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HomeMy WebLinkAboutInv# NYLife082022 - LIFE INSURANCE COMPANY OF NORTH AMERICA - 08/11/2022Gity of Dania Beach MONTHLY PREMIUM STATEMENT BILLING PERIOD: RATE Cigna New York Life 'lrl" VOLUME MONTHLYPREMIUM ADJUSTMEilTS ADJUSTED MONTHLY PREMIUM $0.0c $u.ut $0.0($0.0( $690,000.uu $t 9.0[$0.0($69.0( $1,690,000.0c $236.6C $0.0($236.6( $1,150,000.00 $241.5t $0.0($241 .5( $970,000.0c $368.6C $0.0($368.6( $610.000.0c $353.8C $0.0($353.8( $650.000.0c $611.0C $0.0($611.0( $420,000.0c $449.4C $0.0($449.4( $4U,UUU.UU $60.4C $0.0($60.4( $(,).0c $u.ut $0.0($0.0( $0.0c $0.0c $0.0($0.0( $6,220,000.00 $2,390.30 $0.0c $0.0c $0.0($0.0( $U.Ut $0.0c $0.0($0.0( $ZUU,UUU.UU $28.0C $0.0($28.0( {t245,000.0c $51.4t $0.0(s51.45 $160,000.0c $60.8C $0.0($60.8( $30,000.0c $17.4C $0.0($17.4( $120,000.0c $1 12.8C $0.0($1 12.8( $1 't 5.000.0c $123.0r $0.0($123.0r $0.0c $0.0c $0.0($0.0( $0.0c $0.0($0.0($0.0( $0.0c $0.0($0.0($0.0( $870,000.$393.5( COVERAGE BASIC LIFE INSURANCE TOTAL BASIC AND AD&O LIFE BASIC AD&D INSURANCE TOTAL BASIC AND AD&D LIFE RETIREE BASIC LIFE INSURANCE TOTAL RETIREE BASIC LIFE VOLUNTARY EMPLOYEE LIFE 0-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ TOTAL VOLUNTARY EMPLOYEE LIFE VOLUNTARY SPOUSE LIFE 0-29 30-34 35-39 4044 45-49 50-54 55-59 60-64 65-69 70-74 75+ TOTAL VOLUNTARY SPOUSE LIFE voLUNTARY CHrLD(REN) LrFE $5,000 TOTAL VOLUNTARY CHTLD(REN) LtFE LONG TERM DISABILITY INSURANCE TOTAL LONG TERM DISABILITY TOTAL PREMIUM DUE I 140 140 140 140 108 108 0 6 13 11 8 6 5 7 1 0 0 0 0.180 0.020 0.200 0.090 0.100 0.140 0.210 0.380 0.580 0.940 1.070 't.5't 0 3.520 3.520 0.090 0.100 0.140 0.210 0.380 0.580 0.940 1.070 1.510 3.520 3.520 l[-----T17s6B.ooooo] $ $ $ $ $ $ $ $ $ $ $ 0 0 6 7 4 1 4 4 0 0 0 0 $ $ $ $ $ $ $ $ $ $ $ 28 28 135 135 0.320 l-$rs-ffiffi3rl l-55,3-6E=I