Page 1 of 2 Reliance Standard Plans Supplemental and Dependent Life Insurance Premium Table Plan Holder: Meyers Nave Scheduled Benefit: Each eligible employee may elect for himself/herself and/or his/her eligible spouse an amount of insurance shown in the table below. For employees age 65 and older: Benefit amounts are reduced according to the age-based reduction chart shown in the Supplemental Life brochure. Employee/Spouse Premiums: To find you and your spouse's premium:  Determine your age band: Your age = your age at your last birthday.  Select a benefit amount (employees age 65 and older: see above comment).  Spouse premium: Repeat the steps above for your spouse at your age at your last birthday.  Employee and spouse rates change as insured moves from one age bracket to the next. Employee Semi-Monthly Premiums Benefit Amount Age 18-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-54 Age 55-59 Age 60-64 Age 65-69 Age 70+ $10,000 $0.35 $0.35 $0.55 $0.75 $0.95 $1.45 $2.60 $4.95 $6.40 $11.80 $19.10 $20,000 $0.70 $0.70 $1.10 $1.50 $1.90 $2.90 $5.20 $9.90 $12.80 $23.60 $38.20 $30,000 $1.05 $1.05 $1.65 $2.25 $2.85 $4.35 $7.80 $14.85 $19.20 $35.40 $57.30 $40,000 $1.40 $1.40 $2.20 $3.00 $3.80 $5.80 $10.40 $19.80 $25.60 $47.20 $76.40 $50,000 $1.75 $1.75 $2.75 $3.75 $4.75 $7.25 $13.00 $24.75 $32.00 $59.00 $95.50 $60,000 $2.10 $2.10 $3.30 $4.50 $5.70 $8.70 $15.60 $29.70 $38.40 $70.80 $114.60 $70,000 $2.45 $2.45 $3.85 $5.25 $6.65 $10.15 $18.20 $34.65 $44.80 $82.60 $133.70 $80,000 $2.80 $2.80 $4.40 $6.00 $7.60 $11.60 $20.80 $39.60 $51.20 $94.40 $152.80 $90,000 $3.15 $3.15 $4.95 $6.75 $8.55 $13.05 $23.40 $44.55 $57.60 $106.20 $171.90 $100,000 $3.50 $3.50 $5.50 $7.50 $9.50 $14.50 $26.00 $49.50 $64.00 $118.00 $191.00 $110,000 $3.85 $3.85 $6.05 $8.25 $10.45 $15.95 $28.60 $54.45 $70.40 $129.80 $210.10 $120,000 $4.20 $4.20 $6.60 $9.00 $11.40 $17.40 $31.20 $59.40 $76.80 $141.60 $229.20 $130,000 $4.55 $4.55 $7.15 $9.75 $12.35 $18.85 $33.80 $64.35 $83.20 $153.40 $248.30 $140,000 $4.90 $4.90 $7.70 $10.50 $13.30 $20.30 $36.40 $69.30 $89.60 $165.20 $267.40 $150,000 $5.25 $5.25 $8.25 $11.25 $14.25 $21.75 $39.00 $74.25 $96.00 $177.00 $286.50 $160,000 $5.60 $5.60 $8.80 $12.00 $15.20 $23.20 $41.60 $79.20 $102.40 $188.80 $305.60 $170,000 $5.95 $5.95 $9.35 $12.75 $16.15 $24.65 $44.20 $84.15 $108.80 $200.60 $324.70 $180,000 $6.30 $6.30 $9.90 $13.50 $17.10 $26.10 $46.80 $89.10 $115.20 $212.40 $343.80 $190,000 $6.65 $6.65 $10.45 $14.25 $18.05 $27.55 $49.40 $94.05 $121.60 $224.20 $362.90 $200,000 $7.00 $7.00 $11.00 $15.00 $19.00 $29.00 $52.00 $99.00 $128.00 $236.00 $382.00 $210,000 $7.35 $7.35 $11.55 $15.75 $19.95 $30.45 $54.60 $103.95 $134.40 $247.80 $401.10 $220,000 $7.70 $7.70 $12.10 $16.50 $20.90 $31.90 $57.20 $108.90 $140.80 $259.60 $420.20 $230,000 $8.05 $8.05 $12.65 $17.25 $21.85 $33.35 $59.80 $113.85 $147.20 $271.40 $439.30 $240,000 $8.40 $8.40 $13.20 $18.00 $22.80 $34.80 $62.40 $118.80 $153.60 $283.20 $458.40 $250,000 $8.75 $8.75 $13.75 $18.75 $23.75 $36.25 $65.00 $123.75 $160.00 $295.00 $477.50 $260,000 $9.10 $9.10 $14.30 $19.50 $24.70 $37.70 $67.60 $128.70 $166.40 $306.80 $496.60 $270,000 $9.45 $9.45 $14.85 $20.25 $25.65 $39.15 $70.20 $133.65 $172.80 $318.60 $515.70 $280,000 $9.80 $9.80 $15.40 $21.00 $26.60 $40.60 $72.80 $138.60 $179.20 $330.40 $534.80 $290,000 $10.15 $10.15 $15.95 $21.75 $27.55 $42.05 $75.40 $143.55 $185.60 $342.20 $553.90 $300,000 $10.50 $10.50 $16.50 $22.50 $28.50 $43.50 $78.00 $148.50 $192.00 $354.00 $573.00 $310,000 $10.85 $10.85 $17.05 $23.25 $29.45 $44.95 $80.60 $153.45 $198.40 $365.80 $592.10 $320,000 $11.20 $11.20 $17.60 $24.00 $30.40 $46.40 $83.20 $158.40 $204.80 $377.60 $611.20 $330,000 $11.55 $11.55 $18.15 $24.75 $31.35 $47.85 $85.80 $163.35 $211.20 $389.40 $630.30 $340,000 $11.90 $11.90 $18.70 $25.50 $32.30 $49.30 $88.40 $168.30 $217.60 $401.20 $649.40 $350,000 $12.25 $12.25 $19.25 $26.25 $33.25 $50.75 $91.00 $173.25 $224.00 $413.00 $668.50 $360,000 $12.60 $12.60 $19.80 $27.00 $34.20 $52.20 $93.60 $178.20 $230.40 $424.80 $687.60 $370,000 $12.95 $12.95 $20.35 $27.75 $35.15 $53.65 $96.20 $183.15 $236.80 $436.60 $706.70 $380,000 $13.30 $13.30 $20.90 $28.50 $36.10 $55.10 $98.80 $188.10 $243.20 $448.40 $725.80 $390,000 $13.65 $13.65 $21.45 $29.25 $37.05 $56.55 $101.40 $193.05 $249.60 $460.20 $744.90