Critical Illness Insurance: Bi-Weekly Premiums PREMIUMS - EMPLOYEE (BI-WEEKLY) $10,000 $20,000 $30,000 Age 29 and under $2.22 $4.43 $6.65 Age 30-34 $2.77 $5.54 $8.31 Age 35-39 $2.77 $5.54 $8.31 Age 40-44 $5.22 $10.43 $15.65 Age 45-49 $5.22 $10.43 $15.65 Age 50-54 $10.15 $20.31 $30.46 Age 55-59 $10.15 $20.31 $30.46 Age 60-64 $14.68 $29.35 $44.03 Age 65-70 $18.88 $37.75 $56.63 Age 70+ $25.48 $50.95 $76.43 PREMIUMS - PREMIUMS - SPOUSE/DOMESTIC PARTNER (BI-WEEKLY) CHILD (BI-WEEKLY $10,000 $5,000 Age 29 and under $2.68 Per Family Unit $1.41 Age 30-34 $3.18 Age 35-39 $3.18 Age 40-44 $6.00 Age 45-49 $6.00 Age 50-54 $12.55 Age 55-59 $12.55 Age 60-64 $19.15 Age 65-70 $21.92 Age 70+ $33.05 | 27 |

May 2024 | Dubuque Union Team Members Benefit Guide - Page 29 May 2024 | Dubuque Union Team Members Benefit Guide Page 28 Page 30