Rates Coverage andmonthly cost for Accident. Rates are effective as of January 1, 2024. Accident coverage is contributory. You are responsible for paying for all or a part of the cost through payroll deduction. Lowplan Coverage Cost per pay period* Employee $9.65 Employee+Spouse $13.86 Employee+Child(ren) $15.09 Employee+Family $19.30 High plan Coverage Cost per pay period* Employee $13.21 Employee+Spouse $20.50 Employee+Child(ren) $23.02 Employee+Family $30.30 *Contact your employerto confirm your part of thecost. 800-247-6875 ยท sunlife.com/us Accident Insurance
917800 Accident Insurance (12) 01.01.2024 Page 6