ABCDEFGHIJKLMNOPQRSTUVWXYZ
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BRIDGEWATER RAYNHAM RSD - STD GRID
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* No Health Questions Required During This Enrollment Only
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Monthly Rates
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Rate $ 0.52 $ 0.54 $ 0.56 $ 0.63 $ 0.81 $ 0.96 $ 1.12 $ 1.51 $ 1.93 $ 2.21
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Weekly BenefitAge <2425-2930-3435-3940-4445-4950-5455-5960-6465 & Older
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$ 100 $5.20 $5.40 $5.60 $6.30 $8.10 $9.60 $11.20 $15.10 $19.30 $22.10
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$ 110 $5.72 $5.94 $6.16 $6.93 $8.91 $10.56 $12.32 $16.61 $21.23 $24.31
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$ 120 $6.24 $6.48 $6.72 $7.56 $9.72 $11.52 $13.44 $18.12 $23.16 $26.52
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$ 130 $6.76 $7.02 $7.28 $8.19 $10.53 $12.48 $14.56 $19.63 $25.09 $28.73
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$ 140 $7.28 $7.56 $7.84 $8.82 $11.34 $13.44 $15.68 $21.14 $27.02 $30.94
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$ 150 $7.80 $8.10 $8.40 $9.45 $12.15 $14.40 $16.80 $22.65 $28.95 $33.15
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$ 160 $8.32 $8.64 $8.96 $10.08 $12.96 $15.36 $17.92 $24.16 $30.88 $35.36
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$ 170 $8.84 $9.18 $9.52 $10.71 $13.77 $16.32 $19.04 $25.67 $32.81 $37.57
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$ 180 $9.36 $9.72 $10.08 $11.34 $14.58 $17.28 $20.16 $27.18 $34.74 $39.78
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$ 190 $9.88 $10.26 $10.64 $11.97 $15.39 $18.24 $21.28 $28.69 $36.67 $41.99
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$ 200 $10.40 $10.80 $11.20 $12.60 $16.20 $19.20 $22.40 $30.20 $38.60 $44.20
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$ 210 $10.92 $11.34 $11.76 $13.23 $17.01 $20.16 $23.52 $31.71 $40.53 $46.41
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$ 220 $11.44 $11.88 $12.32 $13.86 $17.82 $21.12 $24.64 $33.22 $42.46 $48.62
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$ 230 $11.96 $12.42 $12.88 $14.49 $18.63 $22.08 $25.76 $34.73 $44.39 $50.83
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$ 240 $12.48 $12.96 $13.44 $15.12 $19.44 $23.04 $26.88 $36.24 $46.32 $53.04
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$ 250 $13.00 $13.50 $14.00 $15.75 $20.25 $24.00 $28.00 $37.75 $48.25 $55.25
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$ 260 $13.52 $14.04 $14.56 $16.38 $21.06 $24.96 $29.12 $39.26 $50.18 $57.46
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$ 270 $14.04 $14.58 $15.12 $17.01 $21.87 $25.92 $30.24 $40.77 $52.11 $59.67
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$ 280 $14.56 $15.12 $15.68 $17.64 $22.68 $26.88 $31.36 $42.28 $54.04 $61.88
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$ 290 $15.08 $15.66 $16.24 $18.27 $23.49 $27.84 $32.48 $43.79 $55.97 $64.09
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$ 300 $15.60 $16.20 $16.80 $18.90 $24.30 $28.80 $33.60 $45.30 $57.90 $66.30
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$ 310 $16.12 $16.74 $17.36 $19.53 $25.11 $29.76 $34.72 $46.81 $59.83 $68.51
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$ 320 $16.64 $17.28 $17.92 $20.16 $25.92 $30.72 $35.84 $48.32 $61.76 $70.72
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$ 330 $17.16 $17.82 $18.48 $20.79 $26.73 $31.68 $36.96 $49.83 $63.69 $72.93
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$ 340 $17.68 $18.36 $19.04 $21.42 $27.54 $32.64 $38.08 $51.34 $65.62 $75.14
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$ 350 $18.20 $18.90 $19.60 $22.05 $28.35 $33.60 $39.20 $52.85 $67.55 $77.35
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$ 360 $18.72 $19.44 $20.16 $22.68 $29.16 $34.56 $40.32 $54.36 $69.48 $79.56
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$ 370 $19.24 $19.98 $20.72 $23.31 $29.97 $35.52 $41.44 $55.87 $71.41 $81.77
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$ 380 $19.76 $20.52 $21.28 $23.94 $30.78 $36.48 $42.56 $57.38 $73.34 $83.98
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$ 390 $20.28 $21.06 $21.84 $24.57 $31.59 $37.44 $43.68 $58.89 $75.27 $86.19
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$ 400 $20.80 $21.60 $22.40 $25.20 $32.40 $38.40 $44.80 $60.40 $77.20 $88.40
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$ 410 $21.32 $22.14 $22.96 $25.83 $33.21 $39.36 $45.92 $61.91 $79.13 $90.61
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$ 420 $21.84 $22.68 $23.52 $26.46 $34.02 $40.32 $47.04 $63.42 $81.06 $92.82
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$ 430 $22.36 $23.22 $24.08 $27.09 $34.83 $41.28 $48.16 $64.93 $82.99 $95.03
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$ 440 $22.88 $23.76 $24.64 $27.72 $35.64 $42.24 $49.28 $66.44 $84.92 $97.24
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$ 450 $23.40 $24.30 $25.20 $28.35 $36.45 $43.20 $50.40 $67.95 $86.85 $99.45
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$ 460 $23.92 $24.84 $25.76 $28.98 $37.26 $44.16 $51.52 $69.46 $88.78 $101.66
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$ 470 $24.44 $25.38 $26.32 $29.61 $38.07 $45.12 $52.64 $70.97 $90.71 $103.87
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$ 480 $24.96 $25.92 $26.88 $30.24 $38.88 $46.08 $53.76 $72.48 $92.64 $106.08
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$ 490 $25.48 $26.46 $27.44 $30.87 $39.69 $47.04 $54.88 $73.99 $94.57 $108.29
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$ 500 $26.00 $27.00 $28.00 $31.50 $40.50 $48.00 $56.00 $75.50 $96.50 $110.50
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$ 510 $26.52 $27.54 $28.56 $32.13 $41.31 $48.96 $57.12 $77.01 $98.43 $112.71
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$ 520 $27.04 $28.08 $29.12 $32.76 $42.12 $49.92 $58.24 $78.52 $100.36 $114.92
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$ 530 $27.56 $28.62 $29.68 $33.39 $42.93 $50.88 $59.36 $80.03 $102.29 $117.13
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$ 540 $28.08 $29.16 $30.24 $34.02 $43.74 $51.84 $60.48 $81.54 $104.22 $119.34
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$ 550 $28.60 $29.70 $30.80 $34.65 $44.55 $52.80 $61.60 $83.05 $106.15 $121.55
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$ 560 $29.12 $30.24 $31.36 $35.28 $45.36 $53.76 $62.72 $84.56 $108.08 $123.76
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$ 570 $29.64 $30.78 $31.92 $35.91 $46.17 $54.72 $63.84 $86.07 $110.01 $125.97
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$ 580 $30.16 $31.32 $32.48 $36.54 $46.98 $55.68 $64.96 $87.58 $111.94 $128.18
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$ 590 $30.68 $31.86 $33.04 $37.17 $47.79 $56.64 $66.08 $89.09 $113.87 $130.39
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$ 600 $31.20 $32.40 $33.60 $37.80 $48.60 $57.60 $67.20 $90.60 $115.80 $132.60
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$ 610 $31.72 $32.94 $34.16 $38.43 $49.41 $58.56 $68.32 $92.11 $117.73 $134.81
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$ 620 $32.24 $33.48 $34.72 $39.06 $50.22 $59.52 $69.44 $93.62 $119.66 $137.02
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$ 630 $32.76 $34.02 $35.28 $39.69 $51.03 $60.48 $70.56 $95.13 $121.59 $139.23
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$ 640 $33.28 $34.56 $35.84 $40.32 $51.84 $61.44 $71.68 $96.64 $123.52 $141.44
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$ 650 $33.80 $35.10 $36.40 $40.95 $52.65 $62.40 $72.80 $98.15 $125.45 $143.65
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$ 660 $34.32 $35.64 $36.96 $41.58 $53.46 $63.36 $73.92 $99.66 $127.38 $145.86
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$ 670 $34.84 $36.18 $37.52 $42.21 $54.27 $64.32 $75.04 $101.17 $129.31 $148.07
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$ 680 $35.36 $36.72 $38.08 $42.84 $55.08 $65.28 $76.16 $102.68 $131.24 $150.28
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$ 690 $35.88 $37.26 $38.64 $43.47 $55.89 $66.24 $77.28 $104.19 $133.17 $152.49
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$ 700 $36.40 $37.80 $39.20 $44.10 $56.70 $67.20 $78.40 $105.70 $135.10 $154.70
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$ 710 $36.92 $38.34 $39.76 $44.73 $57.51 $68.16 $79.52 $107.21 $137.03 $156.91
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$ 720 $37.44 $38.88 $40.32 $45.36 $58.32 $69.12 $80.64 $108.72 $138.96 $159.12
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$ 730 $37.96 $39.42 $40.88 $45.99 $59.13 $70.08 $81.76 $110.23 $140.89 $161.33
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$ 740 $38.48 $39.96 $41.44 $46.62 $59.94 $71.04 $82.88 $111.74 $142.82 $163.54
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$ 750 $39.00 $40.50 $42.00 $47.25 $60.75 $72.00 $84.00 $113.25 $144.75 $165.75
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* 22 Week Duration
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* 60% of Monthly Salary - Units of 10
Formula: Weekly Benefit/10 X Rate
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* Maximum $1,150.00 per week
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*This form is for informational purposes only, please refer to the contract for specific language.
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