Page 6 - APPENDICES for Hans Burkhardt

9/13/21, 11:40 AM MSRG_II
COLONIAL PENN LIFE INSURANCE COMPANY - Methodology: AA
(800)523-9100
0 - - - - - - - $466 - - - -

Restrictions Effective Date: 04/20/2020
COMBINED INSURANCE COMPANY OF Methodology: AA
AMERICA - (855) 278-9329

0 $1,672 - - - $2,446 - $2,048 - - - - $1,630
Restrictions Effective Date: 11/01/2020
CONTINENTAL LIFE INSURANCE COMPANY OF Methodology: AA
BRENTWOOD, TENNESSEE - (800) 264-4000

0 $1,517 $1,919 - - $2,688 $550 $1,971 - - - - $1,350
Restrictions Effective Date: 09/01/2020

EVERENCE ASSOCIATION, INC. - (800) 348-7468 Methodology: AA

0 $1,912 - - - $2,217 - $2,070 - - - - $1,535
Restrictions Effective Date: 04/01/2021

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

0 $1,625 $1,851 - - $2,213 - $1,990 - - - - $1,173
Restrictions Effective Date: 04/01/2021

GARDEN STATE LIFE INSURANCE COMPANY - Methodology: AA
(844) 639-3648

0 $1,595 - - - $2,701 - $2,021 $638 - - $1,701 $1,659

Restrictions Effective Date: 01/01/2021
GLOBE LIFE AND ACCIDENT INSURANCE Methodology: AA
COMPANY - (800) 801-6831
60 $1,355 $1,944 $2,152 - $2,167 $422 $1,954 $454 - - - $1,618

Restrictions Effective Date: 06/01/2020
HEALTH NET LIFE INSURANCE COMPANY - (800) Methodology: AA
926-4178

0 $1,356 - - - $1,944 $816 $1,788 - - - - -
Restrictions Effective Date: 01/01/2020

HEALTH NET LIFE INSURANCE COMPANY - (800) Methodology: AA
926-4178

0 - - - $1,728 - - - - - - - $1,536

Restrictions Effective Date: 01/01/2020
HUMANA BENEFIT PLAN OF ILLINOIS INC - (888) Methodology: AA
310-8482
90 $2,237 - - - $2,743 - $2,376 $816 - - - $1,854

Restrictions Effective Date: 04/01/2020

https://interactive.web.insurance.ca.gov/apex_extprd/f?p=111:31:2694919103471::NO::P31_SUBMIT:Y 2/5