Page 12 - COLONIAL BENEFITS MORGAN PLANNING GROUP

(Continued...)
Applicable to policy forms GCI6000-P, GCI6000-C,
Group Critical Illness (GCI6000) for MN R-GCI6000-CB, R-GCI6000-BB, R-GCI6000-HB,
R-GCI6000-INF, R-GCI6000-PD
l Plan 2 - Critical Illness & Cancer, Without Wellbeing Assistance, Heart Benefits, Infectious Diseases Benefit, Progressive
Diseases Benefit
Non-Tobacco Rates
ATTAINED NAMED INSURED NAMED INSURED AND NAMED INSURED AND NAMED INSURED, SPOUSE
AGE SPOUSE DEPENDENT CHILD(REN) AND DEPENDENT CHILD(REN)
$20,000 17-24 $4.10 $6.10 $4.10 $6.10
25-29 $4.70 $7.10 $4.70 $7.10
30-34 $5.50 $8.30 $5.50 $8.30
35-39 $8.10 $12.10 $8.10 $12.10
40-44 $11.10 $16.50 $11.10 $16.50
45-49 $15.50 $23.30 $15.50 $23.30
50-54 $20.60 $31.10 $20.60 $31.10
55-59 $27.90 $41.90 $27.90 $41.90
60-64 $36.80 $55.20 $36.80 $55.20
65-69 $44.10 $66.20 $44.10 $66.20
70-74 $54.10 $81.20 $54.10 $81.20
Tobacco Rates
ATTAINED NAMED INSURED NAMED INSURED AND NAMED INSURED AND NAMED INSURED, SPOUSE
AGE SPOUSE DEPENDENT CHILD(REN) AND DEPENDENT CHILD(REN)
$5,000 17-24 $1.21 $1.83 $1.21 $1.83
25-29 $1.48 $2.20 $1.48 $2.20
30-34 $1.78 $2.65 $1.78 $2.65
35-39 $2.68 $4.05 $2.68 $4.05
40-44 $3.83 $5.73 $3.83 $5.73
45-49 $5.50 $8.28 $5.50 $8.28
50-54 $7.43 $11.13 $7.43 $11.13
55-59 $10.15 $15.28 $10.15 $15.28
60-64 $13.53 $20.30 $13.53 $20.30
65-69 $16.48 $24.75 $16.48 $24.75
70-74 $20.41 $30.60 $20.41 $30.60
$10,000 17-24 $2.40 $3.65 $2.40 $3.65
25-29 $2.95 $4.40 $2.95 $4.40
30-34 $3.55 $5.30 $3.55 $5.30
35-39 $5.35 $8.10 $5.35 $8.10
40-44 $7.65 $11.45 $7.65 $11.45
45-49 $11.00 $16.55 $11.00 $16.55
50-54 $14.85 $22.25 $14.85 $22.25
55-59 $20.30 $30.55 $20.30 $30.55
60-64 $27.05 $40.60 $27.05 $40.60
65-69 $32.95 $49.50 $32.95 $49.50
70-74 $40.80 $61.20 $40.80 $61.20

Underwritten by Colonial Life & Accident Insurance Company
Page 2 of 3 See page 3 for Important Notice