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Home My WebLink About2018-108A$ 4 Revised Renewal Information and Exhibits Prepared For: Indian River County Government Group ID: GOOOAJFS Renewal Effective Date: October 1, 2018 Renewal Accepted BY: Indian River County Peter D. O' Ban Printed Name:' -•�L ss� ".., Title: Chairman c,t; Signature: Date ATTEST: Jeffrey R. Smith, Clerk of Court and Comptroller Deputy Clerk APPROVED AS TO FORM AND LSOAL SUFFICIENCY BY DYLAN REINGOLD COUNTY ATTORNEY Generated on: June 12, 2018 Mutual of Omaha - Confidential n(D. Murua&Omama INDIAN RIVER COUNTY GOVERNMENT LIFE AND AD&D Rate Guarantee Period - October 1, 2018 to October 1, 2020 Additional Value Added Services Included - Travel Assistance/ldentity Theft Assistance Life Class Description All Eligible Active Elected Officials and Employees Emnlovee Rate Basis - ner $1.000 Lives Current Rate Renewal Rate 1385 $0.168 $0.168 Child(ren) Rate Basis - per $10,000 Lives Current Rate Renewal Rate 866 $0.60 $.60 Class Description All Eligible Active Paramedics Employee Rate Basis - per $1,000 Lives Current Rate Renewal Rate 6 $0.168 $0.168 Chi1d(ren) Rate Basis - per $10,000 Lives Current Rate Renewal Rate 4 $0.60 $.60 Class Description All Eligible Grandfathered Retirees Who Retired Prior To 10/01/1999 (Closed Class) Enmlovee Rate Basis - ner $1.000 Lives Current Rate Renewal Rate 23 $0.50 $0.70 Class Description All Eligible Retirees Who Retired On Or After 10/01/1999 En-ninvee Rate Basis - ner $1.000 Lives Current Rate Renewal Rate 254 1 $0.50 $0.70 Initials• yal INDIAN RIVER COUNTY GOVERNMENT Class Description All Eligible Active Elected Officials and Employees Emnlovee Rate Basis - ver $1,000 Lives Current Rate Renewal Rate 1385 $0.03 $0.03 Class Description All Eligible Active Paramedics Emnlovee Rate Basis - ver $1.000 Lives Current Rate Renewal Rate 6 $0.03 $0.03 . MOTuaujOinma Initials• .L._> 1� INDIAN RIVER COUNTY GOVERNMENT VOLUNTARY LIFE AND AD&D Rate Guarantee Period - October 1, 2018 to October 1, 2020 Voluntary Life Class Description All Other Eligible Employees Emplovee & Spouse Rate Basis - per $1,000 Age of Employee Lives Current Rate Renewal Rate Less than 24 5 $0.03 $0.03 25-29 28 $0.04 $0.04 30-34 28 $0.05 $0.05 35-39 56 $0.08 $0.08 40-44 60 $0.13 $0.13 45-49 90 $0.23 $0.23 50-54 68 $0.38 $0.38 55-59 51 $0.68 $0.68 60-64 22 $0.73 $0.73 65-69 9 $1.27 $1.27 70-74 3 $2.27 $2.27 75-79 0 $8.70 $8.70 80-84 0 $8.70 $8.70 85-89 0 $8.70 $8.70 90-100 0 $8.70 $8.70 nE). MumaLA)mHa t Initials• INDIAN RIVER COUNTY GOVERNMENT Rate Guarantee Period - October 1, 2018 to October 1, 2020 Voluntary Life Class Description All Efigihle Emnlovees With Aee Banded Rating Age of Employee Lives Current Rate Renewal Rate Less than 24 0 $0.03 $0.03 25-29 0 $0.04 $0.04 30-34 0 $0.05 $0.05 35-39 0 $0.08 $0.08 40-44 0 $0.13 $0.13 45-49 1 $0.23 $0.23 50-54 3 $0.38 $0.38 55-59 13 $0.68 $0.68 60-64 6 $0.73 $0.73 65-69 2 $1.27 $1.27 70-74 0 $2.27 $2.27 75-79 0 $8.70 $8.70 80-84 0 $8.70 $8.70 85-89 0 $8.70 $8.70 90-100 0 $8.70 $8.70 Class Description All Eligible Grandfathered Enployees With Composite Rating (Closed Class) Age of Employee Lives Current Rate Renewal Rate Less than 24 0 $0.38 $0.50 25-29 0 $0.38 $0.50 30-34 0 $0.38 $0.50 35-39 0 $0.38 $0.50 40-44 0 $0.38 $0.50 45-49 1 $0.38 $0.50 50-54 4 $0.38 $0.50 55-59 12 $0.38 $0.50 60-64 17 $0.38 $0.50 65-69 7 $0.38 $0.50 70-74 2 $0.38 $0.50 75-79 1 $0.38 $0.50 80-84 1 0 $0.38 $0.50 85-89 0 $0.38 $0.50 90-100 0 $0.38 $0.50 Mumawomaea Initials• INDIAN RIVER COUNTY GOVERNMENT Rate Guarantee Period - October 1, 2018 to October 1, 2020 Voluntary AD&D Class Description All Other Eligible Employees Employee & Spouse Rate Basis - per $1,000 Lives Current Rate Renewal Rate 420 $0.03 $0.03 Class Description All Eligible Employees With Age Banded Rating Fr minvee, & Snnase Rate Basis - ner %1.000 Lives Current Rate Renewal Rate 25 $0.03 $0.03 Class Description All Eligible Grandfathered Employees With Composite Rating (Closed Class) Rmnlnvee. R, Rnnnse Rate Rasis - ner .9',1.000 Lives Current Rate Renewal Rate 44 $0.04 $0.04 r(D). 17�� MmuaiLgOmaea Initials• �� INDIAN RIVER COUNTY GOVERNMENT VOLUNTARY LONG-TERM DISABILITY Rate Guarantee Period - October 1, 2018 to October 1, 2020 Class Description All Eligible Paramedics Electing the 90 Day Elimination Period Plan Emolovee Rate Basis - ver $100 of Montblv Covered Pavroll Age of Employee Lives Current Rate Renewal Rate Less than 19 0 $0.100 $0.100 20-24 0 $0.100 $0.100 25-29 0 $0.100 $0.100 30-34 1 $0.176 $0.176 35-39 0 $0.217 $0.217 40-44 0 $0.315 $0.315 45-49 1 $0.488 $0.488 50-54 1 $0.716 $0.716 55-59 2 $0.865 $0.865 60-64 0 $0.902 $0.902 65-69 0 $0.902 $0.902 70-99 0 $0.902 $0.902 Class Description All Eligible Paramedics Electing the 180 Day Elimination Period Plan Age of Employee Lives Current Rate Renewal Rate Less than 19 0 $0.081 $0.081 20-24 0 $0.081 $0.081 25-29 1 $0.081 $0.081 30-34 0 $0.143 $0.143 35-39 0 $0.181 $0.181 40-44 0 $0.263 $0.263 45-49 0 $0.407 $0.407 50-54 0 $0.598 $0.598 55-59 0 $0.721 $0.721 60-64 0 $0.751 $0.751 65-69 0 $0.751 $0.751 70-99 1 0 1 $0.751 1 $0.751 Initials• INDIAN RIVER COUNTY GOVERNMENT VOLUNTARY LONG-TERM DISABILITY Rate Guarantee Period - October 1, 2018 to October 1, 2020 Class Description All Other Fhcrihle Rmnlnveec F.lectina the 90 Dav Elimination Period Plan Age of to ee Lives Current Rate Renewal Rate Less than 19 0 $0.100 $0.100 20-24 29 $0.100 $0.100 25-29 84 $0.100 $0.100 30-34 60 $0.176 $0.176 35-39 70 $0.217 $0.217 40-44 68 $0.315 $0.315 45-49 105 $0.488 $0.488 50-54 93 $0.716 $0.716 55-59 98 $0.865 $0.865 60-64 50 $0.902 $0.902 65-69 18 1 $0.902 $0.902 70-99 3 1 $0.902 1 $0.902 Class Description All Other Eligible Employees Electing the 180 Day Elimination Period Plan Age of Employee Lives Current Rate Renewal Rate Less than 19 0 $0.081 $0.081 20-24 2 $0.081 $0.081 25-29 5 $0.081 $0.081 30-34 4 $0.143 $0.143 35-39 9 $0.181 $0.181 40-44 8 $0.263 $0.263 45-49 9 $0.407 $0.407 50-54 10 $0.598 $0.598 55-59 10 $0.721 $0.721 60-64 11 $0.751 $0.751 65-69 2 $0.751 $0.751 70-99 2 $0.751 $0.751 k-). mmawwam Initials: 1� \ ;