Page 13 - COLONIAL BENEFITS MORGAN PLANNING GROUP

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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
Tobacco Rates
ATTAINED NAMED INSURED NAMED INSURED AND NAMED INSURED AND NAMED INSURED, SPOUSE
AGE SPOUSE DEPENDENT CHILD(REN) AND DEPENDENT CHILD(REN)
$15,000 17-24 $3.61 $5.48 $3.61 $5.48
25-29 $4.43 $6.60 $4.43 $6.60
30-34 $5.33 $7.95 $5.33 $7.95
35-39 $8.03 $12.15 $8.03 $12.15
40-44 $11.48 $17.18 $11.48 $17.18
45-49 $16.50 $24.83 $16.50 $24.83
50-54 $22.28 $33.38 $22.28 $33.38
55-59 $30.45 $45.83 $30.45 $45.83
60-64 $40.58 $60.90 $40.58 $60.90
65-69 $49.43 $74.25 $49.43 $74.25
70-74 $61.21 $91.80 $61.21 $91.80
$20,000 17-24 $4.80 $7.30 $4.80 $7.30
25-29 $5.90 $8.80 $5.90 $8.80
30-34 $7.10 $10.60 $7.10 $10.60
35-39 $10.70 $16.20 $10.70 $16.20
40-44 $15.30 $22.90 $15.30 $22.90
45-49 $22.00 $33.10 $22.00 $33.10
50-54 $29.70 $44.50 $29.70 $44.50
55-59 $40.60 $61.10 $40.60 $61.10
60-64 $54.10 $81.20 $54.10 $81.20
65-69 $65.90 $99.00 $65.90 $99.00
70-74 $81.60 $122.40 $81.60 $122.40

Group Accident for MN Applicable to policy forms GACC1.0-P & GACC1.0-C
l On/Off-Job Accident Coverage, Health Screening Benefit ($100)
Plan 3
ISSUE AGE NAMED INSURED EMPLOYEE & SPOUSE ONE-PARENT FAMILY TWO-PARENT FAMILY
17-99 $11.13 $17.69 $18.19 $24.75

Important Notice
Insurance coverage has exclusions and limitations that may affect benefits payable. For a complete description of benefits, limitations and exclusions, please refer to an
outline of coverage, sample policy/certificate, proposal description or see your Colonial Life benefits counselor. Coverage type, benefits and rates vary by state. Coverage may
not be available in all states. Rates provided are illustrative and your actual premium may be different depending on your particular situation and plan choices.
Colonial Life products are underwritten by Colonial Life & Accident Insurance Company, for which Colonial Life is the marketing brand.
© 2020 Colonial Life & Accident Insurance Company
"Colonial Life," and the Colonial Life logo, separately and in combination, are service marks of Colonial Life & Accident Insurance Company. All rights reserved.
Zach Swartzendruber | zach.swartzendruber@swartzendruberagency.com | (763) 458-6457

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