United of Omaha  |

Male Amount / Ages	0 - 17	18 - 30	31 - 35	36 - 45	46 - 55	56 - 60	61 - 65	66 - 70	71 - 99
50,000 - 99,999	A	A	A	A	A	C	C	C	C2
100,000 - 249,999	A	D	D	D	E	E	E	E	E2
250,000 - 499,999	B	D	D	D	E	E	F	F	G2
500,000 - 750,000	B	H	H	H	E	I	I	I	J2
750,001 - 1,000,000	B	H	H	H	I	I	I	I	J2
1,000,001 - 2,000,000	B	K	K	L	L	L	L	J	J2
2,000,001 - 3,000,000	B	K	K	L	L	L	L	J	J2
3,000,001 - 5,000,000	B	O	O	N	N	N	M	M	M2
5,000,001 - 50,000,000	B	O	O	N	P	P	P	P	P2

Female Amount / Ages	0 - 17	18 - 30	31 - 35	36 - 45	46 - 55	56 - 60	61 - 65	66 - 70	71 - 99
50,000 - 99,999	A	A	A	A	A	C	C	C	C2
100,000 - 249,999	A	D	D	D	E	E	E	E	E2
250,000 - 499,999	B	D	D	D	E	E	F	F	G2
500,000 - 750,000	B	H	H	H	E	I	I	I	J2
750,001 - 1,000,000	B	H	H	H	I	I	I	I	J2
1,000,001 - 2,000,000	B	K	K	L	L	L	L	J	J2
2,000,001 - 3,000,000	B	K	K	L	L	L	L	J	J2
3,000,001 - 5,000,000	B	O	O	N	N	N	M	M	M2
5,000,001 - 50,000,000	B	O	O	N	P	P	P	P	P2

Requirements Combination Key
A	Non-Medical
B	N/A
C	Non-Medical , APS
D	Non-Medical , Blood Profile, MVR, Urinalysis, Abbreviated Paramed
E	Blood Profile, Paramed, Urinalysis
F	Blood Profile, Paramed, EKG, Urinalysis
G	Blood Profile, EKG, Physical Exam, Personal History Interview, Urinalysis
H	Blood Profile, Paramed, MVR, Urinalysis
I	Blood Profile, Paramed, EKG, Urinalysis
J	Blood Profile, EKG, MVR, Physical Exam, Personal History Interview, Urinalysis
K	Blood Profile, Paramed, MVR, Personal History Interview, Urinalysis
L	Blood Profile, Paramed, EKG, MVR, Personal History Interview, Urinalysis
M	Blood Profile, EKG, MVR, Physical Exam, Inspection Report, Urinalysis
N	Blood Profile, Paramed, EKG, MVR, Inspection Report, Urinalysis
O	Blood Profile, Paramed, MVR, Inspection Report, Urinalysis
P	Blood Profile, MVR, Physical Exam, Inspection Report, Treadmill EKG, Urinalysis

Footnote Key
1	Blood Profile & Urinalysis are required in the following High Risk states: CA FL GA IL MD NJ SC TX DC PR NY
2	All cases over age 85 will be handled on a facultative basis only.