Supplemental Life Insurance Premium Estimator

Supplemental Life Insurance enrollment form

The information you enter in this estimator is not saved or submitted to any system. If you wish, you may print a PDF of this information. (About PDFs)


The monthly premium for supplemental life insurance will vary based on age, salary, and the coverage option selected. The premiums will automatically be deducted from payroll. Employees can estimate how much the monthly premium will be by using the table below.


Your premium will automatically change based on your age and salary.


Enter your annual salary:
Do not use dollar sign or commas.

Enter the rate from the table

Estimated monthly premium: $

Last updated: 1 October 2004