Page 12 - Appendices for Eric Hartman

11/17/22, 3:41 PM MSRG_II
COLONIAL PENN LIFE INSURANCE COMPANY - Methodology: AA
(800)523-9100

0 $2,858 $3,626 - $3,427 $4,191 $819 $3,905 $742 $1,320 $2,684 $3,512 $3,024

Restrictions Effective Date: 01/01/2022
CONTINENTAL LIFE INSURANCE COMPANY OF Methodology: AA
BRENTWOOD, TENNESSEE - (800) 264-4000

0 $3,567 $4,516 - - $6,323 $1,182 $4,633 - - - - $3,454
Restrictions Effective Date: 09/01/2022
ELIPS LIFE INSURANCE COMPANY - (855) 774- Methodology: AA
4491

0 $3,708 - - - $4,343 - $3,560 $1,212 - - - $2,820
Restrictions Effective Date: 10/26/2021

EVERENCE ASSOCIATION, INC. - (800) 348-7468 Methodology: AA
0 $4,124 - - - $4,751 - $4,432 - - - - $3,449

Restrictions Effective Date: 04/01/2022

FIRST HEALTH LIFE & HEALTH INSURANCE Methodology: AA
COMPANY - (855) 369-4835

0 $3,145 $3,802 - - $4,627 - $4,198 - - - - $2,478
Restrictions Effective Date: 05/01/2022

GLOBE LIFE AND ACCIDENT INSURANCE Methodology: AA
COMPANY - (800) 801-6831

60 $2,046 $3,028 $3,414 - $3,431 $748 $3,204 $804 - - - $2,520

Restrictions Effective Date: 12/01/2021
HEALTH NET LIFE INSURANCE COMPANY - (800) Methodology: AA
926-4178
0 $2,508 - - - $3,588 $1,512 $3,300 - - - - -

Restrictions Effective Date: 03/01/2022
HEALTH NET LIFE INSURANCE COMPANY - (800) Methodology: AA
926-4178

0 - - - $3,300 - - - $1,488 - - - $2,940
Restrictions Effective Date: 03/01/2022
HUMANA BENEFIT PLAN OF ILLINOIS INC - (888) Methodology: AA
310-8482

90 $3,350 - - - $4,188 - $3,699 $1,241 - - - $3,031
Restrictions Effective Date: 08/01/2022

HUMANA INSURANCE COMPANY - (888) 310- Methodology: AA
8482

90 $3,910 $4,256 $5,420 - $5,531 $1,312 $4,450 $1,177 $2,207 $3,199 - $3,221
Restrictions Effective Date: 07/01/2022

https://interactive.web.insurance.ca.gov/apex_extprd/f?p=111:31:10005785049561::NO::P31_SUBMIT:Y 2/4