Page 15 - Hillside Veterinary
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Group Term to Age 100 Life Insurance - Monthly PremiumsĀ¹ For Eligible Employees
                 Working Spouse eligible for $30,000 only; Dependent Children may be covered by Children's Term RiderĀ²

                                                        TOBACCO






            18      Issue age 18 will be issued as Non-tobacco.      50       $58.93      $78.57       $98.21
            19       $10.00      $13.33       $16.67                 51       $64.33      $85.77      $107.21
            20       $10.50      $14.00       $17.50                 52       $69.58      $92.77      $115.96
            21       $11.00      $14.67       $18.33                 53       $75.03      $100.03     $125.04
            22       $11.50      $15.33       $19.17                 54       $80.33      $107.10     $133.88
            23       $12.00      $16.00       $20.00                 55       $85.18      $113.57     $141.96
            24       $12.50      $16.67       $20.83                 56       $92.03      $122.70     $153.38
            25       $13.00      $17.33       $21.67                 57       $98.60      $131.47     $164.33
            26       $13.50      $18.00       $22.50                 58      $105.00      $140.00     $175.00
            27       $14.00      $18.67       $23.33                 59      $111.58      $148.77     $185.96
            28       $14.50      $19.33       $24.17                 60      $118.08      $157.43     $196.79
            29       $15.00      $20.00       $25.00                 61      $127.75      $170.33     $212.92
            30       $15.50      $20.67       $25.83                 62      $137.30      $183.07     $228.83
            31       $16.00      $21.33       $26.67                 63      $146.55      $195.40     $244.25
            32       $16.50      $22.00       $27.50                 64      $155.60      $207.47     $259.33
            33       $17.00      $22.67       $28.33                 65      $164.08      $218.77     $273.46
            34       $17.50      $23.33       $29.17
            35       $18.00      $24.00       $30.00
            36       $19.83      $26.43       $33.04
            37       $21.58      $28.77       $35.96
            38       $23.40      $31.20       $39.00
            39       $25.33      $33.77       $42.21
            40       $27.13      $36.17       $45.21
            41       $29.95      $39.93       $49.92
            42       $32.83      $43.77       $54.71
            43       $35.65      $47.53       $59.42               AL, AZ, AR, CA, CO, CT, DE, DC, FL, GA,
            44       $38.53      $51.37       $64.21               GU, HI, ID, IL, IN, IA, KS, KY, LA, ME,
            45       $41.28      $55.03       $68.79               MD, MA, MI, MN, MS, MO, MT, NV, NH, NJ,
            46       $44.63      $59.50       $74.38               NM, NC, ND, OH, OK, PA, RI, SC, SD, TN,
            47       $48.15      $64.20       $80.25               TX, UT, VI, VA, WA, WV, WI, WY
            48       $51.78      $69.03       $86.29
            49       $55.40      $73.87       $92.33






















                    This rate insert is for use with materials for accounts sitused in one of the listed states, and is not to be used on its own.
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