PremiumTotal18-75INDIVIDUAL$23.27$23.2718-75NAMEDINSURED/SPOUSE$35.75$35.7518-75ONE-PARENTFAMILY$40.43$40.4318-75TWO-PARENTFAMILY$54.21$54.21AccidentAdvantage-24-HOURACCIDENTOPTION3-SeriesA36000AFLAC-SHORTTERMDISABILITY-SeriesA-57600EliminationPeriodAccident/Sickness-0/7DAYSAnnualIncome$19,000$22,000$24,000$26,000$27,000$29,000$32,000$34,000$36,000$38,000BenefitPeriodAge$1,000$1,100$1,200$1,300$1,400$1,500$1,600$1,700$1,800$1,9003MONTHS18-49$26.00$28.60$31.20$33.80$36.40$39.00$41.60$44.20$46.80$49.4050-64$32.50$35.75$39.00$42.25$45.50$48.75$52.00$55.25$58.50$61.7565-74$37.70$41.47$45.24$49.01$52.78$56.55$60.32$64.09$67.86$71.63PremiumTotal18-75INDIVIDUAL$38.08$38.0818-75INSURED/SPOUSE$65.87$65.8718-75ONE-PARENTFAMILY$38.08$38.0818-75TWO-PARENTFAMILY$65.87$65.87CANCERPROTECTIONASSURANCEPLANLEVEL2-SeriesB70200RatesheetpreparedbyWebUseron8/22/202310:26:21AM.FloridaPayrollPremiumratesareMonthlyforindustryClassC.Theratesshownonthisinsertpageareforillustrationpurposesonly;theydonotimplycoverage.Formoreinformationaboutpolicy/planbenefitsandlimitations,pleaserefertotheaccompanyingproductbrochureforeachinsurancepolicy/planlistedbelow.Page1of2
PremiumEBRHSSCRTotal18-49INDIVIDUAL$27.04$11.70$18.46$57.2050-59$27.56$13.26$23.66$64.4860-75$28.34$13.39$30.81$72.5418-49INSURED/SPOUSE$38.35$24.57$33.80$96.7250-59$40.56$27.56$46.93$115.0560-75$43.42$27.82$58.76$130.0018-49ONE-PARENTFAMILY$34.32$23.27$25.48$83.0750-59$34.84$23.79$28.99$87.6260-75$35.49$24.31$38.09$97.8918-49TWO-PARENTFAMILY$40.69$29.77$34.32$104.7850-59$41.08$30.29$48.49$119.8660-75$43.94$31.59$62.79$138.32AFLACHOSPITALCHOICE-Option1BenefitAmount1000-SeriesB40100EBR*:ExtendedBenefitRiderPremium(Availableforages18-75)HSSCR*:HospitalStayandSurgicalCareRiderPremium(Availableforages18-75)*Note–TheExtendedBenefitRiderandHospitalStayandSurgicalCareRiderarenotavailablewithOptionH.AgePremiumTotal18-35$15.60$15.6036-45$22.10$22.1046-55$30.16$30.1656-70$38.87$38.87AgePremiumTotal18-35$26.39$26.3936-45$31.33$31.3346-55$40.30$40.3056-70$53.04$53.04AgePremiumTotal18-35$33.93$33.9336-45$43.16$43.1646-55$57.59$57.5956-70$79.17$79.17AgePremiumTotal18-35$29.90$29.9036-45$38.87$38.8746-55$52.39$52.3956-70$72.93$72.93IndividualOneParentFamilyInsured/SpouseTwoParentFamilyCRITICALCAREPROTECTIONPOLICY-SeriesA74200RatesheetpreparedbyWebUseron8/22/202310:26:21AM.FloridaPayrollPremiumratesareMonthlyforindustryClassC.Theratesshownonthisinsertpageareforillustrationpurposesonly;theydonotimplycoverage.Formoreinformationaboutpolicy/planbenefitsandlimitations,pleaserefertotheaccompanyingproductbrochureforeachinsurancepolicy/planlistedbelow.Page2of2