Page 7 - Carrier Assistant Benefit

Dental, Vision & Hearing Bene ts
Underwritten by Ameritas
Monthly Premiums
Value
Single Only....................................................................................................................................................................$24.04 Insured & One (Spouse or Child)...................................................................................................................$44.48 Insured & 2 or more................................................................................................................................................$66.08
Standard
Single Only....................................................................................................................................................................$34.36 Insured & One (Spouse or Child)...................................................................................................................$63.16 Insured & 2 or more................................................................................................................................................$92.12
Royal
Single Only....................................................................................................................................................................$43.76 Insured & One (Spouse or Child)...................................................................................................................$80.48 Insured & 2 or more................................................................................................................................................$118.08
100/70/50
Single Only....................................................................................................................................................................$45.84 Insured & One (Spouse or Child)...................................................................................................................$97.40 Insured & 2 or more................................................................................................................................................$168.12
The group policy is governed by the laws of the state of VA. This is an association plan, so coverage is not available in NH due to state laws. Value and Standard Plans are not available in NY.
This information is provided by Ameritas Life Insurance Corp. (Ameritas Life) and Ameritas Life Insurance Corp. of New York (Ameritas of New York). Ameritas Life issues group dental, vision and
hearing care products (9000 Rev. 03-16, dates may vary by state) and individual dental and vision products (Indiv. 9000 Rev. 07-16, dates may vary by state) in all states other than New York. Ameritas of New York issues group dental, vision and hearing care products (9000 NY Rev. 03-15) and individual dental and vision products (Indiv. 9000 NY Rev. 07-16) in New York. Ameritas, the
bison design, “ful lling life” and product names designated with SM or ® are service marks or registered service marks of Ameritas Life, af liate Ameritas Holding Company or Ameritas Mutual Holding 6 Company. All other brands are property of their respective owners. © 2017 Ameritas Mutual Holding Company.
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