Page 42 - APPENDICES for Fred Falten

Globe Life and Accident Insurance Company
(Globe Life Inc Group) Rates Effective January 1, 2021
PO Box 8080 McKinney, TX 75070; 1-800-801-6831
Pre-Existing Condition Limitations: Yes, policy contains a 6 month pre-existing condition limit. See note below.
Age Plan A Plan B Plan C Plan D Plan F Plan F+ Plan G Plan G+ Plan K Plan L Plan M Plan N
Male Fem. Male Fem. Male Fem. Male Fem. Male Fem. Male Fem. Male Fem. Male Fem. Male Fem. Male Fem. Male Fem. Male Fem.
< 65 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
65 120.50 120.50 174.50 174.50 219.00 219.00 57.50 57.50 199.50 199.50 57.50 57.50 154.50 154.50
66 126.00 126.00 184.50 184.50 233.50 233.50 61.00 61.00 214.50 214.50 61.00 61.00 165.50 165.50
67 126.00 126.00 184.50 184.50 233.50 233.50 61.00 61.00 214.50 214.50 61.00 61.00 165.50 165.50
68 126.00 126.00 184.50 184.50 233.50 233.50 61.00 61.00 214.50 214.50 61.00 61.00 165.50 165.50
69 126.00 126.00 184.50 184.50 233.50 233.50 61.00 61.00 214.50 214.50 61.00 61.00 165.50 165.50
70 134.00 134.00 202.00 202.00 265.00 265.00 66.50 66.50 245.50 245.50 66.50 66.50 191.00 191.00
71 134.00 134.00 202.00 202.00 265.00 265.00 66.50 66.50 245.50 245.50 66.50 66.50 191.00 191.00
72 134.00 134.00 202.00 202.00 265.00 265.00 66.50 66.50 245.50 245.50 66.50 66.50 191.00 191.00
73 134.00 134.00 202.00 202.00 265.00 265.00 66.50 66.50 245.50 245.50 66.50 66.50 191.00 191.00
74 134.00 134.00 202.00 202.00 265.00 265.00 66.50 66.50 245.50 245.50 66.50 66.50 191.00 191.00
75 138.00 138.00 213.50 213.50 290.50 290.50 71.50 71.50 271.00 271.00 71.50 71.50 212.00 212.00
76 138.00 138.00 213.50 213.50 290.50 290.50 71.50 71.50 271.00 271.00 71.50 71.50 212.00 212.00
77 138.00 138.00 213.50 213.50 290.50 290.50 71.50 71.50 271.00 271.00 71.50 71.50 212.00 212.00
78 138.00 138.00 213.50 213.50 290.50 290.50 71.50 71.50 271.00 271.00 71.50 71.50 212.00 212.00
79 138.00 138.00 213.50 213.50 290.50 290.50 71.50 71.50 271.00 271.00 71.50 71.50 212.00 212.00
80 141.50 141.50 218.50 218.50 313.00 313.00 77.00 77.00 294.00 294.00 77.00 77.00 231.00 231.00
81 141.50 141.50 218.50 218.50 313.00 313.00 77.00 77.00 294.00 294.00 77.00 77.00 231.00 231.00
82 141.50 141.50 218.50 218.50 313.00 313.00 77.00 77.00 294.00 294.00 77.00 77.00 231.00 231.00
83 141.50 141.50 218.50 218.50 313.00 313.00 77.00 77.00 294.00 294.00 77.00 77.00 231.00 231.00
84 141.50 141.50 218.50 218.50 313.00 313.00 77.00 77.00 294.00 294.00 77.00 77.00 231.00 231.00
85 155.50 155.50 240.50 240.50 344.50 344.50 85.00 85.00 323.50 323.50 85.00 85.00 254.50 254.50
86 155.50 155.50 240.50 240.50 344.50 344.50 85.00 85.00 323.50 323.50 85.00 85.00 254.50 254.50
87 155.50 155.50 240.50 240.50 344.50 344.50 85.00 85.00 323.50 323.50 85.00 85.00 254.50 254.50
88 155.50 155.50 240.50 240.50 344.50 344.50 85.00 85.00 323.50 323.50 85.00 85.00 254.50 254.50
89 155.50 155.50 240.50 240.50 344.50 344.50 85.00 85.00 323.50 323.50 85.00 85.00 254.50 254.50
90 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
91 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
92 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
93 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
94 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
95 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
96 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
97 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
98 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
99 169.50 169.50 262.00 262.00 375.50 375.50 92.50 92.50 352.50 352.50 92.50 92.50 277.50 277.50
Notes: Pre-existing Condition Limitation: Pre-Existing Condition means an injury sustained or Sickness first manifesting itself prior to the policy effective date for which medical advice or
treatment was recommended or given by a Physician within 6 months prior to the policy effective date. Loss due to a Pre-Existing Condition is not covered unless the loss is incurred more than
60 days after the policy effective date. Pre-existing conditions limitations do not apply to applicants eligible for guaranteed issue pursuant to INS 1905.13, and pre-existing limitations are waived to
the extent of prior creditable coverage for applicants eligible for open enrollment or when replacing a Medicare supplement policy. No other restrictions.
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