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Group Critical Illness (Series 21000)

With Cancer | Includes Additional Benefits | Health Screening Benefit $50 | Optional Benefits Rider |

Progressive Diseases Rider 

Employee Non-Tobacco Semi-Monthly Premiums

Premiums

Age

$5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000

18-29

$2.05 $3.35

$4.64

$5.94

$7.23

$8.53

$9.82

$11.11

$12.41

$13.70

30-39

$2.87 $4.98

$7.10

$9.21 $11.32 $13.43

$15.55

$17.66

$19.77

$21.88

40-49

$4.88 $9.01 $13.13 $17.26 $21.38 $25.51

$29.63

$33.76

$37.88

$42.01

50-59

$8.81 $16.86 $24.91 $32.96 $41.01 $49.06

$57.11

$65.16

$73.21

$81.26

60+

$16.19 $31.62 $47.05 $62.48 $77.90 $93.33 $108.76 $124.19 $139.62 $155.05

Spouse Non-Tobacco Semi-Monthly Premiums

Premiums

Age

$5,000

$7,500 $10,000 $12,500 $15,000 $17,500 $20,000 $22,500 $25,000

18-29

$2.05

$2.70

$3.35

$4.00

$4.64

$5.29

$5.94

$6.58

$7.23

30-39

$2.87

$3.93

$4.98

$6.04

$7.10

$8.15

$9.21

$10.27

$11.32

40-49

$4.88

$6.95

$9.01

$11.07

$13.13

$15.20

$17.26

$19.32

$21.38

50-59

$8.81

$12.83

$16.86

$20.88

$24.91

$28.93

$32.96

$36.98

$41.01

60+

$16.19

$23.90

$31.62

$39.33

$47.05

$54.76

$62.48

$70.19

$77.90

Employee Tobacco Semi-Monthly Premiums

Premiums

Age

$5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000

18-29

$2.58 $4.40 $6.23 $8.05

$9.87

$11.69 $13.51 $15.34

$17.16

$18.98

30-39

$4.06 $7.36 $10.66 $13.95 $17.25 $20.55 $23.85 $27.15

$30.45

$33.75

40-49

$7.25 $13.74 $20.23 $26.72 $33.21 $39.70 $46.19 $52.68

$59.16

$65.65

50-59 $13.76 $26.76 $39.76 $52.75 $65.75 $78.75 $91.75 $104.75 $117.75 $130.75

60+

$24.84 $48.92 $73.00 $97.08 $121.16 $145.24 $169.32 $193.39 $217.47 $241.55

Spouse Tobacco Semi-Monthly Premiums

Expires on

12/06/16

Aflac Benefits Proposal

47