NEBRASKA 2014 RATE SHEETS

Premium portions for Plan F are for Part B deductible; subtract from the appropriate mode to calculate commission:

A SA Q M

$ 146 $ 73 $ 37 $ 13

Attained Age policy rates are based on the policyholder’s current age. Rates increase yearly (as the

policyholder’s age increases) on the policy anniversary date, usually up to age 80. Any rate increases due to medical care cost increases are in addition to the increases due to aging.

Under Age 65 Disability (U/W) policy rates available outside Guaranteed Issue period

Under Age 65 During Guaranteed Issue (GI) policy rates

available during Guaranteed Issue period.

NEBRASKA

2014

RATE SHEETS

UNDER AGE 65 DISABILITY (U/W) and UNDER AGE 65 DURING GUARANTEED ISSUE (GI) MALE FEMALE

PREFERRED

ST

AND

ARD

PLAN A SA Q M _U/WPlan Code_GI Effective _Date

B 6584 3292 1646 549 YF0 ZF0 01-01-14

PLAN A SA Q M _U/WPlan Code_GI Effective _Date

B 5727 2864 1432 478 YF1 ZF1 01-01-14

PLAN A SA Q M _U/WPlan Code_GI Effective _Date

B 7577 3789 1895 632 YF2 ZF2 01-01-14

PLAN A SA Q M _U/WPlan Code_GI Effective _Date

MALE

PREFERRED

ST

AND

ARD

PLAN

A

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YA4 Annual Semi Annual Quarterly Monthly

65 1953 977 489 163 66 2053 1027 514 172 67 2133 1067 534 178 68 2208 1104 552 184 69 2290 1145 573 191 70 2368 1184 592 198 71 2424 1212 606 202 72 2448 1224 612 204 73 2479 1240 620 207 74 2493 1247 624 208 75 2511 1256 628 210 76 2513 1257 629 210 77 2513 1257 629 210 78 2513 1257 629 210 79 2513 1257 629 210 80+ 2513 1257 629 210

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YA6 Annual Semi Annual Quarterly Monthly

65 2248 1124 562 188 66 2362 1181 591 197 67 2454 1227 614 205 68 2540 1270 635 212 69 2635 1318 659 220 70 2725 1363 682 228 71 2790 1395 698 233 72 2817 1409 705 235 73 2853 1427 714 238 74 2868 1434 717 239 75 2889 1445 723 241 76 2892 1446 723 241 77 2892 1446 723 241 78 2892 1446 723 241 79 2892 1446 723 241 80+ 2892 1446 723 241

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YA7 Annual Semi Annual Quarterly Monthly

65 1953 977 489 163 66 2053 1027 514 172 67 2133 1067 534 178 68 2208 1104 552 184 69 2290 1145 573 191 70 2368 1184 592 198 71 2424 1212 606 202 72 2448 1224 612 204 73 2479 1240 620 207 74 2493 1247 624 208 75 2511 1256 628 210 76 2513 1257 629 210 77 2513 1257 629 210 78 2513 1257 629 210 79 2513 1257 629 210 80+ 2513 1257 629 210

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YA5 Annual Semi Annual Quarterly Monthly

65 1699 850 425 142 66 1786 893 447 149 67 1855 928 464 155 68 1920 960 480 160 69 1992 996 498 166 70 2060 1030 515 172 71 2109 1055 528 176 72 2129 1065 533 178 73 2156 1078 539 180 74 2168 1084 542 181 75 2184 1092 546 182 76 2186 1093 547 183 77 2186 1093 547 183 78 2186 1093 547 183 79 2186 1093 547 183 80+ 2186 1093 547 183

MALE

PREFERRED

ST

AND

ARD

PLAN

B

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YB4 Annual Semi Annual Quarterly Monthly

65 2708 1354 677 226 66 2856 1428 714 238 67 2983 1492 746 249 68 3103 1552 776 259 69 3230 1615 808 270 70 3350 1675 838 280 71 3446 1723 862 288 72 3507 1754 877 293 73 3572 1786 893 298 74 3618 1809 905 302 75 3664 1832 916 306 76 3695 1848 924 308 77 3702 1851 926 309 78 3707 1854 927 309 79 3711 1856 928 310 80+ 3711 1856 928 310

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YB6 Annual Semi Annual Quarterly Monthly

65 3117 1559 780 260 66 3286 1643 822 274 67 3433 1717 859 287 68 3570 1785 893 298 69 3716 1858 929 310 70 3855 1928 964 322 71 3966 1983 992 331 72 4036 2018 1009 337 73 4111 2056 1028 343 74 4164 2082 1041 347 75 4217 2109 1055 352 76 4252 2126 1063 355 77 4260 2130 1065 355 78 4266 2133 1067 356 79 4271 2136 1068 356 80+ 4271 2136 1068 356

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YB7 Annual Semi Annual Quarterly Monthly

65 2708 1354 677 226 66 2856 1428 714 238 67 2983 1492 746 249 68 3103 1552 776 259 69 3230 1615 808 270 70 3350 1675 838 280 71 3446 1723 862 288 72 3507 1754 877 293 73 3572 1786 893 298 74 3618 1809 905 302 75 3664 1832 916 306 76 3695 1848 924 308 77 3702 1851 926 309 78 3707 1854 927 309 79 3711 1856 928 310 80+ 3711 1856 928 310

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YB5 Annual Semi Annual Quarterly Monthly

65 2356 1178 589 197 66 2484 1242 621 207 67 2595 1298 649 217 68 2699 1350 675 225 69 2809 1405 703 235 70 2914 1457 729 243 71 2998 1499 750 250 72 3051 1526 763 255 73 3108 1554 777 259 74 3147 1574 787 263 75 3187 1594 797 266 76 3214 1607 804 268 77 3220 1610 805 269 78 3225 1613 807 269 79 3228 1614 807 269 80+ 3228 1614 807 269

MALE

PREFERRED

ST

AND

ARD

PLAN

F

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YC4 Annual Semi Annual Quarterly Monthly

65 3034 1517 759 253 66 3198 1599 800 267 67 3338 1669 835 279 68 3480 1740 870 290 69 3637 1819 910 304 70 3789 1895 948 316 71 3921 1961 981 327 72 4020 2010 1005 335 73 4115 2058 1029 343 74 4192 2096 1048 350 75 4267 2134 1067 356 76 4330 2165 1083 361 77 4394 2197 1099 367 78 4461 2231 1116 372 79 4529 2265 1133 378 80+ 4640 2320 1160 387

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YC6 Annual Semi Annual Quarterly Monthly

65 3492 1746 873 291 66 3680 1840 920 307 67 3841 1921 961 321 68 4004 2002 1001 334 69 4185 2093 1047 349 70 4360 2180 1090 364 71 4512 2256 1128 376 72 4626 2313 1157 386 73 4735 2368 1184 395 74 4824 2412 1206 402 75 4910 2455 1228 410 76 4982 2491 1246 416 77 5056 2528 1264 422 78 5134 2567 1284 428 79 5212 2606 1303 435 80+ 5340 2670 1335 445

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YC7 Annual Semi Annual Quarterly Monthly

65 3034 1517 759 253 66 3198 1599 800 267 67 3338 1669 835 279 68 3480 1740 870 290 69 3637 1819 910 304 70 3789 1895 948 316 71 3921 1961 981 327 72 4020 2010 1005 335 73 4115 2058 1029 343 74 4192 2096 1048 350 75 4267 2134 1067 356 76 4330 2165 1083 361 77 4394 2197 1099 367 78 4461 2231 1116 372 79 4529 2265 1133 378 80+ 4640 2320 1160 387

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YC5 Annual Semi Annual Quarterly Monthly

65 2639 1320 660 220 66 2781 1391 696 232 67 2903 1452 726 242 68 3027 1514 757 253 69 3163 1582 791 264 70 3296 1648 824 275 71 3410 1705 853 285 72 3497 1749 875 292 73 3579 1790 895 299 74 3646 1823 912 304 75 3711 1856 928 310 76 3766 1883 942 314 77 3822 1911 956 319 78 3880 1940 970 324 79 3940 1970 985 329 80+ 4037 2019 1010 337

MALE

PREFERRED

ST

AND

ARD

PLAN

HDF

ATTAINED AGE Effective Date: 02-15-13 Plan Code: YD4 Annual Semi Annual Quarterly Monthly

65 519 260 130 44 66 561 281 141 47 67 601 301 151 51 68 627 314 157 53 69 655 328 164 55 70 689 345 173 58 71 760 380 190 64 72 813 407 204 68 73 867 434 217 73 74 909 455 228 76 75 948 474 237 79 76 983 492 246 82 77 1018 509 255 85 78 1053 527 264 88 79 1090 545 273 91 80+ 1151 576 288 96

ATTAINED AGE Effective Date: 02-15-13 Plan Code: YD6 Annual Semi Annual Quarterly Monthly

65 597 299 150 50 66 645 323 162 54 67 692 346 173 58 68 721 361 181 61 69 753 377 189 63 70 793 397 199 67 71 875 438 219 73 72 935 468 234 78 73 998 499 250 84 74 1046 523 262 88 75 1091 546 273 91 76 1131 566 283 95 77 1171 586 293 98 78 1212 606 303 101 79 1255 628 314 105 80+ 1325 663 332 111

ATTAINED AGE Effective Date: 02-15-13 Plan Code: YD7 Annual Semi Annual Quarterly Monthly

65 519 260 130 44 66 561 281 141 47 67 601 301 151 51 68 627 314 157 53 69 655 328 164 55 70 689 345 173 58 71 760 380 190 64 72 813 407 204 68 73 867 434 217 73 74 909 455 228 76 75 948 474 237 79 76 983 492 246 82 77 1018 509 255 85 78 1053 527 264 88 79 1090 545 273 91 80+ 1151 576 288 96

ATTAINED AGE Effective Date: 02-15-13 Plan Code: YD5 Annual Semi Annual Quarterly Monthly

65 451 226 113 38 66 488 244 122 41 67 523 262 131 44 68 545 273 137 46 69 569 285 143 48 70 599 300 150 50 71 661 331 166 56 72 707 354 177 59 73 754 377 189 63 74 791 396 198 66 75 825 413 207 69 76 855 428 214 72 77 885 443 222 74 78 916 458 229 77 79 949 475 238 80 80+ 1001 501 251 84

MALE

PREFERRED

ST

AND

ARD

PLAN

N

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YK4 Annual Semi Annual Quarterly Monthly

65 2331 1166 583 195 66 2475 1238 619 207 67 2591 1296 648 216 68 2712 1356 678 226 69 2844 1422 711 237 70 2974 1487 744 248 71 3089 1545 773 258 72 3181 1591 796 266 73 3262 1631 816 272 74 3332 1666 833 278 75 3399 1700 850 284 76 3455 1728 864 288 77 3518 1759 880 294 78 3582 1791 896 299 79 3645 1823 912 304 80+ 3763 1882 941 314

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YK6 Annual Semi Annual Quarterly Monthly

65 2683 1342 671 224 66 2848 1424 712 238 67 2982 1491 746 249 68 3120 1560 780 260 69 3273 1637 819 273 70 3423 1712 856 286 71 3554 1777 889 297 72 3660 1830 915 305 73 3753 1877 939 313 74 3834 1917 959 320 75 3912 1956 978 326 76 3976 1988 994 332 77 4048 2024 1012 338 78 4122 2061 1031 344 79 4195 2098 1049 350 80+ 4330 2165 1083 361

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YK7 Annual Semi Annual Quarterly Monthly

65 2331 1166 583 195 66 2475 1238 619 207 67 2591 1296 648 216 68 2712 1356 678 226 69 2844 1422 711 237 70 2974 1487 744 248 71 3089 1545 773 258 72 3181 1591 796 266 73 3262 1631 816 272 74 3332 1666 833 278 75 3399 1700 850 284 76 3455 1728 864 288 77 3518 1759 880 294 78 3582 1791 896 299 79 3645 1823 912 304 80+ 3763 1882 941 314

ATTAINED AGE Effective Date: 01-01-14 Plan Code: YK5 Annual Semi Annual Quarterly Monthly

65 2028 1014 507 169 66 2152 1076 538 180 67 2254 1127 564 188 68 2359 1180 590 197 69 2474 1237 619 207 70 2587 1294 647 216 71 2687 1344 672 224 72 2767 1384 692 231 73 2837 1419 710 237 74 2898 1449 725 242 75 2957 1479 740 247 76 3005 1503 752 251 77 3060 1530 765 255 78 3116 1558 779 260 79 3171 1586 793 265 80+ 3273 1637 819 273