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CGI° Group Term to Age 100 Life Insurance, Semimonthly Premium² Quotes
For Eligible EMPLOYEEs of Employer Groups. CGI° Max. $12.00/week up to $150,000.

TOBACCO
This rate card is for groups sitused in Maryland. This rate card expires and is no longer valid on 7/31/2021.
The appropriate Illustration Certification must be completed in all states.
Semimonthly Premium for Semimonthly Premium for
Issue Group Term to 100 Initial Death Benefit¹ of: Issue Group Term to 100 Initial Death Benefit¹ of:
Age $25,000 $50,000 $75,000 $100,000 Age $25,000 $50,000 $75,000 $100,000
18 Issue age 18 will always be issued Nontobacco. 50 $24.55 $49.11³ $73.66³ $98.21³
19 N/A³ $8.34 $12.50 $16.67 51 $26.80³ $53.61³ $80.41³ $107.21³
20 $4.38 $8.75 $13.13 $17.50 52 $28.99³ $57.98³ $86.97³ $115.96³
21 $4.59 $9.17 $13.75 $18.34 53 $31.26³ $62.52³ $93.78³ $125.04³
22 $4.79 $9.59 $14.38 $19.17 54 $33.47³ $66.94³ $100.41³ $133.88³
23 $5.00 $10.00 $15.00 $20.00 55 $35.49³ $70.98³ $106.47³ $141.96³
24 $5.21 $10.42 $15.63 $20.84 56 $38.35³ $76.69³ $115.03³ $153.38³
25 $5.42 $10.84 $16.25 $21.67 57 $41.09³ $82.17³ $123.25³ $164.34³
26 $5.63 $11.25 $16.88 $22.50 58 $43.75³ $87.50³ $131.25³ $175.00³
27 $5.84 $11.67 $17.50 $23.34 59 $46.49³ $92.98³ $139.47³ $185.96³
28 $6.04 $12.09 $18.13 $24.17 60 $49.20³ $98.40³ $147.60³ $196.79³
29 $6.25 $12.50 $18.75 $25.00 61 $53.23³ $106.46³ $159.69³ $212.92³
30 $6.46 $12.92 $19.38 $25.84 62 $57.21³ $114.42³ $171.63³ $228.84³
31 $6.67 $13.34 $20.00 $26.67³ 63 $61.07³ $122.13³ $183.19³ $244.25³
32 $6.88 $13.75 $20.63 $27.50³ 64 $64.84³ $129.67³ $194.50³ $259.34³
33 $7.09 $14.17 $21.25 $28.34³ 65 $68.37³ $136.73³ $205.10³ $273.46³
34 $7.29 $14.59 $21.88 $29.17³ 66 † $75.01 $150.02 $225.03 $300.04
35 $7.50 $15.00 $22.50 $30.00³ 67 † $81.50 $163.00 $244.50 $326.00
36 $8.26 $16.52 $24.78 $33.04³ 68 † $87.84 $175.67 $263.50 $351.34
37 $8.99 $17.98 $26.97³ $35.96³ 69 † $94.03 $188.07 $282.10 $376.13
38 $9.75 $19.50 $29.25³ $39.00³ 70 † $100.05 $200.11 $300.16 $400.21
39 $10.55 $21.11 $31.66³ $42.21³ 71 † $116.39 $232.77 $349.16 $465.54
40 $11.30 $22.61 $33.91³ $45.21³ 72 † $121.72 $243.44 $365.16 $486.88
41 $12.48 $24.96 $37.44³ $49.92³ 73 † $127.59 $255.17 $382.75 $510.34
42 $13.68 $27.36³ $41.03³ $54.71³ 74 † $134.17 $268.34 $402.50 $536.67
43 $14.86 $29.71³ $44.57³ $59.42³ 75 † $141.59 $283.17 $424.75 $566.34
44 $16.05 $32.11³ $48.16³ $64.21³ 76 † $150.27 $300.54 $450.82 $601.09
45 $17.20 $34.40³ $51.60³ $68.79³ 77 † $155.63 $311.25 $466.88 $622.50
46 $18.60 $37.19³ $55.78³ $74.38³ 78 † $161.32 $322.63 $483.94 $645.25
47 $20.07 $40.13³ $60.19³ $80.25³ 79 † $167.32 $334.63 $501.94 $669.25
48 $21.58 $43.15³ $64.72³ $86.29³ 80 † $173.63 $347.25 $520.88 $694.50
49 $23.09 $46.17³ $69.25³ $92.34³
Group must be in an acceptable industry for life insurance risk. Consult the Industry Lookup Tool on the agent website with the group's SIC.
° CGI, Contingent Guarantee Issue underwriting limits are subject to account specific offer. Quotes denoted † or ³ require EOI.
¹ Initial Death Benefit is guaranteed level for the first five (5) years. After the first five years, the death benefit may decrease, but it will never
be less than the minimum guaranteed in the policy. The current, non-guaranteed death benefit is projected to be level to age 100.
² Premium is level to age 100. SEMIMONTHLY means 24 times per year.
³ Quote does not meet the minimum size requirement, i.e. the greater of $5,000 or the amount purchased by $2/week
without regard to riders, or it exceeds the CGI/GI Maximum (requires Evidence of Insurability).

† Evidence of insurability (EOI) is required for ages 66-80 and quotes in excess of U/W offer.

For Agent Use Only. Not for use with consumer sales. Not to be disseminated to the public.
This rate card is for certificate form GPTLC, or state variation thereof, underwritten by American Heritage Life Insurance Company.
Refer to the state specific brochure or policy form for exact benefits, limitations, exclusions, and other provisions applicable to the
state of solicitation. Allstate Benefits is the marketing name for American Heritage Life Insurance Company, Home Office,
Jacksonville, FL, a subsidiary of The Allstate Corporation. ©2018 Allstate Insurance Company.

FOR HOME OFFICE USE ONLY: Settings were Maryland-Employee-SEMIMONTHLY-CGI/GI-54-TRUE-0-0-N-Initial Death Benefit-25000-50000-75000-100000

Version 4.0 (Rev. 10/2/2019) Page 2 of 2 Printed 3/2/2021 7:36 PM