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State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDist. ColumbiaFloridaGeorgiaIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNY PersonalNY BusinessNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Sex:    Male Female Used Tobacco in Past 2 years:    Yes No Health Rating: Preferred PlusPreferredStandard PlusStandard Coverage Amount: $50,000$75,000$100,000$125,000$150,000$175,000$200,000$225,000$250,000$275,000$300,000$325,000$350,000$375,000$400,000$425,000$450,000$475,000$500,000$600,000$650,000$700,000$750,000$800,000$850,000$900,000$950,000$1,000,000$1,100,000$1,200,000$1,250,000$1,300,000$1,400,000$1,500,000$1,750,000$2,000,000$2,250,000$2,500,000$3,000,000$3,500,000$4,000,000$5,000,000 Level Term Period: 1 Year Level Term5 Year Level Term10 Year Level Term15 Year Level Term20 Year Level Term25 Year Level Term30 Year Level Term35 Year Level Term40 Year Level TermTo Age 65To Age 70To Age 75To Age 80To Age 85To Age 90To Age 95To Age 100To Age 105To Age 110Other Term10 Year Return of Premium15 Year Return of Premium20 Year Return of Premium25 Year Return of Premium30 Year Return of PremiumTo age 65 Return of PremiumTo age 70 Return of PremiumTo age 75 Return of PremiumOther Return of PremiumTo Age 121 Level (No Lapse U/L)To Age 121 Level - Pay to 100To Age 121 Level - Pay to 65To Age 121 Level - 20 PayTo Age 121 Level - 10 PayTo Age 121 Level - Single Pay