Lincoln Benefit Life  |

Male Amount / Ages	0 - 17	18 - 35	36 - 40	41 - 45	46 - 50	51 - 60	61 - 69	70 - 99
0 - 99,999	A	C	C	C	C	D	D	I
100,000 - 199,999	B	F	F	F	D	D	E	J
200,000 - 300,000	B	F	F	D	D	E	E	J
300,001 - 500,000	B	F	F	D	E	E	E	J
500,001 - 750,000	B	F	D	D	E	E	E	J
750,001 - 1,000,000	B	D	D	D	E	E	E	J
1,000,001 - 2,000,000	B	D	D	E	E	E	G	K
2,000,001 - 3,000,000	B	E	E	E	G	G	G	K
3,000,001 - 5,000,000	B	G	G	G	G	G	G	K
5,000,001 - 10,000,000	B	G	G	G	G	G	H1	L1
10,000,001 - 50,000,000	B	G	G	H2	H2	H2	H2	L2

Female Amount / Ages	0 - 17	18 - 35	36 - 40	41 - 45	46 - 50	51 - 60	61 - 69	70 - 99
0 - 99,999	A	C	C	C	C	D	D	I
100,000 - 199,999	B	F	F	F	D	D	E	J
200,000 - 300,000	B	F	F	D	D	E	E	J
300,001 - 500,000	B	F	F	D	E	E	E	J
500,001 - 750,000	B	F	D	D	E	E	E	J
750,001 - 1,000,000	B	D	D	D	E	E	E	J
1,000,001 - 2,000,000	B	D	D	E	E	E	G	K
2,000,001 - 3,000,000	B	E	E	E	G	G	G	K
3,000,001 - 5,000,000	B	G	G	G	G	G	G	K
5,000,001 - 10,000,000	B	G	G	G	G	G	H1	L1
10,000,001 - 50,000,000	B	G	G	H2	H2	H2	H2	L2

Requirements Combination Key
A	Non-Medical
B	Contact the UW Dept.
C	Blood Profile, Urinalysis
D	Paramed, Blood Profile, Urinalysis
E	Paramed, Blood Profile, Urinalysis, EKG
F	Abbreviated Paramed, Blood Profile, Urinalysis
G	Physician Exam, Blood Profile, Urinalysis, EKG
H	Physician Exam, Blood Profile, Urinalysis, Treadmill EKG
I	Paramed, Blood Profile, Urinalysis, Peak FLow & Delayed Word Recall Tests
J	Paramed, Blood Profile, Urinalysis, EKG, Peak FLow & Delayed Word Recall Tests
K	Physician Exam, Blood Profile, Urinalysis, EKG, Peak FLow & Delayed Word Recall Tests
L	Physician Exam, Blood Profile, Urinalysis, Treadmill EKG, Peak FLow & Delayed Word Recall Tests

Footnote Key
1	Consult Underwriting before arranging a treadmill EKG on any proposed insured who has coronary artery disease or cannot walk without assistance. Stress EKG for tobacco users only. Resting EKG for Non-Tobacco Users.
2	Consult Underwriting before arranging a treadmill EKG on any proposed insured who has coronary artery disease or cannot walk without assistance.