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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  This rate card expires and is no longer valid on 12/31/2025.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     $100,000    $150,000    $200,000    $250,000       Age     $100,000    $150,000    $200,000    $250,000
       18    Issue age 18 will always be issued Nontobacco.      50      $196.42³    $294.63³    $392.83³    $491.04³
       19      $33.33³     $50.00³     $66.67³     $83.33³       51      $214.42³    $321.63³    $428.83³    $536.04³
       20      $35.00³     $52.50³     $70.00³     $87.50³       52      $231.92³    $347.88³    $463.83³    $579.79³
       21      $36.67³     $55.00³     $73.33³     $91.67³       53      $250.08³    $375.13³    $500.17³    $625.21³
       22      $38.33³     $57.50³     $76.67³     $95.83³       54      $267.75³    $401.63³    $535.50³    $669.38³
       23      $40.00³     $60.00³     $80.00³    $100.00³       55      $283.92³    $425.88³    $567.83³    $709.79³
       24      $41.67³     $62.50³     $83.33³    $104.17³       56      $306.75³    $460.13³    $613.50³    $766.88³
       25      $43.33³     $65.00³     $86.67³    $108.33³       57      $328.67³    $493.00³    $657.33³    $821.67³
       26      $45.00³     $67.50³     $90.00³    $112.50³       58      $350.00³    $525.00³    $700.00³    $875.00³
       27      $46.67³     $70.00³     $93.33³    $116.67³       59      $371.92³    $557.88³    $743.83³    $929.79³
       28      $48.33³     $72.50³     $96.67³    $120.83³       60      $393.58³    $590.38³    $787.17³    $983.96³
       29      $50.00³     $75.00³    $100.00³    $125.00³       61      $425.83³    $638.75³    $851.67³   $1,064.58³
       30      $51.67³     $77.50³    $103.33³    $129.17³       62      $457.67³    $686.50³    $915.33³   $1,144.17³
       31      $53.33³     $80.00³    $106.67³    $133.33³       63      $488.50³    $732.75³    $977.00³   $1,221.25³
       32      $55.00³     $82.50³    $110.00³    $137.50³       64      $518.67³    $778.00³   $1,037.33³ $1,296.67³
       33      $56.67³     $85.00³    $113.33³    $141.67³       65      $546.92³    $820.38³   $1,093.83³ $1,367.29³
       34      $58.33³     $87.50³    $116.67³    $145.83³       66      $600.08³    $900.13³   $1,200.17³ $1,500.21³
       35      $60.00³     $90.00³    $120.00³    $150.00³       67      $652.00³    $978.00³   $1,304.00³ $1,630.00³
       36      $66.08³     $99.13³    $132.17³    $165.21³       68      $702.67³   $1,054.00³ $1,405.33³ $1,756.67³
       37      $71.92³    $107.88³    $143.83³    $179.79³       69      $752.25³   $1,128.38³ $1,504.50³ $1,880.63³
       38      $78.00³    $117.00³    $156.00³    $195.00³       70      $800.42³   $1,200.63³ $1,600.83³ $2,001.04³
       39      $84.42³    $126.63³    $168.83³    $211.04³       71 ^     $931.08    $1,396.63   $1,862.17   $2,327.71
       40      $90.42³    $135.63³    $180.83³    $226.04³       72 ^     $973.75    $1,460.63   $1,947.50   $2,434.38
       41      $99.83³    $149.75³    $199.67³    $249.58³       73 ^    $1,020.67   $1,531.00   $2,041.33   $2,551.67
       42     $109.42³    $164.13³    $218.83³    $273.54³       74 ^    $1,073.33   $1,610.00   $2,146.67   $2,683.33
       43     $118.83³    $178.25³    $237.67³    $297.08³       75 ^    $1,132.67   $1,699.00   $2,265.33   $2,831.67
       44     $128.42³    $192.63³    $256.83³    $321.04³       76 ^    $1,202.17   $1,803.25   $2,404.33   $3,005.42
       45     $137.58³    $206.38³    $275.17³    $343.96³       77 ^    $1,245.00   $1,867.50   $2,490.00   $3,112.50
       46     $148.75³    $223.13³    $297.50³    $371.88³       78 ^    $1,290.50   $1,935.75   $2,581.00   $3,226.25
       47     $160.50³    $240.75³    $321.00³    $401.25³       79 ^    $1,338.50   $2,007.75   $2,677.00   $3,346.25
       48     $172.58³    $258.88³    $345.17³    $431.46³       80 ^    $1,389.00   $2,083.50   $2,778.00   $3,472.50
       49     $184.67³    $277.00³    $369.33³    $461.67³

     ° 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-100000-150000-200000-250000



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