West Coast Life  |

Male Amount / Ages	0 - 14	15 - 40	41 - 50	51 - 60	61 - 65	66 - 70	71 - 75	76 - 99
0 - 99,999	A2	B2	C2	C2	C2	C2	G2	G2
100,000 - 250,000	A2	C2	C2	C2	C2	D2	H2	H2
250,001 - 750,000	A2	C2	C2	D2	D2	D2	H2	H2
750,001 - 1,000,000	A	C	D	D2	D1	D1	H1	H
1,000,001 - 3,000,000	A1	D1	D1	D1	D1	F1	I1	I1
3,000,001 - 5,000,000	A1	D1	F1	F1	E1	E1	J1	I1
5,000,001 - 30,000,000	A1	F1	E1	E1	E1	E1	J1	I1

Female Amount / Ages	0 - 14	15 - 40	41 - 50	51 - 60	61 - 65	66 - 70	71 - 75	76 - 99
0 - 99,999	A2	B2	C2	C2	C2	C2	G2	G2
100,000 - 250,000	A2	C2	C2	C2	C2	D2	H2	H2
250,001 - 750,000	A2	C2	C2	D2	D2	D2	H2	H2
750,001 - 1,000,000	A	C	D	D2	D1	D1	H1	H
1,000,001 - 3,000,000	A1	D1	D1	D1	D1	F1	I1	I1
3,000,001 - 5,000,000	A1	D1	F1	F1	E1	E1	J1	I1
5,000,001 - 30,000,000	A1	F1	E1	E1	E1	E1	J1	I1

Requirements Combination Key
A	Non-Medical
B	Non-Medical, Urinalysis, Blood Profile
C	Urinalysis, Paramed, Blood Profile
D	Urinalysis, Paramed, Blood Profile, EKG
E	Urinalysis, Blood Profile, Treadmill EKG, Physician Exam
F	Urinalysis, Blood Profile, EKG, Physician Exam
G	Urinalysis, Paramed, Blood Profile, Activities Questionnaire, Landmark Drawing Copy Test
H	Urinalysis, Paramed, Blood Profile, EKG, Activities Questionnaire, Landmark Drawing Copy Test
I	Urinalysis, Blood Profile, EKG, Physician Exam, Activities Questionnaire, Landmark Drawing Copy Test
J	Urinalysis, Blood Profile, Treadmill EKG, Physician Exam, Activities Questionnaire, Landmark Drawing Copy Test

Footnote Key
1	* 1. Amount includes total life insurance currently applied for plus Protective Life & Annuity policies currently inforce. 2. Inspection and Motor Vehicle Reports are required on cases $1,500,000 and above and on proposed insureds 16-40 and over age 70.
2	Submit non-med through $300,000. Over this amount please consult an underwriter. * 1. Amount includes total life insurance currently applied for plus Protective Life & Annuity policies currently inforce. 2. Inspection and Motor Vehicle Reports are required on cases $1,500,000 and above and on proposed insureds 16-40 and over age 70.