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

TOBACCO
This rate card is for groups sitused in Maryland. This rate card expires and is no longer valid on 12/31/2025.
The appropriate Illustration Certification must be completed in all states.
Monthly Premium for Monthly Premium for
Issue Group Term to 100 Initial Death Benefit¹ of: Issue Group Term to 100 Initial Death Benefit¹ of:
Age $10,000 $20,000 $30,000 $40,000 Age $10,000 $20,000 $30,000 $40,000
18 Issue age 18 will always be issued Nontobacco. 50 $19.64 $39.28 $58.93 $78.57
19 $3.33 $6.67 $10.00 $13.33 51 $21.44 $42.88 $64.33 $85.77
20 $3.50 $7.00 $10.50 $14.00 52 $23.19 $46.38 $69.58 $92.77
21 $3.67 $7.33 $11.00 $14.67 53 $25.01 $50.02 $75.03 $100.03
22 $3.83 $7.67 $11.50 $15.33 54 $26.78 $53.55 $80.33 $107.10
23 $4.00 $8.00 $12.00 $16.00 55 $28.39 $56.78 $85.18 $113.57
24 $4.17 $8.33 $12.50 $16.67 56 $30.68 $61.35 $92.03 $122.70
25 $4.33 $8.67 $13.00 $17.33 57 $32.87 $65.73 $98.60 $131.47
26 $4.50 $9.00 $13.50 $18.00 58 $35.00 $70.00 $105.00 $140.00
27 $4.67 $9.33 $14.00 $18.67 59 $37.19 $74.38 $111.58 $148.77
28 $4.83 $9.67 $14.50 $19.33 60 $39.36 $78.72 $118.08 $157.43
29 $5.00 $10.00 $15.00 $20.00 61 $42.58 $85.17 $127.75 $170.33
30 $5.17 $10.33 $15.50 $20.67 62 $45.77 $91.53 $137.30 $183.07
31 $5.33 $10.67 $16.00 $21.33 63 $48.85 $97.70 $146.55 $195.40
32 $5.50 $11.00 $16.50 $22.00 64 $51.87 $103.73 $155.60 $207.47
33 $5.67 $11.33 $17.00 $22.67 65 $54.69 $109.38 $164.08 $218.77
34 $5.83 $11.67 $17.50 $23.33 66 $60.01 $120.02 $180.03 $240.03
35 $6.00 $12.00 $18.00 $24.00 67 $65.20 $130.40 $195.60 $260.80
36 $6.61 $13.22 $19.83 $26.43 68 $70.27 $140.53 $210.80 $281.07
37 $7.19 $14.38 $21.58 $28.77 69 $75.23 $150.45 $225.68 $300.90
38 $7.80 $15.60 $23.40 $31.20 70 $80.04 $160.08 $240.13 $320.17
39 $8.44 $16.88 $25.33 $33.77 71 ^ $93.11 $186.22 $279.33 $372.43
40 $9.04 $18.08 $27.13 $36.17 72 ^ $97.38 $194.75 $292.13 $389.50
41 $9.98 $19.97 $29.95 $39.93 73 ^ $102.07 $204.13 $306.20 $408.27
42 $10.94 $21.88 $32.83 $43.77 74 ^ $107.33 $214.67 $322.00 $429.33
43 $11.88 $23.77 $35.65 $47.53 75 ^ $113.27 $226.53 $339.80 $453.07
44 $12.84 $25.68 $38.53 $51.37 76 ^ $120.22 $240.43 $360.65 $480.87
45 $13.76 $27.52 $41.28 $55.03 77 ^ $124.50 $249.00 $373.50 $498.00
46 $14.88 $29.75 $44.63 $59.50 78 ^ $129.05 $258.10 $387.15 $516.20
47 $16.05 $32.10 $48.15 $64.20 79 ^ $133.85 $267.70 $401.55 $535.40
48 $17.26 $34.52 $51.78 $69.03 80 ^ $138.90 $277.80 $416.70 $555.60
49 $18.47 $36.93 $55.40 $73.87

° Guarantee Issue (GI) 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. MONTHLY means 12 times per year.

^ 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. ©2025 Allstate Insurance Company.

FOR HOME OFFICE USE ONLY: Settings were Maryland-Employee-MONTHLY-GI-REGV-60-TRUE-0-0-N-Initial Death Benefit-10000-20000-30000-40000

Version 5.6 (Rev. 12/11/2024) Page 2 of 2 Printed 1/8/2025 3:03 PM