Page 96 - 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 5000 - Series B40100
Premium EBR HSSCR Total
18-49 INDIVIDUAL $37.35 $3.09 $4.86 $45.30
50-59 $37.47 $3.48 $6.24 $47.19
60-75 $40.41 $3.54 $8.13 $52.08
18-49 INSURED/SPOUSE $57.60 $6.48 $8.91 $72.99
50-59 $60.51 $7.26 $12.39 $80.16
60-75 $67.77 $7.35 $15.54 $90.66
18-49 ONE-PARENT FAMILY $44.94 $6.15 $6.75 $57.84
50-59 $45.09 $6.27 $7.68 $59.04
60-75 $45.24 $6.42 $10.05 $61.71
18-49 TWO-PARENT FAMILY $57.75 $7.86 $9.09 $74.70
50-59 $60.66 $8.01 $14.61 $83.28
60-75 $67.89 $8.34 $16.59 $92.82
EBR*: Extended Benefit Rider Premium (Available for ages 18-75)
HSSCR*: Hospital Stay and Surgical Care Rider Premium (Available for ages 18-75)
The field force must obtain approval prior to selling the $3,000, $4,000, $5,000 Benefit Amount.
*Note – The Extended Benefit Rider and Hospital Stay and Surgical Care Rider are not available with Option H.

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