How much does Critical Illness Insurance cost? The table below shows how much you’ll pay for Critical Illness Insurance. Rates are dependent on your age and amount of coverage selected. Employee Coverage Spouse Coverage* Bi-Weekly Rates (26 pay periods) Bi-Weekly Rates (26 pay periods) Includes Wellness Benefit Rider Includes Wellness Benefit Rider Age $10,000 $20,000 $30,000 Age $10,000 Under $2.22 $4.43 $6.65 Under 30 $2.68 30 30-39 $3.18 30-39 $2.77 $5.54 $8.31 40-49 $5.22 $10.43 $15.65 40-49 $6.00 50-59 $10.15 $20.31 $30.46 50-59 $12.55 60-64 $14.68 $29.35 $44.03 60-64 $19.15 65-69 $18.88 $37.75 $56.63 65-69 $21.92 70+ $25.48 $50.95 $76.43 70+ $33.05 Children Coverage Bi-Weekly Rates (26 pay periods) Includes Wellness Benefit Rider Coverage Amount Rate $5,000 $1.41 *Spouse rate dependent on spouse age. Children birth to age 26; no limit to the number of children per family. Schedule of Benefits The table below outlines a more detailed list of what’s covered. Please note that the covered condition/diagnosis must happen on or after your coverage effective date. Benefits are payable at 100% of the Critical Illness benefit amount unless otherwise stated. For a list of standard exclusions and limitations, please refer to the exclusions section later in this document. 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. Covered Condition % of Benefit Heart attack* 100% Cancer 100% Stroke 100% Sudden cardiac arrest 25%