employee benefits plan monthly cost calculator
TRANSCRIPT
Employee Benefits Plan
Monthly Cost Calculator
Underwritten by RBC Life Insurance Company.
™ Trade-mark of Royal Bank of Canada, used under license.RBC Insurance is a registered trade-mark of Royal Bank of Canada, used under license.
Call us toll-free at 1-888-614-0000 and we willbe pleased to calculate the monthly cost of the
employee benefits plan for you.
Employee Benefits Plan Monthly Cost Calculator
The Basic Plan for single coverage consists of Life Insurance, Accidental Death &Dismemberment coverage, and Extended Health Care coverage. For family
coverage, the basic plan also includes Dependent Life Insurance.
1. Circle the amount of Life Insurance coverage you wish to apply for. This is also the amount ofyour Group’s Accidental Death and Dismemberment coverage. Your selection is applicable for allemployees in the Group.
$25,000 $50,000 $100,000 (Please circle one)
2. Enter the province of residence you and your employees reside in: _____________________________
3. Using the rate calculator page, complete the monthly cost calculator by following these simple steps:
(a) Refer to the employee’s enrolment form to determine either single or family coverage, and the age band that each employee falls under.
(b) Determine the appropriate rate grouping for each employee, based on your answer to questions 1 and 2.
(c) Place the number of employees and corresponding rate in Chart A for single coverage.For family coverage, do the same in Chart B.
(d) Calculate the total.
4. Dental Coverage is optional. If you choose this selection, all employees must participate in theDental Plan.
(a) Write the number of employees for both single and family coverage and the corresponding rate in Chart C.
(b) Calculate the total. This is your monthly premium.
5. Place the totals from Chart A, B & C into Chart D. Calculate the total.
For a Long-Term Disability* quote, please fill out the Request for LTD form and submit with your application.
If LTD coverage is selected, the cost for this coverage will be added to the total monthly cost.
Please enclose a cheque for the 1st month premium with your application.
* Long-Term Disability may not be available in all plans.
Chart A – Single Coverage
Employee Benefits Plan Monthly Cost Calculator Worksheet
Premium total above is subject to Provincial Sales Tax. This tax will be added to your monthly billing.
Please submit this page with your application.
Chart B – Family Coverage
Chart C – Dental Coverage
Age Band Number of Employees Rate Total
Under 30 x =
30-39 x =
40-49 x =
50-59 x =
60-64 x =
TOTAL
Age Band Number of Employees Rate Total
Under 30 x =
30-39 x =
40-49 x =
50-59 x =
60-64 x =
TOTAL
Coverage Number of Employees Rate Total
Single Coverage x =
Family Coverage x =
TOTAL
Chart D – Total of Chart A, B and C
Total Single Total Family Total Optional TOTALMonthly Premium + Monthly Premium + Dental Plan = Monthly Cost
(Chart A) (Chart B) (Chart C)
Employee Benefits Plan Monthly Cost Calculator
The Basic Plan for single coverage consists of Life Insurance, Accidental Death &Dismemberment coverage, and Extended Health Care coverage. For family
coverage, the basic plan also includes Dependent Life Insurance.
1. Circle the amount of Life Insurance coverage you wish to apply for. This is also the amount ofyour Group’s Accidental Death and Dismemberment coverage. Your selection is applicable for allemployees in the Group.
$25,000 $50,000 $100,000 (Please circle one)
2. Enter the province of residence you and your employees reside in: _____________________________
3. Using the rate calculator page, complete the monthly cost calculator by following these simple steps:
(a) Refer to the employee’s enrolment form to determine either single or family coverage, and the age band that each employee falls under.
(b) Determine the appropriate rate grouping for each employee, based on your answer to questions 1 and 2.
(c) Place the number of employees and corresponding rate in Chart A for single coverage.For family coverage, do the same in Chart B.
(d) Calculate the total.
4. Dental Coverage is optional. If you choose this selection, all employees must participate in theDental Plan.
(a) Write the number of employees for both single and family coverage and the corresponding rate in Chart C.
(b) Calculate the total. This is your monthly premium.
5. Place the totals from Chart A, B & C into Chart D. Calculate the total.
For a Long-Term Disability* quote, please fill out the Request for LTD form and submit with your application.
If LTD coverage is selected, the cost for this coverage will be added to the total monthly cost.
Please enclose a cheque for the 1st month premium with your application.
* Long-Term Disability may not be available in all plans.
Chart A – Single Coverage
Employee Benefits Plan Monthly Cost Calculator Worksheet
Premium total above is subject to Provincial Sales Tax. This tax will be added to your monthly billing.
Please submit this page with your application.
Chart B – Family Coverage
Chart C – Dental Coverage
Age Band Number of Employees Rate Total
Under 30 x =
30-39 x =
40-49 x =
50-59 x =
60-64 x =
TOTAL
Age Band Number of Employees Rate Total
Under 30 x =
30-39 x =
40-49 x =
50-59 x =
60-64 x =
TOTAL
Coverage Number of Employees Rate Total
Single Coverage x =
Family Coverage x =
TOTAL
Chart D – Total of Chart A, B and C
Total Single Total Family Total Optional TOTALMonthly Premium + Monthly Premium + Dental Plan = Monthly Cost
(Chart A) (Chart B) (Chart C)
Employee Benefits Plan
Monthly Cost Calculator
Underwritten by RBC Life Insurance Company.
™ Trade-mark of Royal Bank of Canada, used under license.RBC Insurance is a registered trade-mark of Royal Bank of Canada, used under license.
Call us toll-free at 1-888-614-0000 and we willbe pleased to calculate the monthly cost of the
employee benefits plan for you.