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CGI° Group Term to Age 100 Life Insurance, Biweekly Premium² Quotes
For Eligible EMPLOYEEs of Employer Groups. CGI° Max. $12.00/week up to $150,000.

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 This rate card expires and is no longer valid on 7/31/2021.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.
Biweekly Premium for Biweekly Premium for
Issue Group Term to 100 Initial Death Benefit¹ of: Issue Group Term to 100 Initial Death Benefit¹ of:
Age $25,000 $50,000 $75,000 $100,000 Age $25,000 $50,000 $75,000 $100,000
18 $5.00 $10.00 $15.00 $20.00 50 $13.58 $27.14³ $40.72³ $54.28³
19 N/A³ $6.94 $10.40 $13.86 51 $14.98 $29.96³ $44.92³ $59.90³
20 N/A³ $6.94 $10.40 $13.86 52 $16.40 $32.78³ $49.16³ $65.54³
21 N/A³ $6.94 $10.40 $13.86 53 $17.80 $35.58³ $53.38³ $71.16³
22 N/A³ $6.94 $10.40 $13.86 54 $19.20 $38.40³ $57.58³ $76.78³
23 N/A³ $6.94 $10.40 $13.86 55 $21.64 $43.28³ $64.92³ $86.54³
24 N/A³ $6.94 $10.40 $13.86 56 $23.60 $47.18³ $70.76³ $94.36³
25 N/A³ $6.94 $10.40 $13.86 57 $25.54³ $51.08³ $76.62³ $102.16³
26 N/A³ $7.04 $10.56 $14.08 58 $27.50³ $55.00³ $82.48³ $109.96³
27 N/A³ $7.16 $10.74 $14.32 59 $29.44³ $58.90³ $88.34³ $117.78³
28 N/A³ $7.28 $10.92 $14.54 60 $31.38³ $62.76³ $94.14³ $125.50³
29 N/A³ $7.40 $11.08 $14.78 61 $34.40³ $68.80³ $103.18³ $137.58³
30 N/A³ $7.50 $11.26 $15.00 62 $37.42³ $74.84³ $112.24³ $149.66³
31 N/A³ $7.90 $11.84 $15.78 63 $40.46³ $80.90³ $121.34³ $161.78³
32 $4.14 $8.28 $12.42 $16.54 64 $43.48³ $86.92³ $130.40³ $173.86³
33 $4.34 $8.66 $13.00 $17.32 65 $46.48³ $92.98³ $139.46³ $185.92³
34 $4.52 $9.04 $13.56 $18.08 66 † $51.14 $102.28 $153.42 $204.54
35 $4.72 $9.44 $14.14 $18.86 67 † $55.78 $111.56 $167.34 $223.12
36 $4.92 $9.84 $14.74 $19.66 68 † $60.44 $120.88 $181.30 $241.74
37 $5.34 $10.68 $16.02 $21.36 69 † $65.08 $130.16 $195.24 $260.32
38 $5.74 $11.50 $17.22 $22.96 70 † $69.72 $139.46 $209.18 $278.90
39 $6.16 $12.30 $18.44 $24.58³ 71 † $82.06 $164.12 $246.18 $328.24
40 $6.56 $13.10 $19.66 $26.20³ 72 † $85.18 $170.34 $255.50 $340.66
41 $7.18 $14.38 $21.56 $28.74³ 73 † $88.52 $177.04 $265.56 $354.08
42 $7.82 $15.62 $23.44 $31.24³ 74 † $93.36 $186.72 $280.08 $373.42
43 $8.44 $16.88 $25.30³ $33.74³ 75 † $99.14 $198.28 $297.42 $396.54
44 $9.08 $18.14 $27.22³ $36.28³ 76 † $122.26 $244.50 $366.76 $489.00
45 $9.70 $19.40 $29.08³ $38.78³ 77 † $129.64 $259.26 $388.88 $518.50
46 $10.48 $20.98 $31.46³ $41.92³ 78 † $135.60 $271.18 $406.76 $542.36
47 $11.26 $22.52 $33.78³ $45.04³ 79 † $140.92 $281.82 $422.72 $563.62
48 $12.04 $24.06³ $36.10³ $48.12³ 80 † $146.54 $293.08 $439.62 $586.16
49 $12.80 $25.60³ $38.40³ $51.20³
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.
° CGI, Contingent Guarantee Issue underwriting limits are subject to account specific offer. Quotes denoted † or ³ require EOI.
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. BIWEEKLY means 26 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, or it exceeds the CGI/GI Maximum (requires Evidence of Insurability).
† Evidence of insurability (EOI) is required for ages 66-80 and quotes in excess of U/W offer.

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-BIWEEKLY-CGI/GI-104-TRUE-0-0-N-Initial Death Benefit-25000-50000-75000-100000

Version 4.0 (Rev. 10/2/2019) Page 1 of 2 Printed 10/27/2020 12:38 PM