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New Employee Benefits Enrollment - Dow Corning

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DEPENDENT LIFE<br />

Annual <strong>Employee</strong> Contribution for 2008 for Spouse or Domestic Partner<br />

Age of Spouse or<br />

Domestic Partner<br />

Tobacco-Free Rates* Tobacco-User Rates<br />

Cost per $10,000<br />

of Coverage<br />

Cost per $10,000<br />

of Coverage<br />

00-24 $6.96 $ 9.60<br />

25-29 $7.92 $ 10.68<br />

30-34 $10.92 $ 14.64<br />

35-39 $11.88 $ 15.96<br />

40-44 $12.84 $ 17.28<br />

45-49 $19.80 $ 27.84<br />

50-54 $30.72 $ 43.08<br />

55-59 $57.36 $ 83.88<br />

60-64 $87.00 $132.24<br />

65-69 $168.00 $265.32<br />

70 and above $272.76 $430.80<br />

* A tobacco-free person is defined as someone who is tobacco-free (including<br />

smokeless tobacco) for 12 months or more.<br />

Note: If your spouse or domestic partner’s birthday in 2008 will put him/her<br />

into a new age grouping, the premiums will automatically increase<br />

on his/her birthday.<br />

Annual <strong>Employee</strong> Contribution for 2008 for Child<br />

Child Cost per $5,000 of<br />

Coverage<br />

$ 8.10<br />

15

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