Supplemental Life Premium Calculator

Effective Jan 1, 2026 • Rates are monthly per $1,000 (Employee/Spouse). Child(ren) rate is per $1,000.

Calculator inputs

Used to determine Employee rate band.
$10,000 increments; up to lesser of 5× pay or $500,000.
Used to check the “≤ 5× pay” maximum.
Leave blank if not electing Spouse/DP coverage.
$5,000 increments; ≤ 50% of Employee; maximum $100,000.
Covers all eligible children.
Coverage Selected Amount Monthly Rate Estimated Premium
Employee $0 — $0.00
Spouse/DP $0 — $0.00
Child(ren) $0 — $0.00
Total Estimated Monthly Premium $0.00
<30: $0.090 30–34: $0.098 35–39: $0.120 40–44: $0.156 45–49: $0.208 50–54: $0.315 55–59: $0.472 60–64: $0.675 65–69: $1.116 70+: $1.778 Child: $0.294
Coverage increments & limits: Employee $10k steps up to lesser of 5× pay or $500k; Spouse/DP $5k steps up to $100k and ≤50% of Employee; Child(ren) options $1k/$2k/$4k/$5k/$10k. Statement of Health thresholds used for guidance: Employee $100k; Spouse/DP $25k; Child $10k. See brochure for full eligibility and exclusions.