Critical Illness Rates

Group Critical Illness Insurance GENELCO RATES - Monthly PARTIAL PLAN CODE PARTIAL PLAN CODE EMPLOYEE - Issue Age Rates Monthly / Monthly Flat SPOUSE - Issue Age Rates Monthly / Monthly Flat $1000 Cost $1000 Cost Coverage PRODUCT ID AGE 003R5 0000B Coverage PRODUCT ID AGE 003R5 0000B 29 $ 0.43125 29 $ 0.43125 39 $ 0.73830 39 $ 0.73830 C 49 $ 1.49040 C 49 $ 1.49040 R 59 $ 2.94745 R 59 $ 2.94745 LUMP SUM E 99 $ 5.70228 LUMP SUM S 99 $ 5.70228 Employee 0 Spouse 0 Non-Tobacco L Non-Tobacco L N N (G/U) (G/U) 29 $ 0.63078 29 $ 0.63078 39 $ 1.18680 39 $ 1.18680 C 49 $ 2.38453 C 49 $ 2.38453 R 59 $ 4.81850 R 59 $ 4.81850 LUMP SUM E 99 $ 8.97288 LUMP SUM S 99 $ 8.97288 Employee 0 Spouse 0 Tobacco L Tobacco L T T (G/U) (G/U) 99 $ 1.51833 99 $ 1.51833 FLAT CRE0FUG FLAT CRS0FUG Employee Spouse Base Plan: Riders: Provisions: Group Attributes: -With Cancer Benefit -No additional riders -No Pre-Existing Condition Limitation -Situs State: IN -$50 Health Screening Benefit -Add'l Separation Waiting Period: 6 Months -Eligible Lives: 345 -$250 Skin Cancer Benefit -Re-Separation Waiting Period: 6 Months -Without Additional Benefits -Standard Portability (Loss of Sight, Speech, Hearing) -Rate Guarantee: 2 Years (Coma, Burns, Paralysis) Please Note: Premiums shown are accurate as of publication. They are subject to change. Published: Dec-15 Series C21000 CI21000-151218-112047-F3zIXIuK-037Yj3b-10042