Banner Life  |

Male Amount / Ages	0 - 40	41 - 50	51 - 60	61 - 70	71 - 99
100,000 - 250,000	A	A	A	F	N
250,001 - 500,000	A	A	A	G	K
500,001 - 1,000,000	B	B	O	G	L
1,000,001 - 2,000,000	C	E	E	H	L
2,000,001 - 3,000,000	C	E	E	H	L
3,000,001 - 5,000,000	D	D	D	I1	M1
5,000,001 - 10,000,000	J1	J1	J1	I1	M1
10,000,001 - 50,000,000	J1	J2	J2	I2	M1

Female Amount / Ages	0 - 40	41 - 50	51 - 60	61 - 70	71 - 99
100,000 - 250,000	A	A	A	F	N
250,001 - 500,000	A	A	A	G	K
500,001 - 1,000,000	B	B	O	G	L
1,000,001 - 2,000,000	C	E	E	H	L
2,000,001 - 3,000,000	C	E	E	H	L
3,000,001 - 5,000,000	D	D	D	I1	M1
5,000,001 - 10,000,000	J1	J1	J1	I1	M1
10,000,001 - 50,000,000	J1	J2	J2	I2	M1

Requirements Combination Key
A	Urine, Blood, Motor Vehicle Report, Abbreviated Paramed, Nonmed-Part II of application
B	Urine, Blood, Motor Vehicle Report, Abbreviated Paramed, Personal Information Statement, Nonmed-Part II of application
C	Urine, Blood, Motor Vehicle Report, Paramed, Personal Information Statement, Inspection Report
D	Urine, Blood, Motor Vehicle Report, Electrocardiogram, Personal Information Statement, Inspection Report, MD Exam
E	Urine, Blood, Motor Vehicle Report, Paramed, Electrocardiogram, Personal Information Statement, Inspection Report
F	Urine, Blood, Motor Vehicle Report, Paramed, Attending Physicians Statement
G	Urine, Blood, Motor Vehicle Report, Paramed, Electrocardiogram, Personal Information Statement, Attending Physicians Statement
H	Urine, Blood, Motor Vehicle Report, Paramed, Electrocardiogram, Personal Information Statement, Inspection Report, Attending Physicians Statement
I	Urine, Blood, Motor Vehicle Report, Electrocardiogram, Personal Information Statement, Inspection Report, MD Exam, Attending Physicians Statement, Chest X-Ray
J	Urine, Blood, Motor Vehicle Report, Electrocardiogram, Personal Information Statement, Inspection Report, MD Exam, Chest X-Ray
K	Urine, Blood, Motor Vehicle Report, Paramed, Electrocardiogram, Personal Information Statement, Attending Physicians Statement, Daily Activities Questionnaire
L	Urine, Blood, Motor Vehicle Report, Electrocardiogram, Personal Information Statement, Inspection Report, MD Exam, Attending Physicians Statement, Daily Activities Questionnaire
M	Urine, Blood, Motor Vehicle Report, Electrocardiogram, Personal Information Statement, Inspection Report, MD Exam, Attending Physicians Statement, Chest X-Ray, Daily Activities Questionnaire
N	Urine, Blood, Motor Vehicle Report, Paramed, Personal Information Statement, Attending Physicians Statement, Daily Activities Questionnaire
O	Urine, Blood, Motor Vehicle Report, Paramed, Personal Information Statement

Footnote Key
1	X-Ray required for tobacco users only.
2	X-Ray required for tobacco users only. TMEKG is required instead of an EKG.