Page 21 - Andy Goetz Proposal

Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age):

Accelerated Death Benefit for Long Term Care with Restoration of Benefits and Extension of Benefits (GWCLTCRE, GWCLTCRE1)†, and Accelerated Death Benefit for Terminal Illness or Condition
N O N - T O B A C C O P R E M I U M R A T E S A N D V A L U E S (These are GI quotes, unless otherwise noted)
Face Face
Amount $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 Amount
Issue Monthly CV @ age 65 Monthly CV @ age 65 Monthly CV @ age 65 Monthly CV @ age 65 Monthly CV @ age 65 Monthly CV @ age 65 Monthly CV @ age 65 Issue
Age Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Age
51 $25.44 $1,940 $50.87 $3,879 $76.31 $5,819 $101.73 $7,759 $127.17 $9,699 $152.60 $11,638 $178.04 $13,578 51
52 27.38 1,831 54.75 3,663 82.13 5,494 109.50 7,325 136.87 9,157 164.25 10,988 191.63 12,819 52
53 29.36 1,716 58.72 3,433 88.08 5,149 117.43 6,866 146.79 8,582 176.15 10,298 205.51 12,015 53
54 31.41 1,594 62.81 3,189 94.23 4,783 125.64 6,378 157.04 7,972 188.45 9,566 219.86 11,161 54
55 33.88 1,465 67.75 2,930 101.63 4,395 135.50 5,860 169.37 7,326 203.25 8,791 237.13 10,256 55
56 36.50 1,538 73.00 3,075 109.51 4,613 146.00 6,150 182.50 7,688 219.00 9,226 255.50 10,763 56
57 39.20 1,614 78.40 3,228 117.60 4,842 156.80 6,456 196.00 8,070 235.20 9,683 274.40 11,297 57
58 42.21 1,694 84.42 3,388 126.63 5,082 168.83 6,776 211.04 8,470 253.25 10,164 295.46 11,858 58
59 45.14 1,778 90.29 3,557 135.43 5,335 180.56 7,113 225.71 8,892 270.85 10,670 315.99 12,448 59
60 48.27 1,867 96.53 3,733 144.80 5,600 193.07 7,467 241.33 9,334 289.60 11,200 337.87 13,067 60
61 52.26 1,959 104.52 3,919 156.78 5,878 209.03 7,837 261.30 9,797 313.55 11,756 365.81 13,715 61
62 55.87 2,056 111.73 4,113 167.60 6,169 223.47 8,225 279.33 10,282 335.20 12,338 391.07 14,394 62
63 61.21 2,158 122.44 4,315 183.65 6,473 244.86 8,630 306.09 10,788 367.30 12,945 428.51 15,103 63
64 62.10 2,263 124.18 4,526 186.28 6,789 248.37 9,052 310.46 11,315 372.55 13,577 434.65 15,840 64
65 63.02 2,372 126.05 4,744 189.08 7,117 252.10 9,489 315.13 11,861 378.15 14,233 441.17 16,605 65
66 72.30 2,486 144.60 4,971 216.91 7,457 289.20 9,942 361.50 12,428 433.80 14,913 506.10 17,399 66
67 78.02 2,603 156.03 5,205 234.05 7,808 312.07 10,411 390.08 13,014 468.10 15,616 546.12 18,219 67
68 88.89 2,724 177.79 5,447 266.68 8,171 355.56 10,894 444.46 13,618 533.35 16,341 622.24 19,065 68
69 92.13 2,848 184.26 5,695 276.41 8,543 368.54 11,390 460.67 14,238 552.80 17,085 644.93 19,933 69
70 99.32 2,974 198.65 5,947 297.98 8,921 397.30 11,895 496.63 14,869 595.95 17,842 695.27 20,816 70

w/EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI w/EOI
71 94.34 3,123 188.68 6,246 283.03 9,369 377.37 12,492 471.71 15,615 566.05 18,738 660.39 21,861 71
72 101.98 3,277 203.97 6,553 305.95 9,830 407.93 13,107 509.92 16,384 611.90 19,660 713.88 22,937 72
73 110.60 3,438 221.20 6,876 331.80 10,315 442.40 13,753 553.00 17,191 663.60 20,629 774.20 24,067 73
74 120.15 3,609 240.30 7,217 360.45 10,826 480.60 14,434 600.75 18,043 720.90 21,652 841.05 25,260 74
75 130.81 3,783 261.62 7,566 392.43 11,348 523.23 15,131 654.04 18,914 784.85 22,697 915.66 26,480 75
76 142.80 3,961 285.60 7,923 428.40 11,884 571.20 15,846 714.00 19,807 856.80 23,768 999.60 27,730 76
77 156.28 4,153 312.57 8,305 468.85 12,458 625.13 16,610 781.42 20,763 937.70 24,916 1,093.98 29,068 77
78 171.41 4,361 342.82 8,722 514.23 13,083 685.63 17,444 857.04 21,805 1,028.45 26,165 1,199.86 30,526 78
79 188.38 4,594 376.75 9,189 565.13 13,783 753.50 18,378 941.88 22,972 1,130.25 27,566 1,318.63 32,161 79
80 207.38 4,869 414.77 9,739 622.15 14,608 829.53 19,477 1,036.92 24,347 1,244.30 29,216 1,451.68 34,085 80
This rate insert is for use with materials for accounts sitused in Maryland, and is not to be used on its own.
¹ CV @ age 65 or 10 years - Value shown is at attained age 65 or the end of year 10 if later, and assumes all premiums have been paid, no changes have been made to the certificate, and there is no certificate debt.
EXCLUSIONS AND LIMITATIONS: Suicide Exclusion - If a covered person commits suicide, the death benefit may be limited to the premiums paid for that covered person.
Pre-existing Condition Limitation - The Accelerated Death Benefit for Long Term Care with Restoration of Benefits and Extension of Benefits (GWCLTCRE, GWCLTCRE1) rider may contain a pre-existing condition limitation.
Other Exclusions and Limitations - The policy and riders (if included) have other elimination periods, exclusions and limitations that may affect coverage.
Please refer to the certificate for details.
Rates shown are based on Tobacco/Non-tobacco, Issue Age Specific rating structure. MONTHLY means 12 times per year.
This information is valid as long as information remains current, but in no event later than 12/31/2026. Group Whole Life Insurance benefits are provided under form GWLC, or state
variations thereof. Rider benefits are provided under the following forms, or state variations thereof: Accelerated Death Benefit for Terminal Illness or Condition (GWPTI) and
Accelerated Death Benefit for Long Term Care with Restoration of Benefits and Extension of Benefits (GWCLTCRE, GWCLTCRE1). Allstate Benefits is the marketing name used by
American Heritage Life Insurance Company
(Home Office, Jacksonville, FL), a subsidiary of The
This is a brief overview of the benefits available under the group voluntary policy underwritten by American Heritage Life Insurance Company (Home Office, Jacksonville, FL).
Allstate Corporation. ©2025 Allstate Insurance
Details of the insurance, including exclusions, restrictions, and other provisions are included in the certificates issued. Company. www.allstate.com or
For additional information, you may contact your Allstate Benefits Representative. allstatebenefits.com
HO Use Only: Andrew-20250519-8082-MD-
TNTS-B_STD_-FALSE-10-FA-10000-75000-
† Issue Ages 18-70 Only for Accelerated Death Benefit for Long Term Care with Restoration of Benefits and Extension of Benefits (GWCLTCRE, GWCLTCRE1).
10000-PI:E-12x-TI:T-PWP:F-ADB:F-TYT:0-
GWCLTCRE:T-CT:F-ST:F-UWR
Ratecard generated May 19, 2025 - 2:13 PM by ABQuote 04.30.2025.

ABJ20743-28125 page 2 of 4 FOR AGENT USE ONLY