Exhibit_C14_-_Securian_March_2025_Premium_Statement.pdf
PDF 210 KB Posted
- Attached to
- RFP 25-02 Life Insurance Benefit Plans
- Solicitation number
- 0000036099
- Issued by
- San Bernardino County, California
About this file
The document is a monthly premium statement from Minnesota Life Insurance Company for the Superior Court of California, covering a group life and accidental death and dismemberment (AD&D) insurance policy for March 2025. The policy includes multiple coverage types: Basic Life, Supplemental Life, Spouse Life, Child Life, Voluntary AD&D for Employees, and Voluntary AD&D for Families, with a total of 1,134 to 672 insured individuals across different age brackets.
The total monthly premium due is $29,680.85, with detailed rate breakdowns for each coverage type based on the volume of insurance and per $1,000 unit rates. Supplemental Life rates range from $0.046 to $1.563 per $1,000 depending on the age group, while Spouse Life rates range from $0.082 to $3.385 per $1,000. The premium statement provides payment options including email submission to Group-Premium@Securian.com and wire transfer details to US Bank NA, with specific routing and account numbers for payment processing.
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Text version
Minnesota Life Insurance Company
Securian Financial Group, Inc.
400 Robert Street North
St. Paul, MN 55101-2098
1-866-293-6047 securian.com
Policy Holder: Superior Court of California PLEASE REMIT PAYMENT TO:
Policy Number: 33849 / 33850 Minnesota Life Insurance Company
Premium Month & Year: Mar-25 400 Robert Street North
St. Paul, MN 55101
Coverage Number of
Insured
Volume of
Insurance Rate
Per
$1,000/Unit Total Adjustments Adjusted Total
Basic Life 1,134 47,885,000 0.032 $1,000 1,532.32$ -$ 1,532.32$
Supplemental Life 672 122,940,000 20,917.82$ 20,917.82$
Spouse Life 227 9,300,000 3,657.45$ 3,657.45$
Child Life 363 6,150,000 0.110 $1,000 676.50$ -$ 676.50$
Voluntary AD&D - Employee 173 24,565,000 0.013 $1,000 319.35$ -$ 319.35$
Voluntary AD&D - Family 406 117,155,000 0.022 $1,000 2,577.41$ -$ 2,577.41$
Total Due: 29,680.85$
Signature: Susan Zenzen-Human Resources Manager Date: 5/28/2025
Please email premium statement to: Group-Premium@Securian.com
Wire transfer premium to account: US Bank NA
800 Nicollet Avenue
Minneapolis, MN 55402
Attn: Policy #33849
Routing Number 091-000022
Account Number 180110006004
Monthly Premium Statement
See Rate Chart
Payment Options
VOLUNTARY AD&D
See Rate Chart
Supplemental Life
Age Number of Insured
Volume of
Insurance Rate
Per $1,000
/ Unit Total Last month
Under 25 5 970,000 $0.046 $1,000 11.50 5 970,000
25-29 26 3,490,000 $0.046 $1,000 160.54 26 3,490,000
30-34 77 10,530,000 $0.061 $1,000 642.33 81 11,240,000
35-39 89 16,700,000 $0.068 $1,000 1,135.60 89 17,090,000
40-44 105 24,310,000 $0.076 $1,000 1,847.56 104 23,740,000
45-49 117 22,160,000 $0.114 $1,000 2,526.24 117 22,230,000
50-54 100 20,270,000 $0.174 $1,000 3,526.98 101 20,590,000
55-59 88 15,920,000 $0.326 $1,000 5,189.92 86 15,500,000
60-64 47 6,210,000 $0.501 $1,000 3,111.21 48 6,310,000
65-69 13 1,590,000 $0.963 $1,000 1,531.17 14 1,840,000
70-74 4 390,000 $1.563 $1,000 609.57 4 390,000
75 & Over 1 400,000 $1.563 $1,000 625.20 1 400,000
672 122,940,000 20,917.82$ 676 123,790,000
Spouse Life
Age Number of Insured
Volume of
Insurance Rate
Per $1,000
/ Unit Total Last month
Under 25 0 0 $0.082 $1,000 - 0 0
25-29 2 20,000 $0.099 $1,000 1.98 2 20,000
30-34 8 340,000 $0.131 $1,000 44.54 10 440,000
35-39 27 760,000 $0.148 $1,000 112.48 28 770,000
40-44 47 2,150,000 $0.164 $1,000 352.60 46 2,130,000
45-49 47 2,850,000 $0.246 $1,000 701.10 47 2,850,000
50-54 34 1,400,000 $0.378 $1,000 529.20 35 1,420,000 `
55-59 35 1,160,000 $0.706 $1,000 818.96 34 1,140,000
60-64 17 365,000 $1.084 $1,000 395.66 17 365,000
65-69 7 125,000 $2.087 $1,000 260.88 7 125,000
70-74 2 110,000 $3.385 $1,000 372.35 2 110,000
75 & Over 1 20,000 $3.385 $1,000 67.70 1 20,000
227 9,300,000 3,657.45$ 229 9,390,000
| March 2025 Premium Statement.pdf (p.1) |
| March 2025 Monthly Premium Statement Page 2.pdf (p.2) |
File details come from the government source that posted it. Updated .