MONTHLY PREMIUMS FOR AS OF POLICIES y Premiums for Effective July 1 2022 NOTE This publication is updated twice a year for rates effective January 1 and July 1 For the most current list of partic ID: 944016
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MEDICARE SUPPLEMENT MONTHLY PREMIUMS FOR AS OF POLICIES y Premiums for Effective July 1, 2022 NOTE: This publication is updated twice a year for rates effective January 1 and July 1. For the most current list of participating insurance carriers, refer https://insurance.maryland.gov/Consumer/Documents/publicnew/medsupindpolicies.pdf This publication provides: (1) names, addresses, telephone numbers and websites of insurance carriers that sell Medicare Supplement insurance in Maryland, (2)Plans A, B, C, D, F, high deductible F, G, high deductible G, K, L, M, and N monthly premiums for ages 65, 70, 75, 80 and 85 individuals, and (3) Plannthly premiums for individuals under age 65 with a disability who are enrolled in Medicare Part B. Some insurance carriers sell other plans under age 65 with a disability who are enrolled in Medicare Part B. The plan o
ptions listed in this publication are for Standardized policcertificates) first offered on or after June 1, 2010 except for Plan G with High Deductible. The plan options listed for Plan G with High Dedues with an effective date for coverage on or after January 1, 2020. (Please note: Effective January 1, 2020, only applicants who are first eligibore year 2020 may purchase Plans C, F, and high deductible F.) The premiums are subject to change, and the informatnal purposes only. For current premiums and more information about policies, contact your insurance producer (Insurance Producece carrieblication only provides the rate information filed with the MIA. For general information about Medicare and Medicare Supplement Policies, you can view the MIA’s webinar, Medicare Supplement Insurance in Marylandhttps://tinyurl.com/ydcqnthw. You may also visi
t the website of the federal Centers for Medicare and Medicaid Services (CMS), which administers the Medicare program and can answer your questions regarding the Medicare Program. The CMS website at www.cms.gov contains valuable information regarding Medicare, including a handbook on Medicare entitled Medicare & You that provides detailed information on Medicare program benefits, rights and obligations, and also a guidetitled, Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare. You also may contact CMS directly with your questions regarding the Medicare program by calling toll free 1-800-MEDICARE or vMedicare website at www.medicare.gov General Information nt is private insurance and can only be purchased through an insurance carrier. It is not sponsored by either federal or state government. An insurance carrier writ
es a policy based on issue age, attained age, or community rating. Issue Age means that premiums are based on your age at the time you purchase the policy. While premiums may periodically increase due to benefit changes, inflation, or increases in medical costs, they will not increase due to your advancing age. Attained Age means that premiums are based on your age on the last policy anniversary date. Premiums are scheduled to increase at predetermined intervals (for example, every year or every five years). These increases are in addition to premium increases because of benefit changes, inflation, or increasing medical costs. Community Rated means that premiums do not depend on your age, either at the time the policy is issued or upon renewal. Premiums depend on other factors and may increase because of benefit changes or overall premium adjustment
s. 1 Individual Medicare Supplement Plan Choices – Plans A, B, C, D, F, High Deductible F, G, High Deductible G, K, L, M and N Benefit Chart of Medicare Supplement Plans Sold on or After January 1, 2020. This chart shows the benefits included in each of the standard Medicare Supplement plans. Some plans may not be available to all Original (Part A/Part B) Medicare beneficiaries. Only applicants first eligible for Medicare before January 1, 2020 may purchase Plans C, F, and high deductible F. Note: A means 100% of the benefit is paid. ans F and G also have a high deductible option which require first paying a plan deductible before the plan begins to pay. Once the plan deductible is met, the plan pa0% of covered services for the rest of the calendar year. High deductible Plan G does not cover the Medicare Part B deductiblPlans K and L pay 100%
of covered services for the rest of the calendar year once you meet the out-of-pocket yearly limit.Plan N pays 100% of the Part B coinsurance, except for a co-payment of up to $20 for some office visits and up to a $50 co-payment for emergency room visits that donot result in an inpatient admission. Benefits Plans Available to All Applicants First eligible before 1/1/2020l A B D G1 K L M N C F1 Medicare Part A coinsurance and hospital coverage (up to an additional 365 days after Medicare benefits are used up) Medicare Part B coinsurance or Copayment 50%75% copays Blood (first three pints) 50% 75% Part A hospice care coinsurance or copayment 50% 75% Skilled nursing facility coinsurance 50% 75% Medicare Part A deductible 50% 75% 50% Medicare Part B deductible Medicare Part B excess charges Foreign travel emergency (up to plan limits) -of-po
cket limit $6,620$3,310 2 SHIPMaryland’s StateHealth InsuranceProgram The StateHealth Insurance Program is a program that helps those on Medicare with personalized Medicare counseling, education, and access to financial assistance resources. SHIP offices help Medicare beneficiariesidentify and understand programs and plans such as Medicare prescription drug coverage, Medicare Advantage Plans, and Medicare supplemental insurance policies. SHIP can also help Medicare beneficiaries enroll in these plans. The services you receive through SHIP offices are confidential and free.Allegany – 3017831710Anne Arundel – 4102224257Baltimore City – 4103962273Baltimore County – 4108872059Calver– 8551170 & 4105354606Caroline – 4104792535Carroll – 4103863806Cecil – 4109968174Charles – 3018703388 ext. 5118Dorchester &#
150; 4103662 ext. 106Frederick – 6001604Garrett – 3013349431 ext. 140 Harford – 410-638-3577 Howard – 410-313-7392 Kent – 410-778-2564 Montgomery – 301-255-4250 Prince George’s – 301-265-Queen Anne’s – 410-758-0848 ext. 2712 Somerset – 410-742-0505 ext. 106 St. Mary’s – 301-475-4200 ext. 1064 Talbot 410-822-2869 Washington – 301-790-0275 ext. 221 Wicomico – 410-742-0505 ext. 106 Worcester – 410-742-0505 ext. 106 3 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 COMPANY_NAME Male Non-Tobacco or Male Preferred Plan A 65 Female Non-Tobacco or Female Preferred Plan A 65 Male Tobacco or Male Standard Plan A 65 Female Tobacco or Female Standard Plan A 65 Accendo Insurance Company $304 $265 $338 $294 Aetna Health Insurance Comp
any $481 $418 $481 $418 American Benefit Life Insurance Company $212 $184 $244 $212 American Financial Security Life Insurance Company $216 $187 $248 $216 American Home Life Insurance Company (The) $222 $193 $255 $222 Americo Financial Life and Annuity Insurance Company $333 $289 $383 $333 Assured Life Association $259 $259 $298 $298 Atlantic Coast Life Insurance Company $227 $197 $261 $227 Bankers Fidelity Life Insurance Company $225 $225 $282 $282 Bankers Reserve Life Insurance Company of Wisconsin $435 $378 $500 $435 Capitol Life Insurance Company (The) $256 $223 $295 $256 $210 $210 $210 $210 Cigna National Health Insurance Company $321 $289 $353 $318 Colonial Penn Life Insurance Company $472 $472 $472 $472 Elips Life Insurance Company $161 $144 $179 $160 Erie Family Life Insurance Company $181 $157 $208 $1
81 Everence Association, Inc. $320 $291 $368 $334 Federal Life Insurance Company $241 $241 $277 $277 First Care, Inc. (dba CareFirst MedPlus) $813 $786 $813 $786 Insurance Company $198 $182 $218 $200 nt Insurance Company $218 $218 $218 $218 $305 $305 $350 $350 Great Southern Life Insurance Company $462 $401 $531 $462 Guarantee Trust Life Insurance Company $212 $188 $265 $235 Heartland National Life Insurance Company $183 $159 $211 $183 Humana Insurance Company $308 $293 $460 $437 Independence American Insurance Company $232 $202 $267 $232 4 $234 $204 $269 $234 National Guardian Life Insurance Company $224 $194 $257 $224 National Health Insurance Company $183 $162 $220 $195 Oxford Life Insurance Company $310 $274 $357 $316 Pan-American Life Insurance Company $228 $199 $263 $228 Philadelphia American Lif
e Insurance Company $162 $162 $178 $178 Physicians Life Insurance Company $185 $167 $206 $186 Puritan Life Insurance Company of America $314 $283 $361 $325 SBLI USA Life Insurance Company, Inc. $202 $175 $224 $195 Sentinel Security Life Insurance Company $223 $194 $257 $223 State Farm Mutual Automobile Insurance Company $231 $231 $231 $231 Supreme Council of the Royal Arcanum $189 $165 $218 $189 Transamerica Life Insurance Company $186 $167 $204 $184 Unified Life Insurance Company $225 $196 $259 $225 Union Security Insurance Company $237 $206 $272 $237 United American Insurance Company $185 $161 $185 $161 United Healthcare Insurance Company $391 $347 $430 $381 United of Omaha Life Insurance Company $235 $208 $255 $225 United States Fire Insurance Company $162 $141 $180 $157 USAA Life Insurance Company $191 $
191 $211 $211 5 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES RATES FOR PLANS C AND D, MEDICARE ELIGIBLE INDIVIDUALS DUE EFFECTIVE JULY 1, 2022 COMPANY_NAME Male Non-Tobacco or Male Preferred Plan C 65 Female Non-Tobacco or Female Preferred Plan C 65 Male Tobacco or Male Standard Plan C 65 Female Tobacco or Female Standard Plan C 65 Atlantic Coast Life Insurance Company $1,070 $931 $1,229 $1,070 Colonial Penn Life Insurance Company $988 $889 $1,098 $988 Heartland National Life Insurance Company $958 $833 $1,102 $958 Humana Insurance Company $602 $602 $900 $900 State Farm Mutual Automobile Insurance Company $597 $597 $597 $597 United Healthcare Insurance Company $919 $815 $1,011 $897 COMPANY_NAME Male Non-Tobacco or Male Preferred Plan D 65 Female Non-Tobacco or Female Preferred Plan D 65 Male Tobac
co or Male Standard Plan D 65 Female Tobacco or Female Standard Plan D 65 Colonial Penn Life Insurance Company $581 $523 $645 $581 State Farm Mutual Automobile Insurance Company $580 $571 $580 $571 United American Insurance Company $655 $568 $655 $568 6 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 y Individual Market-Attained Age Marketing Method: Insurance Producer Solicited 800 Crescent Centre Drive Franklin, TN 37067 Male Preferred 65 70 75 80 85 A $304 $188 $200 $235 $277 $323 $203 $215 $254 $298 $348 G $186 $198 $233 $274 $320 N $128 $143 $169 $199 $232 Female Preferred 65 70 75 80 85 A $265 $164 $174 $205 $241 $281 $176 $187 $221 $259 $303 G $162 $172 $202 $238 $278 N $111
$124 $147 $173 $202 A 14% Household Discount applies for eligible individuals. 7 Male Standard* 65 70 75 80 85 A $338 $209 $222 $261 $308 $359 $225 $239 $282 $332 $387 G $207 $220 $258 $304 $355 N $142 $159 $188 $221 $258 Female Standard* 65 70 75 80 85 A $294 $182 $193 $227 $268 $312 $196 $208 $245 $288 $337 G $180 $191 $225 $264 $309 N $123 $138 $163 $192 $224 upplement policy or certificate is submitted A 14% Household Discount applies for eligible individuals. 8 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Health Insurance Company nce Producer Solicited Franklin, TN 37067 Male Preferred 65 70 75 80 85 A $481 $298 $316 $372 $438 $511 $158 $168$232 $271 F $182
$193 $227 $267 $312 G $167 $177 $208 $245 $286 High G $ 60 $ 63 $ 75 $ 88 $103 N $113 $127 $150 $176 $206 Female Preferred 65 70 75 80 85 A $418 $259 $275 $323 $381 $445 $137 $146$202 $236 F $158 $168 $197 $232 $271 G $145 $154 $181 $213 $249 High G $ 52 $ 55 $ 65 $ 76 $ 89 N $ 99 $110 $130 $153 $179 A 7% Household Discount is available. In order to be eligible for the 7% Household Discount, an in must enroll for a Medicare Supplement plan at the same time as another Medicare eligible adult, or the other Medicare eligible adult must currently be covered by an Aetna Medicare Supplement policy issued in Maryland. 9 Male Standard* 65 70 75 80 85 A $481 $331 $351 $413 $486 $568 $176 $187$258 $3
01 F $202 $214 $252 $297 $347 G $185 $197 $231 $272 $318 High G $ 66 $ 71 $ 83 $ 98 $114 N $126 $141 $167 $196 $229 Female Standard* 65 70 75 80 85 A $418 $288 $305 $359 $423 $494 $153 $162$224 $262 F $176 $186 $219 $258 $302 G $161 $171 $201 $237 $276 High G $ 58 $ 61 $ 72 $ 85 $ 99 N $110 $123 $145 $170 $199 *Premiums listed above for Male Standard and Female Standard cannot be used if an application for a Medicarey or % Household Discount is available. In order to be eligible for the 7% Household Discount, an individual must enroll for a Medicare Supplement plan at the same time as another Medicare eligible adult or the other Medicare eligible adult must currently be covered by an Aetna Medicare Supplement policy issued in Ma
ryland. 10 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 y Individual Market-Attained Age 1605 LBJ Freeway, Suite 7700 Marketing Method: Insurance Producer Solicited Dallas, TX 75234 Male Preferred 65 70 75 80 85 A $212 $174 $174 $197 $240 $311 $193 $201 $241 $291 $361 G $158 $163 $198 $241 $313 N $116 $126 $158 $197 $255 Female Preferred 65 70 75 80 85 A $184 $151 $151 $171 $208 $270 $168 $175 $210 $253 $314 G $137 $141 $172 $209 $272 N $100 $110 $137 $171 $221 A 10% Household Discount applies for eligible individuals. 11 Male Standard* 65 70 75 80 85 A $244 $200 $200 $226 $276 $358 $221 $231 $277 $334 $415 G $182 $187 $228 $277 $359 N $133 $
145 $181 $226 $293 Female Standard* 65 70 75 80 85 A $212 $174 $174 $197 $240 $311 $193 $201 $241 $291 $360 G $158 $162 $198 $241 $312 N $115 $126 $158 $197 $254 upplement policy or certificate is submittA 10% Household Discount applies for eligible individuals. 12 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Life Insurance Company Individual Market-Attained Age Marketing Method: Insurance Producer Solicited Franklin, TN 37064 Male Preferred 65 70 75 80 85 A $216 $173 $173 $194 $240 $297 $177 $188 $221 $271 $351 G $153 $164 $195 $241 $314 N $116 $123 $152 $188 $245 Female Preferred 65 70 75 80 85 A $187 $150 $150 $168 $209 $258 $154 $164 $192 $236
$305 G $133 $142 $169 $210 $273 N $101 $107 $132 $163 $213 A 10% Household Discount applies for eligible individuals. 13 Male Standard* 65 70 75 80 85 A $248 $199 $199 $223 $276 $342 $204 $217 $254 $311 $404 G $175 $188 $224 $277 $362 N $134 $141 $174 $216 $282 Female Standard* 65 70 75 80 85 A $216 $173 $173 $194 $240 $297 $177 $188 $221 $271 $351 G $153 $164 $195 $241 $314 N $116 $123 $152 $188 $245 upplement policy or certificate is submittA 10% Household Discount applies for eligible individuals. 14 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 y (The) Individual Market-Attained Age 400 S. Kansas Avenue Marketing Method: Insurance Producer Solicited mhlifeco.com Male
Preferred 65 70 75 80 85 A $222 $170 $170 $196 $246 $307 $185 $191 $236 $293 $363 G $154 $160 $197 $247 $308 N $112 $126 $157 $195 $246 Female Preferred 65 70 75 80 85 A $193 $148 $148 $171 $214 $267 $161 $166 $205 $254 $315 G $134 $139 $171 $215 $268 N $ 98 $110 $137 $170 $214 A 7% Household Discount applies for eligible individuals. 15 Male Standard* 65 70 75 80 85 A $255 $196 $196 $226 $283 $353 $212 $219 $271 $337 $417 G $177 $184 $227 $284 $354 N $129 $145 $181 $224 $283 Female Standard* 65 70 75 80 85 A $222 $170 $170 $196 $246 $307 $185 $191 $236 $293 $363 G $154 $160 $197 $247 $308 N $112 $126 $157 $195 $246 upplement pol
icy or certificate is submittA 7% Household Discount applies for eligible individuals. 16 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Financial Life and Individual Market-Attained Age Annuity Insurance Company Insurance Producer Solicited Kansas City, MO 64105 merico.com Male Non-Tobacco 65 70 75 80 85 A $333 $384 $414 $477 $522 $562 $275 $296$389 $437 G $252 $274 $323 $368 $416 N $184 $199 $235 $270 $310 Female Non-Tobacco 65 70 75 80 85 A $289 $334 $360 $415 $454 $489 $239 $257$338 $380 G $219 $238 $281 $320 $362 N $160 $173 $205 $235 $269 A 10% Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 17 Male Tobacco* 65 70 75 80 85 A
$383 $442 $477 $548 $600 $646 $316 $340$447 $503 G $290 $315 $372 $423 $479 N $212 $229 $271 $311 $356 Female Tobacco* 65 70 75 80 85 A $333 $384 $414 $477 $522 $562 $275 $296$389 $437 G $252 $274 $323 $368 $416 N $184 $199 $235 $270 $310 *Premiums listed above for Male Tobacco and Female Tobacco cannot be used if an application for a Medicarement policy% Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 18 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Life Association Individual Market-Attained Age P.O. Box 2397 Insurance Producer SolicitedOmaha, NE 68103 Male Non-Tobacco 65 70 75 80 85 A $259 $184 $203 $243 $280 $312 $232 $256 $306 $354 $394 G $1
81 $200 $239 $276 $307 N $136 $150 $180 $207 $231 Female Non-Tobacco 65 70 75 80 85 A $259 $160 $177 $211 $244 $272 $202 $223 $266 $307 $342 G $157 $174 $208 $240 $267 N $118 $131 $156 $180 $201 % will be applied if for the past twelve months the certificate holder has resided with at least one, but no more than three, other adults aged 60 or older, or if the certificate holder lives with another adult who is his or her legal spouse or civil union partner. 19 Male Tobacco* 65 70 75 80 85 A $298 $211 $233 $279 $322 $359 $266 $294 $352 $406 $453 G $208 $229 $275 $317 $353 N $156 $173 $207 $238 $266 Female Tobacco* 65 70 75 80 85 A $298 $184 $203 $243 $280 $312 $232 $256 $306 $353 $3
94 G $181 $199 $239 $275 $307 N $136 $150 $180 $207 $231 ms listed above for Male Tobacco and Female Tobacco cannot be used if an application for a Medicaent policy orfor an available Medicare supplement policy is submitted during the guaranteed issue period.A discount of 7% will be applied if for the past twelve months the certificate holder has resided with atficate holder lives with another adult who 20 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 ast Life Insurance Company Individual Market-Attained Age P.O. Box 27248Insurance Producer SolicitedSalt Lake City, UT 84127-0248 Male Non-Tobacco 65 70 75 80 85 A $ 227 $191 $200 $238 $271 $319 $1,070 $257 $268 $321 $378 $463 F $189 $198 $243 $312 $402 G $179 $189 $230 $273 $337 N
$140 $147 $180 $215 $268 Female Non-Tobacco 65 70 75 80 85 A $197 $166 $174 $207 $236 $277 $931 $223 $233 $279 $329 $403 F $164 $172 $211 $271 $350 G $156 $164 $200 $238 $293 N $122 $128 $156 $187 $233 % household discount is available for applicants who qualify. 21 Male Tobacco* 65 70 75 80 85 A $ 261 $220 $230 $273 $312 $366 $1,229 $295 $308 $369 $434 $532 F $217 $227 $279 $358 $462 G $206 $217 $264 $314 $387 N $161 $169 $206 $247 $308 Female Tobacco* 65 70 75 80 85 A $ 227 $191 $200 $238 $271 $319 $1,070 $257 $268 $321 $378 $463 F $189 $198 $243 $312 $402 G $179 $189 $230 $273 $337 N $140 $147 $180 $215 $268 ms listed above for Male Tobacco an
d Female Tobacco cannot be used if an application for a Medicaent policy orfor an available Medicare supplement policy is submitted during the guaranteed issue period.A 12% household discount is available for applicants who qualify. 22 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Life Insurance CompanyMarket-Issue Age/Attained Age 4370 Peachtree Road, N.E. Marketing Method: Insurance Producer Solicited Unisex Preferred 65 70 75 80 85 A $225 $225 $251 $281 $304 $322 High F $ 45 $ 50 $ 57 $ 61 $ 64 G $229* $270* $322* $365* $395* K $ 84* $ 99* $119* $134* $144* Unisex Standard** 65 70 75 80 85 A $282 $282 $314 $352 $383 $403 High F $ 57 $ 63 $ 71 $ 77 $ 81 G $289* $338* $405* $457* $496* K $106* $124* $149* $16
7* $181* *Plans G and K premiums are Attained Age.ms listed above for Unisex Standard cannot be used if an application for a Medicare supplement policy or certificate is submitted during the 6-month open enrollment period, or if an application for an available Medicare supplement policy is submitted during the guaranteed issue period. A 9% Household Discount may be available if two or more policyholders with an in-force Medicare Supplement policy from Bankers Fidelity Assurance Company or Bankers Fidelity Life Insurance Company are married or have resided together 23 Male Preferred 65 70 75 80 85 F $235 $262 $305 $351 $403 Female Preferred 65 70 75 80 85 F $210 $234 $273 $313 $360 Male Standard* 65 70 75 80 85 F $294 $328 $382 $440 $505 Female
Standard* 65 70 75 80 85 F $262 $293 $341 $392 $451 *Premiums listed above for Male Standard and Female Standard cannot be used if an application for a Medicarey or A 9% Household Discount may be available if two or more policyholders with an inforce Medicare Supplement policy from Bankers Fidelity Assurance Company or Bankers Fidelity Life Insurance Company are married or have resided 24 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 serve Life Insurance Company Individual Market-Attained Age Of Wisconsin Insurance Producer Solicited P.O. Box 16895 Male Non-Tobacco 65 70 75 80 85 A $435 $277 $297 $344 $413 $483 $180 $191$275 $335 G $156 $162 $192 $242 $298 N $115 $126 $153 $193 $237 Female Non-Tobacco 65 70 75 80
85 A $378 $241 $258 $299 $359 $420 $156 $166$240 $291 G $136 $141 $167 $211 $259 N $100 $110 $133 $168 $206 A 10% Household Discount is available if the applicant has a household resident (at least one bu with whom they have continuously resided with for the past 12 months. 25 Male Tobacco* 65 70 75 80 85 A $500 $319 $341 $395 $475 $556 $206 $220$317 $385 G $180 $186 $221 $279 $343 N $133 $145 $176 $222 $273 Female Tobacco* 65 70 75 80 85 A $435 $277 $297 $344 $413 $483 $180 $191$275 $335 G $156 $162 $192 $242 $298 N $115 $126 $153 $193 $237 *Premiums listed above for Male Tobacco and Female Tobacco cannot be used if an application for a Medicarement policyA 10% Household Discount is available if the applicant has a household residen
t (at least one but no more than three), with whom they have continuously resided with for the past 12 months. 26 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 y (The) Individual Market-Attained Age Marketing Method: Insurance Producer Solicited Franklin, TN 37067 Male Preferred 65 70 75 80 85 A $256 $178 $188 $229 $279 $353 $226 $235 $283 $342 $424 G $180 $189 $231 $281 $366 N $130 $148 $186 $235 $304 Female Preferred 65 70 75 80 85 A $223 $155 $163 $199 $242 $307 $196 $205 $246 $297 $369 G $157 $165 $201 $245 $318 N $113 $129 $162 $204 $265 A 7% Household Discount is available if multiple policyholders in a household have a Capitol Life Insurance Co. policy. 27 Male Standard*
65 70 75 80 85 A $295 $205 $216 $263 $320 $406 $260 $271 $325 $393 $488 G $207 $218 $266 $324 $420 N $149 $170 $214 $270 $350 Female Standard* 65 70 75 80 85 A $256 $178 $188 $229 $279 $353 $226 $235 $283 $342 $424 G $180 $189 $231 $281 $366 N $130 $148 $186 $235 $304 upplement policy or certificate is submitted A 7% Household Discount is available if multiple policyholders in a household have a Capitol Life Insurance Co. policy. 28 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Cigna Health and Life Insurance CompanyMarket-Attained Age Cigna Supplemental Benefits Marketing Method: Insurance Producer Solicited/Direct Response 11200 Lakeline Blvd., Suite 100 Austin, TX 78717 65 70 75
80 85 A $210 $223 $241 $281 $322 $347 $276 $298$407 $453 G $225 $245 $287 $331 $363 N $134 $144 $168 $200 $222 Female Preferred 65 70 75 80 85 A $210 $197 $213 $248 $284 $307 $243 $263$359 $399 G $198 $216 $253 $292 $320 N $118 $127 $148 $177 $196 There is a 7% Household Discount is available when more than one member of the applicant’s house or is enrolled in a Medicare Supplement policy provided by or through an Affiliate of Cigna Heal Company. 29 Male Standard* 65 70 75 80 85 A $210 $245 $265 $309 $354 $382 $303 $328$448 $498 G $247 $270 $315 $364 $399 N $148 $159 $185 $220 $244 Female Standard* 65 70 75 80 85 A $210 $216 $234 $273 $312 $337 $268 $290$395 $439 G $218 $238 $27
8 $322 $352 N $130 $140 $163 $194 $215 y or certificate issue period.% Household Discount is available when more than one member of the applicant’s houseenrolled in a Medicare Supplement policy provided by or through an Affiliate of Cigna Heal 30 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Cigna National Health Insurance CompanyMarket-Attained Age P.O. Box 5725 Marketing Method: Insurance Producer Solicited/Direct Response Male Preferred 65 70 75 80 85 A $321 $295 $311 $375 $456 $555 $181 $198$290 $353 G $165 $174 $209 $255 $310 N $116 $127 $153 $187 $227 Female Preferred 65 70 75 80 85 A $289 $265 $280 $338 $411 $500 $163 $178$261 $318 G $148 $157 $189 $230 $279 N $105 $115 $138 $168 $204 There is a 6% disc
ount which will be applied to eligible new business on all underwriting classes when a policyholder resides iHousehold with another adult who is age 18 or older, which includes a legal spouse, civil union partner, or domestic partner. We may request additional documentation to determine eligibility. There is an additional 14% discount to eligible new business on all underwriting classes when more than one member of the Houseenrolls or is enrolled in a Medicare Supplement policy provided by or through an Affiliate of Cigna National Health Insurance Company. 31 Male Standard* 65 70 75 80 85 A $353 $324 $342 $412 $502 $610 $199 $217$319 $388 G $181 $191 $230 $280 $341 N $128 $140 $169 $205 $250 Female Standard* 65 70 75 80 85 A $318 $292 $308 $371 $452 $550 $179 $196$287 $349 G $163 $
172 $208 $252 $307 N $115 $126 $152 $185 $225 y or certificate issue period. discount which will be applied to eligible new business on all underwriting classes when a policyholder resides iHousehold with another adult who is age 18 or older, which includes a legal spouse, civil union partner, or domestic partner. We may request additional documentation to determine eligibility. There is an additional 14% discount to eligible new business on all underwriting classes when more than one member of the Houseenrolls or is enrolled in a Medicare Supplement policy provided by or through an Affiliate of Cigna National Health Insurance Company. 32 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Market-Attained Age 11825 North Pennsylvania Street Marketing Method: Insurance Producer Solicited Carmel, IN 46032 slife.
com/products/medicare-supplement-insurance/ Male Preferred 65 70 75 80 85 A $472 $439 $537 $653 $764 $869 $396 $453 C $988 $213 $260 $309 $358 $397 D $581 $177 $228 $292 $351 $388 F $327 $396 $480 $573 $673 High F $ 51 $ 62 $ 75 $ 89 $104 G $285 $350 $431 $519 $618 High G $ 47 $ 57 $ 68 $ 82 $ 96 K $ 89 $109 $136 $168 $202 L $207 $248 $303 $364 $428 M $239 $296 $366 $437 $510 N $177 $228 $291 $361 $439 Female Preferred 65 70 75 80 85 A $472 $396 $483 $588 $688 $782 $357 $408 C $889 $195 $238 $282 $327 $363 $316 $349 F $294 $356 $432 $515 $606 High F $ 46 $ 56 $ 67 $ 80 $ 94 G $257 $315 $388 $468 $556 High G $ 42 $ 51 $ 62 $ 73 $ 86 K $ 80 $ 98 $123 $152 $182 L $186 $223 $2
73 $328 $386 M $215 $267 $329 $394 $459 N $159 $205 $262 $325 $395 33 Male Standard* 65 70 75 80 85 A $ 472 $488 $596 $725 $849 $966 $256 $311$440 $503 C $1,098 $237 $288 $343 $397 $441 D $ 645 $196 $253 $324 $390 $431 F $363 $440 $533 $636 $748 High F $ 57 $ 68 $ 83 $ 99 $116 G $317 $389 $479 $577 $686 High G $ 52 $ 63 $ 76 $ 90 $106 K $ 99 $121 $151 $187 $224 L $230 $275 $336 $405 $476 M $266 $329 $406 $486 $567 N $196 $253 $323 $401 $488 Female Standard* 65 70 75 80 85 A $472 $439 $537 $653 $764 $869 $230 $280$396 $453 C $988 $217 $264 $314 $364 $403 D $581 $177 $228 $292 $351 $388 F $327 $396 $480 $573 $673 High F $ 51 $ 62 $ 75 $ 89 $104 G $285 $350 $431 $519 $618
High G $ 47 $ 57 $ 68 $ 82 $ 96 K $ 89 $109 $136 $168 $202 L $207 $248 $303 $364 $428 M $239 $296 $366 $437 $510 N $177 $228 $291 $361 $439 upplement policy or certificate is submitted 34 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Elips Life Insurance Company237 East High Street Marketing Method: Insurance Producer Solicited Jefferson City, MO 65101 Male Preferred 65 70 75 80 85 A $161 $152 $161 $191 $231 $281 $181 $192 $227 $274 $334 G $154 $163 $193 $233 $284 High G $ 63 $ 67 $ 80 $ 96 $117 N $116 $127 $150 $181 $220 Female Preferred 65 70 75 80 85 A $144 $136 $144 $170 $206 $251 $161 $171 $202 $245 $298 G $137 $145 $172 $208 $253 High G $ 54 $ 57 $ 67 $ 82
$ 99 N $103 $113 $133 $162 $197 A household discount of 12% is available. 35 Male Standard* 65 70 75 80 85 A $179 $169 $179 $212 $257 $312 $201 $213 $252 $305 $371 G $171 $181 $214 $259 $315 High G $ 71 $ 75 $ 88 $107 $130 N $129 $141 $166 $201 $245 Female Standard* 65 70 75 80 85 A $160 $151 $160 $189 $229 $279 $179 $190 $225 $272 $331 G $152 $162 $191 $231 $281 High G $ 63 $ 67 $ 79 $ 95 $116 N $115 $126 $148 $180 $218 are supplement policyhousehold discount of 12% is available. 36 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Erie Family Life Insurance CompanyMarket-Attained Age Marketing Method: Insurance Producer Solicited Male Non-Tobacco 65 70
75 80 85 A $181 $160 $175 $205 $234 $265 F $198 $220 $254 $298 $347 G $163 $183 $215 $250 $291 N $148 $164 $195 $228 $262 Female Non-Tobacco 65 70 75 80 85 A $157 $139 $152 $178 $204 $230 F $172 $192 $221 $259 $302 G $142 $160 $187 $217 $253 N $128 $143 $170 $198 $227 % household discount will be offered to applicants who (a) live in an eligible household nd (b) the applicant lives in the same household with another person who is over the age of 18 ith whom the applicant is in a civil union of 12 months. 37 Male Tobacco* 65 70 75 80 85 A $208 $184 $201 $236 $269 $305 F $228 $253 $292 $343 $399 G $188 $211 $248 $288 $334 N $170 $188 $225 $262 $301 Female Tobacco* 65 70 75 80 85 A $181 $160 $175
$205 $234 $265 F $198 $220 $254 $298 $347 G $163 $183 $215 $250 $291 N $148 $164 $195 $228 $262 supplement policy or certificate is submie Medicare supplement policy% household discount will be offered to applicants who (a) live in an eligible household nd (b) the applicant lives in the same household with another person who is over the age of 18 ith whom the applicant is in a civil union of 12 months. 38 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Market-Issue Age/Attained Age 1110 N. Main Street Method: Members Only P.O. Box 483 Producer Solicited/Direct Response verence.com Male Non-Tobacco 65 70 75 80 85 A $320 $301 $325 $341 $362 $378 F $273 $296 $314 $340 $367 G $203 $219 $234 $250 $261 L $124 $136 $145 $157 $169 N $129* $155* $17
6* $192* $206* Female Non-Tobacco 65 70 75 80 85 A $291 $273 $296 $310 $329 $343 F $248 $269 $285 $309 $333 G $184 $199 $212 $227 $237 L $113 $124 $132 $143 $154 N $118* $141* $160* $175* $187* *Plan N premiums are Attained Age. 39 Male Tobacco** 65 70 75 80 85 A $368 $346 $374 $392 $416 $435 F $314 $341 $361 $391 $422 G $233 $252 $269 $287 $300 L $143 $156 $167 $181 $195 N $149* $178* $202* $221* $237* Female Tobacco** 65 70 75 80 85 A $334 $314 $340 $357 $378 $395 F $285 $310 $328 $355 $383 G $212 $229 $244 $261 $273 L $130 $142 $152 $164 $177 N $135* $162* $184* $201* $216* s listed above for Male Tobacco and Female Tobacco cannot be used if an application for a Medicare suppleme
nt policy or certificate is submitted during the 6-month open enrollment period, or if an application for an available Medicare supplement policy is submitted during the guaranteed 40 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Life Insurance Company Individual Market-Attained Age Insurance Producer SolicitedRiverwoods, IL 60015 Male Non-Tobacco 65 70 75 80 85 A $241 $160 $177 $211 $244 $272 $185 $197 $241 $278 $309 G $155 $171 $204 $236 $263 N $119 $130 $157 $181 $202 Female Non-Tobacco 65 70 75 80 85 A $241 $143 $158 $189 $218 $242 $165 $176 $215 $248 $276 G $138 $152 $182 $211 $234 N $107 $116 $140 $162 $180 % will be applied if for the past twelve months the certificate holder ha
s resided with at least one, but no more than three, other adults aged 60 or older, or if the certificate holder lives with another adult who is his or her legal spouse or civil union partner. 41 Male Tobacco* 65 70 75 80 85 A $277 $184 $203 $243 $280 $312 $213 $227 $277 $319 $355 G $178 $196 $235 $271 $302 N $137 $150 $180 $208 $232 Female Tobacco* 65 70 75 80 85 A $277 $164 $181 $217 $250 $279 $190 $203 $247 $285 $317 G $159 $175 $210 $242 $270 N $123 $134 $161 $186 $207 ms listed above for Male Tobacco and Female Tobacco cannot be used if an application for a Medicaent policy orfor an available Medicare supplement policy is submitted during the guaranteed issue period.A discount of 7% will be applied if for the past twelve months the
certificate holder has resided with atficate holder lives with another adult who 42 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 nc. (d.b.a. CareFirst MedPlus)Market-Attained Age 10455 Mill Run Circle Method: Direct Response Male Level 1 without Hold Discount Baltimore Metro, D.C. Metro & Western MD* 65 70 75 80 85 A $813 $718 $907 $1,101 $1,305 $1,476 $199 $252 $ 305 $ 362 $ 410 F $223 $282 $ 342 $ 406 $ 459 $ 41 $ 52 $ 62 $ 74 $ 84 G $173 $219 $ 266 $ 315 $ 356 High G $ 40 $ 50 $ 61 $ 72 $ 82 L $144 $181 $ 220 $ 261 $ 295 M $218 $275 $ 334 $ 396 $ 448 N $159 $201 $ 244 $ 290 $ 328 ithout Household Discount Baltimore Metro, D.C. Metro & Western MD* 65 70 75 80
85 A $786 $674 $852 $1,033 $1,216 $1,324 $187 $236 $ 287 $ 337 $ 367 F $210 $265 $ 321 $ 378 $ 412 $ 38 $ 48 $ 59 $ 69 $ 75 G $163 $206 $ 249 $ 293 $ 320 $ 37 $ 47 $ 57 $ 67 $ 73 L $135 $170 $ 207 $ 243 $ 265 M $204 $258 $ 313 $ 369 $ 402 N $150 $189 $ 229 $ 270 $ 294 y if A 10% Household Discount is available if the policyholder resides with another person who is eligiMedicare Supplement plan w 43 ithout Household Discount Eastern & Southern MD* 65 70 75 80 85 A $789 $696 $880 $1,068 $1,266 $1,432 $193 $244 $ 296 $ 351 $ 397 F $217 $274 $ 332 $ 394 $ 445 $ 40 $ 50 $ 61 $ 72 $ 81 G $168 $212 $ 258 $ 305 $ 346 High G $ 39 $ 49 $ 59 $ 70 $ 79 L $139 $176
$ 214 $ 253 $ 286 M $211 $267 $ 324 $ 384 $ 434 N $155 $195 $ 237 $ 281 $ 318 ithout Household 65 70 75 80 85 A $762 $654 $826 $1,002 $1,179 $1,285 $181 $229 $ 278 $ 327 $ 356 F $203 $257 $ 312 $ 367 $ 400 $ 37 $ 47 $ 57 $ 67 $ 73 G $158 $199 $ 242 $ 285 $ 310 $ 36 $ 46 $ 56 $ 65 $ 71 L $131 $165 $ 200 $ 236 $ 257 $198 $251 $ 304 $ 358 $ 390 N $145 $183 $ 222 $ 262 $ 285 vel 1 rates apply if application is made during the 6-month open enrollment period, or during the guaranteed is0% Household Discount is available if the policyholder resides with another person who is eligible and has enricare Supplement plan with 44 el 2 Non-Smoker wi 65 70 75 80 85 A $894 $897 $1,052 $1,21
1 $1,435 $1,624 $249 $ 292 $ 336 $ 398 $ 450 F $279 $ 327 $ 376 $ 446 $ 505 $ 51 $ 60 $ 69 $ 81 $ 92 G $216 $ 254 $ 292 $ 346 $ 392 High G $ 50 $ 58 $ 67 $ 80 $ 90 L $179 $ 210 $ 242 $ 287 $ 325 M $272 $ 319 $ 367 $ 435 $ 492 N $199 $ 234 $ 269 $ 319 $ 360 without Household Discoun Metro & Western MD* 65 70 75 80 85 A $864 $842 $988 $1,137 $1,337 $1,457 $234 $274 $ 315 $ 371 $ 404 F $262 $307 $ 353 $ 416 $ 453 $ 48 $ 56 $ 65 $ 76 $ 83 G $203 $238 $ 274 $ 323 $ 351 High G $ 47 $ 55 $ 63 $ 74 $ 81 L $168 $198 $ 227 $ 267 $ 291 M $255 $300 $ 345 $ 405 $ 442 N $187 $219 $ 252 $ 297 $ 323 *Premiums listed a
bove for Male Lare supplement policyiums are for individuals writin A 10% Household Discount is available if the policyholder resides with another person who is eligible and has enrolled in a MedPlus Medicare Supplement plan with CareFirst. 45 ithout Household Discount Baltimore Metro, D.C. Metro & Western MD* 65 70 75 80 85 A $1,117 $1,121 $1,315 $1,513 $1,793 $2,029 $ 311 $ 365 $ 420 $ 498 $ 563 F $ 349 $ 409 $ 471 $ 558 $ 631 $ 64 $ 75 $ 86 $ 102 $ 115 G $ 271 $ 317 $ 365 $ 433 $ 490 High G $ 62 $ 73 $ 84 $ 100 $ 113 L $ 224 $ 263 $ 303 $ 359 $ 406 M $ 340 $ 399 $ 459 $ 544 $ 615 N $ 249 $ 292 $ 336 $ 398 $ 450 ithout Household Discount Baltimore 65 70 75
80 85 A $1,080 $1,053 $1,235 $1,420 $1,671 $1,821 $ 292 $ 343 $ 394 $ 464 $ 505 F $ 327 $ 384 $ 442 $ 520 $ 566 $ 60 $ 70 $ 81 $ 95 $ 103 G $ 254 $ 298 $ 343 $ 403 $ 439 High G $ 58 $ 69 $ 79 $ 93 $ 101 L $ 211 $ 247 $ 284 $ 334 $ 364 M $ 319 $ 374 $ 431 $ 507 $ 552 N $ 234 $ 274 $ 315 $ 371 $ 404 *Premiums listed above for Male Lare supplement policyiums are for individuals writin A 10% Household Discount is available if the policyholder resides with another person who is eligi a MedPlus Medicare Supplement plan with CareFirst. 46 ithout Household Discount Eastern & Southern MD* 65 70 75 80 85 A $867 $870 $1,021 $1,175 $1,392 $1,575 $241 $ 283 $ 326 $ 386
$ 437 F $271 $ 318 $ 365 $ 433 $ 490 $ 49 $ 58 $ 67 $ 79 $ 89 G $210 $ 246 $ 283 $ 336 $ 380 High G $ 48 $ 57 $ 65 $ 77 $ 87 L $174 $ 204 $ 235 $ 278 $ 315 M $264 $ 310 $ 356 $ 422 $ 478 N $193 $ 227 $ 261 $ 309 $ 350 without Household Discount Eastern & Southern MD* 65 70 75 80 85 A $839 $817 $959 $1,103 $1,297 $1,413 $227 $266 $ 306 $ 360 $ 392 F $254 $298 $ 343 $ 403 $ 439 $ 46 $ 54 $ 63 $ 74 $ 80 G $197 $231 $ 266 $ 313 $ 341 High G $ 45 $ 53 $ 61 $ 72 $ 78 L $163 $192 $ 221 $ 259 $ 283 M $248 $291 $ 334 $ 393 $ 429 N $181 $213 $ 245 $ 288 $ 314 *Premiums listed above for Male Lare supplement policyiums ar
e for individuals writin A 10% Household Discount is available if the policyholder resides with another person who is eligible and has enrolled in a MedPlus Medicare Supplement plan with CareFirst. 47 ithout Household Discount Eastern & Southern MD* 65 70 75 80 85 A $1,084 $1,088 $1,276 $1,468 $1,740 $1,969 $ 302 $ 354 $ 407 $ 483 $ 546 F $ 338 $ 397 $ 456 $ 541 $ 612 $ 62 $ 72 $ 83 $ 99 $ 112 G $ 262 $ 308 $ 354 $ 420 $ 475 High G $ 60 $ 71 $ 81 $ 97 $ 109 L $ 218 $ 255 $ 294 $ 348 $ 394 M $ 330 $ 387 $ 445 $ 528 $ 597 N $ 241 $ 283 $ 326 $ 386 $ 437 ithout Household Discount Eastern & Southern MD* 65 70 75 80 85 A $1,048 $1,021 $1,198 $1,378
$1,621 $1,766 $ 283 $ 332 $ 382 $ 450 $ 490 F $ 318 $ 373 $ 429 $ 504 $ 549 $ 58 $ 68 $ 78 $ 92 $ 100 G $ 246 $ 289 $ 333 $ 391 $ 426 High G $ 57 $ 66 $ 76 $ 90 $ 98 L $ 204 $ 240 $ 276 $ 324 $ 353 M $ 310 $ 363 $ 418 $ 492 $ 536 N $ 227 $ 266 $ 306 $ 360 $ 392 *Premiums listed above for Male Lare supplement policyiums are for individuals writin A 10% Household Discount is available if the policyholder resides with another person who is eligi a MedPlus Medicare Supplement plan with CareFirst. 48 ithout Household Disc 65 70 75 80 85 A $1,301 $1,435 $1,633 $1,761 $2,087 $2,362 $ 398 $ 453 $ 489 $ 579 $ 655 F $ 446 $ 508 $ 548 $ 649 $ 734 $ 82 $
93 $ 100 $ 119 $ 134 G $ 346 $ 394 $ 425 $ 504 $ 570 High G $ 80 $ 91 $ 98 $ 116 $ 131 L $ 287 $ 327 $ 352 $ 418 $ 472 M $ 435 $ 495 $ 534 $ 633 $ 716 N $ 319 $ 362 $ 391 $ 463 $ 524 ithout 65 70 75 80 85 A $1,257 $1,348 $1,533 $1,653 $1,945 $2,119 $ 374 $ 425 $ 459 $ 540 $ 588 F $ 419 $ 477 $ 514 $ 605 $ 659 $ 77 $ 87 $ 94 $ 110 $ 120 G $ 325 $ 370 $ 399 $ 469 $ 511 High G $ 75 $ 85 $ 92 $ 108 $ 118 L $ 270 $ 307 $ 331 $ 389 $ 424 M $ 409 $ 465 $ 501 $ 590 $ 643 N $ 299 $ 340 $ 367 $ 432 $ 470 *Premiums listed above for Male Lupplement policy or cemiums are for individuals writin A 10% H
ousehold Discount is available if the policyholder resides with another person who is eligible and has enrolled in a MedPlus Medicare Supplement plan with CareFirst. 49 ithout Household Discount Baltimore Metro, D.C. Metro & Western MD* 65 70 75 80 85 A $1,625 $1,794 $2,041 $2,201 $2,609 $2,952 $ 498 $ 566 $ 611 $ 724 $ 819 F $ 558 $ 635 $ 684 $ 811 $ 918 $ 102 $ 116 $ 125 $ 148 $ 168 G $ 433 $ 492 $ 531 $ 629 $ 712 High G $ 100 $ 113 $ 122 $ 145 $ 164 L $ 359 $ 408 $ 440 $ 522 $ 590 M $ 544 $ 619 $ 667 $ 791 $ 895 N $ 398 $ 453 $ 488 $ 579 $ 655 ithout Household Discount Baltimore Metro, D.C. Metro & Western MD* 65 70 75 80 85 A $1,571 $1,684 $1,916 $2,066 $2,431 $2
,648 $ 467 $ 532 $ 573 $ 674 $ 735 F $ 524 $ 596 $ 642 $ 756 $ 823 $ 96 $ 109 $ 117 $ 138 $ 150 G $ 406 $ 462 $ 499 $ 587 $ 639 High G $ 93 $ 106 $ 115 $ 135 $ 147 L $ 337 $ 383 $ 413 $ 486 $ 530 M $ 511 $ 581 $ 627 $ 737 $ 803 N $ 374 $ 425 $ 459 $ 539 $ 588 *Premiums listed above for Male Lupplement policy or cemiums are for individuals writin A 10% Household Discount is available if the policyholder resides with another person who is eligible and has enrolled in a MedPlus Medicare Supplement plan with CareFirst. 50 Male Level 3 Non-Smoker without Household Discount Eastern & Southern MD 65 70 75 80 85 A $1,262 $1,393 $1,584 $1,708 $2,025 $2,291 $ 386 $ 440 $ 474 $ 562 $
636 F $ 433 $ 493 $ 531 $ 630 $ 713 $ 79 $ 90 $ 97 $ 115 $ 130 G $ 336 $ 382 $ 412 $ 489 $ 553 High G $ 77 $ 88 $ 95 $ 112 $ 127 L $ 279 $ 317 $ 342 $ 405 $ 458 M $ 422 $ 480 $ 518 $ 614 $ 695 N $ 309 $ 352 $ 379 $ 449 $ 509 ithout Hou 65 70 75 80 85 A $1,220 $1,307 $1,487 $1,604 $1,887 $2,056 $ 363 $ 413 $ 445 $ 524 $ 570 F $ 407 $ 463 $ 499 $ 587 $ 639 $ 74 $ 84 $ 91 $ 107 $ 117 G $ 315 $ 359 $ 387 $ 455 $ 496 High G $ 73 $ 83 $ 89 $ 105 $ 114 L $ 261 $ 297 $ 321 $ 377 $ 411 M $ 396 $ 451 $ 486 $ 572 $ 623 N $ 290 $ 330 $ 356 $ 419 $ 456 *Premiums listed above for Male Lupp
lement policy or cemiums are for individuals writin A 10% Household Discount is available if the policyholder resides with another person who is eligible and has enrolled in a MedPlus Medicare Supplement plan with CareFirst. 51 Male Level 3 Smoker without Household Discount Eastern & Southern MD 65 70 75 80 85 A $1,577 $1,740 $1,980 $2,135 $2,531 $2,863 $ 483 $ 549 $ 592 $ 702 $ 794 F $ 541 $ 616 $ 664 $ 787 $ 890 $ 99 $ 112 $ 121 $ 144 $ 163 G $ 420 $ 478 $ 515 $ 611 $ 691 High G $ 97 $ 110 $ 118 $ 140 $ 159 L $ 348 $ 396 $ 427 $ 506 $ 573 M $ 528 $ 600 $ 647 $ 767 $ 868 N $ 386 $ 439 $ 474 $ 562 $ 635 ithout Household Discount Eastern & Southern MD 65 70 75 80
85 A $1,524 $1,634 $1,859 $2,004 $2,358 $2,569 $ 453 $ 516 $ 556 $ 654 $ 713 F $ 508 $ 578 $ 623 $ 733 $ 799 $ 93 $ 106 $ 114 $ 134 $ 146 G $ 394 $ 449 $ 484 $ 569 $ 620 High G $ 91 $ 103 $ 111 $ 131 $ 143 L $ 327 $ 372 $ 401 $ 472 $ 514 M $ 495 $ 564 $ 608 $ 715 $ 779 N $ 363 $ 413 $ 445 $ 523 $ 570 *Premiums listed above for Male Lupplement policy or cemiums are for individuals writin A 10% Household Discount is available if the policyholder resides with another person who is eligible and has enrolled in a MedPlus Medicare Supplement plan with CareFirst. 52 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 y Individual Market-Attained AgeMEDICARE SUPPLEMENT ADMIN
ISTRATIVE OFFICEMarketing Method: Direct Response 3200 Highland Avenue Downers Grove, IL 60515 Male Preferred 65 70 75 80 85 A $198 $160 $183 $204 $216 $224 $180 $210$263 $283 F $211 $247 $284 $316 $345 G $193 $227 $261 $292 $322 N $113 $134 $155 $175 $194 Female Preferred 65 70 75 80 85 A $182 $147 $168 $187 $198 $206 $165 $192$241 $259 F $194 $227 $261 $290 $317 G $178 $209 $241 $270 $297 N $105 $124 $143 $162 $180 53 Male Standard* 65 70 75 80 85 A $218 $176 $202 $224 $238 $247 $198 $231$289 $311 F $232 $272 $312 $347 $379 G $212 $249 $287 $321 $354 N $124 $147 $170 $192 $213 Female Standard* 65 70 75 80 85 A $200 $162 $185 $205 $218 $226 $181 $211$265 $285 F $213 $250
$287 $319 $349 G $196 $230 $265 $297 $327 N $115 $136 $158 $178 $198 *Premiums listed above for Male Standard and Female Standard cannot be used if an application for a Medicarey or 54 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 y Individual Market-Attained Age 3700 S. Stonebridge Drive Marketing Method: Direct Response P.O. Box 8080 McKinney, TX 75070 Unisex 65 70 75 80 85 A $218* $155 $207 $221 $223 $223 $188 $238$275 $275 F $220 $270 $318 $336 $336 High F $ 34 $ 47 $ 56 $ 67 $ 67 G $190 $238 $284 $301 $301 High G $ 34 $ 47 $ 56 $ 67 $ 67 N $145 $182 $220 $239 $239 *Plan A for Individuals with a Disability is offered only during Open Enrollment/Guaranteed 55 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES
EFFECTIVE JULY 1, 2022 Individual Market-Attained Age P.O. Box 2679 Method: Insurance Producer Solicited Omaha, NE 68103 mhealthandlife.com Male Non-Tobacco 65 70 75 80 85 A $305 $217 $240 $287 $331 $369 F $260 $287 $343 $396 $441 G $217 $240 $287 $331 $369 N $168 $186 $222 $257 $286 Female Non-Tobacco 65 70 75 80 85 A $305 $189 $209 $250 $288 $321 F $226 $250 $299 $345 $384 G $189 $208 $249 $288 $321 N $146 $162 $193 $223 $249 A 7% Household Discount will be applied if for the past twelve months the policy holder has resided with at least one, but no more than three, other adults aged 60 or older, or if the policyholder lives with another adult who is his 56 Male Tobacco* 65 70 75 80 85 A $350 $250 $276 $330 $381 $424
F $299 $330 $395 $455 $507 G $250 $276 $330 $380 $424 N $193 $214 $256 $295 $328 Female Tobacco* 65 70 75 80 85 A $350 $217 $240 $287 $331 $369 F $260 $287 $343 $396 $441 G $217 $240 $287 $331 $368 N $168 $186 $222 $256 $286 supplement policy or certificate is submie Medicare supplement policyA 7% Household Discount will be applied if for the past twelve months the policy holder has resided with at least one, but no more than three, other adults aged 60 or older, or if the policyholder lives with another adult who is his 57 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Great Southern Life Insurance Company Marketing Method: Insurance Producer Solicited 300 West 11 Street Kansas City, MO 64105 Male Non-Tobacco 65 70
75 80 85 A $462 $290 $307 $359 $430 $503 F $193 $203 $240 $292 $355 High F $ 51 $ 56 $ 66 $ 81 $ 93 $173 $173$208 $260 $319 N $119 $126 $152 $191 $237 Female Non-Tobacco 65 70 75 80 85 A $401 $253 $267 $312 $374 $437 F $168 $177 $209 $253 $309 High F $ 45 $ 48 $ 58 $ 70 $ 81 $151 $151$181 $226 $277 N $104 $110 $132 $166 $206 A 10% Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 58 Male Tobacco* 65 70 75 80 85 A $531 $334 $353 $413 $495 $578 F $222 $234 $276 $335 $409 High F $ 59 $ 64 $ 76 $ 93 $107 $199 $199$239 $298 $367 N $137 $145 $175 $219 $272 Female Tobacco* 65 70 75 80 85 A $462 $290 $307 $359 $430 $503 F $193
$203 $240 $292 $355 High F $ 51 $ 56 $ 66 $ 81 $ 93 $173 $173$208 $260 $319 N $119 $126 $152 $191 $237 are supplement policyA 10% Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 59 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Guarantee Trust Life Insurance Company Marketing Method: Insurance Producer Solicited Glenview, IL 60025 Male Preferred 65 70 75 80 85 A $212 $185 $196 $223 $259 $280 $239 $254 $302 $377 $425 High F $ 54 $ 57 $ 68 $ 85 $ 95 G $188 $200 $238 $298 $335 N $155 $164 $195 $244 $275 Female Preferred 65 70 75 80 85 A $188 $165 $175 $197 $228 $247 $213 $227 $269 $337 $379 High F $ 48 $ 51 $ 61 $ 76 $ 85
G $168 $179 $212 $266 $299 N $138 $147 $174 $218 $246 A household discount of 7% is available if two or more policyholders with an inforce Medicare Supplement policy from the Company are currently residing together. 60 Male Standard* 65 70 75 80 85 A $265 $231 $246 $279 $323 $350 $299 $317 $377 $472 $531 High F $ 67 $ 71 $ 85 $106 $119 G $235 $250 $297 $372 $419 N $194 $206 $244 $306 $344 Female Standard* 65 70 75 80 85 A $235 $206 $219 $247 $285 $309 $267$283$337$421 $474 High F $ 60 $ 64 $ 76 $ 95 $107 G $210 $223 $265 $332 $374 N $173 $183 $218 $273 $307 are supplement policyhousehold discount of 7% is available if two or more policyholders with an inforce Medicarlicy from the Company are currently residin
g together. 61 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Heartland National Life Insurance CompanyP.O. Box 2878Marketing Method: Insurance Producer Solicited Salt Lake City, UT 84110-2878 www.heartlandnational.net Male Non-Tobacco 65 70 75 80 85 A $183 $148 $155 $187 $215 $241 C $958 $192 $199 $238 $278 $321 G $148 $155 $189 $225 $266 N $128 $134 $163 $194 $228 Female Non-Tobacco 65 70 75 80 85 A $159 $128 $134 $163 $187 $209 C $833 $167 $173 $207 $242 $279 G $129 $135 $164 $196 $231 N $112 $117 $142 $169 $198 7% Household Discount is available to those that qualify. 62 Male Tobacco* 65 70 75 80 85 A $ 211 $170 $178 $215 $247 $277 C $1,102 $220 $229 $274 $320 $369 G $171
$179 $217 $259 $305 N $148 $154 $188 $223 $262 Female Tobacco* 65 70 75 80 85 A $183 $148 $155 $187 $215 $241 C $958 $192 $199 $238 $278 $321 G $148 $155 $189 $225 $266 N $128 $134 $163 $194 $228 supplement policy or certificate is submie Medicare supplement policy% Household Discount is available to those that qualify. 63 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Market-Issue Age/Attained Age 500 West Main Street Marketing Method: Insurance Producer Solicited Louisville, KY 40202 www.Humana-medicare.com Male Preferred 65 70 75 80 85 A $308* $246 $299 $364 $430 $498 $174 $212$304 $353 C $602* $241 $293 $356 $421 $488 $226 $275$395 $458 High F $ 67 $ 81 $ 99 $116 $135 $218 $265$381 $441 High G $ 63
$ 77 $ 93 $110 $128 $127 $154$221 $257 L $149 $182 $221 $261 $303 N $151 $184 $224 $265 $307 Female Preferred 65 70 75 80 85 A $293* $245 $290 $336 $382 $422 $173 $205$270 $298 C $602* $240 $284 $329 $374 $413 $225 $266$351 $388 High F $ 66 $ 78 $ 91 $103 $114 $217 $257$338 $373 High G $ 63 $ 74 $ 86 $ 98 $108 $126 $149$197 $217 L $149 $176 $204 $232 $256 N $151 $178 $207 $235 $260 under age 65 with a disability pre% Household Premium Discount will be applied wy ACH/credit card payment modes. For monthly coupon book payment ther 64 Male Standard** 65 70 75 80 85 A $460* $367 $447 $544 $643 $745 $260 $316$455 $527 C $900* $360 $438 $533 $630 $730 $338 $411$591 $685 High F $ 99 $121 $147 $174 $202 $325 $396$569 $660 High G $
94 $115 $139 $165 $191 $189 $230$331 $384 L $223 $272 $330 $391 $453 N $226 $275 $335 $396 $459 Female Standard** 65 70 75 80 85 A $437* $366 $433 $502 $571 $630 $259 $306$404 $446 C $900* $359 $424 $492 $559 $617 $337 $398$525 $579 High F $ 99 $117 $136 $155 $171 $324 $384$505 $558 High G $ 94 $111 $129 $146 $161 $189 $223$294 $324 L $223 $263 $305 $347 $383 N $226 $267 $309 $351 $388 d C for individuals under age 65 with a disability premius listed above for Male Standard and Female Standard cannot be used if an application for a Medicare supplement policy or certificate is submitted application for an available Medicare supplement policy is submitted during the guaranteed issue period. A 5% Household Premium Discount will be applied where members share a common address.
Base rates are based on monthly ACH/credit card payment modes. For monthly coupon book payment ther 65 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Individual Market-Attained Age Insurance Producer Solicited Male Non-Tobacco 65 70 75 80 85 A $232 $161 $180 $212 $252 $302 $185 $201$292 $365 G $152 $160 $196 $250 $321 N $118 $129 $164 $214 $280 Female Non-Tobacco 65 70 75 80 85 A $202 $140 $156 $184 $219 $263 $161 $174$254 $317 G $133 $139 $171 $217 $279 N $103 $112 $142 $186 $244 A 7% household discount is available for those who qualify. 66 Male Tobacco* 65 70 75 80 85 A $267 $185 $207 $244 $290 $347 $213 $231$336 $419 G $175 $184 $226 $288 $369 N $136 $148 $188 $246 $322 Fema
le Tobacco* 65 70 75 80 85 A $232 $161 $180 $212 $252 $302 $185 $201$292 $365 G $152 $160 $196 $250 $321 N $118 $129 $164 $214 $280 *Premiums listed above for Male Tobacco and Female Tobacco cannot be used if an applicationy or certie Medicare supplement policy% household discount is available for those who qualify. 67 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 y of KansasMarket-Attained Age 1064 Greenwood Blvd., Suite 260 Marketing Method: Insurance Producer Solicited Lake Mary, FL 32746 Male Preferred 65 70 75 80 85 A $234 $174 $187 $228 $265 $305 $184 $200 $240 $283 $361 G $176 $189 $230 $273 $352 N $128 $137 $168 $201 $260 Female Preferred 65 70 75 80 85 A $204 $152 $162 $198 $231 $266 $160
$174 $209 $246 $314 G $153 $164 $200 $237 $306 N $112 $120 $146 $175 $226 A 7% Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 68 Male Standard* 65 70 75 80 85 A $269 $200 $215 $262 $305 $351 $212 $230$325 $416 G $202 $217 $264 $314 $404 N $148 $158 $194 $232 $299 Female Standard* 65 70 75 80 85 A $234 $174 $187 $228 $265 $306 $184 $200$283 $362 G $176 $189 $230 $273 $352 N $128 $137 $168 $202 $260 upplement policy or certificate is submitted A 7% Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 69 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Market-Attained Age Marketing Method:
Insurance Producer Solicited Male Preferred 65 70 75 80 85 A $224 $176 $185 $218 $250 $288 $208 $218 $260 $308 $370 G $164 $173 $209 $250 $303 N $140 $147 $179 $215 $264 Female Preferred 65 70 75 80 85 A $194 $153 $161 $190 $218 $251 $181 $190 $226 $268 $322 G $142 $150 $182 $218 $264 N $121 $128 $155 $187 $229 A 7% Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 70 Male Standard* 65 70 75 80 85 A $257 $202 $213 $251 $288 $332 $240 $251$354 $426 G $188 $199 $241 $288 $349 N $160 $169 $205 $247 $303 Female Standard* 65 70 75 80 85 A $224 $176 $185 $218 $250 $288 $208 $218 $260 $308 $370 G $164 $173 $209 $250 $30
3 N $140 $147 $179 $215 $264 upplement policy or certificate is submitted A 7% Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 71 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 National Health Insurance CompanyP.O. Box 3450 Marketing Method: Insurance Producer Solicited Salt Lake City, UT 84110-3450 Male Preferred 65 70 75 80 85 A $183 $158 $175 $203 $235 $271 $200 $222 $257 $298 $344 High F $ 62 $ 69 $ 80 $ 92 $106 G $171 $189 $219 $254 $293 N $132 $146 $170 $197 $227 Female Preferred 65 70 75 80 85 A $162 $140 $155 $179 $208 $240 $177 $196 $228 $264 $304 High F $ 55 $ 61 $ 70 $ 82 $ 94 G $151 $168 $194 $225 $259 N $117
$130 $150 $174 $201 A household discount of 7% is available. 72 Male Standard* 65 70 75 80 85 A $220 $189 $210 $243 $282 $325 $240 $266 $308 $358 $412 High F $ 74 $ 82 $ 95 $111 $128 G $205 $227 $263 $305 $351 N $159 $176 $203 $236 $272 Female Standard* 65 70 75 80 85 A $195 $168 $186 $215 $249 $287 $213 $235 $273 $316 $365 High F $ 66 $ 73 $ 85 $ 98 $113 G $182 $201 $233 $270 $311 N $140 $155 $180 $209 $241 are supplement policyhousehold discount of 7% is available. 73 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Insurance CompanyMarket-Attained Age Administrative Office Method: Insurance Producer Solicited 2721 North Central Avenue Phoenix, AZ 85004-1172 xfordlife.com
Male Non-Tobacco 65 70 75 80 85 A $310 $261 $311 $368 $403 $420 $353 $418 $495 $572 $656 G $164 $176 $206 $237 $273 N $198 $235 $283 $333 $394 Female Non-Tobacco 65 70 75 80 85 A $274 $231 $275 $326 $356 $371 $313 $370 $438 $507 $580 G $145 $155 $182 $210 $242 N $175 $208 $251 $295 $348 74 Male Tobacco* 65 70 75 80 85 A $357 $300 $357 $423 $463 $483 $407 $480 $569 $658 $754 G $189 $202 $237 $273 $314 N $227 $271 $326 $383 $453 Female Tobacco * 65 70 75 80 85 A $316 $266 $316 $375 $410 $427 $360 $425 $503 $583 $667 G $167 $179 $210 $242 $278 N $201 $240 $288 $339 $401 upplement policy or certificate is submitted 75 MONTHLY P
REMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 an Life Insurance Company Individual Market-Attained Age 601 Poydras Street Marketing Method: Insurance Producer Solicited New Orleans, LA 70130 Male Non-Tobacco 65 70 75 80 85 A $228 $195 $209 $242 $281 $330 $232 $248 $290 $348 $426 G $182 $196 $233 $282 $348 N $143 $154 $183 $223 $278 Female Non-Tobacco 65 70 75 80 85 A $199 $169 $182 $210 $245 $288 $202 $215 $252 $302 $371 G $158 $171 $203 $245 $303 N $124 $134 $159 $194 $242 A 12% Household Discount is available if the insured currently has a household resident (at least one, no more than three) who is age 50 or older: with whom the insureds have continuously resided for the pas
t 12 months, or to whom the insureds are married; or who has an existing Medicare Supplement policy with Pan-American Life Insurance Company, or is applying for one. 76 Male Tobacco* 65 70 75 80 85 A $263 $224 $240 $278 $323 $380 $266 $285 $333 $400 $490 G $209 $225 $268 $324 $400 N $164 $177 $210 $256 $320 Female Tobacco * 65 70 75 80 85 A $228 $195 $209 $242 $281 $330 $232 $248 $290 $348 $426 G $182 $196 $233 $282 $348 N $143 $154 $183 $223 $278 upplement policy or certificate is submitted A 12% Household Discount is available if the insured currently has a household resident (at least one, no more than three) who is age 50 or older: with whom the insureds have continuously resided for the past 12 months, or to whom the insured
s are married or who has an existing Medicare Supplement policy with Pan-American Life Insurance Company or is applying for one. 77 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 y Individual Market-Attained Age P.O. Box 4884Insurance Producer Solicited Male Non-Tobacco 65 70 75 80 85 A $162 $131 $141 $149 $169 $181 $173 $191$261 $291 High F $ 49 $ 54 $ 62 $ 75 $ 79 G $136 $150 $179 $204 $228 High G $ 39 $ 43 $ 51 $ 63 $ 75 $107 $119$162 $181 N $114 $126 $150 $172 $191 Female Non-Tobacco 65 70 75 80 85 A $162 $119 $129 $135 $154 $164 $157 $174$237 $264 High F $ 44 $ 49 $ 56 $ 68 $ 72 G $123 $136 $163 $186 $207 High G $ 35 $ 39 $ 46 $ 58 $ 68 $ 95 $105 $126 $143 $160 N $103 $114 $1
37 $156 $174 A 6% Household Discount will be applied if the policyholder is legally married and both individuals have an in force policy with Philadelphia American Life Insurance Company. 78 Male Tobacco* 65 70 75 80 85 A $178 $144 $155 $164 $186 $199 $190 $210 $252 $287 $320 High F $ 53 $ 59 $ 68 $ 82 $ 87 G $149 $165 $197 $225 $251 High G $ 43 $ 47 $ 56 $ 70 $ 83 $118 $130$178 $199 N $125 $138 $165 $189 $210 Female Tobacco* 65 70 75 80 85 A $178 $131 $141 $149 $169 $181 $173 $191 $229 $261 $291 High F $ 49 $ 54 $ 62 $ 75 $ 79 G $136 $150 $179 $204 $228 High G $ 39 $ 43 $ 51 $ 63 $ 75 $104 $115$158 $176 N $114 $126 $150 $172 $191 *Premiums listed above for Male Tobacco and Female Tob
acco cannot be used if an applicationicare supplement policy or certification for an available Medicare supplement policy% Household Discount will be applied if the policyholder is legally married and both individualn force policy with Philadelphia American Life Insurance Company. 79 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Physicians Life Insurance Company Marketing Method: Insurance Producer Solicited/Direct Response Omaha, NE 68131 Issue Age rates are available for all plans Male Non-Tobacco 65 70 75 80 85 A* $185* $185* $185* $185* $185* $185* $201 $217 $251 $274 $281 High F $ 63 $ 69 $ 86 $107 $134 G $171 $184 $214 $233 $240 High G $ 61 $ 67 $ 83 $104 $129 Female Non-Tobacco 65 70 75 80 85 A* $167* $167* $167* $1
67* $167* $167* $182 $196 $227 $248 $255 High F $ 57 $ 63 $ 78 $ 97 $121 G $155 $167 $193 $211 $217 High G $ 55 $ 60 $ 75 $ 94 $117 ssue Age. Other Plans are Attained Age.An applicant who resides in a household either with a spouse, or with another person (but no more than three) that is age 60 or older and has continuously resided with the applicant for the las is eligible for a 10% household discount.All Medicare Supplement plans from Physicians Life Insurance Company except Plan A provide additional innovative benefits for preventive care and hearing loss testing. We also offer a Deductible Discount Rider on Plans F and G thafor only 2-3 years, with a premium discount off of the base plan that applies for the life of the policy. 80 Male Tobacco** 65 70 75
80 85 A* $206* $206* $206* $206* $206* $206* $223 $241 $279 $304 $313 High F $ 70 $ 77 $ 96 $119 $149 G $190 $205 $237 $259 $266 High G $ 68 $ 74 $ 92 $115 $144 Female Tobacco** 65 70 75 80 85 A* $186* $186* $186* $186* $186* $186* $202 $218 $252 $275 $283 High F $ 64 $ 69 $ 87 $108 $134 G $172 $185 $215 $234 $241 High G $ 61 $ 67 $ 84 $104 $130 **Premiums listed above for Male Tobacco and Female Tobacco cannot be used if an application for a Medicare supplement policy or certificate is submitted during the 6-month open enrollment period, or if an application for an available Medicare supplement policy is submitted during the An applicant who resides in a household either with a spouse, or with another person (but no more han thre
e) that is age 60 or older and has continuously resided with the applicant for th eligible for a 10% household discount. 81 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 y of AmericaIndividual Market-Attained Age 1720 W. Rio Salado Parkway Marketing Method: Insurance Producer Solicited Tempe, AZ 85281 www.puritanlifeinsurance.com Male Preferred 65 70 75 80 85 A $314 $249 $273 $311 $352 $404 $308 $336 $387 $452 $542 G $235 $259 $303 $357 $431 N $155 $171 $200 $237 $290 Female Preferred 65 70 75 80 85 A $283 $224 $246 $280 $317 $364 $278 $303 $348 $407 $488 G $211 $233 $273 $322 $388 N $139 $154 $180 $214 $261 A 7% Household Discount is available if there are between 2 and 4 adults residing at the residential
address. 82 Male Standard* 65 70 75 80 85 A $361 $286 $314 $357 $405 $465 $355 $387 $445 $520 $623 G $270 $298 $348 $411 $496 N $178 $196 $230 $273 $333 Female Standard* 65 70 75 80 85 A $325 $258 $283 $322 $365 $418 $319 $348$468 $561 G $243 $268 $314 $370 $446 N $160 $177 $207 $246 $300 upplement policy or certificate is submitted A 7% Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 83 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Individual Market-Attained Age 100 West 33 Street, Suite 1007 Marketing Method: Insurance Producer Solicited www.prosperitylife.com Male Preferred Non-Tobacco 65 70 75 80 85 A $202 $161 $
161 $173 $222 $273 $173 $181 $209 $266 $319 G $149 $150 $174 $223 $274 N $111 $120 $140 $179 $226 Female Preferred Non-Tobacco 65 70 75 80 85 A $175 $140 $140 $150 $193 $237 $151 $158$232 $277 G $130 $130 $151 $194 $238 N $ 97 $104 $122 $156 $196 A 7% household discount is available if there are between 2 and 4 adults residing at the same residential address. 84 Male Standard Non-Tobacco 65 70 75 80 85 A $204 $162 $162 $182 $224 $275 $175 $183 $220 $269 $322 G $151 $151 $183 $225 $277 N $112 $121 $148 $181 $228 Female Standard Non-Tobacco 65 70 75 80 85 A $177 $141 $141 $158 $195 $239 $152 $159 $191 $234 $280 G $131 $131 $159 $196 $241 N $ 98 $105 $128 $157 $198
% household discount is available if there are between 2 and 4 adults residing at the same residential address. 85 Male Standard Tobacco* 65 70 75 80 85 A $224 $179 $179 $200 $246 $303 $193 $201 $242 $296 $354 G $166 $166 $201 $247 $304 N $124 $133 $162 $199 $251 Female Standard Tobacco * 65 70 75 80 85 A $195 $155 $155 $174 $214 $263 $167 $175 $210 $257 $308 G $144 $145 $175 $215 $265 N $107 $116 $141 $173 $218 are supplement policy% household discount is available if there are between 2 and 4 adults residing at the same residential address. 86 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Life Insurance Company Individual Market-Attained Age Marketing Method: Insurance Producer Solicited Sal
t Lake City, UT 84127 Male Non-Tobacco 65 70 75 80 85 A $223 $171 $194 $240 $298 $367 $223 $242 $297 $365 $445 G $179 $194 $239 $295 $361 N $147 $167 $207 $256 $316 Female Non-Tobacco 65 70 75 80 85 A $194 $149 $169 $209 $259 $319 $194 $211$317 $387 G $156 $169 $208 $257 $314 N $128 $145 $180 $223 $275 A 12% Household Discount is available if the insured currently has a household resident (at least one, no more than three) who is age 50 or older: with whom the insureds have continuously resided for the past 12 months, or to whom the insureds are married or ho has an existing Medicare Supplement policy with Sentinel Security Life Insurance Company, or is applying for one. 87 Male Tobacco* 65 70 75 80 85 A $257
$196 $223 $276 $342 $422 $257 $279 $342 $419 $511 G $206 $223 $275 $339 $415 N $169 $192 $238 $294 $363 Female Tobacco * 65 70 75 80 85 A $223 $171 $194 $240 $298 $367 $223 $242 $297 $365 $445 G $179 $194 $239 $295 $361 N $147 $167 $207 $256 $316 upplement policy or certificate is submitted A 12% Household Discount is available if the insured currently has a household resident (at least one, no more than three) who is age 50 or older: with whom the insureds have continuously resided for the past 12 months, or to whom the insureds are married or who has an existing Medicare Supplement policy with Sentinel Security Life Insurance Company, or is applying for one. 88 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 I
ndividual Market-Attained Age One State Farm Plaza Marketing Method: Insurance Producer Solicited Bloomington, IL 61710-0001 Contact local State Farm Agent Male Non-Tobacco 65 70 75 80 85 A $231 $177 $223 $259 $291 $303 $597 $267 $336$438 $457 D $580 $155 $205 $247 $285 $319 F $223 $280 $325 $365 $381 G $155 $205 $247 $286 $320 N $120 $158 $190 $222 $252 Female Non-Tobacco 65 70 75 80 85 A $231 $163 $206 $239 $268 $279 $597 $246 $310$404 $421 D $571 $151 $186 $218 $248 $275 F $205 $259 $300 $337 $351 G $152 $186 $219 $249 $276 N $115 $141 $167 $193 $218 with a disability under age 65 with a disability premiums are offered during Opeteed Issue periods only. 89 Male Tobacco* 65 70 75 80 85 A
$231 $195 $245 $284 $320 $333 $597 $294 $370$482 $502 D $580 $170 $225 $272 $314 $351 F $245 $308 $358 $402 $419 G $171 $226 $272 $314 $352 N $132 $173 $210 $244 $278 Female Tobacco* 65 70 75 80 85 A $231 $180 $226 $263 $295 $307 $597 $271 $341$444 $464 D $571 $167 $204 $240 $273 $303 F $226 $285 $330 $371 $386 G $167 $205 $241 $274 $303 N $127 $155 $184 $212 $240 upplement policy or certificate is submitted 90 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 yal Arcanum Individual Market-Attained Age 61 Batterymarch Street Marketing Method: Insurance Producer Solicited Boston, MA 02110-3208 Male Non-Tobacco 65 70 75 80 85 A $189 $166 $166 $192 $229 $253 $173 $181$269 $295
G $154 $158 $191 $235 $259 N $120 $125 $149 $204 $232 Female Non-Tobacco 65 70 75 80 85 A $165 $145 $145 $167 $199 $220 $151 $157 $187 $234 $257 G $134 $138 $166 $204 $225 N $105 $109 $130 $178 $202 A 7% Household Discount is available to those that qualify. 91 Male Tobacco* 65 70 75 80 85 A $218 $191 $191 $221 $263 $290 $199 $208 $248 $310 $339 G $176 $182 $219 $270 $298 N $138 $143 $171 $235 $267 Female Tobacco* 65 70 75 80 85 A $189 $166 $166 $192 $229 $253 $173 $181$269 $295 G $154 $158 $191 $235 $259 N $120 $125 $149 $204 $232 upplement policy or certificate is submitted A 7% Household Discount is available to those that qualify. 92 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE
POLICIES EFFECTIVE JULY 1, 2022 panyMarket-Issue Age Cedar Rapids, IA 52499 www.transamerica.com Male Non-Tobacco 65 70 75 80 85 A $186 $159 $203 $253 $300 $336 $210 $268$396 $444 F $250 $319 $398 $471 $528 $178 $228$336 $377 K $ 84 $108 $134 $159 $178 $125 $160$236 $265 M $154 $197 $245 $291 $326 $145 $185$274 $307 Female Non-Tobacco 65 70 75 80 85 A $167 $145 $182 $222 $262 $295 $191 $241$345 $389 F $228 $286 $349 $411 $463 $162 $204$293 $330 K $ 77 $ 97 $118 $139 $156 $114 $144$206 $232 M $141 $177 $215 $254 $286 $132 $166$239 $269 93 Male Tobacco* 65 70 75 80 85 A $204 $175 $224 $278 $330 $370 $231 $295$436 $488 F $275 $351 $437 $518 $581 $196 $251$370 $415 K $ 93 $119 $148 $175 $196 $138 $176$260 $291
M $170 $217 $270 $320 $359 $159 $204$301 $337 Female Tobacco* 65 70 75 80 85 A $184 $159 $200 $244 $288 $324 $211 $265$380 $428 F $251 $315 $383 $452 $510 $179 $225$322 $363 K $ 85 $106 $130 $153 $172 $126 $158$227 $255 M $155 $194 $237 $279 $315 $145 $183$262 $296 upplement policy or certificate is submitted 94 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Individual Market-Attained Age Street, Suite 300 Marketing Method: Insurance Producer Solicited Overland Park, KS 66213 Male Preferred 65 70 75 80 85 A $225 $193 $218 $250 $279 $307 $243 $271$364 $418 High F $ 75 $ 88 $103 $121 $141 G $192 $217 $256 $297 $344 N $154 $174 $206 $240 $281 Female Preferred 65 70 75 80 85
A $196 $168 $189 $218 $243 $267 $211 $236$317 $364 High F $ 65 $ 76 $ 90 $105 $122 G $167 $189 $223 $259 $299 N $134 $151 $179 $209 $245 A 7% Household Discount is available if there are between 2 and 3 adults residing at the same residential address. 95 Male Standard* 65 70 75 80 85 A $259 $223 $250 $288 $321 $353 $279 $312 $364 $419 $481 High F $ 86 $101 $119 $139 $162 G $220 $249 $295 $342 $396 N $177 $200 $236 $276 $324 Female Standard* 65 70 75 80 85 A $225 $193 $218 $250 $279 $307 $243 $271 $316 $364 $418 High F $ 75 $ 88 $103 $121 $141 G $192 $217 $256 $297 $344 N $154 $174 $206 $240 $281 ms listed above for Male Standard and Female Standard cannot be used if
an application for a Medicament policy% Household Discount is available if there are between 2 a 96 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Insurance Company MEDICARE SUPPLEMENT ADMINISTRATIVE OFFICE Insurance Producer Solicited800 Crescent Centre Dr., Suite 200 Franklin, TN 37067 Male Preferred 65 70 75 80 85 A $237 $186 $199 $233 $272 $310 $227 $240$342 $407 G $194 $209 $251 $305 $366 N $137 $153 $192 $224 $272 Female Preferred 65 70 75 80 85 A $206 $162 $173 $203 $237 $270 $197 $209$297 $354 G $169 $181 $219 $265 $318 N $119 $133 $167 $195 $236 Household Discount is available if there are between 2 and 4 adults residing at the same residential address. 97 Male Standard* 65 70 75 80 85 A $2
72 $214 $229 $268 $313 $357 $261 $276$393 $468 G $223 $240 $289 $350 $420 N $158 $176 $220 $258 $313 Female Standard* 65 70 75 80 85 A $237 $186 $199 $233 $272 $310 $227 $240$342 $407 G $194 $209 $251 $305 $366 N $137 $153 $192 $224 $272 *Premiums listed above for Male Standard and Female Standard cannot be used if an application for a Medicarement policyHousehold Discount is available if there are between 2 and 4 adults residing at the same residential address. 98 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 rican Insurance CompanyMarket-Issue Age/Attained Age 3700 S. Stonebridge Drive, P.O. Box 8080 Marketing Method: Insurance Producer Solicited McKinney, TX 75070 Male Preferred 65 70 75 80 85 A $185 $124 $163 $
183 $185 $185 $196 $262 $302 $308 $308 C $229 $307 $362 $395 $395 $655 $195 $268 $319 $349 $349 F $243 $326 $384 $418 $418 High F $ 39 $ 54 $ 64 $ 77 $ 77 G $217 $297 $353 $387 $387 $ 39 $ 54 $ 64 $ 77 $ 77 K $ 95 $129 $154 $168 $168 L $136 $186 $222 $244 $244 N $136 $187 $224 $249 $249 Female Preferred 65 70 75 80 85 A $161 $108 $142 $159 $161 $161 $170 $228 $262 $268 $268 C $199 $267 $315 $343 $343 $568 $170 $233 $277 $304 $304 F $211 $283 $334 $364 $364 High F $ 34 $ 47 $ 56 $ 67 $ 67 G $189 $258 $307 $336 $336 $ 34 $ 47 $ 56 $ 67 $ 67 K $ 82 $112 $134 $146 $146 L $119 $162 $193 $212 $212 N $118 $163 $195 $217 $217 *Plan A and
Plan D under age 65 Medicare disabled premiums are Issue Age. n Enrollment/Guaranteed Issue periods only 99 Male Standard** 65 70 75 80 85 A N/A $142 $187 $210 $212 $212 $225 $301 $347 $355 $355 C $263 $353 $416 $454 $454 N/A $225 $308 $367 $402 $402 F $280 $375 $442 $481 $481 High F $ 45 $ 62 $ 74 $ 88 $ 88 G $249 $341 $406 $445 $445 $ 45 $ 62 $ 74 $ 88 $ 88 K $109 $149 $177 $193 $193 L $157 $214 $255 $280 $280 N $156 $215 $258 $287 $287 Female Standard** 65 70 75 80 85 A N/A $124 $163 $183 $185 $185 $196 $262 $302 $308 $308 C $229 $307 $362 $395 $395 N/A $195 $268 $319 $349 $349 F $243 $326 $384 $418 $418 High F $ 39 $ 54 $ 64 $ 77 $ 77 G $21
7 $297 $353 $387 $387 $ 39 $ 54 $ 64 $ 77 $ 77 K $ 95 $129 $154 $168 $168 L $136 $186 $222 $244 $244 N $136 $187 $224 $249 $249 Premiums listed above for Male Standard and Female Standard cannot be used if an application for a Medicare supplement policy or certificate is submitted during the 6-month open enrollment period, or if an application for an available Medicare supplement policy is submitted during the guaranteed 100 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Market-Community Rated (AARP Medicare Supplement Plans) Marketing Method: AARP Members Only P.O. Box 30607 Producer Solicited/Direct Response Salt Lake City, UT 84130 medicaresupplement.com Male Non-Tobacco Female Non-Tobacco Age 65 and Older Age 65 and Older Base Rate Tier I Rate Tier II Rate
A $488 $536 $731 B $276 $304 $414 C $489 $538 $734 F $326 $359 $489 G $267 $294 $475 K $123 $135 $184 L $201 $221 $301 N $230 $253 $454 y Enrollment: Individuals who enroll within six months after their 65 birthday or Medicare Part B Effective Date, if later, will be eligible for the Early Enrollment Discount Program. The discount will be 39% at age 65 through 68, 36% at age 69, 33% at age 70, etc., decreasing by 3% after each 12-month period, until the discount decreases to 0% at age 81 when they will pay the Base Rate thereafter. Individuals who enroll more than six months and less than ten years after their 65 birthday or Medicare Part B Effective Date, if later, will pay the Base Rate reduced by the Early Enrollment Discount or Tier II Rate based on their responses to health status questions whenIndividuals who enroll m
ore than ten years after their 65 birthday or Medicare Part B Effective Date, if later, will pay the Tier I Rate or Tier II Rate based on their responses to health status questions when they apply for coverage. 7% Multi-Insured Discount when two or more insured on one account have at least one eligible plan of insurance issued under a gmaster policy between the Trustee of AARP and UnitedHealthCare Insurance Company Base Rate Tier I Rate Tier II Rate A $433 $476 $649 $245 $269 $367 C $434 $477 $650 $289 $318 $434 G $237 $261 $422 K $109 $119 $163 L $178 $196 $267 N $204 $225 $402 101 Male Tobacco* Female Tobacco* Age 65 and Older Age 65 and Older Base Rate Tier I Rate Tier II Rate A $536 $590 $804 B $304 $334 $456 C $538 $592 $807 F $359 $395 $538 G $294 $323 $523 K $135 $148 $202 L $221 $243 $331
N $253 $279 $499 y Enrollment: Individuals who enroll within six months after their 65 birthday or Medicare Part B Effective Date, if later, will be eligible for the Early Enrollment Discount Program. The discount will be 39% at age 65 through 68, 36% at age 69, 33% at age 70, etc., decreasing by 3% after each 12-month period, until the discount decreases to 0% at age 81 when they will pay the Base Rate thereafter. Individuals who enroll more than six months and less than ten years after their 65 birthday or Medicare Part B Effective Date, if later, will pay the Base Rate reduced by the Early Enrollment Discount or Tier II Rate based on their responses to health status questions whenIndividuals who enroll more than ten years after their 65 birthday or Medicare Part B Effective Date, if later, will pay the Tier I Rate or Tier II Rate based on th
eir responses to health status questions when they apply for coverage. *Premiums listed above for Male Tobacco and Female Tobacco cannot be used if an application for a Medicare supplement policy or certificatemonth open enrollment period, or if an application for an available Medicare supplement policy is submit7% Multi-Insured Discount when two or more insured on one account have at least one eligible plan of insurance issued under a gmaster policy between the Trustee of AARP and UnitedHealthCare Insurance Company Base Rate Tier I Rate Tier II Rate A $476 $523 $714 $269 $296 $404 C $477 $525 $715 $318 $350 $477 G $261 $287 $464 K $119 $131 $179 L $196 $216 $294 N $225 $247 $443 102 Male Non-Tobacco Female Non-Tobacco Female Tobacco* ms listed above for Plans A and C Malavailable Medicare supplement policy is submitted du
ring the guaranteed issue per7% Multi-Insured Discount when two or more insured on one account have at least one eligible plan of insurance issued under a gmaster policy between the Trustee of AARP and UnitedHealthCare Insurance Company Base Rate A $296 C $625 Base Rate A* $326 $687 Base Rate A* $381 C* $897 Base Rate A $347 C $815 Base Rate A $391 C $919 Base Rate A* $ 430 C* $1,011 103 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 Individual Market-Attained Age 3300 Mutual of Omaha Plaza Marketing Method: Insurance Producer Solicited/Direct Response Omaha, NE 68175 mutual Male Non-Tobacco 65 70 75 80 85 A $235 $232 $253 $292 $335 $385 F $261 $285 $329 $378 $433 High F $ 67 $ 73 $ 85 $ 97 $111 G $201 $220 $257 $292 $333
High G $ 54 $ 59 $ 70 $ 81 $ 94 $139 $152 $177 $202 $230 Female Non-Tobacco 65 70 75 80 85 A $208 $205 $224 $259 $297 $340 F $231 $252 $292 $335 $383 High F $ 59 $ 65 $ 75 $ 86 $ 99 G $178 $195 $227 $258 $294 High G $ 48 $ 53 $ 62 $ 72 $ 83 $123 $134 $157 $179 $203 % Household Discount is available if the policyholder is living with another adult (but no more than three other adults) who is age 60 or older. 104 Male Tobacco* 65 70 75 80 85 A $255 $251 $273 $316 $363 $416 F $283 $308 $356 $409 $468 High F $ 73 $ 79 $ 92 $105 $120 G $217 $238 $277 $316 $360 High G $ 58 $ 64 $ 75 $ 88 $102 $150 $164 $192 $218 $248 Female Tobacco* 65 70 75 80 85 A $225 $222 $242 $280 $321 $368
F $250 $273 $315 $362 $415 High F $ 64 $ 70 $ 81 $ 93 $107 G $192 $210 $245 $279 $318 High G $ 52 $ 57 $ 67 $ 78 $ 90 $133 $145 $170 $193 $220 ms listed above for Male Tobacco and Female Tobacco cannot be used if an application for a Medicament policy% Household Discount is available if the policyholder is living with another adult (but no more than three adults) who 105 PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 panyMarket-Attained Age Marketing Method: Insurance Producer Solicited www.usfiremedsupp.com Male Preferred 65 70 75 80 85 A $162 $153 $157 $182 $211 $245 $177 $194$260 $301 F $182 $200 $238 $283 $336 $154 $159$214 $248 High G $ 57 $ 62 $ 72 $ 83 $ 97 $ 77 $ 82 $ 95 $110 $127 L $ 93 $ 99 $114 $132 $154
$112 $122$165 $191 Female Preferred 65 70 75 80 85 A $141 $133 $137 $159 $184 $213 $154 $168$226 $262 F $159 $174 $207 $246 $292 $134 $138$186 $215 High G $ 49 $ 54 $ 62 $ 72 $ 84 $ 67 $ 71 $ 82 $ 95 $110 L $ 81 $ 86 $ 99 $115 $134 $ 98 $107 $123 $143 $166 % is available. 106 Male Standard* 65 70 75 80 85 A $180 $170 $175 $203 $235 $272 $197 $215$289 $335 F $203 $222 $264 $314 $372 $171 $176$237 $275 High G $ 63 $ 69 $ 80 $ 93 $107 $ 85 $ 91 $105 $122 $141 L $103 $110 $127 $147 $171 $125 $136$183 $212 Female Standard* 65 70 75 80 85 A $157 $148 $152 $176 $204 $237 $171 $187$251 $291 F $176 $194 $230 $273 $324 $149 $154$206 $239 High G $ 55 $ 60 $ 69 $ 80 $ 93 $ 74 $ 79 $ 91 $106 $123 L
$ 90 $ 95 $111 $128 $148 $108 $118$159 $184 upplement policy or certificate is submitted % is available. 107 MONTHLY PREMIUMS FOR MEDICARE SUPPLEMENT INSURANCE POLICIES EFFECTIVE JULY 1, 2022 nsurance CompanyMarket-Attained Age 9800 Fredericksburg Road Marketing Method: Insurance Producer Solicited San Antonio, TX 78288 Unisex Non-Smoker 65 70 75 80 85 A $191 $191 $224 $267 $310 $342 $178 $209$290 $320 G $146 $161 $195 $241 $313 $125 $147$203 $225 Unisex Smoker* 65 70 75 80 85 A $211 $210 $245 $293 $340 $375 $196 $228$317 $350 G $181 $200 $242 $299 $388 $137 $160$223 $246 y or cee Medicare supplement policy 108 Persons with disabilities may request this document in an alternative format. Requests should be submitted in writing to the Director of at the address list