Page 13 - EIOM Goddard

CGI° Group Term to Age 100 Life Insurance, Biweekly 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 This rate card expires and is no longer valid on 12/31/2023.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.
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 Issue age 18 will always be issued Nontobacco. 50 $22.66 $45.34 $68.00³ $90.66³
19 N/A³ $7.70 $11.54³ $15.40³ 51 $24.74 $49.48 $74.22³ $98.98³
20 $4.04 $8.08 $12.12³ $16.16³ 52 $26.76 $53.52 $80.28³ $107.04³
21 $4.24 $8.46 $12.70³ $16.94³ 53 $28.86 $57.72 $86.58³ $115.42³
22 $4.42 $8.86 $13.28³ $17.70³ 54 $30.90 $61.80 $92.68³ $123.58³
23 $4.62 $9.24 $13.86³ $18.46³ 55 $32.76 $65.52 $98.28³ $131.04³
24 $4.82 $9.62 $14.44³ $19.24³ 56 $35.40 $70.80 $106.18³ $141.58³
25 $5.00 $10.00 $15.00³ $20.00³ 57 $37.94 $75.86 $113.78³ $151.70³
26 $5.20 $10.40 $15.58³ $20.78³ 58 $40.40 $80.78 $121.16³ $161.54³
27 $5.40 $10.78 $16.16³ $21.54³ 59 $42.92 $85.84 $128.74³ $171.66³
28 $5.58 $11.16 $16.74³ $22.32³ 60 $45.42 $90.84 $136.24³ $181.66³
29 $5.78 $11.54 $17.32³ $23.08³ 61 $49.14 $98.28 $147.42³ $196.54³
30 $5.98 $11.92 $17.90³ $23.86³ 62 $52.82 $105.62 $158.44³ $211.24³
31 $6.16 $12.32 $18.46³ $24.62³ 63 $56.38 $112.74 $169.10³ $225.46³
32 $6.36 $12.70 $19.04³ $25.40³ 64 $59.86 $119.70 $179.54³ $239.40³
33 $6.54 $13.08 $19.62³ $26.16³ 65 $63.12 $126.22 $189.32³ $252.44³
34 $6.74 $13.48 $20.20³ $26.92³ 66 $69.24 $138.48 $207.72³ $276.96³
35 $6.94 $13.86 $20.78³ $27.70³ 67 $75.24 $150.46 $225.70³ $300.94³
36 $7.64 $15.26 $22.88³ $30.50³ 68 $81.08 $162.16 $243.24³ $324.32³
37 $8.30 $16.60 $24.90³ $33.20³ 69 $86.80 $173.60 $260.40³ $347.20³
38 $9.00 $18.00 $27.00³ $36.00³ 70 $92.36 $184.72 $277.08³ $369.44³
39 $9.74 $19.48 $29.22³ $38.98³ 71 ^ $107.44 $214.88 $322.30 $429.74
40 $10.44 $20.88 $31.30³ $41.74³ 72 ^ $112.36 $224.72 $337.08 $449.44
41 $11.52 $23.04 $34.56³ $46.08³ 73 ^ $117.78 $235.54 $353.32 $471.08
42 $12.64 $25.26 $37.88³ $50.50³ 74 ^ $123.86 $247.70 $371.54 $495.40
43 $13.72 $27.44 $41.14³ $54.86³ 75 ^ $130.70 $261.40 $392.08 $522.78
44 $14.82 $29.64 $44.46³ $59.28³ 76 ^ $138.72 $277.42 $416.14 $554.86
45 $15.88 $31.76 $47.64³ $63.50³ 77 ^ $143.66 $287.32 $430.96 $574.62
46 $17.18 $34.34 $51.50³ $68.66³ 78 ^ $148.92 $297.82 $446.72 $595.62
47 $18.52 $37.04 $55.56³ $74.08³ 79 ^ $154.46 $308.90 $463.34 $617.78
48 $19.92 $39.84 $59.74³ $79.66³ 80 ^ $160.28 $320.54 $480.82 $641.08
49 $21.32 $42.62 $63.94³ $85.24³
° 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. 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 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-BIWEEKLY-CGI/GI-REGV-40-TRUE-0-0-N-Initial Death Benefit-25000-50000-75000-100000

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