Phone: 1-877-377-6773 Fax: 1-877-737-3650 Symetra Life Insurance Company Life and Absence Management Center P.O. Box 1230 Enfield, CT 06083-1230 Rates for Supplemental Life coverage Monthly Supplemental Employee Life Rates per $1,000 of coverage AGE RATE Under 25 $0.039 25 - 29 $0.034 30 - 34 $0.044 35 - 39 $0.068 40 - 44 $0.101 45 - 49 $0.150 50 - 54 $0.230 55 - 59 $0.356 60 - 64 $0.426 65 - 69 $0.618 70 - 74 $1.114 75 - $3.207 Monthly Supplemental Spouse Life Rates per $1,000 of coverage AGE RATE Under 25 $0.050 25 - 29 $0.060 30 - 34 $0.080 35 - 39 $0.090 40 - 44 $0.124 45 - 49 $0.203 50 - 54 $0.313 55 - 59 $0.439 60 - 64 $0.660 65 - 69 $1.270 70 - 74 $2.060 75 - $3.951 Monthly Supplemental Child Life Rate per $1,000 of coverage is $0.0370 Monthly Supplemental Employee AD&D Rate per $1,000 of coverage is $0.0160 Monthly Supplemental Spouse AD&D Rate per $1,000 of coverage is $0.0160 Monthly Supplemental Child AD&D Rate per $1,000 of coverage is $0.0160 Symetra® is a registered service mark of Symetra Life Insurance Company. LGP-2319/Other-Class 1 2/17