23 CAR pt. 83, Appendix A. Disability Rates

EXHIBIT A DISABILITY PER $100 INITIAL COVERAGE No. of Months Nonretroactive Benefits Retroactive Benefits in which Indebtedness 14 Day 30 Day 7 Day 14 Day 30 Day is pa;yable Nonretroactive Retroactive Retroactive Retroactive Retroactive 1 $.13 $ .58 $.40 $ 2 .42 .13 1.01 .81 -.56 3 .68 .35 1.34 1.12 .91 4 .go .53 1.60 1.36 1.17 5 1.08 .70 1.82 1.55 1.38 6 1.24 .85 2.01 1.71 1.54 7 1.37 .gs 2.18 1.86 1.69 8 1.50 1.09 2.32 1.98 1.82 9 1.61 1.20 2.46 2.10 1.94 10 1.71 1.30 2.58 2.20 2.04 11 1.81 1.39 2.69 2.30 2.14 12 1.89 1.48 2.79 2.39 2.23 13 1.97 1.56 2.89 2.47 2.32 14 2.05 1.63 2.98 2.55 2.40 15 2.12 1.70 3.06 2.62 2.47 16 2.19 1.77 3.14 2.69 2.55 17 2.26 1.83 3.22 2.76 2.61 18 2.32 1.89 3.29 2.82 2.68 19 2.38 1.95 3.36 2.88 2.74 20 2.44 2.01 3.43 2.94 2.80 21 2.49 2.07 3.50 3.00 2.85 22 2.55 2.12 3.56 3.05 2.91 23 2.60 2.17 3.62 3. 11 2.96 24 2.65 2.22 3.68 3.16 3.02 25 2.70 2.27 3.74 3.21 3.06 26 2.75 2.32 3.79 3.26 3.12 27 2.80 2.37 3.85 3.31 3.16 28 2.84 2.41 3.90 3.35 3.21 29 2.89 2.46 3.95 3.40 3.26 30 2.93 2.50 4.01 3.44 3.30 31 2.97 2.54 4.06 3.49 3.35 32 3.02 2.59 4. 11 3.53 3.39 33 3.06 2.63 4.16 3.57 3.43 34 3.10 2.67 4.21 3.61 3.47 35 3.14 2.71 4.25 3.65 3.51 36 3.18 2.75 4.30 3.69 3.55 37 3.22 2.79 4.35 3.73 3.59 38 3.26 2.83 4.39 3.77 3.63 39 3.30 2.86 4.44 3.81 3.67 40 3.34 2.90 4.48 3.85 3.71 41 3.37 2.94 4.52 3.89 3.75 42 3.41 2.98 4.57 3.92 3-78 43 3.45 3.01 4.61 3.96 3.82 44 3.48 3.05 4.65 3.99 3.85 45 3.52 3.08 4.69 4.03 3.89 46 3.55 3.12 4.73 4.06 3.93 47 3.59 3.15 4.77 4.10 3.96 48 3.62 3.18 4.81 4.13 4.00 49 3.65 3.22 4.85 4.17 4.03 50 3.69 3.25 4-89 4.20 4.06 51 3.72 3.28 4.93 4.23 4.10 52 3.75 3.32 4.97 4.27 4.13 No. of Months in which EXHIBIT A (Continued) ARKANSAS INSURANCE DEPARTMENT Nonretroactive Benefits Retroactive Benefits Indebtedness 14 Day 30 Day 7 Day 14 Day 30 Day payable Nonretroactive Nonretroactive Retroactive Retroactive Retroactive 53 3.79 3.35 5.00 4.30 4.16 54 3.82 3.38 5.04 4.33 4.19 55 3.85 3.42 5.08 4.36 4.22 56 3.88 3.44 5. 11 4.39 4.25 57 3.91 3.47 5.15 4.42 4.29 58 3.94 3.50 5.18 4.45 4.32 59 3.97 3.54 5.22 4.49 4.35 60 4.00 3.57 5.26 RULE AND RffiUIATI0N 12 EXHIBIT A (Continued) Disability Rates Per $100 Initial Coverage No. of Months in which 60 Day 60 Indebtedness Nonretroactive Retroactive is payable 1 $ $ 2 3 -:T5 I4 4 .24 .73 5 .32 .92 6 .39 1.04 7 .46 1.15 8 .54 1.26 9 .62 1.37 10 .70 1.48 11 .78 1.58 12 .86 1.68 13 .92 1.76 14 .gs 1.83 15 1.04 1.89 16 1.09 1.95 17 1.14 2.01 18 1.19 2.07 19 1.24 2.12 20 1.29 2.17 21 1.33 2.22 22 1.37 2.27 25 1.41 2.31 24 1.45 2.35 25 1.49 2.39 26 1.53 2.43 27 1.57 2.47 28 1.60 2.51 29 1.63 2.55 30 1.66 2.58 31 1.70 2.62 32 1.73 2.66 33 1.76 2.10 34 1.79 2. 73 35 1.82 2.76 36 1.85 2.79 37 1.88 2.82 38 1.91 2.85 39 1.94 2.88 40 1.97 2.91 41 2.00 2.94 42 2.03 2.97 43 2.06 3.00 44 2.09 3.03 45 2.12 3.06 46 2.15 3.09 47 2.17 3 .12 48 2.19 3.14 No. of Months in which Indebtedness is payable 49 50 51 52 53 54 55 56 57 58 59 60 EXHIBI'r A ( Continued) ARKANSAS INSURANCE DEPARTMENT 60 Day Nonretroactive 2.21 2.23 2.25 2.28 2.31 2.34 2.37 2.40 2.43 2.45 2.47 2.49 60 Day Retroactive 3.17 3.20 3.23 3.25 3.27 3.29 3.31 3.33 3.35 3.38 3.41 3.44