Page 94 - 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 1500 - Series B40100
Premium EBR HSSCR Total
18-49 INDIVIDUAL $10.14 $3.09 $4.86 $18.09
50-59 $10.23 $3.48 $6.24 $19.95
60-75 $10.74 $3.54 $8.13 $22.41
18-49 INSURED/SPOUSE $14.76 $6.48 $8.91 $30.15
50-59 $15.60 $7.26 $12.39 $35.25
60-75 $16.98 $7.35 $15.54 $39.87
18-49 ONE-PARENT FAMILY $12.60 $6.15 $6.75 $25.50
50-59 $12.72 $6.27 $7.68 $26.67
60-75 $12.87 $6.42 $10.05 $29.34
18-49 TWO-PARENT FAMILY $14.91 $7.86 $9.09 $31.86
50-59 $15.75 $8.01 $14.61 $38.37
60-75 $17.10 $8.34 $16.59 $42.03
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 2000 - Series B40100
Premium EBR HSSCR Total
18-49 INDIVIDUAL $13.50 $3.09 $4.86 $21.45
50-59 $13.65 $3.48 $6.24 $23.37
60-75 $14.43 $3.54 $8.13 $26.10
18-49 INSURED/SPOUSE $20.13 $6.48 $8.91 $35.52
50-59 $21.24 $7.26 $12.39 $40.89
60-75 $23.31 $7.35 $15.54 $46.20
18-49 ONE-PARENT FAMILY $16.62 $6.15 $6.75 $29.52
50-59 $16.71 $6.27 $7.68 $30.66
60-75 $16.86 $6.42 $10.05 $33.33
18-49 TWO-PARENT FAMILY $20.22 $7.86 $9.09 $37.17
50-59 $21.39 $8.01 $14.61 $44.01
60-75 $23.46 $8.34 $16.59 $48.39
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.

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