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