AGC Rate Sheet 9

ASSOCIATED GENERAL CONTRACTORS HEALTH BENEFITS TRUST, OREGON COLUMBIA CHAPTER OR300267 January 1, 2015 Voluntary Acciden...

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ASSOCIATED GENERAL CONTRACTORS HEALTH BENEFITS TRUST, OREGON COLUMBIA CHAPTER OR300267 January 1, 2015 Voluntary Accident Insurance Cost of coverage is based upon the number of family members electing coverage. Rates listed below are monthly and will be paid through payroll deduction. Individual (Employee, Spouse, or Child Only)

$13.18

One Parent + Child(ren)

$23.42

Employee + Spouse

$26.37

Family

$36.59

Voluntary Life Insurance Employee and Spouse premiums are based on the Employee’s age for Employee coverage and Spouse age for Spouse coverage. Premiums are paid through the employee’s payroll deduction. Employee and Spouse Monthly Rate per $1,000 of Coverage: Age Under age 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Children

Rate (per $1,000 of Benefit) $.07 $.07 $.08 $.10 $.16 $.24 $.39 $.60 $.84 $1.36 $2.70 $5.57 $.23 per $2,000 increment regardless of number of children