Forms & Plan Rates
Preventative MEC
HSA
HealthShare
Term & Living Benefit
Accident
Supplemental
E-Apps and E-Links
Paper Applications & Hard Copies
Monthly Prices for HSA MEC-Preventative and HealthShare $1K IUA
| Class | Age 18 -29 | Age 30 -49 | Age 50 -65 |
|---|---|---|---|
| Employee | $288 | $313 | $338 |
| Employee & Spouse | $507 | $532 | $632 |
| Employee & Children | $499 | $544 | $644 |
| Family | $700 | $725 | $925 |
Monthly Prices for Preventative HSA and HealthShare $2.5K IUA
| Class | Age 18 -29 | Age 30 -49 | Age 50 -65 |
|---|---|---|---|
| Employee | $205 | $225 | $280 |
| Employee & Spouse | $350 | $375 | $500 |
| Employee & Children | $350 | $375 | $500 |
| Family | $530 | $530 | $680 |
Term Insurance with Living Benefit
| Face Amount | Age 18 -35 | Age 36 -40 | Age 41 - 45 | Age 46-50 | Age 51 -55 | Age 56 -60 | Age 61 -65 |
|---|---|---|---|---|---|---|---|
| $100K | $20 | $20 | $29 | $42 | $69 | $59 | $97 |
| $250K | $26 | $34 | $53 | $77 | $124 | $124 | $195 |
| $500K | $44 | $62 | $98 | $142 | $142 | $219 | $383 |
| $750K | $63 | $90 | $144 | $130 | $205 | $314 | $552 |
| $1 Million | $80 | $158 | $373 | $270 | $267 | $408 | $743 |
Accident Monthly Rates
| Class | $4,000 Benefit Per Event |
|---|---|
| Employee | $33 |
| Employee & Spouse | $57 |
| Employee & Children | $69 |
| Family | $95 |