Page 13 - ACI 2023

CGI° Group Term to Age 100 Life Insurance, Weekly Premium² Quotes
For Eligible EMPLOYEES of 10-249 life Employer Groups. CGI° Max. $70,000.

NONTOBACCO
This rate card is for groups sitused in Maryland. This rate card expires and is no longer valid on 12/31/2023.
The appropriate Illustration Certification must be completed in all states.
Weekly Premium for Weekly 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 $2.50 $5.00 $7.50³ $10.00³ 50 $6.79 $13.57 $20.36³ $27.14³
19 N/A³ $3.47 $5.20³ $6.93³ 51 $7.49 $14.98 $22.46³ $29.95³
20 N/A³ $3.47 $5.20³ $6.93³ 52 $8.20 $16.39 $24.58³ $32.77³
21 N/A³ $3.47 $5.20³ $6.93³ 53 $8.90 $17.79 $26.69³ $35.58³
22 N/A³ $3.47 $5.20³ $6.93³ 54 $9.60 $19.20 $28.79³ $38.39³
23 N/A³ $3.47 $5.20³ $6.93³ 55 $10.82 $21.64 $32.46³ $43.27³
24 N/A³ $3.47 $5.20³ $6.93³ 56 $11.80 $23.59 $35.38³ $47.18³
25 N/A³ $3.47 $5.20³ $6.93³ 57 $12.77 $25.54 $38.31³ $51.08³
26 N/A³ $3.52 $5.28³ $7.04³ 58 $13.75 $27.50 $41.24³ $54.98³
27 N/A³ $3.58 $5.37³ $7.16³ 59 $14.72 $29.45 $44.17³ $58.89³
28 N/A³ $3.64 $5.46³ $7.27³ 60 $15.69 $31.38 $47.07³ $62.75³
29 N/A³ $3.70 $5.54³ $7.39³ 61 $17.20 $34.40 $51.59³ $68.79³
30 N/A³ $3.75 $5.63³ $7.50³ 62 $18.71 $37.42 $56.12³ $74.83³
31 N/A³ $3.95 $5.92³ $7.89³ 63 $20.23 $40.45 $60.67³ $80.89³
32 $2.07 $4.14 $6.21³ $8.27³ 64 $21.74 $43.46 $65.20³ $86.93³
33 $2.17 $4.33 $6.50³ $8.66³ 65 $23.24 $46.49 $69.73³ $92.96³
34 $2.26 $4.52 $6.78³ $9.04³ 66 $25.57 $51.14 $76.71³ $102.27³
35 $2.36 $4.72 $7.07³ $9.43³ 67 $27.89 $55.78 $83.67³ $111.56³
36 $2.46 $4.92 $7.37³ $9.83³ 68 $30.22 $60.44 $90.65³ $120.87³
37 $2.67 $5.34 $8.01³ $10.68³ 69 $32.54 $65.08 $97.62³ $130.16³
38 $2.87 $5.75 $8.61³ $11.48³ 70 $34.86 $69.73 $104.59³ $139.45³
39 $3.08 $6.15 $9.22³ $12.29³ 71 ^ $41.03 $82.06 $123.09 $164.12
40 $3.28 $6.55 $9.83³ $13.10³ 72 ^ $42.59 $85.17 $127.75 $170.33
41 $3.59 $7.19 $10.78³ $14.37³ 73 ^ $44.26 $88.52 $132.78 $177.04
42 $3.91 $7.81 $11.72³ $15.62³ 74 ^ $46.68 $93.36 $140.04 $186.71
43 $4.22 $8.44 $12.65³ $16.87³ 75 ^ $49.57 $99.14 $148.71 $198.27
44 $4.54 $9.07 $13.61³ $18.14³ 76 ^ $61.13 $122.25 $183.38 $244.50
45 $4.85 $9.70 $14.54³ $19.39³ 77 ^ $64.82 $129.63 $194.44 $259.25
46 $5.24 $10.49 $15.73³ $20.96³ 78 ^ $67.80 $135.59 $203.38 $271.18
47 $5.63 $11.26 $16.89³ $22.52³ 79 ^ $70.46 $140.91 $211.36 $281.81
48 $6.02 $12.03 $18.05³ $24.06³ 80 ^ $73.27 $146.54 $219.81 $293.08
49 $6.40 $12.80 $19.20³ $25.60³

° Contingent Guarantee Issue (CGI) 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. WEEKLY means 52 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 71-80 and quotes in excess of U/W offer (³).
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. ©2023 Allstate Insurance Company.

FOR HOME OFFICE USE ONLY: Settings were Maryland-Employee-WEEKLY-CGI/GI-REGV-60-TRUE-0-0-N-Initial Death Benefit-25000-50000-75000-100000

Version 5.0 (Rev. 4/15/2021) Page 1 of 2 Printed 2/8/2023 1:58 PM