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HomeMy WebLinkAboutInv# NYL 02.2022 - LIFE INSURANCE COMPANY OF NORTH AMERICA - 02/10/2022 (2)City of Dania Beach MONTHLY PREMIUM STATEMENT Cigna New York Life BILLING PERIOD:February-2022 COVERAGE COVERED LIVES RATE VOLUME MONTHLY PREMIUM ADJUSTMENTS ADJUSTED MONTHLY PREMIUM BASIC LIFE INSURANCE 130 0.180$ $16,628,000.00 $2,993.04 $0.00 $2,993.04 TOTAL BASIC AND AD&D LIFE 130 $16,628,000.00 $2,993.04 BASIC AD&D INSURANCE 130 0.020$ $16,628,000.00 $332.56 $0.00 $332.56 TOTAL BASIC AND AD&D LIFE 130 $16,628,000.00 $332.56 RETIREE BASIC LIFE INSURANCE 108 0.200$ $422,500.00 $84.50 $0.00 $84.50 TOTAL RETIREE BASIC LIFE 108 $422,500.00 $84.50 VOLUNTARY EMPLOYEE LIFE 0-29 0 0.090$ $0.00 $0.00 $0.00 $0.00 30-34 5 0.100$ $540,000.00 $54.00 $0.00 $54.00 35-39 11 0.140$ $1,490,000.00 $208.60 $0.00 $208.60 40-44 9 0.210$ $900,000.00 $189.00 $0.00 $189.00 45-49 10 0.380$ $1,270,000.00 $482.60 $0.00 $482.60 50-54 6 0.580$ $610,000.00 $353.80 $0.00 $353.80 55-59 5 0.940$ $650,000.00 $611.00 $0.00 $611.00 60-64 8 1.070$ $440,000.00 $470.80 $0.00 $470.80 65-69 1 1.510$ $40,000.00 $60.40 $0.00 $60.40 70-74 0 3.520$ $0.00 $0.00 $0.00 $0.00 75+0 3.520$ $0.00 $0.00 $0.00 $0.00 TOTAL VOLUNTARY EMPLOYEE LIFE 0 $5,940,000.00 $2,430.20 VOLUNTARY SPOUSE LIFE 0-29 0 0.090$ $0.00 $0.00 $0.00 $0.00 30-34 0 0.100$ $0.00 $0.00 $0.00 $0.00 35-39 5 0.140$ $170,000.00 $23.80 $0.00 $23.80 40-44 6 0.210$ $215,000.00 $45.15 $0.00 $45.15 45-49 5 0.380$ $210,000.00 $79.80 $0.00 $79.80 50-54 1 0.580$ $30,000.00 $17.40 $0.00 $17.40 55-59 4 0.940$ $120,000.00 $112.80 $0.00 $112.80 60-64 4 1.070$ $115,000.00 $123.05 $0.00 $123.05 65-69 0 1.510$ $0.00 $0.00 $0.00 $0.00 70-74 0 3.520$ $0.00 $0.00 $0.00 $0.00 75+0 3.520$ $0.00 $0.00 $0.00 $0.00 TOTAL VOLUNTARY SPOUSE LIFE 0 $860,000.00 $402.00 VOLUNTARY CHILD(REN) LIFE $5,000 25 0.170$ $125,000.00 $21.25 $0.00 $21.25 TOTAL VOLUNTARY CHILD(REN) LIFE 25 $125,000.00 $21.25 LONG TERM DISABILITY INSURANCE 9 0.320$ $74,999.97 $240.03 $0.00 $240.03 TOTAL LONG TERM DISABILITY 9 $74,999.97 $240.03 TOTAL PREMIUM DUE $24,050,499.97 $6,171.02