Page 93 - Aflac Flipbook 2023

Rate sheet prepared by Web User on 3/3/2023 3:03:24 PM.
Maryland Payroll Premium rates are Weekly for industry Class C.
The rates shown on this insert page are for illustration purposes only; they do not imply coverage.
For more information about policy/plan benefits and limitations, please refer to the accompanying
product brochure for each insurance policy/plan listed below.

AFLAC HOSPITAL CHOICE - Option 1 Benefit Amount 500 - Series B40100
Premium EBR HSSCR Total
18-49 INDIVIDUAL $4.53 $3.09 $4.86 $12.48
50-59 $4.65 $3.48 $6.24 $14.37
60-75 $4.80 $3.54 $8.13 $16.47
18-49 INSURED/SPOUSE $5.94 $6.48 $8.91 $21.33
50-59 $6.27 $7.26 $12.39 $25.92
60-75 $6.45 $7.35 $15.54 $29.34
18-49 ONE-PARENT FAMILY $5.94 $6.15 $6.75 $18.84
50-59 $6.06 $6.27 $7.68 $20.01
60-75 $6.21 $6.42 $10.05 $22.68
18-49 TWO-PARENT FAMILY $6.78 $7.86 $9.09 $23.73
50-59 $6.90 $8.01 $14.61 $29.52
60-75 $7.05 $8.34 $16.59 $31.98
EBR*: Extended Benefit Rider Premium (Available for ages 18-75)
HSSCR*: Hospital Stay and Surgical Care Rider Premium (Available for ages 18-75)
*Note – The Extended Benefit Rider and Hospital Stay and Surgical Care Rider are not available with Option H.

AFLAC HOSPITAL CHOICE - Option 1 Benefit Amount 1000 - Series B40100
Premium EBR HSSCR Total
18-49 INDIVIDUAL $7.14 $3.09 $4.86 $15.09
50-59 $7.29 $3.48 $6.24 $17.01
60-75 $7.50 $3.54 $8.13 $19.17
18-49 INSURED/SPOUSE $10.14 $6.48 $8.91 $25.53
50-59 $10.74 $7.26 $12.39 $30.39
60-75 $11.46 $7.35 $15.54 $34.35
18-49 ONE-PARENT FAMILY $9.09 $6.15 $6.75 $21.99
50-59 $9.21 $6.27 $7.68 $23.16
60-75 $9.36 $6.42 $10.05 $25.83
18-49 TWO-PARENT FAMILY $10.77 $7.86 $9.09 $27.72
50-59 $10.86 $8.01 $14.61 $33.48
60-75 $11.61 $8.34 $16.59 $36.54
EBR*: Extended Benefit Rider Premium (Available for ages 18-75)
HSSCR*: Hospital Stay and Surgical Care Rider Premium (Available for ages 18-75)
*Note – The Extended Benefit Rider and Hospital Stay and Surgical Care Rider are not available with Option H.

Page 1 of 4