LONG TERM CARE PLAN /COST

Benefits increase every year you are in the plan*.

Years in Plan	Nursing Home $150	Residential 70%	Home Care 50%
1	$150 per day	$105 per day	$75 per day
2	$155 per day	$109 per day	$78 per day
3	$160 per day	$112 per day	$80 per day
4	$165 per day	$116 per day	$83 per day
5	$170 per day	$119 per day	$85 per day
6	$175 per day	$123 per day	$88 per day
7	$180 per day	$126 per day	$90 per day
8	$185 per day	$130 per day	$93 per day
9	$191 per day	$134 per day	$96 per day
10	$197 per day	$138 per day	$99 per day
11	$203 per day	$142 per day	$102 per day
12	$209 per day	$146 per day	$105 per day
13	$215 per day	$151 per day	$108 per day
14	$221 per day	$155 per day	$111 per day
15	$228 per day	$160 per day	$114 per day
16	$235 per day	$165 per day	$118 per day
17	$242 per day	$169 per day	$121 per day
18	$249 per day	$174 per day	$125 per day
19	$256 per day	$179 per day	$128 per day
20	$264 per day	$185 per day	$132 per day
21	$272 per day	$190 per day	$136 per day
22	$280 per day	$196 per day	$140 per day
23	$288 per day	$202 per day	$144 per day
24	$297 per day	$208 per day	$149 per day
25	$306 per day	$214 per day	$153 per day
26	$315 per day	$221 per day	$158 per day

* Benefit amount continues to increase 3% with each year in Plan up to year 26.

Illustration only. Refer to Plan documents for specific details.