Page 23 - Andy Goetz Proposal

Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age): 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
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) 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
18 Issue age 18 will be issued as Non-Tobacco. Please see the Non-Tobacco rate table.
19 $7.91 $4,397 $15.82 $8,794 $23.73 $13,192 $31.63 $17,589 $39.55 $21,986 $47.45 $26,383 $55.36 $30,780 19
20 7.96 4,373 15.92 8,745 23.88 13,118 31.83 17,491 39.80 21,864 47.75 26,236 55.71 30,609 20
21 8.32 4,347 16.65 8,694 24.98 13,041 33.30 17,388 41.63 21,735 49.95 26,081 58.27 30,428 21
22 8.72 4,320 17.43 8,640 26.15 12,959 34.87 17,279 43.58 21,599 52.30 25,919 61.02 30,239 22
23 9.12 4,291 18.24 8,582 27.36 12,873 36.46 17,164 45.58 21,456 54.70 25,747 63.82 30,038 23
24 9.54 4,261 19.07 8,522 28.61 12,783 38.13 17,044 47.67 21,306 57.20 25,567 66.74 29,828 24
25 10.01 4,230 20.01 8,459 30.03 12,689 40.04 16,918 50.04 21,148 60.05 25,377 70.06 29,607 25
26 10.45 4,196 20.90 8,392 31.36 12,589 41.80 16,785 52.25 20,981 62.70 25,177 73.15 29,373 26
27 10.90 4,161 21.80 8,322 32.71 12,483 43.60 16,644 54.50 20,805 65.40 24,966 76.30 29,127 27
28 11.39 4,124 22.79 8,247 34.18 12,371 45.56 16,495 56.96 20,619 68.35 24,742 79.74 28,866 28
29 11.88 4,084 23.75 8,169 35.63 12,253 47.50 16,337 59.37 20,422 71.25 24,506 83.13 28,590 29
30 12.31 4,043 24.62 8,085 36.93 12,128 49.23 16,170 61.54 20,213 73.85 24,256 86.16 28,298 30
31 12.91 3,999 25.84 7,997 38.75 11,996 51.66 15,994 64.59 19,993 77.50 23,992 90.41 27,990 31
32 13.57 3,952 27.13 7,904 40.71 11,857 54.27 15,809 67.84 19,761 81.40 23,713 94.97 27,665 32
33 14.29 3,903 28.57 7,806 42.86 11,709 57.13 15,612 71.42 19,516 85.70 23,419 99.99 27,322 33
34 15.05 3,852 30.08 7,703 45.13 11,555 60.17 15,407 75.21 19,259 90.25 23,110 105.30 26,962 34
35 15.76 3,798 31.52 7,596 47.28 11,394 63.03 15,192 78.80 18,990 94.55 22,787 110.31 26,585 35
36 16.53 3,741 33.05 7,483 49.58 11,224 66.10 14,965 82.63 18,707 99.15 22,448 115.68 26,189 36
37 17.47 3,682 34.93 7,364 52.41 11,046 69.87 14,728 87.34 18,411 104.80 22,093 122.27 25,775 37
38 18.46 3,620 36.92 7,240 55.38 10,861 73.83 14,481 92.29 18,101 110.75 21,721 129.21 25,341 38
39 19.45 3,555 38.88 7,110 58.33 10,666 77.77 14,221 97.21 17,776 116.65 21,331 136.10 24,886 39
40 20.36 3,487 40.72 6,974 61.08 10,460 81.43 13,947 101.79 17,434 122.15 20,921 142.51 24,408 40
41 21.57 3,415 43.14 6,829 64.71 10,244 86.26 13,659 107.83 17,074 129.40 20,488 150.97 23,903 41
42 22.83 3,339 45.65 6,677 68.48 10,016 91.30 13,354 114.12 16,693 136.95 20,031 159.78 23,370 42
43 24.13 3,258 48.27 6,515 72.40 9,773 96.53 13,031 120.67 16,289 144.80 19,546 168.93 22,804 43
44 25.53 3,172 51.05 6,344 76.58 9,516 102.10 12,688 127.63 15,860 153.15 19,032 178.68 22,204 44
45 26.85 3,081 53.70 6,161 80.56 9,242 107.40 12,323 134.25 15,404 161.10 18,484 187.95 21,565 45
46 28.31 2,984 56.61 5,967 84.93 8,951 113.24 11,935 141.54 14,919 169.85 17,902 198.16 20,886 46
47 29.95 2,881 59.90 5,762 89.86 8,642 119.80 11,523 149.75 14,404 179.70 17,285 209.65 20,166 47
48 31.72 2,772 63.43 5,543 95.16 8,315 126.87 11,086 158.59 13,858 190.30 16,630 222.02 19,401 48
49 33.52 2,656 67.03 5,311 100.55 7,967 134.07 10,623 167.58 13,279 201.10 15,934 234.62 18,590 49
50 35.46 2,533 70.90 5,065 106.36 7,598 141.80 10,130 177.26 12,663 212.70 15,195 248.16 17,728 50
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
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). (Home Office, Jacksonville, FL), a subsidiary of The
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 3 of 4 FOR AGENT USE ONLY