UW Paid Life Insurance

The UW pays for $25,000 of life insurance on each eligible employee. If you go on leave or layoff status and wish to continue optional life insurance on yourself, you will be required to pay the UW's contribution (see “Part A Basic,” below) for this insurance during that period.

Effective January 1, 2009

Part A Basic

Employees
$5.07 per month (employer-paid)

Part B Basic (for Dependents)

An employee pays $0.50 per family, regardless of the number of dependents.

Part B Supplemental, Part C Optional, and Part D Supplemental Insurance

Your premium rate changes to the next higher rate as you reach each new age bracket.

Employee's age	Cost per $1,000 per month
	Non-smoker	Smoker
Under 25	$0.028	$0.036
25-29	0.030	0.044
30-34	0.034	0.058
35-39	0.042	0.066
40-44	0.064	0.074
45-49	0.092	0.112
50-54	0.144	0.170
55-59	0.268	0.318
60-64	0.412	0.484
65-69	0.760	0.932
70+	1.134	1.514

Part E - Accidental Death and Dismemberment

Employee ADD benefit	Monthly Cost to cover only yourself	Monthly Cost to cover you & your dependents	Coverage your spouse/ QDP* would have:		Coverage your children would have:
			With no children	With children	If you have a spouse/ QDP*	If you have no spouse/ QDP*
$ 25,000	$0.20	$0.30	$12,500	$10,000	$1,250	$2,500
50,000	0.40	0.60	25,000	20,000	2,500	5,000
75,000	0.60	0.90	37,500	30,000	3,750	7,500
100,000	0.80	1.20	50,000	40,000	5,000	10,000
125,000	1.00	1.50	62,500	50,000	6,250	12,500
150,000	1.20	1.80	75,000	60,000	7,500	15,000
175,000	1.40	2.10	87,500	70,000	8,750	17,500
200,000	1.60	2.40	100,000	80,000	10,000	20,000
225,000	1.80	2.70	112,500	90,000	11,250	22,500
250,000	2.00	3.00	125,000	100,000	12,500	25,000

*QDP = Qualified Domestic Partner

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