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n <br /> <br />LIFE PROGRAM PROPOSED MONTHLY RATES <br />for <br />HAYFIELD VILLAGE <br />No. Insured Volume Rate <br />Life: <br />AD&D: <br />37 360,000 <br />37 360,000 <br />.50/1000 <br />.08/1000 <br />TOTAL ESTIMATED MONTHLY COST <br />Estimated <br />Mo. Cost <br />180.00 <br />28.80 <br />208.80 <br />NOTE: <br />1. Rates are based on employee data and schedule of insurance <br />submitted. <br />2. This proposal will expire 90 days from the date prepared. <br />3. All rates are subject to final underwriting approval. <br />4. A thirty hour work week requirement ie included unless <br />otherwise approved by underwriting. <br />5. All employees must be active at work on the effective date <br />of the policy. <br />6. Proposed rates assume an effective date during the month of March, 1987. <br />