Prudential Financial  |

Male Amount / Ages	18 - 39	40 - 40	41 - 45	46 - 50	51 - 64	65 - 75	76 - 99
100,000 - 249,999	A	A	D	D	D	E	G
250,000 - 499,999	A	A	D	D	E	E	G
500,000 - 999,999	A	B	E	E	E	E	G
1,000,000 - 2,499,999	A	B	E	E	E	E	G
2,500,000 - 4,999,999	A	C1	F1	F1	F3	F3	H3
5,000,000 - 50,000,000	A2	C3	F3	F3	F3	F3	H3

Female Amount / Ages	18 - 39	40 - 40	41 - 45	46 - 50	51 - 64	65 - 75	76 - 99
100,000 - 249,999	A	A	D	D	D	E	G
250,000 - 499,999	A	A	D	D	E	E	G
500,000 - 999,999	A	B	E	E	E	E	G
1,000,000 - 2,499,999	A	B	E	E	E	E	G
2,500,000 - 4,999,999	A	C1	F1	F1	F3	F3	H3
5,000,000 - 50,000,000	A2	C3	F3	F3	F3	F3	H3

Requirements Combination Key
A	Paramed4, Blood Profile, Urinalysis, MVR
B	Paramed4, Blood Profile, Urinalysis, MVR, EKG
C	Paramed4, Blood Profile, Urinalysis, MVR, EKG, X-Ray
D	Paramed4, Blood Profile, Urinalysis
E	Paramed4, Blood Profile, Urinalysis, EKG
F	Paramed4, Blood Profile, Urinalysis, EKG, X-Ray
G	Paramed4, Blood Profile, Urinalysis, MVR, EKG
H	Paramed4, Blood Profile, Urinalysis, MVR, EKG, X-Ray

Footnote Key
1	Chest X-Ray needed if smoker in the past 5 years.
2	Amounts over these require an MD exam: Ages 18-39: $9,999,999 Ages 40-59: $4,999,999 Ages 60+: $2,499,999
3	Amounts over these require an MD exam: Ages 18-39: $9,999,999 Ages 40-59: $4,999,999 Ages 60+: $2,499,999 Chest X-Ray needed if smoker in the past 5 years.
4	When the application is submitted via the traditional paper process, the Paramed requirement is satisfied via a full exam (physical measurements as well as completion of medical declarations) is required.