View other Schedule of Benefits:   - Member Coverage Amounts   $25,000 - $300,000   - Member Coverage Amounts $325,000 - $500,000   - Member Coverage Amounts $525,000 - $750,000   - Dependent Coverage Amounts $10,000 - $150,000   - Dependent Coverage Amounts $160,000 - $250,000   - Premium Calculator   - WAEPA Home				Dependent Life Insurance Schedule of Benefits - Quarterly Premiums Coverage Amount $10,000 - $150,000 Premiums for Dependent Group Life Insurance are based on the applicant/member's age.
Level	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15
Spouse Life Insurance	$10,000	$20,000	$30,000	$40,000	$50,000	$60,000	$70,000	$80,000	$90,000	$100,000	$110,000	$120,000	$130,000	$140,000	$150,000
Children
2wks - 2yrs	1,000	2,000	3,000	4,000	5,000	6,000	7,000	8,000	9,000	10,000	10,000	10,000	10,000	10,000	10,000
2yrs - 5yrs	2,000	4,000	6,000	8,000	10,000	12,000	14,000	16,000	18,000	20,000	20,000	20,000	20,000	20,000	20,000
5yrs - 19yrs*	2,500	5,000	7,500	10,000	12,500	15,000	17,500	20,000	22,500	25,000	25,000	25,000	25,000	25,000	25,000
Member's Age	One low premium (below) covers all dependents, including spouse.
Under 25	$1.50	$3.00	$4.50	$6.00	$7.50	$9.00	$10.50	$12.00	$13.50	$15.00	$16.50	$18.00	$19.50	$21.00	$22.50
25-29	2.00	4.00	6.00	8.00	10.00	12.00	14.00	16.00	18.00	20.00	22.00	24.00	26.00	28.00	30.00
30-34	2.25	4.50	6.75	9.00	11.25	13.50	15.75	18.00	20.25	22.50	24.75	27.00	29.25	31.50	33.75
35-39	3.00	6.00	9.00	12.00	15.00	18.00	21.00	24.00	27.00	30.00	33.00	36.00	39.00	42.00	45.00
40-44	4.00	8.00	12.00	16.00	20.00	24.00	28.00	32.00	36.00	40.00	44.00	48.00	52.00	56.00	60.00
45-49	5.50	11.00	16.50	22.00	27.50	33.00	38.50	44.00	49.50	55.00	60.50	66.00	71.50	77.00	82.50
50-54	8.00	16.00	24.00	32.00	40.00	48.00	56.00	64.00	72.00	80.00	88.00	96.00	104.00	112.00	120.00
55-59	12.00	24.00	36.00	48.00	60.00	72.00	84.00	96.00	108.00	120.00	132.00	144.00	156.00	168.00	180.00
60-64	18.50	37.00	55.50	74.00	92.50	-	-	-	-	-	-	-	-	-	-
65-69	47.50	95.00	142.50	190.00	237.50	-	-	-	-	-	-	-	-	-	-
70-74	98.00	196.00	-	-	-	-	-	-	-	-	-	-	-	-	-
* to age 23 if a full time student
Premiums for Dependent Group Life Insurance are based on the applicant/member's age. However, your spouse's insurance coverage will terminate on your spouse's 75th birthday. The maximum amount of insurance for a spouse of a member age 60-69 is $50,000. The maximum amount of insurance for a spouse of a member age 70 and over is $20,000.
A spouse's insurance coverage may not be greater than 50% of the member's life insurance.