71.40 $105.40 $141.10 $253.30 $404.60 $691.90 $180,000 $14.40 $16.20 $20.70 $32.40 $48.60 $75.60 $111.60 $149.40 $268.20 $428.40 $732.60 $190,000 $15.20 $17.10 $21.85 $34.20 $51.30 $79.80 $117.80 $157.70 $283.10 $452.20 $773.30 $200,000 $16.00 $18.00 $23.00 $36.00 $54.00 $84.00 $124.00 $166.00 $298.00 $476.00 $814.00 $210,000 $16.80 $18.90 $24.15 $37.80 $56.70 $88.20 $130.20 $174.30 $312.90 $499.80 $854.70 $220,000 $17.60 $19.80 $25.30 $39.60 $59.40 $92.40 $136.40 $182.60 $327.80 $523.60 $895.40 $230,000 $18.40 $20.70 $26.45 $41.40 $62.10 $96.60 $142.60 $190.90 $342.70 $547.40 $936.10 $240,000 $19.20 $21.60 $27.60 $43.20 $64.80 $100.80 $148.80 $199.20 $357.60 $571.20 $976.80 $250,000 $20.00 $22.50 $28.75 $45.00 $67.50 $105.00 $155.00 $207.50 $372.50 $595.00 $1,017.50 $260,000 $20.80 $23.40 $29.90 $46.80 $70.20 $109.20 $161.20 $215.80 $387.40 $618.80 $1,058.20 $270,000 $21.60 $24.30 $31.05 $48.60 $72.90 $113.40 $167.40 $224.10 $402.30 $642.60 $1,098.90 $280,000 $22.40 $25.20 $32.20 $50.40 $75.60 $117.60 $173.60 $232.40 $417.20 $666.40 $1,139.60 $290,000 $23.20 $26.10 $33.35 $52.20 $78.30 $121.80 $179.80 $240.70 $432.10 $690.20 $1,180.30 $300,000 $24.00 $27.00 $34.50 $54.00 $81.00 $126.00 $186.00 $249.00 $447.00 $714.00 $1,221.00 Am o u n t o f S u p p l e m e n t a l L i f e I n s u r a n c e Your Age iac.new.rs.08.09 Employee Coverage Choose your Life Insurance coverage in $10,000 increments up to $300,000. Note: the amount cannot exceed six times your annual salary. Spouse Coverage Choose your spousal coverage in $10,000 increments up to $300,000. Note: the spousal amount cannot exceed your amount. Child Coverage Choose one of the following coverage amounts for your child/ren: $2,000 for $0.30 per month $5,000 for $0.75 per month $10,000 for $1.50 per month Monthly Premium Payments for Iowa City Supplemental Life Insurance Conveniently Deducted from Your Paycheck