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Sex:                                            Male     Female 

Do You Smoke or use tobacco?:       Yes     No 

Describe your Health:         Standard      Standard Plus      Preferred     Preferred Plus

Initial Level Term Period:                5 Year Level Term Guaranteed 10 Year Level Term Guaranteed 15 Year Level Term Guaranteed 20 Year Level Term Guaranteed 25 Year Level Term Guaranteed 30 Year Level Term Guaranteed 35 Year Level Term Guaranteed 40 Year Level Term Guaranteed To Age 65 Level Guaranteed To Age 70 Level Guaranteed To Age 75 Level Guaranteed To Age 80 Level Guaranteed To Age 85 Level Guaranteed To Age 90 Level Guaranteed To Age 95 Level Guaranteed To Age 100 Level Guaranteed To Age 105 Level Guaranteed To Age 110 Level Guaranteed Other Term 10 Year Return of Premium 15 Year Return of Premium 20 Year Return of Premium 25 Year Return of Premium 30 Year Return of Premium To age 65 Return of Premium To age 70 Return of Premium To age 75 Return of Premium Other Return of Premium To Age 121 Level (No Lapse U/L) To Age 121 Level - Pay to 100 To Age 121 Level - Pay to 65 To Age 121 Level - 20 Pay To Age 121 Level - 10 Pay To Age 121 Level - Single Pay

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** Important Note: Comparisons from categories with ** following will include level term plans whose level premiums are not guaranteed for the level term period. Make sure you watch for the ** or gtd indicators that follow the premiums in your comparison results.