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GI° Group Term to Age 100 Life Insurance, Monthly Premium² Quotes
                               For Eligible EMPLOYEES of 10-249 life Employer Groups. GI° Max. $70,000.

                                                        NONTOBACCO
                  This rate card is for groups sitused in Maryland.  This rate card expires and is no longer valid on 12/31/2025.
                              The appropriate Illustration Certification must be completed in all states.
                            Monthly Premium for                                        Monthly Premium for
      Issue        Group Term to 100 Initial Death Benefit¹ of:  Issue        Group Term to 100 Initial Death Benefit¹ of:
       Age     $100,000    $150,000    $200,000    $250,000       Age     $100,000    $150,000    $200,000    $250,000
       18      $30.00³     $45.00³     $60.00³    $75.00³        50      $117.58³    $176.38³    $235.17³    $293.96³
       19      $30.00³     $45.00³     $60.00³     $75.00³       51      $129.75³    $194.63³    $259.50³    $324.38³
       20      $30.00³     $45.00³     $60.00³     $75.00³       52      $142.00³    $213.00³    $284.00³    $355.00³
       21      $30.00³     $45.00³     $60.00³     $75.00³       53      $154.17³    $231.25³    $308.33³    $385.42³
       22      $30.00³     $45.00³     $60.00³     $75.00³       54      $166.33³    $249.50³    $332.67³    $415.83³
       23      $30.00³     $45.00³     $60.00³     $75.00³       55      $187.50³    $281.25³    $375.00³    $468.75³
       24      $30.00³     $45.00³     $60.00³     $75.00³       56      $204.42³    $306.63³    $408.83³    $511.04³
       25      $30.00³     $45.00³     $60.00³     $75.00³       57      $221.33³    $332.00³    $442.67³    $553.33³
       26      $30.50³     $45.75³     $61.00³     $76.25³       58      $238.25³    $357.38³    $476.50³    $595.63³
       27      $31.00³     $46.50³     $62.00³     $77.50³       59      $255.17³    $382.75³    $510.33³    $637.92³
       28      $31.50³     $47.25³     $63.00³     $78.75³       60      $271.92³    $407.88³    $543.83³    $679.79³
       29      $32.00³     $48.00³     $64.00³     $80.00³       61      $298.08³    $447.13³    $596.17³    $745.21³
       30      $32.50³     $48.75³     $65.00³     $81.25³       62      $324.25³    $486.38³    $648.50³    $810.63³
       31      $34.17³     $51.25³     $68.33³     $85.42³       63      $350.50³    $525.75³    $701.00³    $876.25³
       32      $35.83³     $53.75³     $71.67³     $89.58³       64      $376.67³    $565.00³    $753.33³    $941.67³
       33      $37.50³     $56.25³     $75.00³     $93.75³       65      $402.83³    $604.25³    $805.67³   $1,007.08³
       34      $39.17³     $58.75³     $78.33³     $97.92³       66      $443.17³    $664.75³    $886.33³   $1,107.92³
       35      $40.83³     $61.25³     $81.67³    $102.08³       67      $483.42³    $725.13³    $966.83³   $1,208.54³
       36      $42.58³     $63.88³     $85.17³    $106.46³       68      $523.75³    $785.63³   $1,047.50³ $1,309.38³
       37      $46.25³     $69.38³     $92.50³    $115.63³       69      $564.00³    $846.00³   $1,128.00³ $1,410.00³
       38      $49.75³     $74.63³     $99.50³    $124.38³       70      $604.25³    $906.38³   $1,208.50³ $1,510.63³
       39      $53.25³     $79.88³    $106.50³    $133.13³       71 ^     $711.17    $1,066.75   $1,422.33   $1,777.92
       40      $56.75³     $85.13³    $113.50³    $141.88³       72 ^     $738.08    $1,107.13   $1,476.17   $1,845.21
       41      $62.25³     $93.38³    $124.50³    $155.63³       73 ^     $767.17    $1,150.75   $1,534.33   $1,917.92
       42      $67.67³    $101.50³    $135.33³    $169.17³       74 ^     $809.08    $1,213.63   $1,618.17   $2,022.71
       43      $73.08³    $109.63³    $146.17³    $182.71³       75 ^     $859.17    $1,288.75   $1,718.33   $2,147.92
       44      $78.58³    $117.88³    $157.17³    $196.46³       76 ^    $1,059.50   $1,589.25   $2,119.00   $2,648.75
       45      $84.00³    $126.00³    $168.00³    $210.00³       77 ^    $1,123.42   $1,685.13   $2,246.83   $2,808.54
       46      $90.83³    $136.25³    $181.67³    $227.08³       78 ^    $1,175.08   $1,762.63   $2,350.17   $2,937.71
       47      $97.58³    $146.38³    $195.17³    $243.96³       79 ^    $1,221.17   $1,831.75   $2,442.33   $3,052.92
       48     $104.25³    $156.38³    $208.50³    $260.63³       80 ^    $1,270.00   $1,905.00   $2,540.00   $3,175.00
       49     $110.92³    $166.38³    $221.83³    $277.29³
     ° Guarantee Issue (GI) underwriting limits are subject to account specific offer. Quotes denoted † or ³ are not Guarantee Issue and require
     d answering Evidence of Insurability questions.
     ¹ Initial Death Benefit is guaranteed level for the first five (5) years. After the first five years, the death benefit may decrease, but it will never
     be less than the minimum guaranteed in the policy. The current, non-guaranteed death benefit is projected to be level to age 100.
     ² Premium is level to age 100. MONTHLY means 12 times per year.







     ^ Evidence of insurability (EOI) is required for ages 71-80 and quotes in excess of U/W offer (³).
     For Agent Use Only.  Not for use with consumer sales.  Not to be disseminated to the public.
     This rate card is for certificate form GPTLC, or state variation thereof, underwritten by American Heritage Life Insurance Company.  Refer to the state specific brochure or
     po icy form for exact benefits,  imitations, exc usions, and other provisions  app icab e to the state of so icitation.  A  state Benefits  is the marketing name for American


     Heritage Life Insurance Company, Home Office, Jacksonvi  e, FL, a subsidiary of The A  state Corporation.  ©2025 A  state Insurance Company.

          FOR HOME OFFICE USE ONLY: Settings were Maryland-Employee-MONTHLY-GI-REGV-60-TRUE-0-0-N-Initial Death Benefit-100000-150000-200000-250000


            Version 5.6 (Rev. 12/11/2024)               Page 1 of 2                        Printed 1/8/2025 3:11 PM
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