Page 10 - MOCO

American Heritage Life Insurance Company
A Disability Income Insurance Policy Illustration
Issue State: Maryland Type of Coverage: Preferred
Agent Name: Allstate Benefits Elimination Period: 30 Day Accident/30 Day Sickness
Policy: DI5W Disability Income Benefit Period: 12 Months
(DI5WMD) - Select Contingent Guarantee Issue
Optional Riders: On the Job Accident Total Disability Rider (R1DI5MD)

Minimum Annual Maximum Issue Ages: 18-49 50-59 60-69
Salary for Maximum Monthly Semi-Monthly Semi-Monthly Semi-Monthly
Monthly Benefit Benefit* Premium Premium Premium
$100,000.00 $5,000.00 $61.60 $78.60 $121.10
$98,000.00 $4,900.00 $60.41 $77.07 $118.72
$96,000.00 $4,800.00 $59.22 $75.54 $116.34
$94,000.00 $4,700.00 $58.03 $74.01 $113.96
$92,000.00 $4,600.00 $56.84 $72.48 $111.58
$90,000.00 $4,500.00 $55.65 $70.95 $109.20
$88,000.00 $4,400.00 $54.46 $69.42 $106.82
$86,000.00 $4,300.00 $53.27 $67.89 $104.44
$84,000.00 $4,200.00 $52.08 $66.36 $102.06
$82,000.00 $4,100.00 $50.89 $64.83 $99.68
$80,000.00 $4,000.00 $49.70 $63.30 $97.30
$78,000.00 $3,900.00 $48.51 $61.77 $94.92
$76,000.00 $3,800.00 $47.32 $60.24 $92.54
$74,000.00 $3,700.00 $46.13 $58.71 $90.16
$72,000.00 $3,600.00 $44.94 $57.18 $87.78
$70,000.00 $3,500.00 $43.75 $55.65 $85.40
$68,000.00 $3,400.00 $42.56 $54.12 $83.02
$66,000.00 $3,300.00 $41.37 $52.59 $80.64
$64,000.00 $3,200.00 $40.18 $51.06 $78.26
$62,000.00 $3,100.00 $38.99 $49.53 $75.88
$60,000.00 $3,000.00 $37.80 $48.00 $73.50
$58,000.00 $2,900.00 $36.61 $46.47 $71.12
$56,000.00 $2,800.00 $35.42 $44.94 $68.74
$54,000.00 $2,700.00 $34.23 $43.41 $66.36
$52,000.00 $2,600.00 $33.04 $41.88 $63.98
$50,000.00 $2,500.00 $31.85 $40.35 $61.60
$48,000.00 $2,400.00 $30.66 $38.82 $59.22
$46,000.00 $2,300.00 $29.47 $37.29 $56.84
$44,000.00 $2,200.00 $28.28 $35.76 $54.46
$42,000.00 $2,100.00 $27.09 $34.23 $52.08
$40,000.00 $2,000.00 $25.90 $32.70 $49.70
$38,000.00 $1,900.00 $24.71 $31.17 $47.32
$36,000.00 $1,800.00 $23.52 $29.64 $44.94
$34,000.00 $1,700.00 $22.33 $28.11 $42.56
$32,000.00 $1,600.00 $21.14 $26.58 $40.18
$30,000.00 $1,500.00 $19.95 $25.05 $37.80
$28,000.00 $1,400.00 $18.76 $23.52 $35.42
$26,000.00 $1,300.00 $17.57 $21.99 $33.04
$24,000.00 $1,200.00 $16.38 $20.46 $30.66
$22,000.00 $1,100.00 $15.19 $18.93 $28.28
$20,000.00 $1,000.00 $14.00 $17.40 $25.90
$18,000.00 $900.00 $12.81 $15.87 $23.52
$16,000.00 $800.00 $11.62 $14.34 $21.14
$14,000.00 $700.00 $10.43 $12.81 $18.76
$12,000.00 $600.00 $9.24 $11.28 $16.38
$10,000.00 $500.00 $8.05 $9.75 $14.00
$8,000.00 $400.00 $6.86 $8.22 $11.62
$6,000.00 $300.00 $5.67 $6.69 $9.24
$4,000.00 $200.00 $4.48 $5.16 $6.86
These rates are for agent use only and are not to be presented to the employee without an approved case-specific marketing
brochure that describes the benefits, exclusions, and limitations of this policy. Please ask your producer for details.
* The Maximum Monthly Benefit that can be applied for must be reduced by the Monthly Benefits of all other
existing coverage.
March 2, 2021
This illustration and rates expire 12/31/2021
Allstate Benefits is the marketing name for American Heritage Life Insurance Company, a subsidiary of the Allstate Corporation, Home Office:
Northbrook, Illinois. All products are underwritten by American Heritage Life Insurance Company, Home Office: Jacksonville, Florida. This
illustration highlights some features of the policy and riders, but is not the insurance contract. Only the actual policy and certificate provisions
control. The policy and riders set forth, in detail, the rights and obligations of both the insured and the insurance company. ©2020 Allstate
Insurance Company.
ver 01.05.2021
#Internal Information