Term Plan Illustration

CLIENT

Sex -Select Sex- Male Female

Class -Select Class- Smoker(Cigarette,Betel Nut,Vape) Non-Smoker

State -Select State- CH GU KO MJ PA PH RO SP TI YA

RATED

TableAmount Table Amount 0% 25% 50% 75% 100% 125% 150% 175% 200%

RIDERS

Waiver of Target Waiver of Target Yes No

ILLUSTRATION

Calculation Premium Settlement Coverage Amount

Premium Mode Bi-Weekly Quarterly Semi Monthly Semi Annual Monthly Annual

Premium Method Group Bill Payroll Deduction B-O-M CWA Other

Plan Level Premium Years 10 15 20 30

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