Salary or Coverage Rate Table (BN18.4)

Use Salary or Coverage Rate Table (BN18.4) to define flat annual contributions based on the benefit's annual salary or coverage amount. You can vary contributions by age, salary, or years of service.

Use this form only if the Coverage Type field in Coverage Amount and the Contribution Type field is Salary or Coverage Rate Table in BN15.1 (Benefit Plan) for the plan.

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Any amounts on this form use the currency associated with the plan on BN15.1 (Benefit Plan).