ACCIDENTAL DEATH FAMILY PROTECTION Minimum $500 Maximum $1,500 per month
Male Annual Premium
$100 Monthly Benefit
60 Months
120 Months
Issue Age 18-39 40-49 50-59 60-69 Issue Age 18-39 40-49 50-59 60-69
Premium
Waiver
Premium
Waiver
3.63 3.97 4.48 6.03
.14 .28 .42 NA
6.76 7.39 8.53
.27 .53 .80 NA
11.23
Female Annual Premium
$100 Monthly Benefit
60 Months
120 Months
Premium
Waiver
Premium
Waiver
1.62 1.84 1.90 2.96
.09 .19 .28 NA
3.02 3.43 3.54 5.51
.18 .35 .53 NA
PREMIUM MODE FACTOR
+ POLICY FEE
POLICY FEE $25.00 Add the policy fee after applying the mode.
Annual
1.00
+ 25.00 + 15.00
Semi-Annual
.52
Quarterly
.265 .086
+ 7.50 + 2.50 + 2.50
Special Monthly
Payroll
.08333
This is not a complete disclosure of plan qualifications and limitations. Please access our website to obtain a completed list for the Paycheck Provider product at disclosure.manhattanlife.com . Please review this information before applying for coverage. The amounts of benefits provided depend on the plan selected. Premiums will vary according to the selection made.
Policy Form ADB-09, ADB-09-TX (including state variations)
Underwritten by: ManhattanLife Assurance Company of America 10777 Northwest Freeway, Houston, Texas 77092 800-669-9030
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