|
MANUAL RATE CALCULATION SHEETS
Option 1 (Dependent Life):
Dependent Life Options |
Standard |
Deluxe Silver |
Ultimate Gold
(5-19 lives) |
Platinum
(10 - 19 lives) |
| Volumes |
Spouse |
3,000
|
5,000
|
10,000
|
| |
Dependent |
1,500
|
2,500
|
5,000
|
| Male |
under age 30 |
0.493
|
0.783
|
1.566
|
| age 30 to 39 |
0.788
|
1.251
|
2.501
|
| age 40 to 49 |
1.513
|
2.401
|
4.802
|
| age 50 to 59 |
3.678
|
5.837
|
11.675
|
| age 60 to 69 |
7.180
|
11.396
|
22.793
|
| Female |
under age 30 |
0.760
|
1.206
|
2.412
|
| age 30 to 39 |
1.008
|
1.599
|
3.199
|
| age 40 to 49 |
2.523
|
4.004
|
8.008
|
| age 50 to 59 |
6.721
|
10.669
|
21.338
|
| age 60 to 69 |
14.072
|
22.336
|
44.672
|
Please note that the above optional benefit is not available for
BRONZE
In addition, please note that Optional Life, Accidental Death and
Dismemberment is also available as an option but subject to review
and pricing by Ontario Blue Cross.
OPTION 2 (Long Term Disability):
This benefit is subject to review and pricing by Ontario Blue
Cross. (Minimum number of employee is 5)
OPTION 3 (Vision Care):
|
Vision Care |
Single |
Couple |
Family |
| 1 = Bronze |
$100/24 Months |
$3.19
|
$6.06
|
$7.77
|
| 2 = Silver |
$100/24 Months |
$3.19
|
$6.06
|
$7.77
|
| 3 = Gold |
$200/24 Months |
$7.67
|
$14.57
|
$18.65
|
| 4 = Platinum |
$200/24 Months |
$7.67
|
$14.57
|
$18.65
|
OPTION 4 (World Wide Travel/CanAssistance):
|
Single
|
Family
|
|
$1.68
|
$4.42
|
OPTION 5 (Employee Assistance Program):
$4.50 per Employee
OPTION 6 (Critical Illness/LifeLink®):
LifeLink Options |
Gold
(5-19 lives) |
Platinum
(10-19 lives) |
| Type offered |
Standard LifeLink |
Standard LifeLink |
| Volumes |
Employee |
10,000
|
25,000
|
| Spouse |
10,000
|
25,000
|
| Dependent |
5,000
|
10,000
|
| Single |
| Male |
under age 30 |
0.384
|
0.960
|
| age 30 to 39 |
0.756
|
1.891
|
| age 40 to 49 |
1.850
|
4.625
|
| age 50 to 59 |
5.788
|
14.465
|
| age 60 to 69 |
10.020
|
25.047
|
| Female |
under age 30 |
0.273
|
0.680
|
| age 30 to 39 |
0.668
|
1.668
|
| age 40 to 49 |
1.926
|
4.811
|
| age 50 to 59 |
4.544
|
11.359
|
| age 60 to 69 |
6.737
|
16.845
|
| Family |
| Male |
under age 30 |
0.920
|
2.205
|
| age 30 to 39 |
1.906
|
4.606
|
| age 40 to 49 |
4.412
|
10.956
|
| age 50 to 59 |
11.498
|
28.727
|
| age 60 to 69 |
18.448
|
46.119
|
| Female |
under age 30 |
0.949
|
2.276
|
| age 30 to 39 |
1.927
|
4.662
|
| age 40 to 49 |
4.394
|
10.909
|
| age 50 to 59 |
11.808
|
29.503
|
| age 60 to 69 |
19.270
|
48.171
|
| ** Please note
that this benefit is not available for Bronze and Silver |
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