Common use of Schedule of Premium Rates Clause in Contracts

Schedule of Premium Rates. The Schedule of Premium Rates payable by or on behalf of this class of Covered Persons as of July 1, 2017: Employee Only $485.29 Employee plus Spouse $970.60 Employee plus Child(ren) $849.27 Employee plus Family $1,334.57 The provisions included in this Exhibit are applicable only to the class of Eligible Persons described below.

Schedule of Premium Rates. The Schedule of Premium Rates payable by or on behalf of this class of Covered Persons as of July 1, 2017: Employee Only $485.29 550.98 Employee plus Spouse $970.60 1,101.98 Employee plus Child(ren) $849.27 964.23 Employee plus Family $1,334.57 1,515.22 The provisions included in this Exhibit are applicable only to the class of Eligible Persons described below.

Schedule of Premium Rates. The Schedule of Premium Rates payable by or on behalf of this class of Covered Persons as of July 1, 20172016 is shown below: Employee Only $485.29 487.28 Employee plus Spouse $970.60 1,096.40 Employee plus Child(ren) $849.27 1,023.30 Employee plus Family $1,334.57 1,559.32 Changes to this Schedule of Premium Rates and/or subsequent Schedules of Premium Rates will be attached to this Policy by means of a Notice of Change to Exhibit 2. The provisions included in this Exhibit are applicable only to the class of Eligible Persons described below.

Schedule of Premium Rates. The Schedule of Premium Rates payable by or on behalf of this class of Covered Persons as of July 1, 20172016 is shown below: Employee Only $485.29 412.99 Employee plus Spouse $970.60 929.23 Employee plus Child(ren) $849.27 867.28 Employee plus Family $1,334.57 1,321.58 Changes to this Schedule of Premium Rates and/or subsequent Schedules of Premium Rates will be attached to this Policy by means of a Notice of Change to Exhibit 2. The provisions included in this Exhibit are applicable only to the class of Eligible Persons described below.