RATE SHEET LAWRENCE UNIVERSITY Base Plan Facility Monthly Benefit Home Monthly Benefit Facility Benefit Duration Home Benefit Lifetime Maximum Elimination Period Home Care Level Options Non Forfeiture Inflation Protection $1,000 $500 Years 50% $36,000 90 Days Total Shortened Benefit Period Compound Uncapped This rate sheet shows the cost per $1,000 of coverage Calculate your Premium: X _ Rate for Plan Chosen Facility Monthly Benefit Amount Monthly Rates Plan Plan Insurance Age 18-30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Base Plan 5.80 5.80 5.90 6.10 6.20 6.40 6.50 6.80 7.10 7.40 7.70 8.00 8.30 8.70 9.10 9.50 10.00 10.50 11.20 11.80 12.50 13.30 14.20 15.00 15.80 16.90 17.90 19.30 20.60 22.10 Base Plan With Non Forfeiture Option 7.00 7.00 7.10 7.30 7.50 7.70 7.90 8.20 8.50 8.90 9.20 9.60 9.90 10.30 10.90 11.30 11.90 12.40 13.10 13.80 14.60 15.60 16.60 17.50 18.40 19.60 20.80 22.40 23.90 25.60 ÷ Plan $1,000 = Your Premium Plan Base Plan With Base Plan With Non Forfeiture Compound Inflation Compound Inflation Option Option 18.30 22.10 18.50 22.40 19.00 23.00 19.50 23.60 20.00 24.10 20.60 24.90 21.10 25.50 21.50 26.00 22.10 26.80 23.00 27.60 23.50 28.20 24.20 29.10 25.00 29.70 25.60 30.50 26.60 31.60 27.40 32.30 28.30 33.30 29.10 34.40 30.20 35.30 31.40 36.80 32.30 37.80 33.70 39.40 35.10 41.10 36.20 42.00 37.40 43.40 38.90 45.20 40.70 47.20 42.80 49.60 44.70 51.90 46.70 54.20 RATE SHEET LAWRENCE UNIVERSITY Base Plan Facility Monthly Benefit Home Monthly Benefit Facility Benefit Duration Home Benefit Lifetime Maximum Elimination Period Home Care Level Options Non Forfeiture Inflation Protection $1,000 $500 Years 50% $36,000 90 Days Total Shortened Benefit Period Compound Uncapped This rate sheet shows the cost per $1,000 of coverage Calculate your Premium: X _ Rate for Plan Chosen Facility Monthly Benefit Amount Monthly Rates Plan Plan Insurance Age 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 Base Plan 23.60 25.50 28.00 30.20 32.90 36.90 40.00 43.80 47.80 52.10 57.00 62.40 68.30 75.00 82.00 97.80 106.40 115.60 125.70 136.70 148.90 162.40 178.90 196.50 215.30 Base Plan With Non Forfeiture Option 27.40 29.60 32.20 34.80 37.80 42.40 45.60 50.00 54.40 59.40 65.00 70.50 77.20 84.00 91.80 108.50 118.10 127.10 138.30 150.40 163.80 177.00 195.00 214.20 232.50 ÷ Plan $1,000 = Your Premium Plan Base Plan With Base Plan With Non Forfeiture Compound Inflation Compound Inflation Option Option 49.10 56.90 52.10 60.50 56.20 64.60 59.30 68.20 63.50 73.00 69.80 80.20 74.40 84.80 80.50 91.70 85.60 97.50 92.00 104.90 98.10 111.80 106.30 120.10 114.40 129.30 123.20 137.90 132.40 148.30 155.10 172.20 166.90 185.20 178.10 195.90 191.10 210.20 204.30 224.70 219.70 241.70 236.70 258.00 257.50 280.60 279.10 304.20 301.40 325.50 RATE SHEET LAWRENCE UNIVERSITY Base Plan Facility Monthly Benefit Home Monthly Benefit Facility Benefit Duration Home Benefit Lifetime Maximum Elimination Period Home Care Level Options Non Forfeiture Inflation Protection $1,000 $500 Years 50% $72,000 90 Days Total Shortened Benefit Period Compound Uncapped This rate sheet shows the cost per $1,000 of coverage Calculate your Premium: X _ Rate for Plan Chosen Facility Monthly Benefit Amount Monthly Rates Plan Plan Insurance Age 18-30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Base Plan 7.70 7.80 8.00 8.20 8.40 8.80 8.90 9.20 9.70 10.00 10.40 10.70 11.40 11.80 12.40 13.00 13.80 14.40 15.40 16.10 17.00 18.10 19.20 20.50 21.70 23.00 24.50 26.30 28.20 30.20 Base Plan With Non Forfeiture Option 9.30 9.50 9.70 9.90 10.20 10.60 10.80 11.20 11.70 12.00 12.40 12.90 13.50 14.00 14.70 15.30 16.20 17.00 18.00 18.80 19.90 21.10 22.50 23.70 25.10 26.70 28.40 30.60 32.70 35.00 ÷ Plan $1,000 = Your Premium Plan Base Plan With Base Plan With Non Forfeiture Compound Inflation Compound Inflation Option Option 24.40 29.50 25.20 30.50 25.90 31.30 26.50 32.00 27.00 32.70 27.80 33.60 28.40 34.40 29.20 35.30 30.10 36.50 31.00 37.20 31.70 38.00 32.40 38.90 33.80 40.20 34.50 41.10 35.80 42.60 36.80 43.40 38.30 45.20 39.30 46.40 40.80 47.80 42.30 49.50 43.60 51.00 45.40 53.10 47.20 55.30 49.00 56.90 50.90 59.00 52.40 60.80 54.90 63.70 57.50 66.70 60.30 70.00 63.00 73.10 RATE SHEET LAWRENCE UNIVERSITY Base Plan Facility Monthly Benefit Home Monthly Benefit Facility Benefit Duration Home Benefit Lifetime Maximum Elimination Period Home Care Level Options Non Forfeiture Inflation Protection $1,000 $500 Years 50% $72,000 90 Days Total Shortened Benefit Period Compound Uncapped This rate sheet shows the cost per $1,000 of coverage Calculate your Premium: X _ Rate for Plan Chosen Facility Monthly Benefit Amount Monthly Rates Plan Plan Insurance Age 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 Base Plan 32.30 35.10 38.30 41.60 45.30 50.70 55.40 60.60 66.00 72.00 78.70 86.40 94.60 103.60 113.40 135.30 147.20 160.20 174.30 189.60 206.30 225.00 247.70 271.90 297.70 Base Plan With Non Forfeiture Option 37.40 40.80 44.00 47.90 52.10 58.30 63.10 69.00 75.30 82.10 89.70 97.60 106.90 116.00 127.00 150.20 163.40 176.20 191.70 208.60 226.90 245.30 269.90 296.30 321.50 ÷ Plan $1,000 = Your Premium Plan Base Plan With Base Plan With Non Forfeiture Compound Inflation Compound Inflation Option Option 66.30 76.90 70.90 82.20 76.00 87.30 80.60 92.70 86.40 99.30 95.00 109.20 101.70 115.90 109.80 125.20 117.00 133.30 125.50 143.10 134.10 152.90 145.40 164.30 156.60 177.00 168.20 188.40 181.10 202.80 212.40 235.80 228.50 253.60 244.20 268.70 262.10 288.30 280.50 308.60 301.50 331.60 324.80 354.10 353.10 384.90 382.70 417.20 413.60 446.70