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 $160,000 - $250,000 Premiums for Dependent Group Life Insurance are based on the applicant/member's age.
Level	16	17	18	19	20	21	22	23	24	25
Spouse Life Insurance	$160,000	$170,000	$180,000	$190,000	$200,000	$210,000	$220,000	$230,000	$240,000	$250,000
Children
2wks - 2yrs	10,000	10,000	10,000	10,000	10,000	10,000	10,000	10,000	10,000	10,000
2yrs - 5yrs	20,000	20,000	20,000	20,000	20,000	20,000	20,000	20,000	20,000	20,000
5yrs - 19yrs*	25,000	25,000	25,500	25,000	25,000	25,000	25,000	25,000	25,000	25,000
* to age 23 if full-time student
Member's Age	One low premium (below) covers all dependents, including spouse.
Under 25	$24.00	$25.50	$27.00	$28.50	$30.00	$31.50	$33.00	$34.50	$36.00	$37.50
25-29	32.00	34.00	36.00	38.00	40.00	42.00	44.00	46.00	48.00	50.00
30-34	36.00	38.25	40.50	42.75	45.00	47.25	49.50	51.75	54.00	56.25
35-39	48.00	51.00	54.00	57.00	60.00	63.00	66.00	69.00	72.00	75.00
40-44	64.00	68.00	72.00	76.00	80.00	84.00	88.00	92.00	96.00	100.00
45-49	88.00	93.50	99.00	104.50	110.00	115.50	121.00	126.50	132.00	137.50
50-54	128.00	136.00	144.00	152.00	160.00	168.00	176.00	184.00	192.00	200.00
55-59	192.00	204.00	216.00	228.00	240.00	252.00	264.00	276.00	288.00	300.00
IMPORTANT INFORMATION FOR LEVELS 16 - 25: At member's age 60, the maximum spouse coverage under Level 16 through Level 25 is $120,000 for $222.00 quarterly. At the member's age 65, the maximum spouse coverage under Level 16 through Level 25 is $60,000 for $285.00 quarterly. At member's age 70, the maximum spouse coverage under Level 16 through Level 25 is $30,000 for $294.00 quarterly.
Premiums for the Dependent Group Life Insurance are based on the applicant/member's age.
If your dependent group insurance coverage exceeds the amount permitted when the member reaches a new age group, your dependent group life insurance coverage will automatically reduce to the amount permitted as shown in the schedule of benefits.
You may reduce your dependent coverage at any time upon written notification to WAEPA. All dependent coverage terminates at the spouse's age 75.