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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 This rate card expires and is no longer valid on 7/31/2021.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 $25,000 $50,000 $75,000 $100,000 Age $25,000 $50,000 $75,000 $100,000
18 $5.42 $10.84 $16.25 $21.67 50 $14.70 $29.40³ $44.10³ $58.79³
19 N/A³ $7.50 $11.25 $15.00 51 $16.22 $32.44³ $48.66³ $64.88³
20 N/A³ $7.50 $11.25 $15.00 52 $17.75 $35.50³ $53.25³ $71.00³
21 N/A³ $7.50 $11.25 $15.00 53 $19.27 $38.54³ $57.82³ $77.09³
22 N/A³ $7.50 $11.25 $15.00 54 $20.79 $41.59³ $62.38³ $83.17³
23 N/A³ $7.50 $11.25 $15.00 55 $23.44 $46.88³ $70.32³ $93.75³
24 N/A³ $7.50 $11.25 $15.00 56 $25.55 $51.11³ $76.66³ $102.21³
25 N/A³ $7.50 $11.25 $15.00 57 $27.67³ $55.34³ $83.00³ $110.67³
26 N/A³ $7.63 $11.44 $15.25 58 $29.78³ $59.57³ $89.35³ $119.13³
27 N/A³ $7.75 $11.63 $15.50 59 $31.90³ $63.79³ $95.69³ $127.59³
28 N/A³ $7.88 $11.82 $15.75 60 $33.99³ $67.98³ $101.97³ $135.96³
29 N/A³ $8.00 $12.00 $16.00 61 $37.26³ $74.52³ $111.78³ $149.04³
30 N/A³ $8.13 $12.19 $16.25 62 $40.53³ $81.07³ $121.60³ $162.13³
31 N/A³ $8.54 $12.82 $17.09 63 $43.82³ $87.63³ $131.44³ $175.25³
32 $4.48 $8.96 $13.44 $17.92 64 $47.09³ $94.17³ $141.25³ $188.34³
33 $4.69 $9.38 $14.07 $18.75 65 $50.36³ $100.71³ $151.07³ $201.42³
34 $4.90 $9.79 $14.69 $19.59 66 † $55.40 $110.79 $166.19 $221.59
35 $5.11 $10.21 $15.32 $20.42 67 † $60.43 $120.86 $181.28 $241.71
36 $5.33 $10.65 $15.97 $21.29 68 † $65.47 $130.94 $196.41 $261.88
37 $5.78 $11.57 $17.35 $23.13 69 † $70.50 $141.00 $211.50 $282.00
38 $6.22 $12.44 $18.66 $24.88 70 † $75.53 $151.07 $226.60 $302.13
39 $6.66 $13.32 $19.97 $26.63³ 71 † $88.90 $177.79 $266.69 $355.59
40 $7.10 $14.19 $21.28 $28.38³ 72 † $92.26 $184.52 $276.78 $369.04
41 $7.78 $15.57 $23.35 $31.13³ 73 † $95.90 $191.79 $287.69 $383.59
42 $8.46 $16.92 $25.38 $33.84³ 74 † $101.14 $202.27 $303.41 $404.54
43 $9.14 $18.27 $27.41³ $36.54³ 75 † $107.40 $214.79 $322.19 $429.59
44 $9.83 $19.65 $29.47³ $39.29³ 76 † $132.44 $264.88 $397.32 $529.75
45 $10.50 $21.00 $31.50³ $42.00³ 77 † $140.43 $280.86 $421.28 $561.71
46 $11.36 $22.71 $34.07³ $45.42³ 78 † $146.89 $293.77 $440.66 $587.54
47 $12.20 $24.40 $36.60³ $48.79³ 79 † $152.65 $305.29 $457.94 $610.59
48 $13.03 $26.07³ $39.10³ $52.13³ 80 † $158.75 $317.50 $476.25 $635.00
49 $13.87 $27.73³ $41.60³ $55.46³
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-25000-50000-75000-100000

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