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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 This rate card expires and is no longer valid on 7/31/2021.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 $100,000 $150,000 $200,000 $250,000 Age $100,000 $150,000 $200,000 $250,000
18 Issue age 18 will always be issued Nontobacco. 50 $98.21³ $147.32³ $196.42³ $245.52³
19 $16.67 $25.00 $33.34³ $41.67³ 51 $107.21³ $160.82³ $214.42³ $268.02³
20 $17.50 $26.25³ $35.00³ $43.75³ 52 $115.96³ $173.94³ $231.92³ $289.90³
21 $18.34 $27.50³ $36.67³ $45.84³ 53 $125.04³ $187.57³ $250.09³ $312.61³
22 $19.17 $28.75³ $38.34³ $47.92³ 54 $133.88³ $200.82³ $267.75³ $334.69³
23 $20.00 $30.00³ $40.00³ $50.00³ 55 $141.96³ $212.94³ $283.92³ $354.90³
24 $20.84 $31.25³ $41.67³ $52.09³ 56 $153.38³ $230.07³ $306.75³ $383.44³
25 $21.67 $32.50³ $43.34³ $54.17³ 57 $164.34³ $246.50³ $328.67³ $410.84³
26 $22.50 $33.75³ $45.00³ $56.25³ 58 $175.00³ $262.50³ $350.00³ $437.50³
27 $23.34 $35.00³ $46.67³ $58.34³ 59 $185.96³ $278.94³ $371.92³ $464.90³
28 $24.17 $36.25³ $48.34³ $60.42³ 60 $196.79³ $295.19³ $393.59³ $491.98³
29 $25.00 $37.50³ $50.00³ $62.50³ 61 $212.92³ $319.38³ $425.84³ $532.29³
30 $25.84 $38.75³ $51.67³ $64.59³ 62 $228.84³ $343.25³ $457.67³ $572.09³
31 $26.67³ $40.00³ $53.34³ $66.67³ 63 $244.25³ $366.38³ $488.50³ $610.63³
32 $27.50³ $41.25³ $55.00³ $68.75³ 64 $259.34³ $389.00³ $518.67³ $648.34³
33 $28.34³ $42.50³ $56.67³ $70.84³ 65 $273.46³ $410.19³ $546.92³ $683.65³
34 $29.17³ $43.75³ $58.34³ $72.92³ 66 † $300.04 $450.07 $600.09 $750.11
35 $30.00³ $45.00³ $60.00³ $75.00³ 67 † $326.00 $489.00 $652.00 $815.00
36 $33.04³ $49.57³ $66.09³ $82.61³ 68 † $351.34 $527.00 $702.67 $878.34
37 $35.96³ $53.94³ $71.92³ $89.90³ 69 † $376.13 $564.19 $752.25 $940.32
38 $39.00³ $58.50³ $78.00³ $97.50³ 70 † $400.21 $600.32 $800.42 $1,000.52
39 $42.21³ $63.32³ $84.42³ $105.52³ 71 † $465.54 $698.32 $931.09 $1,163.86
40 $45.21³ $67.82³ $90.42³ $113.02³ 72 † $486.88 $730.32 $973.75 $1,217.19
41 $49.92³ $74.88³ $99.84³ $124.79³ 73 † $510.34 $765.50 $1,020.67 $1,275.84
42 $54.71³ $82.07³ $109.42³ $136.77³ 74 † $536.67 $805.00 $1,073.34 $1,341.67
43 $59.42³ $89.13³ $118.84³ $148.54³ 75 † $566.34 $849.50 $1,132.67 $1,415.84
44 $64.21³ $96.32³ $128.42³ $160.52³ 76 † $601.09 $901.63 $1,202.17 $1,502.71
45 $68.79³ $103.19³ $137.59³ $171.98³ 77 † $622.50 $933.75 $1,245.00 $1,556.25
46 $74.38³ $111.57³ $148.75³ $185.94³ 78 † $645.25 $967.88 $1,290.50 $1,613.13
47 $80.25³ $120.38³ $160.50³ $200.63³ 79 † $669.25 $1,003.88 $1,338.50 $1,673.13
48 $86.29³ $129.44³ $172.59³ $215.73³ 80 † $694.50 $1,041.75 $1,389.00 $1,736.25
49 $92.34³ $138.50³ $184.67³ $230.84³
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-100000-150000-200000-250000

Version 4.0 (Rev. 10/2/2019) Page 2 of 2 Printed 3/2/2021 7:40 PM