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: 20 Hour Work Week40 Hour Work Week48 Hour Work Week53 Hour Work Week56 Hour Work WeekOther            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: 1 2 3 4
Step 3:	Choose your age group: 34 years and under35 to 3940 to 4445 to 4950 to 5455 to 5960 to 6465 to 6970 years and over