Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age): Allstate Benefits Group Whole Life Insurance (GWL) for Employee/Member with riders (when available for the issue age): Accelerated Death Benefit for Long Term Care with Extension of Benefits (GWCLTCE, GWCLTCE1)†, and Accelerated Death Benefit for Terminal Illness or Condition T O B A C C O P R E M I U M R A T E S A N D V A L U E S (These are GI quotes, unless otherwise noted) T O B A C C O P R E M I U M R A T E S A N D V A L U E S (These are GI quotes, unless otherwise noted) Face $20,000 $40,000 $60,000 $80,000 $100,000 Face Amount Amount Issue Biweekly CV @ age 65 Biweekly CV @ age 65 Biweekly CV @ age 65 Biweekly CV @ age 65 Biweekly CV @ age 65 This section intentionally This section intentionally Issue Age Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ Premium or 10 years¹ left blank. left blank. Age 19 $8.36 $8,794 $16.70 $17,589 $25.04 $26,383 $33.40 $35,178 $41.74 $43,972 19 20 8.36 8,745 16.70 17,491 25.04 26,236 33.40 34,982 41.74 43,727 20 21 8.36 8,694 16.70 17,388 25.04 26,081 33.40 34,775 41.74 43,469 21 22 8.36 8,640 16.70 17,279 25.04 25,919 33.40 34,558 41.74 43,198 22 23 8.36 8,582 16.70 17,164 25.04 25,747 33.40 34,329 41.74 42,911 23 24 8.36 8,522 16.70 17,044 25.04 25,567 33.40 34,089 41.74 42,611 24 25 8.36 8,459 16.70 16,918 25.04 25,377 33.40 33,836 41.74 42,295 25 26 10.44 8,392 20.86 16,785 31.30 25,177 41.74 33,570 52.16 41,962 26 27 10.44 8,322 20.86 16,644 31.30 24,966 41.74 33,288 52.16 41,610 27 28 10.44 8,247 20.86 16,495 31.30 24,742 41.74 32,990 52.16 41,237 28 29 10.44 8,169 20.86 16,337 31.30 24,506 41.74 32,674 52.16 40,843 29 30 10.44 8,085 20.86 16,170 31.30 24,256 41.74 32,341 52.16 40,426 30 31 13.06 7,997 26.12 15,994 39.16 23,992 52.22 31,989 65.28 39,986 31 32 13.06 7,904 26.12 15,809 39.16 23,713 52.22 31,618 65.28 39,522 32 33 13.06 7,806 26.12 15,612 39.16 23,419 52.22 31,225 65.28 39,031 33 34 13.06 7,703 26.12 15,407 39.16 23,110 52.22 30,814 65.28 38,517 34 35 13.06 7,596 26.12 15,192 39.16 22,787 52.22 30,383 65.28 37,979 35 36 16.86 7,483 33.70 14,965 50.54 22,448 67.40 29,930 84.24 37,413 36 37 16.86 7,364 33.70 14,728 50.54 22,093 67.40 29,457 84.24 36,821 37 38 16.86 7,240 33.70 14,481 50.54 21,721 67.40 28,962 84.24 36,202 38 39 16.86 7,110 33.70 14,221 50.54 21,331 67.40 28,442 84.24 35,552 39 40 16.86 6,974 33.70 13,947 50.54 20,921 67.40 27,894 84.24 34,868 40 41 22.02 6,829 44.04 13,659 66.06 20,488 88.06 27,318 110.08 34,147 41 42 22.02 6,677 44.04 13,354 66.06 20,031 88.06 26,708 110.08 33,385 42 43 22.02 6,515 44.04 13,031 66.06 19,546 88.06 26,062 110.08 32,577 43 44 22.02 6,344 44.04 12,688 66.06 19,032 88.06 25,376 110.08 31,720 44 45 22.02 6,161 44.04 12,323 66.06 18,484 88.06 24,646 110.08 30,807 45 46 28.92 5,967 57.82 11,935 86.74 17,902 115.64 23,870 144.54 29,837 46 47 28.92 5,762 57.82 11,523 86.74 17,285 115.64 23,046 144.54 28,808 47 48 28.92 5,543 57.82 11,086 86.74 16,630 115.64 22,173 144.54 27,716 48 49 28.92 5,311 57.82 10,623 86.74 15,934 115.64 21,246 144.54 26,557 49 50 28.92 5,065 57.82 10,130 86.74 15,195 115.64 20,260 144.54 25,325 50 This rate insert is for use with materials for accounts sitused in Indiana, and is not to be used on its own. ¹ CV @ age 65 or 10 years - Value shown is at attained age 65 or the end of year 10 if later, and assumes all premiums have been paid, no changes have been made to the certificate, and there is no certificate debt. EXCLUSIONS AND LIMITATIONS: Suicide Exclusion - If a covered person commits suicide, the death benefit may be limited to the premiums paid for that covered person. Pre-existing Condition Limitation - The Accelerated Death Benefit for Long Term Care with Extension of Benefits (GWCLTCE, GWCLTCE1) rider may contain a pre-existing condition limitation. Other Exclusions and Limitations - The policy and riders (if included) have other elimination periods, exclusions and limitations that may affect coverage. Please refer to the certificate for details. Rates shown are based on Tobacco/Non-tobacco, Issue Age Banded rating structure. BIWEEKLY means 26 times per year. Age bands for rates are 0-17, 18-25, 26-30, 31-35, and so on in 5 year brackets up to 61-65, then separate rates for each individual age for ages 66, 67, 68, …, 80. This information is valid as long as information remains current, but in no event later than 12/31/2023. Group Whole Life Insurance benefits are provided under form GWLC, or state variations thereof. Rider benefits are provided under the following forms, or state variations thereof: Accelerated Death Benefit for Terminal Illness or Condition (GWPTI) and Accelerated Death Benefit for Long Term Care with Extension of Benefits (GWCLTCE, GWCLTCE1). Allstate Benefits is the marketing name used by This is a brief overview of the benefits available under the group voluntary policy underwritten by American Heritage Life Insurance Company (Home Office, Jacksonville, FL). American Heritage Life Insurance Company (Home Details of the insurance, including exclusions, restrictions, and other provisions are included in the certificates issued. Office, Jacksonville, FL), a subsidiary of The Allstate For additional information, you may contact your Allstate Benefits Representative. Corporation. ©2022 Allstate Insurance Company. www.allstate.com or allstatebenefits.com HO Use Only: lhumm-20221011-8211-IN-TNTB- † Issue Ages 18-70 Only for Accelerated Death Benefit for Long Term Care with Extension of Benefits (GWCLTCE, GWCLTCE1). B_STD_-FALSE-1033-FA-20000-100000-20000- PI:E-26x-TI:T-PWP:F-ADB:F-TYT:0-GWCLTCE:T- CT:F-ST:F-UWR Ratecard generated October 11, 2022 - 4:05 PM by ABQuote 09.28.2022. ABJ20743-14815 page 3 of 4 FOR AGENT USE ONLY GWLBIN 6 POD126436