Page 14 - 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.

TOBACCO
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 This rate card expires and is no longer valid on 12/31/2023.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 Issue age 18 will always be issued Nontobacco. 50 $11.33 $22.67 $34.00³ $45.33³
19 N/A³ $3.85 $5.77³ $7.70³ 51 $12.37 $24.74 $37.11³ $49.49³
20 $2.02 $4.04 $6.06³ $8.08³ 52 $13.38 $26.76 $40.14³ $53.52³
21 $2.12 $4.23 $6.35³ $8.47³ 53 $14.43 $28.86 $43.29³ $57.71³
22 $2.21 $4.43 $6.64³ $8.85³ 54 $15.45 $30.90 $46.34³ $61.79³
23 $2.31 $4.62 $6.93³ $9.23³ 55 $16.38 $32.76 $49.14³ $65.52³
24 $2.41 $4.81 $7.22³ $9.62³ 56 $17.70 $35.40 $53.09³ $70.79³
25 $2.50 $5.00 $7.50³ $10.00³ 57 $18.97 $37.93 $56.89³ $75.85³
26 $2.60 $5.20 $7.79³ $10.39³ 58 $20.20 $40.39 $60.58³ $80.77³
27 $2.70 $5.39 $8.08³ $10.77³ 59 $21.46 $42.92 $64.37³ $85.83³
28 $2.79 $5.58 $8.37³ $11.16³ 60 $22.71 $45.42 $68.12³ $90.83³
29 $2.89 $5.77 $8.66³ $11.54³ 61 $24.57 $49.14 $73.71³ $98.27³
30 $2.99 $5.96 $8.95³ $11.93³ 62 $26.41 $52.81 $79.22³ $105.62³
31 $3.08 $6.16 $9.23³ $12.31³ 63 $28.19 $56.37 $84.55³ $112.73³
32 $3.18 $6.35 $9.52³ $12.70³ 64 $29.93 $59.85 $89.77³ $119.70³
33 $3.27 $6.54 $9.81³ $13.08³ 65 $31.56 $63.11 $94.66³ $126.22³
34 $3.37 $6.74 $10.10³ $13.46³ 66 $34.62 $69.24 $103.86³ $138.48³
35 $3.47 $6.93 $10.39³ $13.85³ 67 $37.62 $75.23 $112.85³ $150.47³
36 $3.82 $7.63 $11.44³ $15.25³ 68 $40.54 $81.08 $121.62³ $162.16³
37 $4.15 $8.30 $12.45³ $16.60³ 69 $43.40 $86.80 $130.20³ $173.60³
38 $4.50 $9.00 $13.50³ $18.00³ 70 $46.18 $92.36 $138.54³ $184.72³
39 $4.87 $9.74 $14.61³ $19.49³ 71 ^ $53.72 $107.44 $161.15 $214.87
40 $5.22 $10.44 $15.65³ $20.87³ 72 ^ $56.18 $112.36 $168.54 $224.72
41 $5.76 $11.52 $17.28³ $23.04³ 73 ^ $58.89 $117.77 $176.66 $235.54
42 $6.32 $12.63 $18.94³ $25.25³ 74 ^ $61.93 $123.85 $185.77 $247.70
43 $6.86 $13.72 $20.57³ $27.43³ 75 ^ $65.35 $130.70 $196.04 $261.39
44 $7.41 $14.82 $22.23³ $29.64³ 76 ^ $69.36 $138.71 $208.07 $277.43
45 $7.94 $15.88 $23.82³ $31.75³ 77 ^ $71.83 $143.66 $215.48 $287.31
46 $8.59 $17.17 $25.75³ $34.33³ 78 ^ $74.46 $148.91 $223.36 $297.81
47 $9.26 $18.52 $27.78³ $37.04³ 79 ^ $77.23 $154.45 $231.67 $308.89
48 $9.96 $19.92 $29.87³ $39.83³ 80 ^ $80.14 $160.27 $240.41 $320.54
49 $10.66 $21.31 $31.97³ $42.62³

° 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 2 of 2 Printed 2/8/2023 1:58 PM