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HomeMy WebLinkAboutInv# NYLife072022 - LIFE INSURANCE COMPANY OF NORTH AMERICA - 07/21/2022City of Dania Beach MONTHLY PREMIUM STATEI'ENT BILLING PERIOD: Cigna New York Life COVERAOE BASIC LIFE INSURANCE TOTAL BASIC AND AD&D LIFE BASIC AD&O INSURANCE TOTAL BASIC AND AD&D LIFE RETIREE BASIC LIFE INSURANCE TOTAL RETIREE BASIC LIFE VOLUNTARY EMPLOYEE LIFE 0-29 30 34 35-3S 40-44 4549 50-54 55-59 60 64 65-69 70-74 75+ TOTAL VOLUNTARY EMPLOYEE LIFE VOLUNTARY SPOUSE LIFE 0-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 74 75+ TOTAL VOLUNTARY SPOUSE LIFE VOLUNTARY CHILD(REN) LIFE $5,000 TOTAL VOLUNTARY CHILD(REN} LIFE LONG TERM DISABILITY INSURANCE TOTAL LONG TERITI OISABILITY TOTAL PREMIUM OUE I 111 l,al 111 111 l09 109 0 6 13 11 I 6 5 I t 0 0 0 RATE 28 136 136 0.180 0.020 0.200 0.090 0.100 0.140 0.2t0 0.380 0.580 0.940 1.070 1.510 3.520 3.s20 0.090 0.100 0.1,{0 0.210 0.380 0.5E0 0.9,10 1.070 t.5t0 3.520 3.520 0.170 0.320 $ $ 3 t $ $ $ $ $ $ $ $ $ $ttt $t $ $ $ $ 0 0 6 7 5 1 4 4 0 0 0 0 AOJUSTEO MONTHLY l-t 6-,31-!-;itTA I-aEF7.A l-$14!-ioooo-lf --*- $-r3-801t--------------$o!o][-$x.Boll It s7t766s23lt-$Z3tdi8l--$o-odt-------------5 5611 | 1727,669.231 I t2,328.581