Page 5 - MN Group Critical Illness Cricital Illness with Rates 24 PP.PDF

Deductions per year: 24 These rates were prepared on 9/29/2020 and are valid for 90 days.

Applicable to policy forms GCI6000-P, GCI6000-C,
Group Critical Illness (GCI6000) for MN R-GCI6000-CB, R-GCI6000-BB, R-GCI6000-HB,
R-GCI6000-INF, R-GCI6000-PD
l Plan 2 - Critical Illness & Cancer, Without Wellbeing Assistance, Heart Benefits, Infectious Diseases Benefit, Progressive
Diseases Benefit

Non-Tobacco Rates
ISSUE AGE NAMED INSURED NAMED INSURED AND NAMED INSURED AND NAMED INSURED, SPOUSE
SPOUSE DEPENDENT CHILD(REN) AND DEPENDENT CHILD(REN)
$5,000 17-24 $1.45 $2.13 $1.45 $2.13
25-29 $1.83 $2.68 $1.83 $2.68
30-34 $2.18 $3.23 $2.18 $3.23
35-39 $3.06 $4.51 $3.06 $4.51
40-44 $3.91 $5.78 $3.91 $5.78
45-49 $5.25 $7.93 $5.25 $7.93
50-54 $6.65 $10.10 $6.65 $10.10
55-59 $8.58 $13.00 $8.58 $13.00
60-64 $11.31 $17.15 $11.31 $17.15
65-69 $13.33 $20.25 $13.33 $20.25
70-74 $13.33 $20.25 $13.33 $20.25
$10,000 17-24 $2.90 $4.25 $2.90 $4.25
25-29 $3.65 $5.35 $3.65 $5.35
30-34 $4.35 $6.45 $4.35 $6.45
35-39 $6.10 $9.00 $6.10 $9.00
40-44 $7.80 $11.55 $7.80 $11.55
45-49 $10.50 $15.85 $10.50 $15.85
50-54 $13.30 $20.20 $13.30 $20.20
55-59 $17.15 $26.00 $17.15 $26.00
60-64 $22.60 $34.30 $22.60 $34.30
65-69 $26.65 $40.50 $26.65 $40.50
70-74 $26.65 $40.50 $26.65 $40.50
$20,000 17-24 $5.80 $8.50 $5.80 $8.50
25-29 $7.30 $10.70 $7.30 $10.70
30-34 $8.70 $12.90 $8.70 $12.90
35-39 $12.20 $18.00 $12.20 $18.00
40-44 $15.60 $23.10 $15.60 $23.10
45-49 $21.00 $31.70 $21.00 $31.70
50-54 $26.60 $40.40 $26.60 $40.40
55-59 $34.30 $52.00 $34.30 $52.00
60-64 $45.20 $68.60 $45.20 $68.60
65-69 $53.30 $81.00 $53.30 $81.00
70-74 $53.30 $81.00 $53.30 $81.00

Underwritten by Colonial Life & Accident Insurance Company
Page 1 of 3 See page 2 for Important Notice