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State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist.Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
NY Non-Bus
NY Business
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
Virgin Islands
Amer. Samoa
Birthdate:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Gender:
Male
Female
Smoker/Tobacco:
Yes
No
Health Class:
Preferred Plus
Preferred
Regular Plus
Regular
Type of Insurance:
10 Year Level Term
15 Year Level Term
20 Year Level Term
25 Year Level Term
30 Year Level Term
To Age 100 Level
To Age 121 Level (No Lapse U/L)
Face Amount:
$50,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
$400,000
$450,000
$500,000
$550,000
$600,000
$650,000
$700,000
$750,000
$800,000
$850,000
$900,000
$950,000
$1,000,000
$1,050,000
$1,100,000
$1,150,000
$1,200,000
$1,250,000
$1,300,000
$1,350,000
$1,400,000
$1,450,000
$1,500,000
$1,550,000
$1,600,000
$1,650,000
$1,700,000
$1,750,000
$1,800,000
$1,850,000
$1,900,000
$1,950,000
$2,000,000
$2,050,000
$2,100,000
$2,150,000
$2,200,000
$2,250,000
$2,300,000
$2,350,000
$2,400,000
$2,450,000
$2,500,000
$2,550,000
$2,600,000
$2,650,000
$2,700,000
$2,750,000
$2,800,000
$2,850,000
$2,900,000
$2,950,000
$3,000,000
$3,050,000
$3,100,000
$3,150,000
$3,200,000
$3,250,000
$3,300,000
$3,350,000
$3,400,000
$3,450,000
$3,500,000
$3,550,000
$3,600,000
$3,650,000
$3,700,000
$3,750,000
$3,800,000
$3,850,000
$3,900,000
$3,950,000
$4,000,000
$4,050,000
$4,100,000
$4,150,000
$4,200,000
$4,250,000
$4,300,000
$4,350,000
$4,400,000
$4,450,000
$4,500,000
$4,550,000
$4,600,000
$4,650,000
$4,700,000
$4,750,000
$4,800,000
$4,850,000
$4,900,000
$4,950,000
$5,000,000
$5,050,000
$5,100,000
$5,150,000
$5,200,000
$5,250,000
$5,300,000
$5,350,000
$5,400,000
$5,450,000
$5,500,000
$5,550,000
$5,600,000
$5,650,000
$5,700,000
$5,750,000
$5,800,000
$5,850,000
$5,900,000
$5,950,000
$6,000,000
$6,050,000
$6,100,000
$6,150,000
$6,200,000
$6,250,000
$6,300,000
$6,350,000
$6,400,000
$6,450,000
$6,500,000
$6,550,000
$6,600,000
$6,650,000
$6,700,000
$6,750,000
$6,800,000
$6,850,000
$6,900,000
$6,950,000
$7,000,000
$7,050,000
$7,100,000
$7,150,000
$7,200,000
$7,250,000
$7,300,000
$7,350,000
$7,400,000
$7,450,000
$7,500,000
$7,550,000
$7,600,000
$7,650,000
$7,700,000
$7,750,000
$7,800,000
$7,850,000
$7,900,000
$7,950,000
$8,000,000
$8,050,000
$8,100,000
$8,150,000
$8,200,000
$8,250,000
$8,300,000
$8,350,000
$8,400,000
$8,450,000
$8,500,000
$8,550,000
$8,600,000
$8,650,000
$8,700,000
$8,750,000
$8,800,000
$8,850,000
$8,900,000
$8,950,000
$9,000,000
$9,050,000
$9,100,000
$9,150,000
$9,200,000
$9,250,000
$9,300,000
$9,350,000
$9,400,000
$9,450,000
$9,500,000
$9,550,000
$9,600,000
$9,650,000
$9,700,000
$9,750,000
$9,800,000
$9,850,000
$9,900,000
$9,950,000
$10,000,000
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