Benefit Costs
Your deductions per pay period are shown below:
| Benefit Plan | Employee Only | Employee + Spouse | Employee + Child(ren) | Family |
|---|---|---|---|---|
| Medical | ||||
| PPO Plan | $17.00 | $167.00 | $112.00 | $216.00 |
| Dental | ||||
| Core Plan | $0.00 | $10.00 | $10.00 | $20.00 |
| Buy-Up Plan | $4.46 | $18.77 | $21.00 | $35.34 |
| Benefit Plan | Employee Only | Employee + One | Family |
|---|---|---|---|
| Vision | |||
| 150 Base Plan | $3.65 | $7.07 | $10.72 |
| 200 Buy-Up Plan | $5.31 | $10.25 | $15.48 |
Your Monthly payroll deductions for Voluntary Life and Voluntary AD&D are shown in the tables below:
SUN LIFE VOLUNTARY LIFE RATES
| Age | Rate per $1,000 |
|---|---|
| <25 | $0.76 |
| 25 - 29 | $0.76 |
| 30 - 34 | $0.86 |
| 35 - 39 | $0.114 |
| 40 - 44 | $0.171 |
| 45 - 49 | $0.276 |
| 50 - 54 | $0.456 |
| 55 - 59 | $0.741 |
| 60 - 64 | $1.178 |
| 65 - 69 | $1.862 |
| 70 - 74 | $3.031 |
| Child 15,000 Max | $0.140 |
| Vol. AD&D (EE/SP/CH) | $0.030/$0.050 |