Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan A
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$1,512.41
66
$1,586.26
67
$1,658.18
68
$1,732.07
69
$1,803.99
70
$1,873.98
71
$1,942.01
72
$2,008.09
73
$2,070.30
74
$2,130.58
75
$2,186.94
76
$2,241.38
77
$2,289.98
78
$2,332.75
79
$2,371.62
80
$2,406.61
81
$2,433.83
82
$2,462.99
83
$2,492.15
84
$2,519.35
85
$2,548.52
86
$2,577.67
87
$2,606.84
88
$2,634.06
89
$2,663.22
90
$2,692.37
91
$2,719.59
92
$2,748.75
93
$2,777.91
94
$2,805.12
95
$2,834.29
96
$2,861.50
97
$2,890.66
98
$2,919.82
99
$2,948.97
Male Non-Smoker
Zip Code
Zip Code
Zip Code
All Other
405-416,
400-402,
417, 420
Zip Codes
421-424, 427
403-404, 410
$1,374.92
$1,168.68
$1,099.94
$1,315.13
$1,442.05
$1,225.74
$1,153.64
$1,379.36
$1,507.44
$1,281.32
$1,205.95
$1,441.90
$1,574.61
$1,338.42
$1,259.69
$1,506.15
$1,639.99
$1,393.99
$1,311.99
$1,568.69
$1,703.62
$1,448.08
$1,362.90
$1,629.55
$1,765.46
$1,500.64
$1,412.37
$1,688.70
$1,825.54
$1,551.71
$1,460.43
$1,746.18
$1,882.09
$1,599.78
$1,505.67
$1,800.26
$1,936.89
$1,646.36
$1,549.51
$1,852.66
$1,988.13
$1,689.91
$1,590.50
$1,901.69
$2,037.62
$1,731.98
$1,630.10
$1,949.02
$2,081.80
$1,769.53
$1,665.44
$1,991.29
$2,120.68
$1,802.58
$1,696.54
$2,028.48
$2,156.02
$1,832.62
$1,724.82
$2,062.28
$2,187.83
$1,859.66
$1,750.26
$2,092.71
$2,212.57
$1,880.68
$1,770.06
$2,116.37
$2,239.08
$1,903.22
$1,791.26
$2,141.73
$2,265.59
$1,925.75
$1,812.47
$2,167.10
$2,290.32
$1,946.77
$1,832.26
$2,190.74
$2,316.84
$1,969.31
$1,853.47
$2,216.10
$2,343.34
$1,991.84
$1,874.67
$2,241.46
$2,369.85
$2,014.37
$1,895.88
$2,266.81
$2,394.60
$2,035.41
$1,915.68
$2,290.49
$2,421.11
$2,057.94
$1,936.89
$2,315.84
$2,447.61
$2,080.47
$1,958.09
$2,341.20
$2,472.35
$2,101.50
$1,977.88
$2,364.86
$2,498.86
$2,124.03
$1,999.09
$2,390.21
$2,525.37
$2,146.56
$2,020.30
$2,415.57
$2,550.11
$2,167.59
$2,040.09
$2,439.24
$2,576.63
$2,190.14
$2,061.30
$2,464.61
$2,601.36
$2,211.16
$2,081.09
$2,488.26
$2,627.87
$2,233.69
$2,102.30
$2,513.61
$2,654.38
$2,256.22
$2,123.50
$2,538.98
$2,680.88
$2,278.75
$2,144.70
$2,564.32
Female Non-Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$1,195.57
$1,016.23
$1,253.96
$1,065.87
$1,310.82
$1,114.20
$1,369.23
$1,163.85
$1,426.08
$1,212.17
$1,481.41
$1,259.20
$1,535.18
$1,304.90
$1,587.44
$1,349.32
$1,636.60
$1,391.11
$1,684.24
$1,431.60
$1,728.81
$1,469.49
$1,771.84
$1,506.06
$1,810.26
$1,538.72
$1,844.07
$1,567.46
$1,874.80
$1,593.58
$1,902.46
$1,617.09
$1,923.97
$1,635.37
$1,947.03
$1,654.98
$1,970.09
$1,674.58
$1,991.58
$1,692.84
$2,014.64
$1,712.44
$2,037.69
$1,732.04
$2,060.74
$1,751.63
$2,082.26
$1,769.92
$2,105.31
$1,789.51
$2,128.36
$1,809.11
$2,149.87
$1,827.39
$2,172.92
$1,846.98
$2,195.97
$1,866.57
$2,217.49
$1,884.87
$2,240.55
$1,904.47
$2,262.05
$1,922.74
$2,285.10
$1,942.34
$2,308.16
$1,961.94
$2,331.20
$1,981.52
All Other
Zip Codes
$956.46
$1,003.17
$1,048.66
$1,095.38
$1,140.86
$1,185.13
$1,228.14
$1,269.95
$1,309.28
$1,347.39
$1,383.05
$1,417.47
$1,448.21
$1,475.26
$1,499.84
$1,521.97
$1,539.18
$1,557.62
$1,576.07
$1,593.26
$1,611.71
$1,630.15
$1,648.59
$1,665.81
$1,684.25
$1,702.69
$1,719.90
$1,738.34
$1,756.78
$1,773.99
$1,792.44
$1,809.64
$1,828.08
$1,846.53
$1,864.96
M S-GN-AT-(A)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.
Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan A
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$1,774.83
66
$1,862.31
67
$1,947.85
68
$2,033.38
69
$2,118.91
70
$2,200.56
71
$2,280.27
72
$2,358.02
73
$2,431.89
74
$2,503.80
75
$2,569.92
76
$2,632.12
77
$2,688.48
78
$2,739.03
79
$2,785.68
80
$2,826.52
81
$2,859.56
82
$2,892.58
83
$2,925.64
84
$2,960.63
85
$2,993.68
86
$3,026.73
87
$3,059.78
88
$3,094.76
89
$3,127.82
90
$3,160.87
91
$3,193.91
92
$3,228.90
93
$3,261.95
94
$3,295.00
95
$3,328.05
96
$3,361.09
97
$3,394.14
98
$3,429.14
99
$3,464.13
Male Smoker
Zip Code
Zip Code
Zip Code
All Other
405-416,
400-402,
417, 420
Zip Codes
421-424, 427
403-404, 410
$1,613.48
$1,371.46
$1,290.78
$1,543.33
$1,693.01
$1,439.06
$1,354.41
$1,619.40
$1,770.77
$1,505.15
$1,416.62
$1,693.78
$1,848.53
$1,571.25
$1,478.82
$1,768.16
$1,926.28
$1,637.34
$1,541.02
$1,842.53
$2,000.51
$1,700.43
$1,600.41
$1,913.52
$2,072.97
$1,762.02
$1,658.38
$1,982.83
$2,143.65
$1,822.10
$1,714.92
$2,050.44
$2,210.81
$1,879.19
$1,768.65
$2,114.68
$2,276.18
$1,934.75
$1,820.94
$2,177.22
$2,336.29
$1,985.85
$1,869.03
$2,234.72
$2,392.84
$2,033.91
$1,914.27
$2,288.80
$2,444.07
$2,077.46
$1,955.26
$2,337.81
$2,490.03
$2,116.53
$1,992.02
$2,381.75
$2,532.44
$2,152.57
$2,025.95
$2,422.33
$2,569.56
$2,184.13
$2,055.65
$2,457.84
$2,599.60
$2,209.66
$2,079.68
$2,486.57
$2,629.62
$2,235.18
$2,103.70
$2,515.29
$2,659.67
$2,260.72
$2,127.74
$2,544.05
$2,691.48
$2,287.76
$2,153.18
$2,574.47
$2,721.53
$2,313.30
$2,177.22
$2,603.21
$2,751.57
$2,338.83
$2,201.26
$2,631.94
$2,781.62
$2,364.38
$2,225.30
$2,660.68
$2,813.42
$2,391.41
$2,250.74
$2,691.10
$2,843.47
$2,416.95
$2,274.78
$2,719.84
$2,873.52
$2,442.49
$2,298.82
$2,748.58
$2,903.55
$2,468.02
$2,322.84
$2,777.31
$2,935.36
$2,495.06
$2,348.29
$2,807.74
$2,965.41
$2,520.60
$2,372.33
$2,836.48
$2,995.45
$2,546.13
$2,396.36
$2,865.21
$3,025.50
$2,571.68
$2,420.40
$2,893.96
$3,055.54
$2,597.21
$2,444.43
$2,922.69
$3,085.58
$2,622.74
$2,468.46
$2,951.42
$3,117.40
$2,649.79
$2,493.92
$2,981.86
$3,149.21
$2,676.83
$2,519.37
$3,012.28
Female Smoker
Zip Code
Zip Code
All Other
405-416,
417, 420
Zip Codes
421-424, 427
$1,403.03
$1,192.58
$1,122.42
$1,472.18
$1,251.35
$1,177.74
$1,539.80
$1,308.83
$1,231.84
$1,607.42
$1,366.31
$1,285.94
$1,675.03
$1,423.78
$1,340.02
$1,739.56
$1,478.63
$1,391.65
$1,802.57
$1,532.18
$1,442.06
$1,864.04
$1,584.43
$1,491.23
$1,922.44
$1,634.07
$1,537.95
$1,979.29
$1,682.40
$1,583.43
$2,031.56
$1,726.83
$1,625.25
$2,080.73
$1,768.62
$1,664.58
$2,125.28
$1,806.49
$1,700.22
$2,165.23
$1,840.45
$1,732.18
$2,202.12
$1,871.80
$1,761.70
$2,234.40
$1,899.24
$1,787.52
$2,260.52
$1,921.44
$1,808.42
$2,286.63
$1,943.64
$1,829.30
$2,312.77
$1,965.85
$1,850.22
$2,340.43
$1,989.37
$1,872.34
$2,366.55
$2,011.57
$1,893.24
$2,392.67
$2,033.77
$1,914.14
$2,418.80
$2,055.98
$1,935.04
$2,446.45
$2,079.48
$1,957.16
$2,472.58
$2,101.69
$1,978.06
$2,498.71
$2,123.90
$1,998.97
$2,524.83
$2,146.11
$2,019.86
$2,552.49
$2,169.62
$2,041.99
$2,578.62
$2,191.83
$2,062.90
$2,604.74
$2,214.03
$2,083.79
$2,630.87
$2,236.24
$2,104.70
$2,656.99
$2,258.44
$2,125.59
$2,683.11
$2,280.64
$2,146.49
$2,710.78
$2,304.16
$2,168.62
$2,738.44
$2,327.67
$2,190.75
M S-GN-AT-(A)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.
Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan B
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$1,951.73
66
$2,050.88
67
$2,150.02
68
$2,249.15
69
$2,348.29
70
$2,445.50
71
$2,540.76
72
$2,634.06
73
$2,725.43
74
$2,812.91
75
$2,896.50
76
$2,976.20
77
$3,050.06
78
$3,120.03
79
$3,184.19
80
$3,240.58
81
$3,293.06
82
$3,343.59
83
$3,392.20
84
$3,440.80
85
$3,489.40
86
$3,534.10
87
$3,580.78
88
$3,623.52
89
$3,664.35
90
$3,705.17
91
$3,744.06
92
$3,780.99
93
$3,815.98
94
$3,849.03
95
$3,882.05
96
$3,913.16
97
$3,946.23
98
$3,979.27
99
$4,010.37
Male Non-Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$1,774.30
$1,508.16
$1,864.44
$1,584.77
$1,954.56
$1,661.38
$2,044.68
$1,737.98
$2,134.81
$1,814.59
$2,223.18
$1,889.70
$2,309.78
$1,963.31
$2,394.60
$2,035.41
$2,477.66
$2,106.01
$2,557.19
$2,173.61
$2,633.18
$2,238.20
$2,705.64
$2,299.79
$2,772.78
$2,356.86
$2,836.39
$2,410.93
$2,894.72
$2,460.51
$2,945.98
$2,504.08
$2,993.69
$2,544.64
$3,039.63
$2,583.69
$3,083.82
$2,621.25
$3,128.00
$2,658.80
$3,172.18
$2,696.35
$3,212.82
$2,730.90
$3,255.25
$2,766.96
$3,294.11
$2,799.99
$3,331.23
$2,831.55
$3,368.34
$2,863.09
$3,403.69
$2,893.14
$3,437.26
$2,921.67
$3,469.07
$2,948.71
$3,499.12
$2,974.25
$3,529.14
$2,999.77
$3,557.42
$3,023.81
$3,587.48
$3,049.36
$3,617.52
$3,074.89
$3,645.79
$3,098.92
Zip Code
All Other
400-402,
Zip Codes
403-404, 410
$1,419.44
$1,697.16
$1,491.55
$1,783.36
$1,563.65
$1,869.58
$1,635.74
$1,955.78
$1,707.85
$2,042.00
$1,778.54
$2,126.52
$1,847.82
$2,209.35
$1,915.68
$2,290.49
$1,982.13
$2,369.94
$2,045.75
$2,446.00
$2,106.54
$2,518.69
$2,164.51
$2,588.00
$2,218.22
$2,652.22
$2,269.11
$2,713.08
$2,315.78
$2,768.87
$2,356.78
$2,817.89
$2,394.95
$2,863.53
$2,431.70
$2,907.48
$2,467.06
$2,949.73
$2,502.40
$2,992.00
$2,537.74
$3,034.27
$2,570.26
$3,073.15
$2,604.20
$3,113.72
$2,635.29
$3,150.88
$2,664.98
$3,186.39
$2,694.67
$3,221.89
$2,722.95
$3,255.70
$2,749.81
$3,287.80
$2,775.26
$3,318.24
$2,799.30
$3,346.98
$2,823.31
$3,375.70
$2,845.94
$3,402.75
$2,869.98
$3,431.51
$2,894.02
$3,460.24
$2,916.63
$3,487.28
Female Non-Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$1,542.87
$1,311.44
$1,621.24
$1,378.05
$1,699.62
$1,444.68
$1,777.98
$1,511.28
$1,856.36
$1,577.91
$1,933.20
$1,643.22
$2,008.50
$1,707.23
$2,082.26
$1,769.92
$2,154.49
$1,831.32
$2,223.64
$1,890.09
$2,289.72
$1,946.26
$2,352.73
$1,999.82
$2,411.11
$2,049.44
$2,466.44
$2,096.47
$2,517.15
$2,139.58
$2,561.72
$2,177.46
$2,603.21
$2,212.73
$2,643.16
$2,246.69
$2,681.57
$2,279.33
$2,720.00
$2,312.00
$2,758.43
$2,344.67
$2,793.77
$2,374.70
$2,830.65
$2,406.05
$2,864.44
$2,434.77
$2,896.72
$2,462.21
$2,928.99
$2,489.64
$2,959.73
$2,515.77
$2,988.91
$2,540.57
$3,016.58
$2,564.09
$3,042.71
$2,586.30
$3,068.82
$2,608.50
$3,093.41
$2,629.40
$3,119.55
$2,651.62
$3,145.67
$2,673.82
$3,170.25
$2,694.71
All Other
Zip Codes
$1,234.30
$1,296.99
$1,359.70
$1,422.38
$1,485.09
$1,546.56
$1,606.80
$1,665.81
$1,723.59
$1,778.91
$1,831.78
$1,882.18
$1,928.89
$1,973.15
$2,013.72
$2,049.38
$2,082.57
$2,114.53
$2,145.26
$2,176.00
$2,206.74
$2,235.02
$2,264.52
$2,291.55
$2,317.38
$2,343.19
$2,367.78
$2,391.13
$2,413.26
$2,434.17
$2,455.06
$2,474.73
$2,495.64
$2,516.54
$2,536.20
M S-GN-AT-(B)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.
Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan B
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$2,289.98
66
$2,408.56
67
$2,525.19
68
$2,641.84
69
$2,756.53
70
$2,871.21
71
$2,983.98
72
$3,092.83
73
$3,199.75
74
$3,302.77
75
$3,401.92
76
$3,495.23
77
$3,582.71
78
$3,664.35
79
$3,738.22
80
$3,806.28
81
$3,866.52
82
$3,926.79
83
$3,985.10
84
$4,041.48
85
$4,097.85
86
$4,152.27
87
$4,204.76
88
$4,255.31
89
$4,303.92
90
$4,352.51
91
$4,397.24
92
$4,439.99
93
$4,482.75
94
$4,521.64
95
$4,558.55
96
$4,595.49
97
$4,634.38
98
$4,671.33
99
$4,710.19
Male Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$2,081.80
$1,769.53
$2,189.60
$1,861.16
$2,295.63
$1,951.29
$2,401.67
$2,041.42
$2,505.94
$2,130.05
$2,610.19
$2,218.66
$2,712.71
$2,305.80
$2,811.66
$2,389.91
$2,908.86
$2,472.53
$3,002.52
$2,552.14
$3,092.65
$2,628.75
$3,177.48
$2,700.86
$3,257.01
$2,768.46
$3,331.23
$2,831.55
$3,398.38
$2,888.62
$3,460.25
$2,941.21
$3,515.02
$2,987.77
$3,569.81
$3,034.34
$3,622.82
$3,079.40
$3,674.07
$3,122.96
$3,725.32
$3,166.52
$3,774.79
$3,208.57
$3,822.51
$3,249.13
$3,868.46
$3,288.19
$3,912.65
$3,325.75
$3,956.83
$3,363.31
$3,997.49
$3,397.87
$4,036.35
$3,430.90
$4,075.23
$3,463.95
$4,110.58
$3,493.99
$4,144.14
$3,522.52
$4,177.72
$3,551.06
$4,213.07
$3,581.11
$4,246.66
$3,609.66
$4,281.99
$3,639.69
Zip Code
All Other
400-402,
Zip Codes
403-404, 410
$1,665.44
$1,991.29
$1,751.68
$2,094.40
$1,836.50
$2,195.82
$1,921.34
$2,297.25
$2,004.75
$2,396.99
$2,088.15
$2,496.70
$2,170.17
$2,594.77
$2,249.33
$2,689.41
$2,327.09
$2,782.38
$2,402.02
$2,871.98
$2,474.12
$2,958.19
$2,541.98
$3,039.33
$2,605.61
$3,115.40
$2,664.98
$3,186.39
$2,718.70
$3,250.62
$2,768.20
$3,309.79
$2,812.02
$3,362.19
$2,855.85
$3,414.60
$2,898.26
$3,465.31
$2,939.26
$3,514.32
$2,980.26
$3,563.35
$3,019.83
$3,610.68
$3,058.01
$3,656.31
$3,094.77
$3,700.27
$3,130.12
$3,742.53
$3,165.46
$3,784.79
$3,197.99
$3,823.69
$3,229.08
$3,860.86
$3,260.18
$3,898.05
$3,288.46
$3,931.86
$3,315.31
$3,963.96
$3,342.18
$3,996.08
$3,370.46
$4,029.89
$3,397.33
$4,062.03
$3,425.59
$4,095.82
Female Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$1,810.26
$1,538.72
$1,904.00
$1,618.40
$1,996.20
$1,696.77
$2,088.41
$1,775.15
$2,179.08
$1,852.22
$2,269.73
$1,929.27
$2,358.88
$2,005.05
$2,444.92
$2,078.18
$2,529.44
$2,150.02
$2,610.89
$2,219.26
$2,689.26
$2,285.87
$2,763.03
$2,348.58
$2,832.18
$2,407.35
$2,896.72
$2,462.21
$2,955.11
$2,511.84
$3,008.90
$2,557.57
$3,056.54
$2,598.06
$3,104.18
$2,638.55
$3,150.28
$2,677.74
$3,194.84
$2,715.61
$3,239.41
$2,753.50
$3,282.44
$2,790.07
$3,323.92
$2,825.33
$3,363.88
$2,859.30
$3,402.30
$2,891.96
$3,440.72
$2,924.61
$3,476.08
$2,954.67
$3,509.87
$2,983.39
$3,543.68
$3,012.13
$3,574.42
$3,038.26
$3,603.60
$3,063.06
$3,632.80
$3,087.88
$3,663.54
$3,114.01
$3,692.75
$3,138.84
$3,723.47
$3,164.95
All Other
Zip Codes
$1,448.21
$1,523.20
$1,596.96
$1,670.73
$1,743.26
$1,815.78
$1,887.10
$1,955.94
$2,023.55
$2,088.71
$2,151.41
$2,210.42
$2,265.74
$2,317.38
$2,364.09
$2,407.12
$2,445.23
$2,483.34
$2,520.22
$2,555.87
$2,591.53
$2,625.95
$2,659.14
$2,691.10
$2,721.84
$2,752.58
$2,780.86
$2,807.90
$2,834.94
$2,859.54
$2,882.88
$2,906.24
$2,930.83
$2,954.20
$2,978.78
M S-GN-AT-(B)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.
Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan C
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$2,340.53
66
$2,451.32
67
$2,560.17
68
$2,669.05
69
$2,779.85
70
$2,886.76
71
$2,993.68
72
$3,098.67
73
$3,201.69
74
$3,300.84
75
$3,396.09
76
$3,487.45
77
$3,573.00
78
$3,654.64
79
$3,728.49
80
$3,798.48
81
$3,860.68
82
$3,920.94
83
$3,981.21
84
$4,039.54
85
$4,095.92
86
$4,152.27
87
$4,206.71
88
$4,257.25
89
$4,307.81
90
$4,356.39
91
$4,401.10
92
$4,443.87
93
$4,486.64
94
$4,523.57
95
$4,560.51
96
$4,597.44
97
$4,634.38
98
$4,671.33
99
$4,710.19
Male Non-Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$2,127.75
$1,808.59
$2,228.47
$1,894.20
$2,327.43
$1,978.32
$2,426.41
$2,062.45
$2,527.14
$2,148.07
$2,624.33
$2,230.68
$2,721.53
$2,313.30
$2,816.97
$2,394.42
$2,910.63
$2,474.04
$3,000.76
$2,550.65
$3,087.35
$2,624.25
$3,170.41
$2,694.85
$3,248.18
$2,760.95
$3,322.40
$2,824.04
$3,389.54
$2,881.11
$3,453.16
$2,935.19
$3,509.71
$2,983.25
$3,564.49
$3,029.82
$3,619.28
$3,076.39
$3,672.31
$3,121.46
$3,723.56
$3,165.03
$3,774.79
$3,208.57
$3,824.28
$3,250.64
$3,870.23
$3,289.70
$3,916.19
$3,328.76
$3,960.35
$3,366.30
$4,001.00
$3,400.85
$4,039.88
$3,433.90
$4,078.76
$3,466.95
$4,112.34
$3,495.49
$4,145.92
$3,524.03
$4,179.49
$3,552.57
$4,213.07
$3,581.11
$4,246.66
$3,609.66
$4,281.99
$3,639.69
Zip Code
All Other
400-402,
Zip Codes
403-404, 410
$1,702.20
$2,035.24
$1,782.78
$2,131.58
$1,861.94
$2,226.24
$1,941.13
$2,320.90
$2,021.71
$2,417.26
$2,099.46
$2,510.23
$2,177.22
$2,603.21
$2,253.58
$2,694.49
$2,328.50
$2,784.08
$2,400.61
$2,870.30
$2,469.88
$2,953.12
$2,536.33
$3,032.57
$2,598.54
$3,106.95
$2,657.92
$3,177.94
$2,711.63
$3,242.18
$2,762.53
$3,303.04
$2,807.77
$3,357.11
$2,851.59
$3,409.52
$2,895.42
$3,461.92
$2,937.85
$3,512.64
$2,978.85
$3,561.67
$3,019.83
$3,610.68
$3,059.42
$3,658.01
$3,096.18
$3,701.97
$3,132.95
$3,745.92
$3,168.28
$3,788.16
$3,200.80
$3,827.04
$3,231.90
$3,864.23
$3,263.01
$3,901.43
$3,289.87
$3,933.55
$3,316.74
$3,965.67
$3,343.59
$3,997.77
$3,370.46
$4,029.89
$3,397.33
$4,062.03
$3,425.59
$4,095.82
Female Non-Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$1,850.22
$1,572.69
$1,937.80
$1,647.13
$2,023.85
$1,720.27
$2,109.91
$1,793.42
$2,197.51
$1,867.88
$2,282.03
$1,939.73
$2,366.55
$2,011.57
$2,449.54
$2,082.11
$2,530.98
$2,151.33
$2,609.36
$2,217.96
$2,684.65
$2,281.95
$2,756.88
$2,343.35
$2,824.50
$2,400.83
$2,889.04
$2,455.68
$2,947.44
$2,505.32
$3,002.76
$2,552.35
$3,051.92
$2,594.13
$3,099.56
$2,634.63
$3,147.20
$2,675.12
$3,193.31
$2,714.31
$3,237.88
$2,752.20
$3,282.44
$2,790.07
$3,325.46
$2,826.64
$3,365.43
$2,860.62
$3,405.38
$2,894.57
$3,443.78
$2,927.21
$3,479.13
$2,957.26
$3,512.94
$2,986.00
$3,546.75
$3,014.74
$3,575.95
$3,039.56
$3,605.15
$3,064.38
$3,634.34
$3,089.19
$3,663.54
$3,114.01
$3,692.75
$3,138.84
$3,723.47
$3,164.95
All Other
Zip Codes
$1,480.18
$1,550.24
$1,619.08
$1,687.93
$1,758.01
$1,825.62
$1,893.24
$1,959.63
$2,024.78
$2,087.49
$2,147.72
$2,205.50
$2,259.60
$2,311.23
$2,357.95
$2,402.21
$2,441.54
$2,479.65
$2,517.76
$2,554.65
$2,590.30
$2,625.95
$2,660.37
$2,692.34
$2,724.30
$2,755.02
$2,783.30
$2,810.35
$2,837.40
$2,860.76
$2,884.12
$2,907.47
$2,930.83
$2,954.20
$2,978.78
M S-GN-AT-(C)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.
Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan C
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$2,748.75
66
$2,877.05
67
$3,007.30
68
$3,135.59
69
$3,263.89
70
$3,390.27
71
$3,516.60
72
$3,639.08
73
$3,759.60
74
$3,876.25
75
$3,988.99
76
$4,095.92
77
$4,197.00
78
$4,290.31
79
$4,379.72
80
$4,459.44
81
$4,533.29
82
$4,605.22
83
$4,675.20
84
$4,743.24
85
$4,811.28
86
$4,875.42
87
$4,939.57
88
$4,999.84
89
$5,058.17
90
$5,114.55
91
$5,168.97
92
$5,219.50
93
$5,268.12
94
$5,312.81
95
$5,355.58
96
$5,398.35
97
$5,443.06
98
$5,485.82
99
$5,530.55
Male Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$2,498.86
$2,124.03
$2,615.50
$2,223.18
$2,733.91
$2,323.82
$2,850.54
$2,422.96
$2,967.17
$2,522.09
$3,082.06
$2,619.75
$3,196.91
$2,717.37
$3,308.25
$2,812.01
$3,417.82
$2,905.15
$3,523.86
$2,995.28
$3,626.35
$3,082.40
$3,723.56
$3,165.03
$3,815.45
$3,243.13
$3,900.28
$3,315.24
$3,981.56
$3,384.33
$4,054.04
$3,445.93
$4,121.17
$3,502.99
$4,186.56
$3,558.58
$4,250.18
$3,612.65
$4,312.04
$3,665.23
$4,373.89
$3,717.81
$4,432.20
$3,767.37
$4,490.52
$3,816.94
$4,545.31
$3,863.51
$4,598.34
$3,908.59
$4,649.59
$3,952.15
$4,699.06
$3,994.20
$4,745.00
$4,033.25
$4,789.20
$4,070.82
$4,829.83
$4,105.36
$4,868.71
$4,138.40
$4,907.59
$4,171.45
$4,948.24
$4,206.00
$4,987.11
$4,239.04
$5,027.77
$4,273.60
Zip Code
All Other
400-402,
Zip Codes
403-404, 410
$1,999.09
$2,390.21
$2,092.40
$2,501.79
$2,187.13
$2,615.04
$2,280.43
$2,726.60
$2,373.74
$2,838.17
$2,465.65
$2,948.06
$2,557.53
$3,057.91
$2,646.60
$3,164.41
$2,734.26
$3,269.22
$2,819.09
$3,370.65
$2,901.08
$3,468.69
$2,978.85
$3,561.67
$3,052.36
$3,649.56
$3,120.22
$3,730.71
$3,185.25
$3,808.45
$3,243.23
$3,877.76
$3,296.94
$3,941.99
$3,349.25
$4,004.54
$3,400.14
$4,065.39
$3,449.63
$4,124.56
$3,499.11
$4,183.72
$3,545.76
$4,239.51
$3,592.42
$4,295.28
$3,636.25
$4,347.68
$3,678.67
$4,398.42
$3,719.67
$4,447.43
$3,759.25
$4,494.75
$3,796.00
$4,538.71
$3,831.36
$4,580.97
$3,863.86
$4,619.84
$3,894.97
$4,657.03
$3,926.07
$4,694.22
$3,958.59
$4,733.10
$3,989.69
$4,770.28
$4,022.22
$4,809.17
Female Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$2,172.92
$1,846.98
$2,274.35
$1,933.20
$2,377.31
$2,020.71
$2,478.73
$2,106.92
$2,580.15
$2,193.13
$2,680.05
$2,278.04
$2,779.92
$2,362.93
$2,876.74
$2,445.23
$2,972.02
$2,526.22
$3,064.23
$2,604.60
$3,153.35
$2,680.35
$3,237.88
$2,752.20
$3,317.78
$2,820.11
$3,391.55
$2,882.82
$3,462.23
$2,942.90
$3,525.24
$2,996.45
$3,583.63
$3,046.09
$3,640.49
$3,094.42
$3,695.81
$3,141.44
$3,749.60
$3,187.16
$3,803.38
$3,232.87
$3,854.10
$3,275.99
$3,904.80
$3,319.08
$3,952.44
$3,359.57
$3,998.56
$3,398.78
$4,043.12
$3,436.65
$4,086.14
$3,473.22
$4,126.10
$3,507.19
$4,164.52
$3,539.84
$4,199.85
$3,569.87
$4,233.66
$3,598.61
$4,267.47
$3,627.35
$4,302.82
$3,657.40
$4,336.62
$3,686.13
$4,371.97
$3,716.17
All Other
Zip Codes
$1,738.34
$1,819.48
$1,901.85
$1,982.98
$2,064.12
$2,144.04
$2,223.94
$2,301.39
$2,377.62
$2,451.38
$2,522.68
$2,590.30
$2,654.22
$2,713.24
$2,769.78
$2,820.19
$2,866.90
$2,912.39
$2,956.65
$2,999.68
$3,042.70
$3,083.28
$3,123.84
$3,161.95
$3,198.85
$3,234.50
$3,268.91
$3,300.88
$3,331.62
$3,359.88
$3,386.93
$3,413.98
$3,442.26
$3,469.30
$3,497.58
M S-GN-AT-(C)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.
Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan D
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$2,142.24
66
$2,254.98
67
$2,365.78
68
$2,476.60
69
$2,587.41
70
$2,698.19
71
$2,805.12
72
$2,912.04
73
$3,015.08
74
$3,114.21
75
$3,209.47
76
$3,300.84
77
$3,386.37
78
$3,466.07
79
$3,539.94
80
$3,607.97
81
$3,668.24
82
$3,728.49
83
$3,786.82
84
$3,843.18
85
$3,897.62
86
$3,946.23
87
$3,990.92
88
$4,033.69
89
$4,076.47
90
$4,115.33
91
$4,152.27
92
$4,185.31
93
$4,218.38
94
$4,247.54
95
$4,274.75
96
$4,300.02
97
$4,327.25
98
$4,354.45
99
$4,383.61
Male Non-Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$1,947.49
$1,655.37
$2,049.98
$1,742.48
$2,150.71
$1,828.10
$2,251.45
$1,913.73
$2,352.19
$1,999.36
$2,452.90
$2,084.97
$2,550.11
$2,167.59
$2,647.31
$2,250.21
$2,740.98
$2,329.83
$2,831.10
$2,406.44
$2,917.70
$2,480.05
$3,000.76
$2,550.65
$3,078.52
$2,616.74
$3,150.97
$2,678.32
$3,218.13
$2,735.41
$3,279.97
$2,787.97
$3,334.76
$2,834.55
$3,389.54
$2,881.11
$3,442.56
$2,926.18
$3,493.80
$2,969.73
$3,543.29
$3,011.80
$3,587.48
$3,049.36
$3,628.11
$3,083.89
$3,666.99
$3,116.94
$3,705.88
$3,150.00
$3,741.21
$3,180.03
$3,774.79
$3,208.57
$3,804.83
$3,234.11
$3,834.89
$3,259.66
$3,861.40
$3,282.19
$3,886.14
$3,303.22
$3,909.11
$3,322.74
$3,933.86
$3,343.78
$3,958.59
$3,364.80
$3,985.10
$3,387.34
Zip Code
All Other
400-402,
Zip Codes
403-404, 410
$1,557.99
$1,862.82
$1,639.98
$1,960.85
$1,720.57
$2,057.20
$1,801.16
$2,153.56
$1,881.75
$2,249.92
$1,962.32
$2,346.26
$2,040.09
$2,439.24
$2,117.85
$2,532.21
$2,192.78
$2,621.81
$2,264.88
$2,708.01
$2,334.16
$2,790.84
$2,400.61
$2,870.30
$2,462.82
$2,944.67
$2,520.78
$3,013.97
$2,574.50
$3,078.21
$2,623.98
$3,137.37
$2,667.81
$3,189.77
$2,711.63
$3,242.18
$2,754.05
$3,292.88
$2,795.04
$3,341.91
$2,834.63
$3,389.23
$2,869.98
$3,431.51
$2,902.49
$3,470.37
$2,933.59
$3,507.56
$2,964.70
$3,544.75
$2,992.97
$3,578.55
$3,019.83
$3,610.68
$3,043.86
$3,639.41
$3,067.91
$3,668.16
$3,089.12
$3,693.51
$3,108.91
$3,717.16
$3,127.29
$3,739.15
$3,147.09
$3,762.83
$3,166.87
$3,786.48
$3,188.08
$3,811.83
Female Non-Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$1,693.47
$1,439.45
$1,782.59
$1,515.20
$1,870.18
$1,589.65
$1,957.78
$1,664.11
$2,045.38
$1,738.57
$2,132.96
$1,813.02
$2,217.49
$1,884.87
$2,302.01
$1,956.71
$2,383.46
$2,025.94
$2,461.83
$2,092.56
$2,537.13
$2,156.56
$2,609.36
$2,217.96
$2,676.97
$2,275.42
$2,739.97
$2,328.97
$2,798.37
$2,378.61
$2,852.15
$2,424.33
$2,899.79
$2,464.82
$2,947.44
$2,505.32
$2,993.53
$2,544.50
$3,038.10
$2,582.39
$3,081.12
$2,618.95
$3,119.55
$2,651.62
$3,154.88
$2,681.65
$3,188.69
$2,710.39
$3,222.50
$2,739.13
$3,253.23
$2,765.25
$3,282.44
$2,790.07
$3,308.55
$2,812.27
$3,334.69
$2,834.49
$3,357.74
$2,854.08
$3,379.24
$2,872.35
$3,399.23
$2,889.35
$3,420.75
$2,907.64
$3,442.25
$2,925.91
$3,465.30
$2,945.51
All Other
Zip Codes
$1,354.78
$1,426.07
$1,496.14
$1,566.22
$1,636.30
$1,706.37
$1,773.99
$1,841.61
$1,906.77
$1,969.46
$2,029.70
$2,087.49
$2,141.58
$2,191.98
$2,238.70
$2,281.72
$2,319.83
$2,357.95
$2,394.82
$2,430.48
$2,464.90
$2,495.64
$2,523.90
$2,550.95
$2,578.00
$2,602.58
$2,625.95
$2,646.84
$2,667.75
$2,686.19
$2,703.39
$2,719.38
$2,736.60
$2,753.80
$2,772.24
M S-GN-AT-(D)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.
Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan D
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$2,517.43
66
$2,647.67
67
$2,777.91
68
$2,908.15
69
$3,038.41
70
$3,168.65
71
$3,295.00
72
$3,419.41
73
$3,539.94
74
$3,656.58
75
$3,769.33
76
$3,876.25
77
$3,977.33
78
$4,070.65
79
$4,158.12
80
$4,237.83
81
$4,307.81
82
$4,377.79
83
$4,445.82
84
$4,511.91
85
$4,578.00
86
$4,632.44
87
$4,686.88
88
$4,737.40
89
$4,786.02
90
$4,832.66
91
$4,875.42
92
$4,916.26
93
$4,953.18
94
$4,988.18
95
$5,019.28
96
$5,050.40
97
$5,083.43
98
$5,114.55
99
$5,147.59
Male Smoker
Zip Code
Zip Code
Zip Code
All Other
405-416,
400-402,
417, 420
Zip Codes
421-424, 427
403-404, 410
$2,288.57
$1,945.28
$1,830.86
$2,189.07
$2,406.97
$2,045.92
$1,925.58
$2,302.32
$2,525.37
$2,146.56
$2,020.30
$2,415.57
$2,643.77
$2,247.20
$2,115.02
$2,528.82
$2,762.19
$2,347.86
$2,209.75
$2,642.08
$2,880.59
$2,448.50
$2,304.47
$2,755.35
$2,995.45
$2,546.13
$2,396.36
$2,865.21
$3,108.55
$2,642.27
$2,486.84
$2,973.41
$3,218.13
$2,735.41
$2,574.50
$3,078.21
$3,324.16
$2,825.54
$2,659.33
$3,179.62
$3,426.66
$2,912.66
$2,741.33
$3,277.67
$3,523.86
$2,995.28
$2,819.09
$3,370.65
$3,615.75
$3,073.39
$2,892.60
$3,458.54
$3,700.59
$3,145.50
$2,960.47
$3,539.68
$3,780.11
$3,213.09
$3,024.09
$3,615.76
$3,852.57
$3,274.68
$3,082.06
$3,685.07
$3,916.19
$3,328.76
$3,132.95
$3,745.92
$3,979.81
$3,382.84
$3,183.85
$3,806.77
$4,041.65
$3,435.40
$3,233.32
$3,865.93
$4,101.74
$3,486.48
$3,281.39
$3,923.40
$4,161.82
$3,537.55
$3,329.46
$3,980.87
$4,211.31
$3,579.61
$3,369.05
$4,028.21
$4,260.80
$3,621.68
$3,408.64
$4,075.54
$4,306.73
$3,660.72
$3,445.38
$4,119.48
$4,350.93
$3,698.29
$3,480.74
$4,161.76
$4,393.33
$3,734.33
$3,514.66
$4,202.32
$4,432.20
$3,767.37
$3,545.76
$4,239.51
$4,469.33
$3,798.93
$3,575.46
$4,275.01
$4,502.89
$3,827.46
$3,602.31
$4,307.12
$4,534.71
$3,854.50
$3,627.77
$4,337.55
$4,562.98
$3,878.53
$3,650.38
$4,364.59
$4,591.27
$3,902.58
$3,673.02
$4,391.65
$4,621.30
$3,928.11
$3,697.04
$4,420.37
$4,649.59
$3,952.15
$3,719.67
$4,447.43
$4,679.63
$3,977.69
$3,743.70
$4,476.15
Female Smoker
Zip Code
Zip Code
All Other
405-416,
417, 420
Zip Codes
421-424, 427
$1,990.06
$1,691.55
$1,592.05
$2,093.02
$1,779.07
$1,674.42
$2,195.97
$1,866.57
$1,756.78
$2,298.93
$1,954.09
$1,839.14
$2,401.89
$2,041.61
$1,921.51
$2,504.86
$2,129.13
$2,003.89
$2,604.74
$2,214.03
$2,083.79
$2,703.10
$2,297.64
$2,162.48
$2,798.37
$2,378.61
$2,238.70
$2,890.56
$2,456.98
$2,312.45
$2,979.70
$2,532.75
$2,383.76
$3,064.23
$2,604.60
$2,451.38
$3,144.13
$2,672.51
$2,515.30
$3,217.89
$2,735.21
$2,574.31
$3,287.05
$2,793.99
$2,629.64
$3,350.06
$2,847.55
$2,680.05
$3,405.38
$2,894.57
$2,724.30
$3,460.70
$2,941.60
$2,768.56
$3,514.48
$2,987.31
$2,811.58
$3,566.73
$3,031.72
$2,853.38
$3,618.97
$3,076.12
$2,895.18
$3,662.01
$3,112.71
$2,929.61
$3,705.04
$3,149.28
$2,964.03
$3,744.98
$3,183.23
$2,995.98
$3,783.42
$3,215.91
$3,026.74
$3,820.29
$3,247.25
$3,056.23
$3,854.10
$3,275.99
$3,083.28
$3,886.37
$3,303.41
$3,109.10
$3,915.56
$3,328.23
$3,132.45
$3,943.23
$3,351.75
$3,154.58
$3,967.81
$3,372.64
$3,174.25
$3,992.41
$3,393.55
$3,193.93
$4,018.52
$3,415.74
$3,214.82
$4,043.12
$3,436.65
$3,234.50
$4,069.23
$3,458.85
$3,255.38
M S-GN-AT-(D)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.
Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan F
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$2,404.67
66
$2,517.43
67
$2,630.17
68
$2,742.93
69
$2,855.67
70
$2,966.49
71
$3,077.27
72
$3,184.19
73
$3,289.17
74
$3,392.20
75
$3,489.40
76
$3,582.71
77
$3,672.13
78
$3,753.78
79
$3,831.53
80
$3,901.51
81
$3,965.68
82
$4,027.86
83
$4,090.06
84
$4,150.34
85
$4,208.66
86
$4,266.98
87
$4,321.41
88
$4,375.83
89
$4,426.37
90
$4,474.99
91
$4,521.64
92
$4,566.33
93
$4,609.12
94
$4,648.00
95
$4,684.93
96
$4,723.82
97
$4,760.72
98
$4,799.61
99
$4,838.50
Male Non-Smoker
Zip Code
Zip Code
Zip Code
All Other
405-416,
400-402,
417, 420
Zip Codes
421-424, 427
403-404, 410
$2,186.06
$1,858.15
$1,748.85
$2,091.00
$2,288.57
$1,945.28
$1,830.86
$2,189.07
$2,391.06
$2,032.40
$1,912.85
$2,287.10
$2,493.57
$2,119.53
$1,994.86
$2,385.15
$2,596.06
$2,206.65
$2,076.85
$2,483.18
$2,696.81
$2,292.29
$2,157.45
$2,579.56
$2,797.52
$2,377.89
$2,238.02
$2,675.89
$2,894.72
$2,460.51
$2,315.78
$2,768.87
$2,990.15
$2,541.63
$2,392.12
$2,860.14
$3,083.82
$2,621.25
$2,467.06
$2,949.73
$3,172.18
$2,696.35
$2,537.74
$3,034.27
$3,257.01
$2,768.46
$2,605.61
$3,115.40
$3,338.30
$2,837.56
$2,670.64
$3,193.16
$3,412.53
$2,900.65
$2,730.02
$3,264.16
$3,483.21
$2,960.73
$2,786.57
$3,331.77
$3,546.83
$3,014.81
$2,837.46
$3,392.62
$3,605.16
$3,064.39
$2,884.13
$3,448.40
$3,661.69
$3,112.44
$2,929.35
$3,502.50
$3,718.24
$3,160.50
$2,974.59
$3,556.58
$3,773.04
$3,207.08
$3,018.43
$3,608.98
$3,826.05
$3,252.14
$3,060.84
$3,659.70
$3,879.07
$3,297.21
$3,103.26
$3,710.41
$3,928.55
$3,339.27
$3,142.84
$3,757.74
$3,978.03
$3,381.33
$3,182.42
$3,805.08
$4,023.97
$3,420.37
$3,219.18
$3,849.01
$4,068.17
$3,457.94
$3,254.54
$3,891.29
$4,110.58
$3,493.99
$3,288.46
$3,931.86
$4,151.21
$3,528.53
$3,320.97
$3,970.74
$4,190.11
$3,561.59
$3,352.09
$4,007.92
$4,225.45
$3,591.63
$3,380.36
$4,041.73
$4,259.03
$3,620.18
$3,407.22
$4,073.85
$4,294.38
$3,650.22
$3,435.50
$4,107.65
$4,327.93
$3,678.74
$3,462.34
$4,139.77
$4,363.28
$3,708.79
$3,490.62
$4,173.58
$4,398.64
$3,738.84
$3,518.91
$4,207.38
Female Non-Smoker
Zip Code
Zip Code
All Other
405-416,
417, 420
Zip Codes
421-424, 427
$1,900.91
$1,615.77
$1,520.73
$1,990.06
$1,691.55
$1,592.05
$2,079.18
$1,767.30
$1,663.34
$2,168.32
$1,843.07
$1,734.66
$2,257.44
$1,918.82
$1,805.95
$2,345.05
$1,993.29
$1,876.04
$2,432.63
$2,067.74
$1,946.10
$2,517.15
$2,139.58
$2,013.72
$2,600.13
$2,210.11
$2,080.10
$2,681.57
$2,279.33
$2,145.26
$2,758.43
$2,344.67
$2,206.74
$2,832.18
$2,407.35
$2,265.74
$2,902.87
$2,467.44
$2,322.30
$2,967.42
$2,522.31
$2,373.94
$3,028.88
$2,574.55
$2,423.10
$3,084.20
$2,621.57
$2,467.36
$3,134.91
$2,664.67
$2,507.93
$3,184.09
$2,706.48
$2,547.27
$3,233.25
$2,748.26
$2,586.60
$3,280.89
$2,788.76
$2,624.71
$3,327.00
$2,827.95
$2,661.60
$3,373.10
$2,867.14
$2,698.48
$3,416.13
$2,903.71
$2,732.90
$3,459.16
$2,940.29
$2,767.33
$3,499.10
$2,974.24
$2,799.28
$3,537.54
$3,006.91
$2,830.03
$3,574.42
$3,038.26
$2,859.54
$3,609.76
$3,068.30
$2,887.81
$3,643.56
$3,097.03
$2,914.85
$3,674.30
$3,123.16
$2,939.44
$3,703.50
$3,147.98
$2,962.80
$3,734.23
$3,174.10
$2,987.38
$3,763.43
$3,198.92
$3,010.74
$3,794.16
$3,225.04
$3,035.33
$3,824.89
$3,251.16
$3,059.91
M S-GN-AT-(F)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.
Home Office:
The Order of United Commercial Travelers of America
632 N. Park St., P.O. Box 159019, Columbus, OH 43215
(614) 228-3276 • Toll-free: (800) 848-0123 • Fax: (614) 228-1898
Visit our web site at www.uct.org
KENTUCKY
ATTAINED AGE
ANNUAL RATES
Plan F
Effective: 10/01/04
FOR APPS POSTMARKED
AFTER 09/30/04
MODE FACTORS
All rates shown are annual
premiums.
If you choose to pay more often,
your premium due is the annual
premium multiplied by the mode
factor below.
SEMI-ANNUAL:
QUARTERLY:
DIRECT MONTHLY:
EFT-MONTHLY**:
0.51500
0.26250
0.10000
0.08333
Zip Code
Attained
400-402,
Age
403-404, 410
65
$2,824.57
66
$2,956.75
67
$3,088.94
68
$3,221.12
69
$3,353.32
70
$3,483.56
71
$3,613.80
72
$3,740.15
73
$3,862.64
74
$3,983.16
75
$4,097.85
76
$4,206.71
77
$4,311.69
78
$4,408.88
79
$4,500.25
80
$4,581.90
81
$4,657.71
82
$4,731.60
83
$4,803.52
84
$4,873.51
85
$4,943.48
86
$5,009.55
87
$5,075.68
88
$5,137.87
89
$5,198.14
90
$5,256.44
91
$5,310.88
92
$5,363.36
93
$5,411.96
94
$5,458.62
95
$5,503.32
96
$5,546.08
97
$5,590.81
98
$5,637.45
99
$5,682.18
Male Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$2,567.79
$2,182.62
$2,687.95
$2,284.76
$2,808.13
$2,386.91
$2,928.29
$2,489.05
$3,048.47
$2,591.20
$3,166.87
$2,691.84
$3,285.27
$2,792.48
$3,400.14
$2,890.12
$3,511.49
$2,984.77
$3,621.05
$3,077.89
$3,725.32
$3,166.52
$3,824.28
$3,250.64
$3,919.72
$3,331.76
$4,008.07
$3,406.86
$4,091.14
$3,477.47
$4,165.36
$3,540.56
$4,234.28
$3,599.14
$4,301.45
$3,656.23
$4,366.84
$3,711.81
$4,430.46
$3,765.89
$4,494.07
$3,819.96
$4,554.14
$3,871.02
$4,614.25
$3,922.11
$4,670.79
$3,970.17
$4,725.58
$4,016.74
$4,778.58
$4,061.79
$4,828.07
$4,103.86
$4,875.78
$4,144.41
$4,919.96
$4,181.97
$4,962.38
$4,218.02
$5,003.02
$4,252.57
$5,041.89
$4,285.61
$5,082.55
$4,320.17
$5,124.95
$4,356.21
$5,165.62
$4,390.78
Zip Code
All Other
400-402,
Zip Codes
403-404, 410
$2,054.23
$2,456.15
$2,150.36
$2,571.09
$2,246.50
$2,686.04
$2,342.63
$2,800.97
$2,438.78
$2,915.92
$2,533.50
$3,029.18
$2,628.22
$3,142.45
$2,720.11
$3,252.30
$2,809.19
$3,358.82
$2,896.84
$3,463.61
$2,980.26
$3,563.35
$3,059.42
$3,658.01
$3,135.78
$3,749.30
$3,206.46
$3,833.81
$3,272.91
$3,913.26
$3,332.29
$3,984.26
$3,387.42
$4,050.18
$3,441.16
$4,114.43
$3,493.47
$4,176.96
$3,544.37
$4,237.82
$3,595.26
$4,298.68
$3,643.31
$4,356.13
$3,691.40
$4,413.63
$3,736.63
$4,467.72
$3,780.46
$4,520.12
$3,822.86
$4,570.82
$3,862.46
$4,618.15
$3,900.62
$4,663.79
$3,935.97
$4,706.05
$3,969.90
$4,746.62
$4,002.42
$4,785.50
$4,033.51
$4,822.68
$4,066.04
$4,861.57
$4,099.96
$4,902.13
$4,132.50
$4,941.02
Female Smoker
Zip Code
Zip Code
405-416,
417, 420
421-424, 427
$2,232.86
$1,897.93
$2,337.35
$1,986.75
$2,441.85
$2,075.57
$2,546.34
$2,164.39
$2,650.84
$2,253.21
$2,753.80
$2,340.73
$2,856.77
$2,428.25
$2,956.64
$2,513.14
$3,053.47
$2,595.45
$3,148.74
$2,676.43
$3,239.41
$2,753.50
$3,325.46
$2,826.64
$3,408.45
$2,897.18
$3,485.28
$2,962.49
$3,557.51
$3,023.88
$3,622.05
$3,078.74
$3,681.98
$3,129.68
$3,740.39
$3,179.33
$3,797.24
$3,227.65
$3,852.56
$3,274.68
$3,907.89
$3,321.71
$3,960.12
$3,366.10
$4,012.39
$3,410.53
$4,061.56
$3,452.33
$4,109.20
$3,492.82
$4,155.29
$3,532.00
$4,198.32
$3,568.57
$4,239.81
$3,603.84
$4,278.23
$3,636.50
$4,315.11
$3,667.84
$4,350.45
$3,697.88
$4,384.25
$3,726.61
$4,419.61
$3,756.67
$4,456.48
$3,788.01
$4,491.84
$3,818.06
All Other
Zip Codes
$1,786.29
$1,869.88
$1,953.48
$2,037.07
$2,120.67
$2,203.04
$2,285.42
$2,365.31
$2,442.78
$2,518.99
$2,591.53
$2,660.37
$2,726.76
$2,788.22
$2,846.01
$2,897.64
$2,945.58
$2,992.31
$3,037.79
$3,082.05
$3,126.31
$3,168.10
$3,209.91
$3,249.25
$3,287.36
$3,324.23
$3,358.66
$3,391.85
$3,422.58
$3,452.09
$3,480.36
$3,507.40
$3,535.69
$3,565.18
$3,593.47
M S-GN-AT-(F)-KY-04 Your premium is based on your attained age and will automatically increase on your anniversary date. **Automatic monthly withdrawal from checking account - EFT (Electronic
Funds Transfer). Please submit the appropriate premium for the pay -mode you selected with your application. Please make check or money order payable to UCT.