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 N O N - 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 51 $26.58 $3,879 $53.14 $7,759 $79.72 $11,638 $106.28 $15,518 $132.86 $19,397 51 52 26.58 3,663 53.14 7,325 79.72 10,988 106.28 14,650 132.86 18,313 52 53 26.58 3,433 53.14 6,866 79.72 10,298 106.28 13,731 132.86 17,164 53 54 26.58 3,189 53.14 6,378 79.72 9,566 106.28 12,755 132.86 15,944 54 55 26.58 2,930 53.14 5,860 79.72 8,791 106.28 11,721 132.86 14,651 55 56 38.18 3,075 76.36 6,150 114.54 9,226 152.72 12,301 190.90 15,376 56 57 38.18 3,228 76.36 6,456 114.54 9,683 152.72 12,911 190.90 16,139 57 58 38.18 3,388 76.36 6,776 114.54 10,164 152.72 13,552 190.90 16,940 58 59 38.18 3,557 76.36 7,113 114.54 10,670 152.72 14,226 190.90 17,783 59 60 38.18 3,733 76.36 7,467 114.54 11,200 152.72 14,934 190.90 18,667 60 61 55.28 3,919 110.52 7,837 165.80 11,756 221.06 15,674 276.32 19,593 61 62 55.28 4,113 110.52 8,225 165.80 12,338 221.06 16,450 276.32 20,563 62 63 55.28 4,315 110.52 8,630 165.80 12,945 221.06 17,260 276.32 21,575 63 64 55.28 4,526 110.52 9,052 165.80 13,577 221.06 18,103 276.32 22,629 64 65 55.28 4,744 110.52 9,489 165.80 14,233 221.06 18,978 276.32 23,722 65 66 66.06 4,971 132.10 9,942 198.14 14,913 264.20 19,884 330.24 24,855 66 67 70.68 5,205 141.34 10,411 212.02 15,616 282.68 20,822 353.36 26,027 67 68 80.02 5,447 160.02 10,894 240.04 16,341 320.04 21,788 400.04 27,235 68 69 82.24 5,695 164.48 11,390 246.70 17,085 328.92 22,780 411.16 28,475 69 70 88.06 5,947 176.10 11,895 264.14 17,842 352.18 23,790 440.24 29,737 70 w/EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI Quote Requires EOI w/EOI 71 87.10 6,246 174.18 12,492 261.26 18,738 348.34 24,984 435.44 31,230 71 72 94.14 6,553 188.28 13,107 282.42 19,660 376.56 26,214 470.70 32,767 72 73 102.10 6,876 204.20 13,753 306.28 20,629 408.38 27,506 510.46 34,382 73 74 110.92 7,217 221.82 14,434 332.74 21,652 443.64 28,869 554.54 36,086 74 75 120.76 7,566 241.50 15,131 362.24 22,697 483.00 30,262 603.74 37,828 75 76 131.82 7,923 263.64 15,846 395.46 23,768 527.26 31,691 659.08 39,614 76 77 144.28 8,305 288.52 16,610 432.80 24,916 577.06 33,221 721.32 41,526 77 78 158.24 8,722 316.46 17,444 474.68 26,165 632.90 34,887 791.12 43,609 78 79 173.90 9,189 347.78 18,378 521.66 27,566 695.54 36,755 869.44 45,944 79 80 191.44 9,739 382.86 19,477 574.30 29,216 765.74 38,954 957.16 48,693 80 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 2 of 4 FOR AGENT USE ONLY GWLBIN 5 POD126436