| TABLE 1: Sample Insurance-Benefit Menu for Employees | ||||||
| Benefit Type | Amount | Rate | Carrier | Group Number | ||
| Life 1 | $500,000 | 0.2700 | Insurance Company A | 101 | ||
| Life 2 | $200,000 | 0.315 | Insurance Company B | 102 | ||
| Life 3 | $100,000 | 0.215 | Insurance Company D | 103 | ||
| AD&D 1 | $150,000 | 0.06 | Insurance Company D | 301 | ||
| AD&D 2 | $100,000 | 0.05 | Insurance Company A | 302 | ||
| Dependent | N/A | 2.18 | Insurance Company B | 201 | ||
| Group Life 1 | ||||||
| Dependent | N/A | 2.877 | Insurance Co D | 202 | ||
| Group Life 2 | ||||||
| Percentage | Limit | Rate | Carrier | |||
| Long-Term | 66.7 | $1,000,000 | 1.51 | Insurance Company A | ||
| Disability 1 | ||||||
| Long-Term | 65.0 | $1,000,000 | 1.48 | Insurance Company D | ||
| Disability 2 | ||||||