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<br /> 1 <br /> Iii City of Eugene Portable Term Life Insurance <br /> through ReliaStar Life Insurance Company <br /> 1. Premium Rates: EffectiveJanuaryl, 2004, monthly premium rates per $10,000 of basic <br /> life coverage: <br /> Age at Last Rates Per $10,000 Age at Last Rates Per $10,000 <br /> Birthday per Month Birthday per Month <br /> Under 30 Years $ .80 55-59 Years $ 8.20 <br /> 30-34 Years $ .90 60-64 Years $12.70 <br /> 35-39 Years $1.30 65-69 Years $23.00 <br /> 40-44 Years $2.00 70-74 Years* $41.00 <br /> 45-49 Years $3.50 Over 75 Years* $41.00 <br /> 50-54 Years $5.20 Premium changes due to age are processed <br /> annually each January. <br /> *Portable Life rates for ages 70 & over apply only to actively at work employees. And for active <br /> employees, the benefit amount reduces to 65% at age 70 and to 45% at age 75. <br /> Rates shown are guaranteed until January 1, 2005. Policy form LP06GP. <br /> To determine your premium, multiply the new Portable Life rate shown for your age by the number <br /> of $10,000 units you select. For instance, at age 37, the monthly amount for $50,000 (5 units of <br /> $10,000) is $1.30 x 5 = $6.50/month. Then divide by 2 to get $3.25 per pay period. Portable life <br /> is taken from the first two pay periods each. month. <br /> 2. Dependent Child Insurance rates: <br /> $ 5,000 $2.00 per month ($1.00 per pay period) <br /> $ 7,500 $3.00 per month ($1.50 per pay period) <br /> $10,000 $4.00 per month ($2.00 per pay period) <br /> 3. Accidental Death & Dismemberment rate is $0.40 per $10,000 per month. <br /> (prtlfrate04.wpd) <br /> <br />