Converting
Group Term
Life Insurance
to Individual
Insurance
A Prudential representative can assist you, without cost or
obligation, with the conversion process and answer any questions
you may have. If you do not have a Prudential representative
currently handling your insurance and financial needs, you can
locate the Prudential office most convenient to you in the telephone
directory or through our website, www.prudential.com/giconversions.
Under the terms of your group life policy, some or all of your
insurance coverage may be converted to permanent insurance.
If you are age 76 and above, your only conversion option is for a
Single Pay Life Policy. Please carefully read the provisions in your
Booklet-Certificate which describe your conversion privilege, if any.
If you were insured for Accidental Death Benefits (ADB) under
the group plan, you may be eligible to add an Accidental Death
Benefit rider to the conversion policy. Subject to approval by
Prudential, the amount of ADB is equal to the amount of life
insurance coverage you are converting and may be included in
policies issued at age 70 and under. The ADB is available for
amounts between $25,000 and $500,000. Conversion rates are
shown in the Rates Tables under the heading “With ADB.”
2
You should submit your application and first premium within the
31-day period specified in your Booklet-Certificate.
Premium rates for the Prudential Guaranteed Life Insurance
policy, issued by The Prudential Insurance Company of America,
are included in this brochure. These are standard rates per $1,000
of insurance and apply to most individuals who are converting.
The right to convert to a Prudential Guaranteed Life Insurance
policy is guaranteed, provided the terms as described in your
Booklet-Certificate are met.
Servicemembers/Reservists:
If you wish to convert Servicemembers’ Group Life Insurance
(SGLI) to a Prudential individual life insurance policy, you must
submit your application, first month’s premium, the letter you
received from the Office of Servicemembers’ Group Life Insurance,
and the proof of SGLI as defined in the above mentioned letter to
a Prudential office within 120 days of your release from uniformed
service or release from assignment to the Ready Reserves.
Veterans:
If you wish to convert Veterans’ Group Life Insurance (VGLI) to a
Prudential individual life insurance policy, you must submit your
application, first month’s premium, and your VGLI Conversion
Notice, SGL 183, to a Prudential office.
Policy Description
The following is a brief description of the policy available as
a conversion for which rates are included in this brochure.
Additional information regarding the policy described below
may be obtained from a Prudential representative.
Prudential Guaranteed Life Insurance
Prudential Guaranteed Life Insurance is a whole life product
with a guaranteed cash value and a guaranteed death benefit
for the lifetime of the insured, provided premiums are paid
when due and there are no outstanding loans or withdrawals.
The face amount is payable at death.
The basic premiums are level and payable to the policy
anniversary when the insured is age 85, or until death, if
earlier. If the insured survives the premium payment period,
the policy is continued with no further premium required.
Prudential Guaranteed Life Insurance is a non-participating
policy, which means dividends will
not be paid on the policy.
Guarantees are based on the claims-paying ability of
The Prudential Insurance Company of America.
4
Instructions for
Calculating Premiums
ALL CONVERSION APPLICATIONS MUST BE
ACCOMPANIED BY THE ENTIRE FIRST PREMIUM.
How to Calculate Prudential Premiums
Premiums are payable annually, semi-annually, quarterly, or by
pre-authorized monthly check draft (Prumatic). The mode of
payment selected must produce a minimum premium of $15.00.
Use standard rates per $1,000 shown on pages 5 –7 in this
brochure. After determining the premium for the amount of
insurance being converted, add the following policy constant
to obtain the premium for the policy:
n
$85.00 for annual mode of payment
n$45.00 for semi-annual mode of payment
n$23.00 for quarterly mode of payment
n$8.00 for monthly (Prumatic) mode of payment
The example below illustrates a premium calculation for a
$25,000 Prudential Guaranteed Life Insurance policy with
Accidental Death Benefit (ADB) for someone who is 40 years old.
The payment mode is quarterly. (The rates for $25,000 – $99,999
are contained on page 6.)
1. The rate per $1,000 with ADB for a quarterly payment
shown on page 6 is $4.67.
2. Multiply the amount of insurance being converted
(i.e., the number of $1,000 units) by the rate per $1,000
and add the quarterly policy constant:
* ADB is not available with face amounts of less than $25,000. These rates are effective 1/1/14 and are subject Issue Age Annual Semi-Annual Quarterly Prumatic
15 13.43 6.98 3.56 1.20 16 13.64 7.09 3.61 1.21 17 13.85 7.20 3.67 1.23 18 14.06 7.31 3.73 1.25 19 14.26 7.42 3.78 1.27 20 14.46 7.52 3.83 1.29 21 14.67 7.63 3.89 1.31 22 14.89 7.74 3.95 1.33 23 15.10 7.85 4.00 1.34 24 15.30 7.96 4.05 1.36 25 15.50 8.06 4.11 1.38 26 16.04 8.34 4.25 1.43 27 16.56 8.61 4.39 1.47 28 17.09 8.89 4.53 1.52 29 17.63 9.17 4.67 1.57 30 18.15 9.44 4.81 1.62 31 18.69 9.72 4.95 1.66 32 19.22 9.99 5.09 1.71 33 19.75 10.27 5.23 1.76 34 20.28 10.55 5.37 1.80 35 20.82 10.83 5.52 1.85 36 21.23 11.04 5.63 1.89 37 21.74 11.30 5.76 1.93 38 22.34 11.62 5.92 1.99 39 22.92 11.92 6.07 2.04 40 23.68 12.31 6.28 2.11 41 24.57 12.78 6.51 2.19 42 25.65 13.34 6.80 2.28 43 26.94 14.01 7.14 2.40 44 28.37 14.75 7.52 2.52 45 29.93 15.56 7.93 2.66 46 30.75 15.99 8.15 2.74 47 31.47 16.36 8.34 2.80 48 32.06 16.67 8.50 2.85 49 32.81 17.06 8.69 2.92 50 33.74 17.54 8.94 3.00 51 34.93 18.16 9.26 3.11 52 36.34 18.90 9.63 3.23 53 37.97 19.74 10.06 3.38 54 39.94 20.77 10.58 3.55 55 42.12 21.90 11.16 3.75 56 44.06 22.91 11.68 3.92 57 45.93 23.88 12.17 4.09 58 47.79 24.85 12.66 4.25 59 49.92 25.96 13.23 4.44 60 52.45 27.27 13.90 4.67 61 55.50 28.86 14.71 4.94 62 58.97 30.66 15.63 5.25 63 62.73 32.62 16.62 5.58 64 66.62 34.64 17.65 5.93 65 70.63 36.73 18.72 6.29 66 77.00 40.04 20.41 6.85 67 83.65 43.50 22.17 7.44 68 90.67 47.15 24.03 8.07 69 98.49 51.21 26.10 8.77 70 107.52 55.91 28.49 9.57 71 118.41 61.57 31.38 10.54 72 130.99 68.11 34.71 11.66 73 144.17 74.97 38.21 12.83 74 158.40 82.37 41.98 14.10 75 173.96 90.46 46.10 15.48
Prudential Guaranteed Life
(For Policies $1-$24,999)
Standard rates per $1,000 - A policy constant must be added to the total premium.
Please refer to the section “HOW TO CALCULATe PRUDeNTIAL PReMIUMS”
6
These rates are effective 1/1/14 and are subject to change at Prudential’s discretion. Your rate is based on your age on the effective date of your policy. Issue Age Annual Semi-Annual Quarterly PrumaticWithout With Without With Without With Without With ADB ADB ADB ADB ADB ADB ADB ADB
15 7.74 8.54 4.02 4.44 2.05 2.26 0.69 0.76 16 7.96 8.76 4.14 4.56 2.11 2.32 0.71 0.78 17 8.18 8.98 4.25 4.67 2.17 2.38 0.73 0.80 18 8.40 9.19 4.37 4.78 2.23 2.44 0.75 0.82 19 8.62 9.39 4.48 4.88 2.28 2.48 0.77 0.84 20 8.84 9.60 4.60 5.00 2.34 2.54 0.79 0.86 21 9.05 9.80 4.71 5.10 2.40 2.60 0.81 0.88 22 9.28 10.02 4.83 5.21 2.46 2.66 0.83 0.90 23 9.50 10.23 4.94 5.32 2.52 2.71 0.85 0.91 24 9.72 10.44 5.05 5.42 2.58 2.77 0.87 0.93 25 9.94 10.66 5.17 5.54 2.63 2.82 0.88 0.94 26 10.39 11.12 5.40 5.78 2.75 2.94 0.92 0.98 27 10.83 11.57 5.63 6.01 2.87 3.07 0.96 1.03 28 11.27 12.02 5.86 6.25 2.99 3.19 1.00 1.07 29 11.72 12.48 6.09 6.49 3.11 3.31 1.04 1.11 30 12.17 12.94 6.33 6.73 3.23 3.43 1.08 1.15 31 12.61 13.39 6.56 6.97 3.34 3.55 1.12 1.19 32 13.06 13.85 6.79 7.20 3.46 3.67 1.16 1.23 33 13.50 14.31 7.02 7.44 3.58 3.79 1.20 1.27 34 13.96 14.79 7.26 7.69 3.70 3.92 1.24 1.31 35 14.40 15.24 7.49 7.93 3.82 4.04 1.28 1.35 36 14.73 15.59 7.66 8.11 3.90 4.13 1.31 1.39 37 15.14 16.02 7.87 8.33 4.01 4.24 1.35 1.43 38 15.62 16.52 8.12 8.59 4.14 4.38 1.39 1.47 39 16.09 17.01 8.37 8.85 4.26 4.50 1.43 1.51 40 16.69 17.64 8.68 9.17 4.42 4.67 1.49 1.57 41 17.42 18.39 9.06 9.56 4.62 4.88 1.55 1.64 42 18.27 19.27 9.50 10.02 4.84 5.11 1.63 1.72 43 19.31 20.34 10.04 10.58 5.12 5.39 1.72 1.81 44 20.47 21.53 10.64 11.19 5.42 5.70 1.82 1.91 45 21.72 22.81 11.29 11.86 5.76 6.05 1.93 2.03 46 22.48 23.60 11.69 12.27 5.96 6.26 2.00 2.10 47 23.14 24.30 12.03 12.63 6.13 6.44 2.06 2.16 48 23.70 24.89 12.32 12.94 6.28 6.60 2.11 2.22 49 24.41 25.64 12.69 13.33 6.47 6.80 2.17 2.28 50 25.29 26.57 13.15 13.82 6.70 7.04 2.25 2.36 51 26.39 27.71 13.72 14.41 6.99 7.34 2.35 2.47 52 27.71 29.08 14.41 15.12 7.34 7.70 2.47 2.59 53 29.23 30.66 15.20 15.94 7.75 8.13 2.60 2.73 54 31.07 32.56 16.16 16.93 8.23 8.62 2.77 2.90 55 33.12 34.67 17.22 18.03 8.78 9.19 2.95 3.09 56 34.70 36.32 18.04 18.88 9.20 9.63 3.09 3.23 57 36.23 37.93 18.84 19.72 9.60 10.05 3.22 3.37 58 37.77 39.55 19.64 20.57 10.01 10.48 3.36 3.52 59 39.52 41.39 20.55 21.52 10.47 10.97 3.52 3.69 60 41.60 43.56 21.63 22.65 11.02 11.54 3.70 3.87 61 44.09 46.16 22.93 24.01 11.68 12.23 3.92 4.10 62 46.93 49.11 24.40 25.53 12.44 13.02 4.18 4.37 63 50.02 52.33 26.01 27.21 13.26 13.87 4.45 4.66 64 53.22 55.67 27.67 28.94 14.10 14.75 4.74 4.96 65 56.54 59.14 29.40 30.75 14.98 15.67 5.03 5.26 66 61.44 64.21 31.95 33.39 16.28 17.01 5.47 5.72 67 66.59 69.54 34.63 36.16 17.65 18.43 5.93 6.19 68 72.03 75.20 37.46 39.11 19.09 19.93 6.41 6.69 69 78.09 81.50 40.61 42.38 20.69 21.59 6.95 7.25 70 85.08 88.76 44.24 46.15 22.55 23.53 7.57 7.90 71 93.50 N/A 48.62 N/A 24.78 N/A 8.32 N/A 72 103.23 N/A 53.68 N/A 27.36 N/A 9.19 N/A 73 113.44 N/A 58.99 N/A 30.06 N/A 10.10 N/A 74 124.46 N/A 64.72 N/A 32.98 N/A 11.08 N/A 75 136.52 N/A 70.99 N/A 36.18 N/A 12.15 N/A
Prudential Guaranteed Life (For Policies $25,000-$99,999)
Standard rates per $1,000 - A policy constant must be added to the total premium.
Please refer to the section “HOW TO CALCULATe PRUDeNTIAL PReMIUMS”
These rates are effective 1/1/14 and are subject to change at Prudential’s discretion. Your rate is based on Issue Age Annual Semi-Annual Quarterly Prumatic
Without With Without With Without With Without With ADB ADB ADB ADB ADB ADB ADB ADB
15 5.86 6.66 3.05 3.47 1.55 1.76 0.52 0.59 16 6.11 6.91 3.18 3.60 1.62 1.83 0.54 0.61 17 6.35 7.15 3.30 3.72 1.68 1.89 0.57 0.64 18 6.59 7.38 3.43 3.84 1.75 1.96 0.59 0.66 19 6.83 7.60 3.55 3.95 1.81 2.01 0.61 0.68 20 7.08 7.84 3.68 4.08 1.88 2.08 0.63 0.70 21 7.32 8.07 3.81 4.20 1.94 2.14 0.65 0.72 22 7.56 8.30 3.93 4.31 2.00 2.20 0.67 0.74 23 7.81 8.54 4.06 4.44 2.07 2.26 0.70 0.76 24 8.05 8.77 4.19 4.56 2.13 2.32 0.72 0.78 25 8.30 9.02 4.32 4.69 2.20 2.39 0.74 0.80 26 8.72 9.45 4.53 4.91 2.31 2.50 0.78 0.84 27 9.14 9.88 4.75 5.13 2.42 2.62 0.81 0.88 28 9.57 10.32 4.98 5.37 2.54 2.74 0.85 0.92 29 9.99 10.75 5.19 5.59 2.65 2.85 0.89 0.96 30 10.41 11.18 5.41 5.81 2.76 2.96 0.93 1.00 31 10.83 11.61 5.63 6.04 2.87 3.08 0.96 1.03 32 11.26 12.05 5.86 6.27 2.98 3.19 1.00 1.07 33 11.68 12.49 6.07 6.49 3.10 3.31 1.04 1.11 34 12.10 12.93 6.29 6.72 3.21 3.43 1.08 1.15 35 12.53 13.37 6.52 6.96 3.32 3.54 1.12 1.19 36 12.87 13.73 6.69 7.14 3.41 3.64 1.15 1.23 37 13.27 14.15 6.90 7.36 3.52 3.75 1.18 1.26 38 13.74 14.64 7.14 7.61 3.64 3.88 1.22 1.30 39 14.21 15.13 7.39 7.87 3.77 4.01 1.26 1.34 40 14.79 15.74 7.69 8.18 3.92 4.17 1.32 1.40 41 15.51 16.48 8.07 8.57 4.11 4.37 1.38 1.47 42 16.36 17.36 8.51 9.03 4.34 4.61 1.46 1.55 43 17.37 18.40 9.03 9.57 4.60 4.87 1.55 1.64 44 18.50 19.56 9.62 10.17 4.90 5.18 1.65 1.74 45 19.74 20.83 10.26 10.83 5.23 5.52 1.76 1.86 46 20.52 21.64 10.67 11.25 5.44 5.74 1.83 1.93 47 21.19 22.35 11.02 11.62 5.62 5.93 1.89 1.99 48 21.76 22.95 11.32 11.94 5.77 6.09 1.94 2.05 49 22.47 23.70 11.68 12.32 5.95 6.28 2.00 2.11 50 23.36 24.64 12.15 12.82 6.19 6.53 2.08 2.19 51 24.48 25.80 12.73 13.42 6.49 6.84 2.18 2.30 52 25.82 27.19 13.43 14.14 6.84 7.20 2.30 2.42 53 27.37 28.80 14.23 14.97 7.25 7.63 2.44 2.57 54 29.24 30.73 15.20 15.97 7.75 8.14 2.60 2.73 55 31.32 32.87 16.29 17.10 8.30 8.71 2.79 2.93 56 32.85 34.47 17.08 17.92 8.71 9.14 2.92 3.06 57 34.34 36.04 17.86 18.74 9.10 9.55 3.06 3.21 58 35.83 37.61 18.63 19.56 9.49 9.96 3.19 3.35 59 37.54 39.41 19.52 20.49 9.95 10.45 3.34 3.51 60 39.55 41.51 20.57 21.59 10.48 11.00 3.52 3.69 61 41.95 44.02 21.81 22.89 11.12 11.67 3.73 3.91 62 44.71 46.89 23.25 24.38 11.85 12.43 3.98 4.17 63 47.68 49.99 24.79 25.99 12.64 13.25 4.24 4.45 64 50.79 53.24 26.41 27.68 13.46 14.11 4.52 4.74 65 54.01 56.61 28.09 29.44 14.31 15.00 4.81 5.04 66 58.32 61.09 30.33 31.77 15.45 16.18 5.19 5.44 67 62.84 65.79 32.68 34.21 16.65 17.43 5.59 5.85 68 67.62 70.79 35.16 36.81 17.92 18.76 6.02 6.30 69 72.94 76.35 37.93 39.70 19.33 20.23 6.49 6.79 70 79.09 82.77 41.13 43.04 20.96 21.94 7.04 7.37 71 86.49 N/A 44.97 N/A 22.92 N/A 7.70 N/A 72 95.02 N/A 49.41 N/A 25.18 N/A 8.46 N/A 73 103.99 N/A 54.07 N/A 27.56 N/A 9.26 N/A 74 113.67 N/A 59.11 N/A 30.12 N/A 10.12 N/A 75 124.26 N/A 64.62 N/A 32.93 N/A 11.06 N/A
Prudential Guaranteed Life (For Policies $100,000 +)
Standard rates per $1,000 - A policy constant must be added to the total premium.
Please refer to the section “HOW TO CALCULATe PRUDeNTIAL PReMIUMS”
Rate Calculation Sheet
Number of Units per $1,000
_________
(e.g. $10,000 = 10 Units)
Rate per $1,000
_________
(Refer to rate charts based on
amount of coverage being converted)
Policy constant per premium mode
_________
(Refer to page 4:
n
