Page 28 - webmechanix

CGI° Group Term to Age 100 Life Insurance, Semimonthly 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 This rate card expires and is no longer valid on 7/31/2021.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.
Semimonthly Premium for Semimonthly Premium for
Issue Group Term to 100 Initial Death Benefit¹ of: Issue Group Term to 100 Initial Death Benefit¹ of:
Age $125,000 $150,000 $200,000 $250,000 Age $125,000 $150,000 $200,000 $250,000
18 $27.09³ $32.50³ $43.34³ $54.17³ 50 $73.49³ $88.19³ $117.59³ $146.98³
19 $18.75 $22.50 $30.00³ $37.50³ 51 $81.10³ $97.32³ $129.75³ $162.19³
20 $18.75 $22.50 $30.00³ $37.50³ 52 $88.75³ $106.50³ $142.00³ $177.50³
21 $18.75 $22.50 $30.00³ $37.50³ 53 $96.36³ $115.63³ $154.17³ $192.71³
22 $18.75 $22.50 $30.00³ $37.50³ 54 $103.96³ $124.75³ $166.34³ $207.92³
23 $18.75 $22.50 $30.00³ $37.50³ 55 $117.19³ $140.63³ $187.50³ $234.38³
24 $18.75 $22.50 $30.00³ $37.50³ 56 $127.76³ $153.32³ $204.42³ $255.52³
25 $18.75 $22.50 $30.00³ $37.50³ 57 $138.34³ $166.00³ $221.34³ $276.67³
26 $19.07 $22.88 $30.50³ $38.13³ 58 $148.91³ $178.69³ $238.25³ $297.82³
27 $19.38 $23.25 $31.00³ $38.75³ 59 $159.48³ $191.38³ $255.17³ $318.96³
28 $19.69 $23.63 $31.50³ $39.38³ 60 $169.95³ $203.94³ $271.92³ $339.90³
29 $20.00 $24.00 $32.00³ $40.00³ 61 $186.30³ $223.57³ $298.09³ $372.61³
30 $20.32 $24.38 $32.50³ $40.63³ 62 $202.66³ $243.19³ $324.25³ $405.32³
31 $21.36 $25.63 $34.17³ $42.71³ 63 $219.07³ $262.88³ $350.50³ $438.13³
32 $22.40 $26.88³ $35.84³ $44.79³ 64 $235.42³ $282.50³ $376.67³ $470.84³
33 $23.44 $28.13³ $37.50³ $46.88³ 65 $251.77³ $302.13³ $402.84³ $503.54³
34 $24.48 $29.38³ $39.17³ $48.96³ 66 † $276.98 $332.38 $443.17 $553.96
35 $25.52 $30.63³ $40.84³ $51.04³ 67 † $302.14 $362.57 $483.42 $604.27
36 $26.62³ $31.94³ $42.59³ $53.23³ 68 † $327.35 $392.82 $523.75 $654.69
37 $28.91³ $34.69³ $46.25³ $57.82³ 69 † $352.50 $423.00 $564.00 $705.00
38 $31.10³ $37.32³ $49.75³ $62.19³ 70 † $377.66 $453.19 $604.25 $755.32
39 $33.28³ $39.94³ $53.25³ $66.57³ 71 † $444.48 $533.38 $711.17 $888.96
40 $35.47³ $42.57³ $56.75³ $70.94³ 72 † $461.30 $553.57 $738.09 $922.61
41 $38.91³ $46.69³ $62.25³ $77.82³ 73 † $479.48 $575.38 $767.17 $958.96
42 $42.29³ $50.75³ $67.67³ $84.59³ 74 † $505.68 $606.82 $809.09 $1,011.36
43 $45.68³ $54.82³ $73.09³ $91.36³ 75 † $536.98 $644.38 $859.17 $1,073.96
44 $49.12³ $58.94³ $78.59³ $98.23³ 76 † $662.19 $794.63 $1,059.50 $1,324.38
45 $52.50³ $63.00³ $84.00³ $105.00³ 77 † $702.14 $842.57 $1,123.42 $1,404.27
46 $56.77³ $68.13³ $90.84³ $113.54³ 78 † $734.43 $881.32 $1,175.09 $1,468.86
47 $60.99³ $73.19³ $97.59³ $121.98³ 79 † $763.23 $915.88 $1,221.17 $1,526.46
48 $65.16³ $78.19³ $104.25³ $130.32³ 80 † $793.75 $952.50 $1,270.00 $1,587.50
49 $69.33³ $83.19³ $110.92³ $138.65³
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. SEMIMONTHLY means 24 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-SEMIMONTHLY-CGI/GI-60-TRUE-0-0-N-Initial Death Benefit-125000-150000-200000-250000

Version 4.0 (Rev. 10/2/2019) Page 1 of 2 Printed 7/6/2020 4:12 PM