Home Health Care Select Rate Guide

ManhattanLife Lighthouse Series Home Health Care Select Rate Guide

Underwritten by: ManhattanLife Insurance and Annuity Company and Standard Life and Casualty Insurance Company

HHCS-RATES 1124

For Agent use only

TABLE OF CONTENTS § Monthly Base and Rider rates for: AK, AL, AR, AZ, DC, DE, GA, HI, IA, ID, IL, LA, MT, NE, NV, OK, OR, PA, RI, WI, WY § Monthly Base and Rider rates for: CO, IN, OH § Monthly Base and Rider rates for: MD, MI, TN § Monthly Base and Rider rates for: MS § Monthly Base and Rider rates for: MO § Monthly Base and Rider rates for: NC, SD § Monthly Base and Rider rates for: NH § Monthly Base and Rider rates for: ND § Monthly Base and Rider rates for: SC § Monthly Base and Rider rates for: TX § Monthly Base and Rider rates for: VA § Monthly Base and Rider rates for: WV

ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: AK, AL, AR, AZ, DC, DE, GA, HI, IA, ID, IL, LA, MT, NE, NV, OK, OR, PA, RI, WI, WY Monthly Base Rates + RX Attained Age Classic Premier Deluxe 45-49 $14.92 $23.86 $24.98 50-54 $16.18 $25.89 $27.08 55-59 $18.63 $29.80 $31.15 60-64 $20.49 $32.78 $34.56 65-69 $24.21 $38.74 $41.36 70-74 $37.25 $59.60 $65.14 75-79 $50.29 $80.46 $92.10 80-84 $67.05 $107.28 $126.85 85-89 $84.97 $135.95 $163.67

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.80 $5.61 $1.08 $1.05 $4.53 $2.43

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Routine Annual Exam

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor. Step 4: Once your desired premium modal has been calculated add the policy fee. Annual: + $20.00 Semi-Annual: + $10.00 Quarterly: + $5.00 Monthly: + $1.67 *Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

HHCS Rates 11 24

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ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: CO, IN, OH Monthly Base Rates + RX Attained Age Classic

Premier $22.56 $24.48 $28.17 $30.99 $36.62 $56.34 $76.06 $101.41 $128.52

Deluxe $23.61 $25.60 $29.44 $32.66 $39.09 $61.58 $87.06 $119.91 $154.72

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

$14.10 $15.29 $17.60 $19.37 $22.89 $35.21 $47.53 $63.38 $79.43

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.68 $5.35 $1.03 $1.00 $4.32 $2.32

Ambulance*

Accidental Death & Dismemberment

Home Medical Equipment Routine Annual Exam*

*Not available in CO.

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor. Step 4: Once your desired premium modal has been calculated add the policy fee. Annual: + $20.00 Semi-Annual: + $10.00 Quarterly: + $5.00 Monthly: + $1.67

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

HHCS Rates 1124

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ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: MD, MI, TN Monthly Base Rates + RX Attained Age Classic

Premier $22.56 $24.48 $28.17 $30.99 $36.62 $56.34 $76.06 $101.41 $128.52

Deluxe $23.61 $25.60 $29.44 $32.66 $39.09 $61.58 $87.06 $119.91 $154.72

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

$14.10 $15.29 $17.60 $19.37 $22.89 $35.21 $47.53 $63.38 $80.32

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.68 $5.35 $1.03 $1.00 $4.32 $2.32

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Routine Annual Exam

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor. Step 4: Once your desired premium modal has been calculated add the policy fee. Annual: + $20.00 Semi-Annual: + $10.00 Quarterly: + $5.00 Monthly: + $1.67

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

HHCS Rates 1124

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ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: MS Monthly Base Rates + RX Attained Age Classic

Premier $25.03 $27.06 $30.97 $33.95 $39.90 $60.77 $81.63 $108.44 $137.12

Deluxe $26.14 $28.24 $32.32 $35.72 $42.52 $66.31 $93.27 $128.01 $164.84

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

$16.09 $17.35 $19.79 $21.66 $25.38 $38.42 $51.46 $68.21 $86.13

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.68 $5.35 $1.03 $1.00 $4.32 $2.32

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Routine Annual Exam

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor. Step 4: Once your desired premium modal has been calculated add the policy fee. Annual: + $20.00 Semi-Annual: + $10.00 Quarterly: + $5.00 Monthly: + $1.67

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

HHCS Rates 1124

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ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: MO Monthly Base Rates + RX (no policy fee) Attained Age Classic

Premier $27.19 $29.22 $33.13 $36.11 $42.07 $62.93 $83.79 $110.61 $139.28

Deluxe $28.31 $30.41 $34.48 $37.89 $44.69 $68.47 $95.43 $130.18 $167.00

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

$18.25 $19.51 $21.96 $23.82 $27.54 $40.58 $53.62 $70.38 $88.30

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.80 $5.61 $1.08 $1.05 $4.53 $2.43

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Routine Annual Exam

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor.

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

HHCS Rates 1124

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ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: NC, SD Monthly Base Rates + RX Attained Age Classic

Premier $20.63 $22.38 $25.75 $28.33 $33.48 $51.51 $69.54 $92.71 $117.50

Deluxe $21.59 $23.40 $26.92 $29.86 $35.74 $56.30 $79.60 $109.63 $141.46

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

$12.90 $13.98 $16.10 $17.71 $20.93 $32.19 $43.46 $57.94 $73.44

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.45 $4.91 $0.94 $0.92 $2.12 $3.96

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Routine Annual Exam

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor. Step 4: Once your desired premium modal has been calculated add the policy fee. Annual: + $20.00 Semi-Annual: + $10.00 Quarterly: + $5.00 Monthly: + $1.67

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

8

HHCS Rates 1124

ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: NH Monthly Base Rates + RX Attained Age Classic

Premier $23.86 $25.89 $29.80 $32.78 $38.74 $59.60 $80.46 $107.28 $135.95

Deluxe $24.98 $27.08 $31.15 $34.56 $41.36 $65.14 $92.10 $126.85 $163.67

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

$14.92 $16.18 $18.63 $20.49 $24.21 $37.25 $50.29 $67.05 $84.97

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.80 $5.61 $1.08 $1.05 $4.53

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor. Step 4: Once your desired premium modal has been calculated add the policy fee. Annual: + $20.00 Semi-Annual: + $10.00 Quarterly: + $5.00 Monthly: + $1.67

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

HHCS Rates 1124

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ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: ND Monthly Base Rates + RX Attained Age Classic

Premier $17.56 $19.05 $21.93 $24.13 $28.51 $43.86 $59.21 $78.95 $100.06

Deluxe $18.38 $19.92 $22.92 $25.43 $30.44 $47.94 $67.77 $93.35 $120.45

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

$10.98 $11.91 $13.71 $15.07 $17.82 $27.41 $37.01 $49.34 $62.54

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$0.81 $2.11 $4.21 $0.80 $3.43 $1.84

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Routine Annual Exam

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor. Step 4: Once your desired premium modal has been calculated add the policy fee. Annual: + $20.00 Semi-Annual: + $10.00 Quarterly: + $5.00 Monthly: + $1.67

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

10

HHCS Rates 1124

ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company Rates are for: SC

Rate Guide | Home Health Care Select

Monthly Base Rates + RX (no policy fee) Attained Age Classic

Premier $23.86 $25.89 $29.80 $32.78 $38.74 $59.60 $80.46 $107.28 $135.95

Deluxe $24.98 $27.08 $31.15 $34.56 $41.36 $65.14 $92.10 $126.85 $163.67

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

$14.92 $16.18 $18.63 $20.49 $24.21 $37.25 $50.29 $67.05 $84.97

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.68 $5.35 $1.03 $1.00 $4.32 $2.32

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Routine Annual Exam

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor.

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

11

HHCS Rates 1124

ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: TX Monthly Base Rates + RX Attained Age

Classic $14.92 $16.18 $18.63 $20.49 $24.21 $37.25 $50.29 $67.05 $84.97

Premier $23.86 $25.89 $29.80 $32.78 $38.74 $59.60 $80.46 $107.28 $135.95

Deluxe $24.98 $27.08 $31.15 $34.56 $41.36 $65.14 $92.10 $126.85 $163.67

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.80 $5.61 $1.08 $1.10 $4.53 $2.43

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Routine Annual Exam

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor. Step 4: Once your desired premium modal has been calculated add the policy fee. Annual: + $20.00 Semi-Annual: + $10.00 Quarterly: + $5.00 Monthly: + $1.67

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

12

HHCS Rates 1124

ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: VA Monthly Base Rates + RX Attained Age

Classic $14.92 $16.18 $18.63 $20.49 $24.21 $37.25 $50.29 $67.05 $84.97

Premier $23.86 $25.89 $29.80 $32.78 $38.74 $59.60 $80.46 $107.28 $135.95

Deluxe $24.98 $27.08 $31.15 $34.56 $41.36 $65.14 $92.10 $126.85 $163.67

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.94 $5.89 $1.08 $1.05 $4.53

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor. Step 4: Once your desired premium modal has been calculated add the policy fee. Annual: + $20.00 Semi-Annual: + $10.00 Quarterly: + $5.00 Monthly: + $1.67

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

13

HHCS Rates 1124

ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Rates are for: WV Monthly Base Rates + RX (no policy fee) Attained Age Classic

Premier $25.53 $27.56 $31.47 $34.45 $40.41 $61.27 $82.13 $108.95 $137.62

Deluxe $26.65 $28.75 $32.82 $36.23 $43.03 $66.81 $93.77 $128.52 $165.34

45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89

$16.59 $17.85 $20.30 $22.16 $25.88 $38.92 $51.96 $68.72 $86.64

Monthly Rider Rates Rider

Insured

Accident Expense $1,250 Accident Expense $2,500

$2.80 $5.61 $1.08 $1.05 $4.53 $2.43

Ambulance

Accidental Death & Dismemberment

Home Medical Equipment

Routine Annual Exam

Modal Factors* Annual: Monthly ÷ 0.0833

Semi-Annual: 0.5 x Annual

Quarterly: 0.25 x Annual

How To Calculate Example Step 1: Locate the Monthly Base Rates + RX attained age band rate for the plan selected for the age of the individual at time of application. Step 2: Add any selected Monthly Rider Rates to generate a Monthly Rate subtotal for all plan options selected. Step 3: Calculate the subtotal by the Modal Factor.

*Premiums are rounded to the nearest penny after the application of the modal factor. When calculating the Semi-Annual or Quarterly premium, please calculate the Annual rate first and then apply the appropriate calculation as outlined.

HHCS Rates 1124

14

ManhattanLife Insurance and Annuity Company Standard Life and Casualty Insurance Company

Rate Guide | Home Health Care Select

Notes:_____________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________

HHCS Rates 1124

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Underwritten by: ManhattanLife Insurance and Annuity Company and Standard Life and Casualty Insurance Company Administrative Office: 10777 Northwest Freeway, Houston, TX 77092 Toll Free Telephone: 800-669-9030

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