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Health Insurance

Golden Rule Celtic Assurant Humana One

Dental Plans
Family

Individual and
Family Plans


Medicare
    
Medicare Plans,
RX Plans,  Disability

Life Insurance

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Use this work sheet to calculate your annual living expenses and the
total life insurance needed. Skip those items that do not apply.

Expense Category Average Monthly Expenditure Example
Housing $ $

 Rent, mortgage payment, insurance, taxes

 Repairs and improvements

 Furnishings

Utilities
Food
Medical    

 Physician, dentist

 Medications

 Insurance

Clothing

Toiletries

Transportation

   

 Vehicle payments

 Gasoline

 Maintenance

 Auto insurance

Recreation
Child care
Life insurance
Other
TOTAL MONTHLY LIVING EXPENSES $ $
(Total monthly living expenses x 12 months = annual household expenses)    
ANNUAL LIVING EXPENSES $ * $
You may print this form for your convenience,
or press the Reset button to try a different set of numbers.

 *Enter this amount on line one, “Annual income objective,”
of the How Much Life Insurance Do You Need? Work Sheet
.