Page 41 - Looks Salon Colonial Benefits Brochure Book

Deductions per year: 12 -Monthly Rates These rates were prepared on 4/8/2025 and are valid for 90 days.

Critical Illness 1.0 for MD Applicable to policy form CI-1.0

l with Subsequent Diagnosis Coverage, Health Screening Benefit
Non-Tobacco Rates
ISSUE AGE NAMED INSURED EMPLOYEE & SPOUSE ONE-PARENT FAMILY TWO-PARENT FAMILY
$10,000 17-24 $4.25 $6.40 $4.25 $6.40
25-29 $4.85 $7.50 $4.85 $7.50
30-34 $5.65 $8.70 $5.65 $8.70
35-39 $7.85 $12.10 $7.85 $12.10
40-44 $9.35 $14.40 $9.35 $14.40
45-49 $12.15 $18.70 $12.15 $18.70
50-54 $15.55 $24.00 $15.55 $24.00
55-59 $19.25 $29.50 $19.25 $29.50
60-64 $23.85 $36.70 $23.85 $36.70
65-70 $27.05 $41.50 $27.05 $41.50
$20,000 17-24 $6.55 $9.80 $6.55 $9.80
25-29 $7.75 $12.00 $7.75 $12.00
30-34 $9.35 $14.40 $9.35 $14.40
35-39 $13.75 $21.20 $13.75 $21.20
40-44 $16.75 $25.80 $16.75 $25.80
45-49 $22.35 $34.40 $22.35 $34.40
50-54 $29.15 $45.00 $29.15 $45.00
55-59 $36.55 $56.00 $36.55 $56.00
60-64 $45.75 $70.40 $45.75 $70.40
65-70 $52.15 $80.00 $52.15 $80.00
$30,000 17-24 $8.85 $13.20 $8.85 $13.20
25-29 $10.65 $16.50 $10.65 $16.50
30-34 $13.05 $20.10 $13.05 $20.10
35-39 $19.65 $30.30 $19.65 $30.30
40-44 $24.15 $37.20 $24.15 $37.20
45-49 $32.55 $50.10 $32.55 $50.10
50-54 $42.75 $66.00 $42.75 $66.00
55-59 $53.85 $82.50 $53.85 $82.50
60-64 $67.65 $104.10 $67.65 $104.10
65-70 $77.25 $118.50 $77.25 $118.50
$40,000 17-24 $11.15 $16.60 $11.15 $16.60
25-29 $13.55 $21.00 $13.55 $21.00
30-34 $16.75 $25.80 $16.75 $25.80
35-39 $25.55 $39.40 $25.55 $39.40
40-44 $31.55 $48.60 $31.55 $48.60
45-49 $42.75 $65.80 $42.75 $65.80
50-54 $56.35 $87.00 $56.35 $87.00
55-59 $71.15 $109.00 $71.15 $109.00
60-64 $89.55 $137.80 $89.55 $137.80
65-70 $102.35 $157.00 $102.35 $157.00

Underwritten by Colonial Life & Accident Insurance Company
Page 1 of 3 See page 3 for Important Notice