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