What else is included? The benefits below are also included with your coverage. For a complete description of your benefits, along with applicable provisions, conditions on benefit determination, exclusions and limitations, see your certificate of insurance and any riders. Portability If you are in a situation where your eligibility for benefits is changing, such as reduced hours, termination from employment, or a life event such as divorce, you may want to continue your insurance coverage. Portability allows you to continue your coverage under the same group policy by paying your premiums directly to the insurance company. Continuation of Insurance allows you to maintain your current Critical Illness Insurance coverage for yourself, your spouse and children during an employer-approved leave of absence. 4-Tier Rating 18 Pay Period 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 $3.10 $4.20 $3.10 $4.20 Under 30 $3.30 $4.50 $3.30 $4.50 30-39 $4.30 $6.00 $4.30 $6.00 30-39 $5.80 $8.20 $5.80 $8.20 40-49 $7.60 $10.90 $7.60 $10.90 40-49 $11.90 $17.40 $11.90 $17.40 50-59 $13.70 $20.10 $13.70 $20.10 50-59 $24.70 $36.55 $24.70 $36.55 60-64 $25.20 $37.30 $25.20 $37.30 60-64 $49.60 $73.85 $49.60 $73.85 65-69 $25.20 $37.30 $25.20 $37.30 65-69 $49.60 $73.85 $49.60 $73.85 70+ $44.20 $65.75 $44.20 $65.75 70+ $87.40 $130.55 $87.40 $130.55 4-Tier Rating 18 Pay Period 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 $6.20 $8.40 $6.20 $8.40 Under 30 $6.60 $9.00 $6.60 $9.00 30-39 $8.60 $12.00 $8.60 $12.00 30-39 $11.60 $16.40 $11.60 $16.40 40-49 $15.20 $21.80 $15.20 $21.80 40-49 $23.80 $34.80 $23.80 $34.80 50-59 $27.40 $40.20 $27.40 $40.20 50-59 $49.40 $73.10 $49.40 $73.10 60-64 $50.40 $74.60 $50.40 $74.60 60-64 $99.20 $147.70 $99.20 $147.70 65-69 $50.40 $74.60 $50.40 $74.60 65-69 $99.20 $147.70 $99.20 $147.70 70+ $88.40 $131.50 $88.40 $131.50 70+ $174.80 $261.10 $174.80 $261.10