Cancer, Heart Attack and Stroke Insurance

Mutual of Omaha Insurance Company Cancer, Heart Attack and Stroke Insurance rate book M28740 For Producer use only. Not for use with the general p...
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Mutual of Omaha Insurance Company

Cancer, Heart Attack and Stroke Insurance rate book

M28740

For Producer use only. Not for use with the general public.

8-1-14

Table of Contents

Page Premium Calculation Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Base Plans & Riders – National (AL, DE, HI, ID, IL, IA, KS, LA, ME, MS, MO, NE, NV, NM, OK, TN, TX, WI, WY) . . . . . . 3-5 Base Plans & Riders – CO, SD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8 Base Plans & Riders – IN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11 Cash Value Rider . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Premium Calculation Modal Premium = (Base Plan Premium + Lump Sum Rider Premium + ICU Rider Premium) x (Cash Value Rate) x Modal Factor - $1 (if using BSP)

Premium Worksheet Example: Nebraska, Family Coverage, Oldest Insured 45

Premium Benefit Description Base Premium_______________ (A) 72.60 $30,000 Lifetime Cancer Coverage



Lump Sum Rider Premium_______________ (B) + 21.20 $10,000 Heart Attack & Stroke Rider



Total Base Premium_______________ (D) = (A) + (B) + (C)



103.88 x 1.75 Cash Value Rider = Yes

Cash Value Rate_______________ (E) (Enter 1 if no CV rider)

Modal Factor_______________ (F) x 1.00 Mode = Monthly



Non Discounted Modal Premium_______________ (G) = (D) x (E) x (F)



+ 10.08 $500 ICU Rider

ICU Rider Premium_______________ (C)

181.79

Enter $1 if using BSP, zero otherwise_______________ (H) - 1.00 BSP = Yes Discounted Modal Premium_______________ = (G) - (H)

180.79

Modes Annual . . . . . . . . . . . . . . 12 Semiannual . . . . . . . . . . . 6 Quarterly . . . . . . . . . . . . . 3 Monthly . . . . . . . . . . . . . . 1 Subtract $1 if paying with BSP

Example: Monthly modal premium x 12 months = annual premium

1

Base Plans (Lifetime Coverage) – Monthly Premiums (National)

Family

Individual Plus Children

Individual

Age of Oldest Insured 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99

Cancer

Heart Attack & Stroke

Cancer, Heart Attack & Stroke

$10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000

5.80 7.60 10.00 12.70 15.80 19.90 24.60 28.90 31.60 33.20 34.50 36.30 36.90 37.60 7.00 8.70 11.10 13.80 16.90 21.00 25.70 30.00 32.70 34.30 35.60 37.40 38.00 38.70 11.10 14.50 19.00 24.20 30.00 37.80 46.70 54.90 60.00 63.00 65.50 68.90 70.10 71.40

11.60 15.20 20.00 25.40 31.60 39.80 49.20 57.80 63.20 66.40 69.00 72.60 73.80 75.20 14.00 17.40 22.20 27.60 33.80 42.00 51.40 60.00 65.40 68.60 71.20 74.80 76.00 77.40 22.20 29.00 38.00 48.40 60.00 75.60 93.40 109.80 120.00 126.00 131.00 137.80 140.20 142.80

17.40 22.80 30.00 38.10 47.40 59.70 73.80 86.70 94.80 99.60 103.50 108.90 110.70 112.80 21.00 26.10 33.30 41.40 50.70 63.00 77.10 90.00 98.10 102.90 106.80 112.20 114.00 116.10 33.30 43.50 57.00 72.60 90.00 113.40 140.10 164.70 180.00 189.00 196.50 206.70 210.30 214.20

23.20 30.40 40.00 50.80 63.20 79.60 98.40 115.60 126.40 132.80 138.00 145.20 147.60 150.40 28.00 34.80 44.40 55.20 67.60 84.00 102.80 120.00 130.80 137.20 142.40 149.60 152.00 154.80 44.40 58.00 76.00 96.80 120.00 151.20 186.80 219.60 240.00 252.00 262.00 275.60 280.40 285.60

29.00 38.00 50.00 63.50 79.00 99.50 123.00 144.50 158.00 166.00 172.50 181.50 184.50 188.00 35.00 43.50 55.50 69.00 84.50 105.00 128.50 150.00 163.50 171.50 178.00 187.00 190.00 193.50 55.50 72.50 95.00 121.00 150.00 189.00 233.50 274.50 300.00 315.00 327.50 344.50 350.50 357.00

4.80 7.00 9.30 11.20 13.60 16.80 21.10 26.90 36.30 49.30 64.90 82.40 93.50 106.10 5.30 7.50 9.70 11.70 14.10 17.20 21.60 27.40 36.70 49.70 65.40 82.90 94.00 106.60 9.20 13.30 17.60 21.20 25.80 31.80 40.10 51.10 68.90 93.60 123.30 156.60 177.70 201.70

9.60 14.00 18.60 22.40 27.20 33.60 42.20 53.80 72.60 98.60 129.80 164.80 187.00 212.20 10.60 15.00 19.40 23.40 28.20 34.40 43.20 54.80 73.40 99.40 130.80 165.80 188.00 213.20 18.40 26.60 35.20 42.40 51.60 63.60 80.20 102.20 137.80 187.20 246.60 313.20 355.40 403.40

3

14.40 21.00 27.90 33.60 40.80 50.40 63.30 80.70 108.90 147.90 194.70 247.20 280.50 318.30 15.90 22.50 29.10 35.10 42.30 51.60 64.80 82.20 110.10 149.10 196.20 248.70 282.00 319.80 27.60 39.90 52.80 63.60 77.40 95.40 120.30 153.30 206.70 280.80 369.90 469.80 533.10 605.10

19.20 24.00 28.00 35.00 37.20 46.50 44.80 56.00 54.40 68.00 67.20 84.00 84.40 105.50 107.60 134.50 145.20 181.50 197.20 246.50 259.60 324.50 329.60 412.00 374.00 467.50 424.40 530.50 21.20 26.50 30.00 37.50 38.80 48.50 46.80 58.50 56.40 70.50 68.80 86.00 86.40 108.00 109.60 137.00 146.80 183.50 198.80 248.50 261.60 327.00 331.60 414.50 376.00 470.00 426.40 533.00 36.80 46.00 53.20 66.50 70.40 88.00 84.80 106.00 103.20 129.00 127.20 159.00 160.40 200.50 204.40 255.50 275.60 344.50 374.40 468.00 493.20 616.50 626.40 783.00 710.80 888.50 806.80 1,008.50

10.60 14.50 19.10 23.70 29.10 36.30 45.20 55.30 67.00 81.10 97.50 115.10 124.10 142.30 12.20 16.00 20.70 25.30 30.60 37.90 46.70 56.80 68.50 82.60 99.00 116.60 125.60 143.80 20.20 27.50 36.40 45.10 55.30 69.00 85.90 105.00 127.30 154.00 185.30 218.70 235.80 270.30

21.20 29.00 38.20 47.40 58.20 72.60 90.40 110.60 134.00 162.20 195.00 230.20 248.20 284.60 24.40 32.00 41.40 50.60 61.20 75.80 93.40 113.60 137.00 165.20 198.00 233.20 251.20 287.60 40.40 55.00 72.80 90.20 110.60 138.00 171.80 210.00 254.60 308.00 370.60 437.40 471.60 540.60

31.80 42.40 53.00 43.50 58.00 72.50 57.30 76.40 95.50 71.10 94.80 118.50 87.30 116.40 145.50 108.90 145.20 181.50 135.60 180.80 226.00 165.90 221.20 276.50 201.00 268.00 335.00 243.30 324.40 405.50 292.50 390.00 487.50 345.30 460.40 575.50 372.30 496.40 620.50 426.90 569.20 711.50 36.60 48.80 61.00 48.00 64.00 80.00 62.10 82.80 103.50 75.90 101.20 126.50 91.80 122.40 153.00 113.70 151.60 189.50 140.10 186.80 233.50 170.40 227.20 284.00 205.50 274.00 342.50 247.80 330.40 413.00 297.00 396.00 495.00 349.80 466.40 583.00 376.80 502.40 628.00 431.40 575.20 719.00 60.60 80.80 101.00 82.50 110.00 137.50 109.20 145.60 182.00 135.30 180.40 225.50 165.90 221.20 276.50 207.00 276.00 345.00 257.70 343.60 429.50 315.00 420.00 525.00 381.90 509.20 636.50 462.00 616.00 770.00 555.90 741.20 926.50 656.10 874.80 1,093.50 707.40 943.20 1,179.00 810.90 1,081.20 1,351.50

Riders – Monthly Premiums (National) Lump Sum & ICU Riders

Family

Individual Plus Children

Individual

Age of Oldest Insured 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99

Cancer Rider

Heart Attack & Stroke Rider

Intensive Care Unit Rider

Only available on Heart Attack & Stroke base plan

Only available on Cancer base plan

Only available on lifetime coverage

$10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000

5.80 7.60 10.00 12.70 15.80 19.90 24.60 28.90 31.60 33.20 34.50 36.30 36.90 37.60 7.00 8.70 11.10 13.80 16.90 21.00 25.70 30.00 32.70 34.30 35.60 37.40 38.00 38.70 11.10 14.50 19.00 24.20 30.00 37.80 46.70 54.90 60.00 63.00 65.50 68.90 70.10 71.40

11.60 15.20 20.00 25.40 31.60 39.80 49.20 57.80 63.20 66.40 69.00 72.60 73.80 75.20 14.00 17.40 22.20 27.60 33.80 42.00 51.40 60.00 65.40 68.60 71.20 74.80 76.00 77.40 22.20 29.00 38.00 48.40 60.00 75.60 93.40 109.80 120.00 126.00 131.00 137.80 140.20 142.80

17.40 22.80 30.00 38.10 47.40 59.70 73.80 86.70 94.80 99.60 103.50 108.90 110.70 112.80 21.00 26.10 33.30 41.40 50.70 63.00 77.10 90.00 98.10 102.90 106.80 112.20 114.00 116.10 33.30 43.50 57.00 72.60 90.00 113.40 140.10 164.70 180.00 189.00 196.50 206.70 210.30 214.20

23.20 30.40 40.00 50.80 63.20 79.60 98.40 115.60 126.40 132.80 138.00 145.20 147.60 150.40 28.00 34.80 44.40 55.20 67.60 84.00 102.80 120.00 130.80 137.20 142.40 149.60 152.00 154.80 44.40 58.00 76.00 96.80 120.00 151.20 186.80 219.60 240.00 252.00 262.00 275.60 280.40 285.60

29.00 38.00 50.00 63.50 79.00 99.50 123.00 144.50 158.00 166.00 172.50 181.50 184.50 188.00 35.00 43.50 55.50 69.00 84.50 105.00 128.50 150.00 163.50 171.50 178.00 187.00 190.00 193.50 55.50 72.50 95.00 121.00 150.00 189.00 233.50 274.50 300.00 315.00 327.50 344.50 350.50 357.00

4.80 7.00 9.30 11.20 13.60 16.80 21.10 26.90 36.30 49.30 64.90 82.40 93.50 106.10 5.30 7.50 9.70 11.70 14.10 17.20 21.60 27.40 36.70 49.70 65.40 82.90 94.00 106.60 9.20 13.30 17.60 21.20 25.80 31.80 40.10 51.10 68.90 93.60 123.30 156.60 177.70 201.70

9.60 14.00 18.60 22.40 27.20 33.60 42.20 53.80 72.60 98.60 129.80 164.80 187.00 212.20 10.60 15.00 19.40 23.40 28.20 34.40 43.20 54.80 73.40 99.40 130.80 165.80 188.00 213.20 18.40 26.60 35.20 42.40 51.60 63.60 80.20 102.20 137.80 187.20 246.60 313.20 355.40 403.40

14.40 21.00 27.90 33.60 40.80 50.40 63.30 80.70 108.90 147.90 194.70 247.20 280.50 318.30 15.90 22.50 29.10 35.10 42.30 51.60 64.80 82.20 110.10 149.10 196.20 248.70 282.00 319.80 27.60 39.90 52.80 63.60 77.40 95.40 120.30 153.30 206.70 280.80 369.90 469.80 533.10 605.10

19.20 24.00 28.00 35.00 37.20 46.50 44.80 56.00 54.40 68.00 67.20 84.00 84.40 105.50 107.60 134.50 145.20 181.50 197.20 246.50 259.60 324.50 329.60 412.00 374.00 467.50 424.40 530.50 21.20 26.50 30.00 37.50 38.80 48.50 46.80 58.50 56.40 70.50 68.80 86.00 86.40 108.00 109.60 137.00 146.80 183.50 198.80 248.50 261.60 327.00 331.60 414.50 376.00 470.00 426.40 533.00 36.80 46.00 53.20 66.50 70.40 88.00 84.80 106.00 103.20 129.00 127.20 159.00 160.40 200.50 204.40 255.50 275.60 344.50 374.40 468.00 493.20 616.50 626.40 783.00 710.80 888.50 806.80 1,008.50

$250

2.10 2.10 2.10 2.10 3.00 3.95 4.25

$500

4.20 4.20 4.20 4.20 6.00 7.90 8.50

$750

$1,000

6.30 6.30 6.30 6.30 9.00 11.85 12.75

8.40 8.40 8.40 8.40 12.00 15.80 17.00

N/A 3.15 3.15 3.15 3.15 4.05 5.00 5.30

6.30 6.30 6.30 6.30 8.10 10.00 10.60

9.45 9.45 9.45 9.45 12.15 15.00 15.90

N/A 5.05 5.05 5.05 5.05 6.75 8.55 9.13

10.10 10.10 10.10 10.10 13.50 17.10 18.25

15.15 15.15 15.15 15.15 20.25 25.65 27.38

N/A

Cash Value Rider Rate: See cash value rate sheet. Only available on lifetime coverage. Not Available in IA, ID Intensive Care Unit Rider: Not Available in TN

4

12.60 12.60 12.60 12.60 16.20 20.00 21.20

20.20 20.20 20.20 20.20 27.00 34.20 36.50

Term Coverage – Monthly Premiums (National) Cancer

Heart Attack & Stroke

Cancer, Heart Attack & Stroke

30-Year Term Coverage Individual Family Plus Children Individual

5.00 6.80 9.20 12.10 15.40 5.90 7.80 10.30 13.20 16.50 9.40 12.90 17.60 23.00 29.20

10.00 13.60 18.40 24.20 30.80 11.80 15.60 20.60 26.40 33.00 18.80 25.80 35.20 46.00 58.40

15.00 20.00 25.00 20.40 27.20 34.00 27.60 36.80 46.00 36.30 48.40 60.50 46.20 61.60 77.00 17.70 23.60 29.50 23.40 31.20 39.00 30.90 41.20 51.50 39.60 52.80 66.00 49.50 66.00 82.50 28.20 37.60 47.00 38.70 51.60 64.50 52.80 70.40 88.00 69.00 92.00 115.00 87.60 116.80 146.00

4.10 6.20 8.60 10.60 13.20 4.50 6.70 9.00 11.10 13.70 7.80 11.80 16.30 20.20 25.10

8.20 12.40 17.20 21.20 26.40 9.00 13.40 18.00 22.20 27.40 15.60 23.60 32.60 40.40 50.20

12.30 16.40 20.50 18.60 24.80 31.00 25.80 34.40 43.00 31.80 42.40 53.00 39.60 52.80 66.00 13.50 18.00 22.50 20.10 26.80 33.50 27.00 36.00 45.00 33.30 44.40 55.50 41.10 54.80 68.50 23.40 31.20 39.00 35.40 47.20 59.00 48.90 65.20 81.50 60.60 80.80 101.00 75.30 100.40 125.50

9.10 18.20 27.30 36.40 45.50 12.90 25.80 38.70 51.60 64.50 17.70 35.40 53.10 70.80 88.50 22.60 45.20 67.80 90.40 113.00 28.30 56.60 84.90 113.20 141.50 10.40 20.80 31.20 41.60 52.00 14.20 28.40 42.60 56.80 71.00 19.10 38.20 57.30 76.40 95.50 24.00 48.00 72.00 96.00 120.00 29.80 59.60 89.40 119.20 149.00 17.20 34.40 51.60 68.80 86.00 24.50 49.00 73.50 98.00 122.50 33.60 67.20 100.80 134.40 168.00 42.90 85.80 128.70 171.60 214.50 53.80 107.60 161.40 215.20 269.00

20-Year Term Coverage Individual Family Plus Children Individual

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

4.40 6.10 8.40 11.10 14.20 5.20 7.00 9.30 12.10 15.30 8.30 11.50 15.90 21.00 27.10

8.80 12.20 16.80 22.20 28.40 10.40 14.00 18.60 24.20 30.60 16.60 23.00 31.80 42.00 54.20

13.20 17.60 22.00 18.30 24.40 30.50 25.20 33.60 42.00 33.30 44.40 55.50 42.60 56.80 71.00 15.60 20.80 26.00 21.00 28.00 35.00 27.90 37.20 46.50 36.30 48.40 60.50 45.90 61.20 76.50 24.90 33.20 41.50 34.50 46.00 57.50 47.70 63.60 79.50 63.00 84.00 105.00 81.30 108.40 135.50

3.60 5.60 7.80 9.70 12.30 4.00 6.00 8.20 10.20 12.70 6.90 10.60 14.70 18.50 23.30

7.20 11.20 15.60 19.40 24.60 8.00 12.00 16.40 20.40 25.40 13.80 21.20 29.40 37.00 46.60

10.80 16.80 23.40 29.10 36.90 12.00 18.00 24.60 30.60 38.10 20.70 31.80 44.10 55.50 69.90

14.40 18.00 22.40 28.00 31.20 39.00 38.80 48.50 49.20 61.50 16.00 20.00 24.00 30.00 32.80 41.00 40.80 51.00 50.80 63.50 27.60 34.50 42.40 53.00 58.80 73.50 74.00 92.50 93.20 116.50

8.00 11.50 16.00 20.70 26.30 9.20 12.80 17.30 22.00 27.70 15.20 21.90 30.50 39.30 49.90

16.00 24.00 32.00 23.00 34.50 46.00 32.00 48.00 64.00 41.40 62.10 82.80 52.60 78.90 105.20 18.40 27.60 36.80 25.60 38.40 51.20 34.60 51.90 69.20 44.00 66.00 88.00 55.40 83.10 110.80 30.40 45.60 60.80 43.80 65.70 87.60 61.00 91.50 122.00 78.60 117.90 157.20 99.80 149.70 199.60

40.00 57.50 80.00 103.50 131.50 46.00 64.00 86.50 110.00 138.50 76.00 109.50 152.50 196.50 249.50

15-Year Term Coverage Individual Family Plus Children Individual

$10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

4.00 5.70 7.90 10.40 13.40 4.80 6.50 8.80 11.40 14.40 7.60 10.80 15.00 19.80 25.50

8.00 11.40 15.80 20.80 26.80 9.60 13.00 17.60 22.80 28.80 15.20 21.60 30.00 39.60 51.00

12.00 16.00 20.00 17.10 22.80 28.50 23.70 31.60 39.50 31.20 41.60 52.00 40.20 53.60 67.00 14.40 19.20 24.00 19.50 26.00 32.50 26.40 35.20 44.00 34.20 45.60 57.00 43.20 57.60 72.00 22.80 30.40 38.00 32.40 43.20 54.00 45.00 60.00 75.00 59.40 79.20 99.00 76.50 102.00 127.50

3.30 5.20 7.30 9.20 11.60 3.70 5.60 7.70 9.60 12.00 6.30 9.90 13.90 17.40 22.00

6.60 10.40 14.60 18.40 23.20 7.40 11.20 15.40 19.20 24.00 12.60 19.80 27.80 34.80 44.00

9.90 15.60 21.90 27.60 34.80 11.10 16.80 23.10 28.80 36.00 18.90 29.70 41.70 52.20 66.00

13.20 16.50 20.80 26.00 29.20 36.50 36.80 46.00 46.40 58.00 14.80 18.50 22.40 28.00 30.80 38.50 38.40 48.00 48.00 60.00 25.20 31.50 39.60 49.50 55.60 69.50 69.60 87.00 88.00 110.00

7.30 10.80 15.10 19.50 24.80 8.40 11.90 16.30 20.70 26.10 13.90 20.50 28.70 37.00 47.10

14.60 21.90 29.20 21.60 32.40 43.20 30.20 45.30 60.40 39.00 58.50 78.00 49.60 74.40 99.20 16.80 25.20 33.60 23.80 35.70 47.60 32.60 48.90 65.20 41.40 62.10 82.80 52.20 78.30 104.40 27.80 41.70 55.60 41.00 61.50 82.00 57.40 86.10 114.80 74.00 111.00 148.00 94.20 141.30 188.40

36.50 54.00 75.50 97.50 124.00 42.00 59.50 81.50 103.50 130.50 69.50 102.50 143.50 185.00 235.50

10-Year Term Coverage Individual Family Plus Children Individual

Age of Oldest Insured

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

3.60 5.20 7.40 9.80 12.50 4.30 6.00 8.30 10.60 13.40 6.80 9.90 14.10 18.50 23.70

7.20 10.40 14.80 19.60 25.00 8.60 12.00 16.60 21.20 26.80 13.60 19.80 28.20 37.00 47.40

10.80 15.60 22.20 29.40 37.50 12.90 18.00 24.90 31.80 40.20 20.40 29.70 42.30 55.50 71.10

3.00 4.80 6.90 8.60 10.80 3.30 5.10 7.20 8.90 11.10 5.60 9.10 13.10 16.30 20.40

6.00 9.60 13.80 17.20 21.60 6.60 10.20 14.40 17.80 22.20 11.20 18.20 26.20 32.60 40.80

9.00 14.40 20.70 25.80 32.40 9.90 15.30 21.60 26.70 33.30 16.80 27.30 39.30 48.90 61.20

12.00 15.00 19.20 24.00 27.60 34.50 34.40 43.00 43.20 54.00 13.20 16.50 20.40 25.50 28.80 36.00 35.60 44.50 44.40 55.50 22.40 28.00 36.40 45.50 52.40 65.50 65.20 81.50 81.60 102.00

6.50 9.90 14.20 18.20 23.00 7.50 11.00 15.40 19.40 24.30 12.40 18.80 27.00 34.60 43.80

13.00 19.50 26.00 19.80 29.70 39.60 28.40 42.60 56.80 36.40 54.60 72.80 46.00 69.00 92.00 15.00 22.50 30.00 22.00 33.00 44.00 30.80 46.20 61.60 38.80 58.20 77.60 48.60 72.90 97.20 24.80 37.20 49.60 37.60 56.40 75.20 54.00 81.00 108.00 69.20 103.80 138.40 87.60 131.40 175.20

32.50 49.50 71.00 91.00 115.00 37.50 55.00 77.00 97.00 121.50 62.00 94.00 135.00 173.00 219.00

14.40 18.00 20.80 26.00 29.60 37.00 39.20 49.00 50.00 62.50 17.20 21.50 24.00 30.00 33.20 41.50 42.40 53.00 53.60 67.00 27.20 34.00 39.60 49.50 56.40 70.50 74.00 92.50 94.80 118.50

Term Coverage: Not Available in ME 5

Base Plans (Lifetime Coverage) – Monthly Premiums (CO, SD)

Family

Individual Plus Children

Individual

Age of Oldest Insured 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99

Cancer

Heart Attack & Stroke

Cancer, Heart Attack & Stroke

$10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000

4.80 6.30 8.30 10.60 13.20 16.60 20.50 24.10 26.30 27.70 28.80 30.30 30.80 31.30 5.80 7.30 9.30 11.50 14.10 17.50 21.40 25.00 27.30 28.60 29.70 31.20 31.70 32.30 9.30 12.10 15.80 20.20 25.00 31.50 38.90 45.80 50.00 52.50 54.60 57.40 58.40 59.50

9.60 12.60 16.60 21.20 26.40 33.20 41.00 48.20 52.60 55.40 57.60 60.60 61.60 62.60 11.60 14.60 18.60 23.00 28.20 35.00 42.80 50.00 54.60 57.20 59.40 62.40 63.40 64.60 18.60 24.20 31.60 40.40 50.00 63.00 77.80 91.60 100.00 105.00 109.20 114.80 116.80 119.00

14.40 18.90 24.90 31.80 39.60 49.80 61.50 72.30 78.90 83.10 86.40 90.90 92.40 93.90 17.40 21.90 27.90 34.50 42.30 52.50 64.20 75.00 81.90 85.80 89.10 93.60 95.10 96.90 27.90 36.30 47.40 60.60 75.00 94.50 116.70 137.40 150.00 157.50 163.80 172.20 175.20 178.50

19.20 25.20 33.20 42.40 52.80 66.40 82.00 96.40 105.20 110.80 115.20 121.20 123.20 125.20 23.20 29.20 37.20 46.00 56.40 70.00 85.60 100.00 109.20 114.40 118.80 124.80 126.80 129.20 37.20 48.40 63.20 80.80 100.00 126.00 155.60 183.20 200.00 210.00 218.40 229.60 233.60 238.00

24.00 31.50 41.50 53.00 66.00 83.00 102.50 120.50 131.50 138.50 144.00 151.50 154.00 156.50 29.00 36.50 46.50 57.50 70.50 87.50 107.00 125.00 136.50 143.00 148.50 156.00 158.50 161.50 46.50 60.50 79.00 101.00 125.00 157.50 194.50 229.00 250.00 262.50 273.00 287.00 292.00 297.50

4.00 5.80 7.80 9.30 11.30 14.00 17.60 22.40 30.30 41.10 54.10 68.70 77.90 88.40 4.40 6.30 8.10 9.80 11.80 14.30 18.00 22.80 30.60 41.40 54.50 69.10 78.30 88.80 7.70 11.10 14.70 17.70 21.50 26.50 33.40 42.60 57.40 78.00 102.80 130.50 148.10 168.10

8.00 11.60 15.60 18.60 22.60 28.00 35.20 44.80 60.60 82.20 108.20 137.40 155.80 176.80 8.80 12.60 16.20 19.60 23.60 28.60 36.00 45.60 61.20 82.80 109.00 138.20 156.60 177.60 15.40 22.20 29.40 35.40 43.00 53.00 66.80 85.20 114.80 156.00 205.60 261.00 296.20 336.20

6

12.00 17.40 23.40 27.90 33.90 42.00 52.80 67.20 90.90 123.30 162.30 206.10 233.70 265.20 13.20 18.90 24.30 29.40 35.40 42.90 54.00 68.40 91.80 124.20 163.50 207.30 234.90 266.40 23.10 33.30 44.10 53.10 64.50 79.50 100.20 127.80 172.20 234.00 308.40 391.50 444.30 504.30

16.00 23.20 31.20 37.20 45.20 56.00 70.40 89.60 121.20 164.40 216.40 274.80 311.60 353.60 17.60 25.20 32.40 39.20 47.20 57.20 72.00 91.20 122.40 165.60 218.00 276.40 313.20 355.20 30.80 44.40 58.80 70.80 86.00 106.00 133.60 170.40 229.60 312.00 411.20 522.00 592.40 672.40

20.00 29.00 39.00 46.50 56.50 70.00 88.00 112.00 151.50 205.50 270.50 343.50 389.50 442.00 22.00 31.50 40.50 49.00 59.00 71.50 90.00 114.00 153.00 207.00 272.50 345.50 391.50 444.00 38.50 55.50 73.50 88.50 107.50 132.50 167.00 213.00 287.00 390.00 514.00 652.50 740.50 840.50

8.80 12.10 15.90 19.80 24.30 30.30 37.70 46.10 55.80 67.60 81.30 95.90 103.40 118.60 10.20 13.30 17.30 21.10 25.50 31.60 38.90 47.30 57.10 68.80 82.50 97.20 104.70 119.80 16.80 22.90 30.30 37.60 46.10 57.50 71.60 87.50 106.10 128.30 154.40 182.30 196.50 225.30

17.60 24.20 31.80 39.60 48.60 60.60 75.40 92.20 111.60 135.20 162.60 191.80 206.80 237.20 20.40 26.60 34.60 42.20 51.00 63.20 77.80 94.60 114.20 137.60 165.00 194.40 209.40 239.60 33.60 45.80 60.60 75.20 92.20 115.00 143.20 175.00 212.20 256.60 308.80 364.60 393.00 450.60

26.40 36.30 47.70 59.40 72.90 90.90 113.10 138.30 167.40 202.80 243.90 287.70 310.20 355.80 30.60 39.90 51.90 63.30 76.50 94.80 116.70 141.90 171.30 206.40 247.50 291.60 314.10 359.40 50.40 68.70 90.90 112.80 138.30 172.50 214.80 262.50 318.30 384.90 463.20 546.90 589.50 675.90

35.20 44.00 48.40 60.50 63.60 79.50 79.20 99.00 97.20 121.50 121.20 151.50 150.80 188.50 184.40 230.50 223.20 279.00 270.40 338.00 325.20 406.50 383.60 479.50 413.60 517.00 474.40 593.00 40.80 51.00 53.20 66.50 69.20 86.50 84.40 105.50 102.00 127.50 126.40 158.00 155.60 194.50 189.20 236.50 228.40 285.50 275.20 344.00 330.00 412.50 388.80 486.00 418.80 523.50 479.20 599.00 67.20 84.00 91.60 114.50 121.20 151.50 150.40 188.00 184.40 230.50 230.00 287.50 286.40 358.00 350.00 437.50 424.40 530.50 513.20 641.50 617.60 772.00 729.20 911.50 786.00 982.50 901.20 1,126.50

Riders – Monthly Premiums (CO, SD) Lump Sum & ICU Riders

Family

Individual Plus Children

Individual

Age of Oldest Insured 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99

Cancer Rider

Heart Attack & Stroke Rider

Intensive Care Unit Rider

Only available on Heart Attack & Stroke base plan

Only available on Cancer base plan

Only available on lifetime coverage

$10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000

4.80 6.30 8.30 10.60 13.20 16.60 20.50 24.10 26.30 27.70 28.80 30.30 30.80 31.30 5.80 7.30 9.30 11.50 14.10 17.50 21.40 25.00 27.30 28.60 29.70 31.20 31.70 32.30 9.30 12.10 15.80 20.20 25.00 31.50 38.90 45.80 50.00 52.50 54.60 57.40 58.40 59.50

9.60 12.60 16.60 21.20 26.40 33.20 41.00 48.20 52.60 55.40 57.60 60.60 61.60 62.60 11.60 14.60 18.60 23.00 28.20 35.00 42.80 50.00 54.60 57.20 59.40 62.40 63.40 64.60 18.60 24.20 31.60 40.40 50.00 63.00 77.80 91.60 100.00 105.00 109.20 114.80 116.80 119.00

14.40 18.90 24.90 31.80 39.60 49.80 61.50 72.30 78.90 83.10 86.40 90.90 92.40 93.90 17.40 21.90 27.90 34.50 42.30 52.50 64.20 75.00 81.90 85.80 89.10 93.60 95.10 96.90 27.90 36.30 47.40 60.60 75.00 94.50 116.70 137.40 150.00 157.50 163.80 172.20 175.20 178.50

19.20 25.20 33.20 42.40 52.80 66.40 82.00 96.40 105.20 110.80 115.20 121.20 123.20 125.20 23.20 29.20 37.20 46.00 56.40 70.00 85.60 100.00 109.20 114.40 118.80 124.80 126.80 129.20 37.20 48.40 63.20 80.80 100.00 126.00 155.60 183.20 200.00 210.00 218.40 229.60 233.60 238.00

24.00 31.50 41.50 53.00 66.00 83.00 102.50 120.50 131.50 138.50 144.00 151.50 154.00 156.50 29.00 36.50 46.50 57.50 70.50 87.50 107.00 125.00 136.50 143.00 148.50 156.00 158.50 161.50 46.50 60.50 79.00 101.00 125.00 157.50 194.50 229.00 250.00 262.50 273.00 287.00 292.00 297.50

4.00 5.80 7.80 9.30 11.30 14.00 17.60 22.40 30.30 41.10 54.10 68.70 77.90 88.40 4.40 6.30 8.10 9.80 11.80 14.30 18.00 22.80 30.60 41.40 54.50 69.10 78.30 88.80 7.70 11.10 14.70 17.70 21.50 26.50 33.40 42.60 57.40 78.00 102.80 130.50 148.10 168.10

8.00 11.60 15.60 18.60 22.60 28.00 35.20 44.80 60.60 82.20 108.20 137.40 155.80 176.80 8.80 12.60 16.20 19.60 23.60 28.60 36.00 45.60 61.20 82.80 109.00 138.20 156.60 177.60 15.40 22.20 29.40 35.40 43.00 53.00 66.80 85.20 114.80 156.00 205.60 261.00 296.20 336.20

12.00 17.40 23.40 27.90 33.90 42.00 52.80 67.20 90.90 123.30 162.30 206.10 233.70 265.20 13.20 18.90 24.30 29.40 35.40 42.90 54.00 68.40 91.80 124.20 163.50 207.30 234.90 266.40 23.10 33.30 44.10 53.10 64.50 79.50 100.20 127.80 172.20 234.00 308.40 391.50 444.30 504.30

16.00 23.20 31.20 37.20 45.20 56.00 70.40 89.60 121.20 164.40 216.40 274.80 311.60 353.60 17.60 25.20 32.40 39.20 47.20 57.20 72.00 91.20 122.40 165.60 218.00 276.40 313.20 355.20 30.80 44.40 58.80 70.80 86.00 106.00 133.60 170.40 229.60 312.00 411.20 522.00 592.40 672.40

20.00 29.00 39.00 46.50 56.50 70.00 88.00 112.00 151.50 205.50 270.50 343.50 389.50 442.00 22.00 31.50 40.50 49.00 59.00 71.50 90.00 114.00 153.00 207.00 272.50 345.50 391.50 444.00 38.50 55.50 73.50 88.50 107.50 132.50 167.00 213.00 287.00 390.00 514.00 652.50 740.50 840.50

Cash Value Rider Rate: See cash value rate sheet. Only available on lifetime coverage.

7

$250

1.75 1.75 1.75 1.75 2.50 3.29 3.54

$500

3.50 3.50 3.50 3.50 5.00 6.58 7.08

$750

$1,000

5.25 5.25 5.25 5.25 7.50 9.88 10.63

7.00 7.00 7.00 7.00 10.00 13.17 14.17

N/A 2.63 2.63 2.63 2.63 3.38 4.17 4.42

5.25 5.25 5.25 5.25 6.75 8.33 8.83

7.88 7.88 7.88 7.88 10.13 12.50 13.25

10.50 10.50 10.50 10.50 13.50 16.67 17.67

N/A 4.21 4.21 4.21 4.21 5.63 7.13 7.60

8.42 8.42 8.42 8.42 11.25 14.25 15.21

12.63 12.63 12.63 12.63 16.88 21.38 22.81

N/A

16.83 16.83 16.83 16.83 22.50 28.50 30.42

Term Coverage – Monthly Premiums (CO, SD) Cancer

Heart Attack & Stroke

Cancer, Heart Attack & Stroke

30-Year Term Coverage Individual Family Plus Children Individual

4.20 5.70 7.70 10.10 12.80 4.90 6.50 8.60 11.00 13.80 7.80 10.80 14.70 19.20 24.30

8.40 11.40 15.40 20.20 25.60 9.80 13.00 17.20 22.00 27.60 15.60 21.60 29.40 38.40 48.60

12.60 17.10 23.10 30.30 38.40 14.70 19.50 25.80 33.00 41.40 23.40 32.40 44.10 57.60 72.90

16.80 21.00 22.80 28.50 30.80 38.50 40.40 50.50 51.20 64.00 19.60 24.50 26.00 32.50 34.40 43.00 44.00 55.00 55.20 69.00 31.20 39.00 43.20 54.00 58.80 73.50 76.80 96.00 97.20 121.50

3.40 5.20 7.20 8.80 11.00 3.80 5.60 7.50 9.30 11.40 6.50 9.80 13.60 16.80 20.90

6.80 10.40 14.40 17.60 22.00 7.60 11.20 15.00 18.60 22.80 13.00 19.60 27.20 33.60 41.80

10.20 15.60 21.60 26.40 33.00 11.40 16.80 22.50 27.90 34.20 19.50 29.40 40.80 50.40 62.70

13.60 17.00 20.80 26.00 28.80 36.00 35.20 44.00 44.00 55.00 15.20 19.00 22.40 28.00 30.00 37.50 37.20 46.50 45.60 57.00 26.00 32.50 39.20 49.00 54.40 68.00 67.20 84.00 83.60 104.50

7.60 10.80 14.80 18.80 23.60 8.70 11.80 15.90 20.00 24.80 14.30 20.40 28.00 35.80 44.80

15.20 22.80 30.40 21.60 32.40 43.20 29.60 44.40 59.20 37.60 56.40 75.20 47.20 70.80 94.40 17.40 26.10 34.80 23.60 35.40 47.20 31.80 47.70 63.60 40.00 60.00 80.00 49.60 74.40 99.20 28.60 42.90 57.20 40.80 61.20 81.60 56.00 84.00 112.00 71.60 107.40 143.20 89.60 134.40 179.20

20-Year Term Coverage Individual Family Plus Children Individual

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

3.70 5.10 7.00 9.30 11.80 4.30 5.80 7.80 10.10 12.80 6.90 9.60 13.30 17.50 22.60

7.40 10.20 14.00 18.60 23.60 8.60 11.60 15.60 20.20 25.60 13.80 19.20 26.60 35.00 45.20

11.10 15.30 21.00 27.90 35.40 12.90 17.40 23.40 30.30 38.40 20.70 28.80 39.90 52.50 67.80

14.80 18.50 20.40 25.50 28.00 35.00 37.20 46.50 47.20 59.00 17.20 21.50 23.20 29.00 31.20 39.00 40.40 50.50 51.20 64.00 27.60 34.50 38.40 48.00 53.20 66.50 70.00 87.50 90.40 113.00

3.00 4.70 6.50 8.10 10.30 3.30 5.00 6.80 8.50 10.60 5.80 8.80 12.30 15.40 19.40

6.00 9.40 13.00 16.20 20.60 6.60 10.00 13.60 17.00 21.20 11.60 17.60 24.60 30.80 38.80

9.00 14.10 19.50 24.30 30.90 9.90 15.00 20.40 25.50 31.80 17.40 26.40 36.90 46.20 58.20

12.00 18.80 26.00 32.40 41.20 13.20 20.00 27.20 34.00 42.40 23.20 35.20 49.20 61.60 77.60

15.00 23.50 32.50 40.50 51.50 16.50 25.00 34.00 42.50 53.00 29.00 44.00 61.50 77.00 97.00

6.70 9.60 13.30 17.30 21.90 7.70 10.70 14.40 18.30 23.10 12.70 18.30 25.40 32.80 41.60

13.40 20.10 26.80 33.50 19.20 28.80 38.40 48.00 26.60 39.90 53.20 66.50 34.60 51.90 69.20 86.50 43.80 65.70 87.60 109.50 15.40 23.10 30.80 38.50 21.40 32.10 42.80 53.50 28.80 43.20 57.60 72.00 36.60 54.90 73.20 91.50 46.20 69.30 92.40 115.50 25.40 38.10 50.80 63.50 36.60 54.90 73.20 91.50 50.80 76.20 101.60 127.00 65.60 98.40 131.20 164.00 83.20 124.80 166.40 208.00

15-Year Term Coverage Individual Family Plus Children Individual

$10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

3.30 4.80 6.60 8.70 11.20 4.00 5.40 7.30 9.50 12.00 6.30 9.00 12.50 16.50 21.30

6.60 9.60 13.20 17.40 22.40 8.00 10.80 14.60 19.00 24.00 12.60 18.00 25.00 33.00 42.60

9.90 14.40 19.80 26.10 33.60 12.00 16.20 21.90 28.50 36.00 18.90 27.00 37.50 49.50 63.90

13.20 16.50 19.20 24.00 26.40 33.00 34.80 43.50 44.80 56.00 16.00 20.00 21.60 27.00 29.20 36.50 38.00 47.50 48.00 60.00 25.20 31.50 36.00 45.00 50.00 62.50 66.00 82.50 85.20 106.50

2.80 4.30 6.10 7.70 9.70 3.10 4.70 6.40 8.00 10.00 5.30 8.30 11.60 14.50 18.30

5.60 8.60 12.20 15.40 19.40 6.20 9.40 12.80 16.00 20.00 10.60 16.60 23.20 29.00 36.60

8.40 12.90 18.30 23.10 29.10 9.30 14.10 19.20 24.00 30.00 15.90 24.90 34.80 43.50 54.90

11.20 17.20 24.40 30.80 38.80 12.40 18.80 25.60 32.00 40.00 21.20 33.20 46.40 58.00 73.20

14.00 21.50 30.50 38.50 48.50 15.50 23.50 32.00 40.00 50.00 26.50 41.50 58.00 72.50 91.50

6.10 9.00 12.60 16.30 20.70 7.00 9.90 13.60 17.30 21.80 11.60 17.10 23.90 30.80 39.30

12.20 18.30 24.40 30.50 18.00 27.00 36.00 45.00 25.20 37.80 50.40 63.00 32.60 48.90 65.20 81.50 41.40 62.10 82.80 103.50 14.00 21.00 28.00 35.00 19.80 29.70 39.60 49.50 27.20 40.80 54.40 68.00 34.60 51.90 69.20 86.50 43.60 65.40 87.20 109.00 23.20 34.80 46.40 58.00 34.20 51.30 68.40 85.50 47.80 71.70 95.60 119.50 61.60 92.40 123.20 154.00 78.60 117.90 157.20 196.50

10-Year Term Coverage Individual Family Plus Children Individual

Age of Oldest Insured

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

3.00 4.30 6.20 8.20 10.40 3.60 5.00 6.90 8.80 11.20 5.70 8.30 11.80 15.40 19.80

6.00 8.60 12.40 16.40 20.80 7.20 10.00 13.80 17.60 22.40 11.40 16.60 23.60 30.80 39.60

9.00 12.90 18.60 24.60 31.20 10.80 15.00 20.70 26.40 33.60 17.10 24.90 35.40 46.20 59.40

12.00 17.20 24.80 32.80 41.60 14.40 20.00 27.60 35.20 44.80 22.80 33.20 47.20 61.60 79.20

2.50 4.00 5.80 7.20 9.00 2.80 4.30 6.00 7.40 9.30 4.70 7.60 10.90 13.60 17.00

5.00 8.00 11.60 14.40 18.00 5.60 8.60 12.00 14.80 18.60 9.40 15.20 21.80 27.20 34.00

7.50 12.00 17.40 21.60 27.00 8.40 12.90 18.00 22.20 27.90 14.10 22.80 32.70 40.80 51.00

10.00 16.00 23.20 28.80 36.00 11.20 17.20 24.00 29.60 37.20 18.80 30.40 43.60 54.40 68.00

12.50 20.00 29.00 36.00 45.00 14.00 21.50 30.00 37.00 46.50 23.50 38.00 54.50 68.00 85.00

5.40 8.30 11.80 15.20 19.20 6.30 9.20 12.80 16.20 20.30 10.30 15.70 22.50 28.80 36.50

10.80 16.20 21.60 27.00 16.60 24.90 33.20 41.50 23.60 35.40 47.20 59.00 30.40 45.60 60.80 76.00 38.40 57.60 76.80 96.00 12.60 18.90 25.20 31.50 18.40 27.60 36.80 46.00 25.60 38.40 51.20 64.00 32.40 48.60 64.80 81.00 40.60 60.90 81.20 101.50 20.60 30.90 41.20 51.50 31.40 47.10 62.80 78.50 45.00 67.50 90.00 112.50 57.60 86.40 115.20 144.00 73.00 109.50 146.00 182.50

15.00 21.50 31.00 41.00 52.00 18.00 25.00 34.50 44.00 56.00 28.50 41.50 59.00 77.00 99.00

8

38.00 54.00 74.00 94.00 118.00 43.50 59.00 79.50 100.00 124.00 71.50 102.00 140.00 179.00 224.00

Base Plans (Lifetime Coverage) – Monthly Premiums (IN)

Family

Individual Plus Children

Individual

Age of Oldest Insured 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99

Cancer

Heart Attack & Stroke

Cancer, Heart Attack & Stroke

$10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000

5.30 6.90 9.10 11.50 14.40 18.10 22.40 26.30 28.70 30.20 31.40 33.00 33.50 34.20 6.40 7.90 10.10 12.50 15.40 19.10 23.40 27.30 29.70 31.20 32.40 34.00 34.50 35.20 10.10 13.20 17.30 22.00 27.30 34.40 42.50 49.90 54.50 57.30 59.50 62.60 63.70 64.90

10.60 13.80 18.20 23.00 28.80 36.20 44.80 52.60 57.40 60.40 62.80 66.00 67.00 68.40 12.80 15.80 20.20 25.00 30.80 38.20 46.80 54.60 59.40 62.40 64.80 68.00 69.00 70.40 20.20 26.40 34.60 44.00 54.60 68.80 85.00 99.80 109.00 114.60 119.00 125.20 127.40 129.80

15.90 20.70 27.30 34.50 43.20 54.30 67.20 78.90 86.10 90.60 94.20 99.00 100.50 102.60 19.20 23.70 30.30 37.50 46.20 57.30 70.20 81.90 89.10 93.60 97.20 102.00 103.50 105.60 30.30 39.60 51.90 66.00 81.90 103.20 127.50 149.70 163.50 171.90 178.50 187.80 191.10 194.70

21.20 27.60 36.40 46.00 57.60 72.40 89.60 105.20 114.80 120.80 125.60 132.00 134.00 136.80 25.60 31.60 40.40 50.00 61.60 76.40 93.60 109.20 118.80 124.80 129.60 136.00 138.00 140.80 40.40 52.80 69.20 88.00 109.20 137.60 170.00 199.60 218.00 229.20 238.00 250.40 254.80 259.60

26.50 34.50 45.50 57.50 72.00 90.50 112.00 131.50 143.50 151.00 157.00 165.00 167.50 171.00 32.00 39.50 50.50 62.50 77.00 95.50 117.00 136.50 148.50 156.00 162.00 170.00 172.50 176.00 50.50 66.00 86.50 110.00 136.50 172.00 212.50 249.50 272.50 286.50 297.50 313.00 318.50 324.50

4.40 6.40 8.50 10.20 12.40 15.30 19.20 24.50 33.00 44.80 59.00 74.90 85.00 96.50 4.80 6.80 8.80 10.60 12.80 15.60 19.60 24.90 33.40 45.20 59.50 75.40 85.50 96.90 8.40 12.10 16.00 19.30 23.50 28.90 36.50 46.50 62.60 85.10 112.10 142.40 161.50 183.40

8.80 12.80 17.00 20.40 24.80 30.60 38.40 49.00 66.00 89.60 118.00 149.80 170.00 193.00 9.60 13.60 17.60 21.20 25.60 31.20 39.20 49.80 66.80 90.40 119.00 150.80 171.00 193.80 16.80 24.20 32.00 38.60 47.00 57.80 73.00 93.00 125.20 170.20 224.20 284.80 323.00 366.80

9

13.20 19.20 25.50 30.60 37.20 45.90 57.60 73.50 99.00 134.40 177.00 224.70 255.00 289.50 14.40 20.40 26.40 31.80 38.40 46.80 58.80 74.70 100.20 135.60 178.50 226.20 256.50 290.70 25.20 36.30 48.00 57.90 70.50 86.70 109.50 139.50 187.80 255.30 336.30 427.20 484.50 550.20

17.60 25.60 34.00 40.80 49.60 61.20 76.80 98.00 132.00 179.20 236.00 299.60 340.00 386.00 19.20 27.20 35.20 42.40 51.20 62.40 78.40 99.60 133.60 180.80 238.00 301.60 342.00 387.60 33.60 48.40 64.00 77.20 94.00 115.60 146.00 186.00 250.40 340.40 448.40 569.60 646.00 733.60

22.00 32.00 42.50 51.00 62.00 76.50 96.00 122.50 165.00 224.00 295.00 374.50 425.00 482.50 24.00 34.00 44.00 53.00 64.00 78.00 98.00 124.50 167.00 226.00 297.50 377.00 427.50 484.50 42.00 60.50 80.00 96.50 117.50 144.50 182.50 232.50 313.00 425.50 560.50 712.00 807.50 917.00

9.60 13.20 17.40 21.50 26.50 33.00 41.10 50.30 60.90 73.70 88.60 104.60 112.80 129.40 11.10 14.50 18.80 23.00 27.80 34.50 42.50 51.60 62.30 75.10 90.00 106.00 114.20 130.70 18.40 25.00 33.10 41.00 50.30 62.70 78.10 95.50 115.70 140.00 168.50 198.80 214.40 245.70

19.20 26.40 34.80 43.00 53.00 66.00 82.20 100.60 121.80 147.40 177.20 209.20 225.60 258.80 22.20 29.00 37.60 46.00 55.60 69.00 85.00 103.20 124.60 150.20 180.00 212.00 228.40 261.40 36.80 50.00 66.20 82.00 100.60 125.40 156.20 191.00 231.40 280.00 337.00 397.60 428.80 491.40

28.80 39.60 52.20 64.50 79.50 99.00 123.30 150.90 182.70 221.10 265.80 313.80 338.40 388.20 33.30 43.50 56.40 69.00 83.40 103.50 127.50 154.80 186.90 225.30 270.00 318.00 342.60 392.10 55.20 75.00 99.30 123.00 150.90 188.10 234.30 286.50 347.10 420.00 505.50 596.40 643.20 737.10

38.40 48.00 52.80 66.00 69.60 87.00 86.00 107.50 106.00 132.50 132.00 165.00 164.40 205.50 201.20 251.50 243.60 304.50 294.80 368.50 354.40 443.00 418.40 523.00 451.20 564.00 517.60 647.00 44.40 55.50 58.00 72.50 75.20 94.00 92.00 115.00 111.20 139.00 138.00 172.50 170.00 212.50 206.40 258.00 249.20 311.50 300.40 375.50 360.00 450.00 424.00 530.00 456.80 571.00 522.80 653.50 73.60 92.00 100.00 125.00 132.40 165.50 164.00 205.00 201.20 251.50 250.80 313.50 312.40 390.50 382.00 477.50 462.80 578.50 560.00 700.00 674.00 842.50 795.20 994.00 857.60 1,072.00 982.80 1,228.50

Riders – Monthly Premiums (IN) Lump Sum & ICU Riders

Family

Individual Plus Children

Individual

Age of Oldest Insured 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99

Cancer Rider

Heart Attack & Stroke Rider

Intensive Care Unit Rider

Only available on Heart Attack & Stroke base plan

Only available on Cancer base plan

Only available on lifetime coverage

$10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000

5.30 6.90 9.10 11.50 14.40 18.10 22.40 26.30 28.70 30.20 31.40 33.00 33.50 34.20 6.40 7.90 10.10 12.50 15.40 19.10 23.40 27.30 29.70 31.20 32.40 34.00 34.50 35.20 10.10 13.20 17.30 22.00 27.30 34.40 42.50 49.90 54.50 57.30 59.50 62.60 63.70 64.90

10.60 13.80 18.20 23.00 28.80 36.20 44.80 52.60 57.40 60.40 62.80 66.00 67.00 68.40 12.80 15.80 20.20 25.00 30.80 38.20 46.80 54.60 59.40 62.40 64.80 68.00 69.00 70.40 20.20 26.40 34.60 44.00 54.60 68.80 85.00 99.80 109.00 114.60 119.00 125.20 127.40 129.80

15.90 20.70 27.30 34.50 43.20 54.30 67.20 78.90 86.10 90.60 94.20 99.00 100.50 102.60 19.20 23.70 30.30 37.50 46.20 57.30 70.20 81.90 89.10 93.60 97.20 102.00 103.50 105.60 30.30 39.60 51.90 66.00 81.90 103.20 127.50 149.70 163.50 171.90 178.50 187.80 191.10 194.70

21.20 27.60 36.40 46.00 57.60 72.40 89.60 105.20 114.80 120.80 125.60 132.00 134.00 136.80 25.60 31.60 40.40 50.00 61.60 76.40 93.60 109.20 118.80 124.80 129.60 136.00 138.00 140.80 40.40 52.80 69.20 88.00 109.20 137.60 170.00 199.60 218.00 229.20 238.00 250.40 254.80 259.60

26.50 34.50 45.50 57.50 72.00 90.50 112.00 131.50 143.50 151.00 157.00 165.00 167.50 171.00 32.00 39.50 50.50 62.50 77.00 95.50 117.00 136.50 148.50 156.00 162.00 170.00 172.50 176.00 50.50 66.00 86.50 110.00 136.50 172.00 212.50 249.50 272.50 286.50 297.50 313.00 318.50 324.50

4.40 6.40 8.50 10.20 12.40 15.30 19.20 24.50 33.00 44.80 59.00 74.90 85.00 96.50 4.80 6.80 8.80 10.60 12.80 15.60 19.60 24.90 33.40 45.20 59.50 75.40 85.50 96.90 8.40 12.10 16.00 19.30 23.50 28.90 36.50 46.50 62.60 85.10 112.10 142.40 161.50 183.40

8.80 12.80 17.00 20.40 24.80 30.60 38.40 49.00 66.00 89.60 118.00 149.80 170.00 193.00 9.60 13.60 17.60 21.20 25.60 31.20 39.20 49.80 66.80 90.40 119.00 150.80 171.00 193.80 16.80 24.20 32.00 38.60 47.00 57.80 73.00 93.00 125.20 170.20 224.20 284.80 323.00 366.80

13.20 19.20 25.50 30.60 37.20 45.90 57.60 73.50 99.00 134.40 177.00 224.70 255.00 289.50 14.40 20.40 26.40 31.80 38.40 46.80 58.80 74.70 100.20 135.60 178.50 226.20 256.50 290.70 25.20 36.30 48.00 57.90 70.50 86.70 109.50 139.50 187.80 255.30 336.30 427.20 484.50 550.20

17.60 25.60 34.00 40.80 49.60 61.20 76.80 98.00 132.00 179.20 236.00 299.60 340.00 386.00 19.20 27.20 35.20 42.40 51.20 62.40 78.40 99.60 133.60 180.80 238.00 301.60 342.00 387.60 33.60 48.40 64.00 77.20 94.00 115.60 146.00 186.00 250.40 340.40 448.40 569.60 646.00 733.60

22.00 32.00 42.50 51.00 62.00 76.50 96.00 122.50 165.00 224.00 295.00 374.50 425.00 482.50 24.00 34.00 44.00 53.00 64.00 78.00 98.00 124.50 167.00 226.00 297.50 377.00 427.50 484.50 42.00 60.50 80.00 96.50 117.50 144.50 182.50 232.50 313.00 425.50 560.50 712.00 807.50 917.00

Cash Value Rider Rate: See cash value rate sheet. Only available on lifetime coverage.

10

$250

1.91 1.91 1.91 1.91 2.73 3.59 3.87

$500

3.82 3.82 3.82 3.82 5.45 7.18 7.73

$750

$1,000

5.73 5.73 5.73 5.73 8.18 10.78 11.59

7.63 7.63 7.63 7.63 10.91 14.37 15.46

N/A 2.87 2.87 2.87 2.87 3.68 4.55 4.82

5.73 5.73 5.73 5.73 7.36 9.09 9.64

8.59 8.59 8.59 8.59 11.04 13.64 14.46

11.46 11.46 11.46 11.46 14.73 18.18 19.28

N/A 4.58 4.58 4.58 4.58 6.14 7.78 8.30

9.16 9.16 9.16 9.16 12.27 15.55 16.59

13.74 13.74 13.74 13.74 18.41 23.33 24.89

N/A

18.33 18.33 18.33 18.33 24.54 31.11 33.18

Term Coverage – Monthly Premiums (IN) Cancer

Heart Attack & Stroke

Cancer, Heart Attack & Stroke

9.00 12.40 16.80 22.00 28.00 10.80 14.20 18.80 24.00 30.00 17.00 23.40 32.00 41.80 53.00

13.50 18.00 22.50 18.60 24.80 31.00 25.20 33.60 42.00 33.00 44.00 55.00 42.00 56.00 70.00 16.20 21.60 27.00 21.30 28.40 35.50 28.20 37.60 47.00 36.00 48.00 60.00 45.00 60.00 75.00 25.50 34.00 42.50 35.10 46.80 58.50 48.00 64.00 80.00 62.70 83.60 104.50 79.50 106.00 132.50

3.70 5.60 7.80 9.60 12.00 4.10 6.10 8.20 10.10 12.50 7.10 10.70 14.80 18.40 22.80

7.40 11.20 15.60 19.20 24.00 8.20 12.20 16.40 20.20 25.00 14.20 21.40 29.60 36.80 45.60

11.10 16.80 23.40 28.80 36.00 12.30 18.30 24.60 30.30 37.50 21.30 32.10 44.40 55.20 68.40

14.80 18.50 22.40 28.00 31.20 39.00 38.40 48.00 48.00 60.00 16.40 20.50 24.40 30.50 32.80 41.00 40.40 50.50 50.00 62.50 28.40 35.50 42.80 53.50 59.20 74.00 73.60 92.00 91.20 114.00

8.30 11.70 16.10 20.50 25.70 9.50 12.90 17.40 21.80 27.10 15.60 22.30 30.50 39.00 48.90

16.60 24.90 33.20 23.40 35.10 46.80 32.20 48.30 64.40 41.00 61.50 82.00 51.40 77.10 102.80 19.00 28.50 38.00 25.80 38.70 51.60 34.80 52.20 69.60 43.60 65.40 87.20 54.20 81.30 108.40 31.20 46.80 62.40 44.60 66.90 89.20 61.00 91.50 122.00 78.00 117.00 156.00 97.80 146.70 195.60

41.50 58.50 80.50 102.50 128.50 47.50 64.50 87.00 109.00 135.50 78.00 111.50 152.50 195.00 244.50

20-Year Term Coverage Individual Family Plus Children Individual

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

4.00 5.50 7.60 10.10 12.90 4.70 6.40 8.50 11.00 13.90 7.50 10.50 14.50 19.10 24.60

8.00 11.00 15.20 20.20 25.80 9.40 12.80 17.00 22.00 27.80 15.00 21.00 29.00 38.20 49.20

12.00 16.50 22.80 30.30 38.70 14.10 19.20 25.50 33.00 41.70 22.50 31.50 43.50 57.30 73.80

16.00 20.00 22.00 27.50 30.40 38.00 40.40 50.50 51.60 64.50 18.80 23.50 25.60 32.00 34.00 42.50 44.00 55.00 55.60 69.50 30.00 37.50 42.00 52.50 58.00 72.50 76.40 95.50 98.40 123.00

3.30 5.10 7.10 8.80 11.20 3.60 5.50 7.50 9.30 11.50 6.30 9.60 13.40 16.80 21.20

6.60 10.20 14.20 17.60 22.40 7.20 11.00 15.00 18.60 23.00 12.60 19.20 26.80 33.60 42.40

9.90 15.30 21.30 26.40 33.60 10.80 16.50 22.50 27.90 34.50 18.90 28.80 40.20 50.40 63.60

13.20 16.50 20.40 25.50 28.40 35.50 35.20 44.00 44.80 56.00 14.40 18.00 22.00 27.50 30.00 37.50 37.20 46.50 46.00 57.50 25.20 31.50 38.40 48.00 53.60 67.00 67.20 84.00 84.80 106.00

7.30 10.50 14.50 18.80 23.90 8.40 11.60 15.70 20.00 25.20 13.80 19.90 27.70 35.70 45.40

14.60 21.90 29.20 21.00 31.50 42.00 29.00 43.50 58.00 37.60 56.40 75.20 47.80 71.70 95.60 16.80 25.20 33.60 23.20 34.80 46.40 31.40 47.10 62.80 40.00 60.00 80.00 50.40 75.60 100.80 27.60 41.40 55.20 39.80 59.70 79.60 55.40 83.10 110.80 71.40 107.10 142.80 90.80 136.20 181.60

36.50 52.50 72.50 94.00 119.50 42.00 58.00 78.50 100.00 126.00 69.00 99.50 138.50 178.50 227.00

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

3.60 5.20 7.20 9.50 12.20 4.40 5.90 8.00 10.40 13.10 6.90 9.80 13.60 18.00 23.20

7.20 10.40 14.40 19.00 24.40 8.80 11.80 16.00 20.80 26.20 13.80 19.60 27.20 36.00 46.40

10.80 15.60 21.60 28.50 36.60 13.20 17.70 24.00 31.20 39.30 20.70 29.40 40.80 54.00 69.60

14.40 18.00 20.80 26.00 28.80 36.00 38.00 47.50 48.80 61.00 17.60 22.00 23.60 29.50 32.00 40.00 41.60 52.00 52.40 65.50 27.60 34.50 39.20 49.00 54.40 68.00 72.00 90.00 92.80 116.00

3.00 4.70 6.60 8.40 10.50 3.40 5.10 7.00 8.70 10.90 5.70 9.00 12.60 15.80 20.00

6.00 9.40 13.20 16.80 21.00 6.80 10.20 14.00 17.40 21.80 11.40 18.00 25.20 31.60 40.00

9.00 14.10 19.80 25.20 31.50 10.20 15.30 21.00 26.10 32.70 17.10 27.00 37.80 47.40 60.00

12.00 15.00 18.80 23.50 26.40 33.00 33.60 42.00 42.00 52.50 13.60 17.00 20.40 25.50 28.00 35.00 34.80 43.50 43.60 54.50 22.80 28.50 36.00 45.00 50.40 63.00 63.20 79.00 80.00 100.00

6.60 9.80 13.70 17.70 22.50 7.60 10.80 14.80 18.80 23.70 12.60 18.60 26.10 33.60 42.80

13.20 19.80 26.40 19.60 29.40 39.20 27.40 41.10 54.80 35.40 53.10 70.80 45.00 67.50 90.00 15.20 22.80 30.40 21.60 32.40 43.20 29.60 44.40 59.20 37.60 56.40 75.20 47.40 71.10 94.80 25.20 37.80 50.40 37.20 55.80 74.40 52.20 78.30 104.40 67.20 100.80 134.40 85.60 128.40 171.20

33.00 49.00 68.50 88.50 112.50 38.00 54.00 74.00 94.00 118.50 63.00 93.00 130.50 168.00 214.00

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

3.30 4.70 6.70 8.90 11.40 3.90 5.50 7.50 9.60 12.20 6.20 9.00 12.80 16.80 21.50

6.60 9.40 13.40 17.80 22.80 7.80 11.00 15.00 19.20 24.40 12.40 18.00 25.60 33.60 43.00

9.90 14.10 20.10 26.70 34.20 11.70 16.50 22.50 28.80 36.60 18.60 27.00 38.40 50.40 64.50

13.20 16.50 18.80 23.50 26.80 33.50 35.60 44.50 45.60 57.00 15.60 19.50 22.00 27.50 30.00 37.50 38.40 48.00 48.80 61.00 24.80 31.00 36.00 45.00 51.20 64.00 67.20 84.00 86.00 107.50

2.70 4.40 6.30 7.80 9.80 3.00 4.60 6.50 8.10 10.10 5.10 8.30 11.90 14.80 18.50

5.40 8.80 12.60 15.60 19.60 6.00 9.20 13.00 16.20 20.20 10.20 16.60 23.80 29.60 37.00

8.10 13.20 18.90 23.40 29.40 9.00 13.80 19.50 24.30 30.30 15.30 24.90 35.70 44.40 55.50

10.80 17.60 25.20 31.20 39.20 12.00 18.40 26.00 32.40 40.40 20.40 33.20 47.60 59.20 74.00

5.90 9.00 12.90 16.50 20.90 6.80 10.00 14.00 17.60 22.10 11.30 17.10 24.50 31.50 39.80

11.80 17.70 23.60 29.50 18.00 27.00 36.00 45.00 25.80 38.70 51.60 64.50 33.00 49.50 66.00 82.50 41.80 62.70 83.60 104.50 13.60 20.40 27.20 34.00 20.00 30.00 40.00 50.00 28.00 42.00 56.00 70.00 35.20 52.80 70.40 88.00 44.20 66.30 88.40 110.50 22.60 33.90 45.20 56.50 34.20 51.30 68.40 85.50 49.00 73.50 98.00 122.50 63.00 94.50 126.00 157.50 79.60 119.40 159.20 199.00

Family

30-Year Term Coverage Individual Plus Children Individual

4.50 6.20 8.40 11.00 14.00 5.40 7.10 9.40 12.00 15.00 8.50 11.70 16.00 20.90 26.50

15-Year Term Coverage Individual Family Plus Children Individual

$10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000 $10,000 $20,000 $30,000 $40,000 $50,000

18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54 18-34 35-39 40-44 45-49 50-54

10-Year Term Coverage Individual Family Plus Children Individual

Age of Oldest Insured

11

13.50 22.00 31.50 39.00 49.00 15.00 23.00 32.50 40.50 50.50 25.50 41.50 59.50 74.00 92.50

Cash Value Rider (Only Available on Lifetime Coverage) National Issue Ages: 18-60 (age of oldest insured) Rate: 175%

TX, IL Issue Ages: 18-49 (age of oldest insured) Rate: 200%

The Cash Value Rider is not available in the following states: IA ID

12

Underwritten by:

Mutual of Omaha Insurance Company Mutual of Omaha Plaza Omaha, NE 68175 mutualofomaha.com

For Producer use only. Not for use with the general public.

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