How much does it cost? The table below shows how much you'll pay for Critical Illness Insurance. The premium is deducted directly from your paycheck. Your rates will depend on your age and how much coverage you select. Your rates could increase as you enter into a new age band based on provisions in your certificate of coverage. Who can be covered and how much coverage can I get? * Employees must be enrolled in order to elect coverage for eligible spouse and eligible dependent children as defined in the Certificate of Coverage and Riders. You have the option to enroll in coverage in the amount(s) below: You $15,000 or $30,000 Your spouse* 50% of the Employee Benefit Your children* 50% of the Employee Benefit The Schedule of Benefits includes a list of covered conditions. There is no total maximum benefit amount or limit to the number of payments you may receive for each covered condition under your plan, except for skin cancer. You may receive a benefit payment for each different diagnosis of a covered condition shown on your Schedule of Benefits. (a definition of different diagnosis is provided in the certificate of coverage). For skin cancer , the benefit is payable up to 1 times per calendar year, 10 times the lifetime maximum limit. Once the maximum for skin cancer has been reached, no further benefits are payable. How many times can I receive this benefit? 4-Tier Rating Bi-Weekly Rates Employee: $15,000 Spouse: $7,500 Child(ren): $7,500 Includes Wellness Benefit Rider Non-Tobacco User Tobacco User Attained Age EE Only EE+SP EE+CH Family Attained Age EE Only EE+SP EE+CH FAMILY Under 30 $2.15 $2.91 $2.15 $2.91 Under 30 $2.28 $3.12 $2.28 $3.12 30-39 $2.98 $4.15 $2.98 $4.15 30-39 $4.02 $5.68 $4.02 $5.68 40-49 $5.26 $7.55 $5.26 $7.55 40-49 $8.24 $12.05 $8.24 $12.05 50-59 $9.48 $13.92 $9.48 $13.92 50-59 $17.10 $25.30 $17.10 $25.30 60-64 $17.45 $25.82 $17.45 $25.82 60-64 $34.34 $51.13 $34.34 $51.13 65-69 $17.45 $25.82 $17.45 $25.82 65-69 $34.34 $51.13 $34.34 $51.13 70+ $30.60 $45.52 $30.60 $45.52 70+ $60.51 $90.38 $60.51 $90.38 4-Tier Rating Bi-Weekly Rates Employee: $30,000 Spouse: $15,000 Child(ren): $15,000 Includes Wellness Benefit Rider Non-Tobacco User Tobacco User Attained Age EE Only EE+SP EE+CH Family Attained Age EE Only EE+SP EE+CH FAMILY Under 30 $4.29 $5.82 $4.29 $5.82 Under 30 $4.57 $6.23 $4.57 $6.23 30-39 $5.95 $8.31 $5.95 $8.31 30-39 $8.03 $11.35 $8.03 $11.35 40-49 $10.52 $15.09 $10.52 $15.09 40-49 $16.48 $24.09 $16.48 $24.09 50-59 $18.97 $27.83 $18.97 $27.83 50-59 $34.20 $50.61 $34.20 $50.61 60-64 $34.89 $51.65 $34.89 $51.65 60-64 $68.68 $102.25 $68.68 $102.25 65-69 $34.89 $51.65 $34.89 $51.65 65-69 $68.68 $102.25 $68.68 $102.25 70+ $61.20 $91.04 $61.20 $91.04 70+ $121.02 $180.76 $121.02 $180.76