Supplemental Life Insurance Worksheet
The rates below are effective January 1, 2015

You may buy supplemental life insurance in amounts equal to one, two, three, or four times your base annual salary. Base annual salary does not include shift differential pay, overtime, service incentive pay, or lump sum payments. The cost is based on the amount of insurance you choose and your age. To calculate your pay period cost for supplemental life insurance, follow the three steps below:

Step 1: To determine your Annual Salary, choose your work hours per week (using the pull down menu) and then input your hourly rate. Do not include overtime hours. Include only your base pay.

Work hours per week:             Hourly rate:
If you selected "Other" for work hours per week, input amount of hours per week here:
Step 2: Choose the multiplier to your base salary:
Step 3: Choose your age group: