Page 14 - Term to 100 Brochure MD.pdf

SI Group Term to Age 100 Life Insurance, Monthly Premium² Quotes
For Eligible EMPLOYEEs of Employer Groups.

NONTOBACCO
This rate card is for groups sitused in Maryland. This rate card expires and is no longer valid on 7/31/2021.
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 $50,000 $ $ $ Age $50,000 $ $ $
18 $21.67 N/A³ N/A³ N/A³ 50 $58.79 N/A³ N/A³ N/A³
19 $15.00 N/A³ N/A³ N/A³ 51 $64.88 N/A³ N/A³ N/A³
20 $15.00 N/A³ N/A³ N/A³ 52 $71.00 N/A³ N/A³ N/A³
21 $15.00 N/A³ N/A³ N/A³ 53 $77.08 N/A³ N/A³ N/A³
22 $15.00 N/A³ N/A³ N/A³ 54 $83.17 N/A³ N/A³ N/A³
23 $15.00 N/A³ N/A³ N/A³ 55 $93.75 N/A³ N/A³ N/A³
24 $15.00 N/A³ N/A³ N/A³ 56 $102.21 N/A³ N/A³ N/A³
25 $15.00 N/A³ N/A³ N/A³ 57 $110.67 N/A³ N/A³ N/A³
26 $15.25 N/A³ N/A³ N/A³ 58 $119.13 N/A³ N/A³ N/A³
27 $15.50 N/A³ N/A³ N/A³ 59 $127.58 N/A³ N/A³ N/A³
28 $15.75 N/A³ N/A³ N/A³ 60 $135.96 N/A³ N/A³ N/A³
29 $16.00 N/A³ N/A³ N/A³ 61 $149.04 N/A³ N/A³ N/A³
30 $16.25 N/A³ N/A³ N/A³ 62 $162.13 N/A³ N/A³ N/A³
31 $17.08 N/A³ N/A³ N/A³ 63 $175.25 N/A³ N/A³ N/A³
32 $17.92 N/A³ N/A³ N/A³ 64 $188.33 N/A³ N/A³ N/A³
33 $18.75 N/A³ N/A³ N/A³ 65 $201.42 N/A³ N/A³ N/A³
34 $19.58 N/A³ N/A³ N/A³ 66 $221.58 N/A³ N/A³ N/A³
35 $20.42 N/A³ N/A³ N/A³ 67 $241.71 N/A³ N/A³ N/A³
36 $21.29 N/A³ N/A³ N/A³ 68 $261.88 N/A³ N/A³ N/A³
37 $23.13 N/A³ N/A³ N/A³ 69 $282.00 N/A³ N/A³ N/A³
38 $24.88 N/A³ N/A³ N/A³ 70 $302.13 N/A³ N/A³ N/A³
39 $26.63 N/A³ N/A³ N/A³ 71 $355.58 N/A³ N/A³ N/A³
40 $28.38 N/A³ N/A³ N/A³ 72 $369.04 N/A³ N/A³ N/A³
41 $31.13 N/A³ N/A³ N/A³ 73 $383.58 N/A³ N/A³ N/A³
42 $33.83 N/A³ N/A³ N/A³ 74 $404.54 N/A³ N/A³ N/A³
43 $36.54 N/A³ N/A³ N/A³ 75 $429.58 N/A³ N/A³ N/A³
44 $39.29 N/A³ N/A³ N/A³ 76 $529.75 N/A³ N/A³ N/A³
45 $42.00 N/A³ N/A³ N/A³ 77 $561.71 N/A³ N/A³ N/A³
46 $45.42 N/A³ N/A³ N/A³ 78 $587.54 N/A³ N/A³ N/A³
47 $48.79 N/A³ N/A³ N/A³ 79 $610.58 N/A³ N/A³ N/A³
48 $52.13 N/A³ N/A³ N/A³ 80 $635.00 N/A³ N/A³ N/A³
49 $55.46 N/A³ N/A³ N/A³
Group must be in an acceptable industry for life insurance risk. Consult the Industry Lookup Tool on the agent website with the group's SIC.
SI, Simplified Issue underwriting requires satisfactory evidence of insurability (EOI) to issue.
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.
³ Quote does not meet the minimum size requirement, i.e. the greater of $5,000 or the amount purchased by $2/week
without regard to riders.

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 policy form for exact benefits, limitations, exclusions, and other provisions applicable to the
state of solicitation. Allstate Benefits is the marketing name for American Heritage Life Insurance Company, Home Office,
Jacksonville, FL, a subsidiary of The Allstate Corporation. ©2018 Allstate Insurance Company.

FOR HOME OFFICE USE ONLY: Settings were Maryland-Employee-MONTHLY-SI-10-FALSE-0-0-N-Initial Death Benefit-50000---

Version 4.0 (Rev. 10/2/2019) Page 1 of 2 Printed 3/29/2021 11:13 AM