North American Company for Life and Health Insurance  |

Male Amount / Ages	18 - 45	46 - 55	56 - 60	61 - 75	76 - 99
100,000 - 249,999	A1	A1	A1	A6	H
250,000 - 500,000	A1	A1	A1	B6	J
500,001 - 1,000,000	C1	C1	D1	G5	K
1,000,001 - 2,000,000	C1	D2	D2	H5	J
2,000,001 - 3,000,000	E4	E3	E3	F7	L
3,000,001 - 5,000,000	E	E	F	F	L
5,000,001 - 30,000,000	P	N	N	N	M

Female Amount / Ages	18 - 45	46 - 55	56 - 60	61 - 75	76 - 99
100,000 - 249,999	A1	A1	A1	A6	H
250,000 - 500,000	A1	A1	A1	B6	J
500,001 - 1,000,000	C1	C1	D1	G5	K
1,000,001 - 2,000,000	C1	D2	D2	H5	J
2,000,001 - 3,000,000	E4	E3	E3	F7	L
3,000,001 - 5,000,000	E	E	F	F	L
5,000,001 - 30,000,000	P	N	N	N	M

Requirements Combination Key
A	Paramed, MVR, Blood Profile, Urinalysis, Consumer Life Application
B	Paramed, MVR, Blood Profile, EKG, Urinalysis, Consumer Life Application
C	Paramed, MVR, Blood Profile, Personal History Interview, Urinalysis, Consumer Life Application
D	Paramed, MVR, Blood Profile, Personal History Interview, EKG, Urinalysis, Consumer Life Application
E	MVR, Blood Profile, APS, Personal History Interview, Physician Exam, EKG, Urinalysis, Consumer Life Application, Financial Questionnaire
F	MVR, Blood Profile, APS, Personal History Interview, Physician Exam, Treadmill EKG, Urinalysis, Consumer Life Application, Financial Questionnaire
G	MVR, Blood Profile, Personal History Interview, Physician Exam, EKG, Urinalysis, Consumer Life Application
H	MVR, Blood Profile, Personal History Interview, Physician Exam, EKG, Urinalysis, Consumer Life Application
I	Paramed, MVR, Blood Profile, APS, Personal History Interview, EKG, Functional Capacity Evaluation, Urinalysis, Consumer Life Application
J	Paramed, MVR, Blood Profile, APS, EKG, Functional Capacity Evaluation, Inspection Report, Urinalysis, Consumer Life Application
K	Paramed, MVR, Blood Profile, APS, EKG, Functional Capacity Evaluation, Inspection Report, Urinalysis, Consumer Life Application
L	Paramed, MVR, Blood Profile, APS, EKG, Functional Capacity Evaluation, Inspection Report, Urinalysis, Consumer Life Application, Financial Questionnaire
M	Paramed, MVR, Blood Profile, APS, Functional Capacity Evaluation, Inspection Report, Treadmill EKG, Urinalysis, Consumer Life Application, Financial Questionnaire
N	MVR, Blood Profile, APS, Physician Exam, Inspection Report, Treadmill EKG, Urinalysis, Consumer Life Application, Financial Questionnaire
O	Paramed, MVR, Blood Profile, APS, Functional Capacity Evaluation, Inspection Report, Urinalysis, Consumer Life Application
P	MVR, Blood Profile, APS, Physician Exam, EKG, Inspection Report, Urinalysis, Consumer Life Application, Financial Questionnaire

Footnote Key
1	APS (for cause)
2	APS (6 months)
3	APS (2 years)
4	APS (1 year)
5	APS ages 61-69 (1 year), 70-75 APS
6	APS ages 61-69 (for cause), 70-75 APS
7	APS ages 61-69 (2 years), 70-75 APS