HAR §16-171-903
HAR §16-171-903. Definitions
Cite as Haw. Code R. § 16-171-903
For purposes of this
subchapter:
"1980 CSO valuation tables" means the
Commissioners' 1980 Standard Ordinary Mortality Table
("1980 CSO Table") without ten-year selection factors,
incorporated into the 1980 amendments to the NAIC
Standard Valuation Law, and variations of the 1980 CSO
Table approved by the NAIC, such as the smoker and
nonsmoker versions approved in December 1983.
"Basic reserves" means reserves calculated in
accordance with subsection 431:5-307(h), HRS.
"Contract segmentation method" means the method
of dividing the period from issuance to mandatory
expiration of a policy into successive segments, with
the length of each segment being defined as the period
from the end of the prior segment (from policy
inception for the first segment) to the end of the
latest policy year as described in this definition.
All calculations are made using the 1980 CSO valuation
tables, as defined in this section, or any other
valuation mortality table adopted by the NAIC for this
purpose and, if elected, the optional minimum
mortality standard for deficiency reserves stipulated
in section 16-171-904(b).
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The length of a particular contract segment shall be
set equal to the minimum of the value t for which Gt is
greater than Rt (if Gt never exceeds Rt, the segment
length is deemed to be the number of years from the
beginning of the segment to the mandatory expiration
date of the policy), where Gt and Rt are defined as
follows:
GPx+k+t
Gt=
________
GPx+k+t-1
where:
x = original issue age;
k = the number of years from the date of
issue to the beginning of the segment;
t = 1, 2, ...; t is reset to 1 at the
beginning of each segment;
GPx+k+t-1 = Guaranteed gross premium per thousand
of face amount for year t of the
segment, ignoring policy fees only if
level for the premium paying period of
the policy.
qx+k+t
Rt= _________,
However, Rt may be
qx+k+t-1
increased or decreased
by one per cent in any
policy year at the
company's option, but Rt
shall not be less than
one;
where:
x, k and t are as defined above; and
qx+k+t-1 =
valuation mortality rate for
deficiency reserves in policy year
k+t but using the mortality of
paragraph 16-171-904(b)(2), if
section 16-171-904(b)(3), is
elected for deficiency reserves.
§16-171-903
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However, if GPx+k+t is greater than 0 and GPx+k+t-1 is
equal to 0, Gt shall be deemed to be 1000. If GPx+k+t
and GPx+k+t-1 are both equal to 0, Gt shall be deemed to
be 0.
"Deficiency reserves" means the excess, if
greater than zero, of minimum reserves over basic
reserves.
"Guaranteed gross premiums" means the premiums
under a policy of life insurance that are guaranteed
and determined at issue.
"Maximum valuation interest rates" means the
interest rates defined in subsection 431:5-307(g),
HRS, that are to be used in determining the minimum
standard for the valuation of life insurance policies.
"Minimum reserves" means reserves calculated in
accordance with subsection 431:5-307(e), HRS.
"Scheduled gross premium" means the smallest
illustrated gross premium at issue for other than
universal life insurance policies. For universal life
insurance policies, scheduled gross premium means the
smallest specified premium described in paragraph 16-
171-906(a)(3), if any, or else the minimum premium
described in paragraph 16-171-906(a)(4).
"Segmented reserves" means reserves calculated
using segments produced by the contract segmentation
method equal to the present value of all future
guaranteed benefits less the present value of all
future net premiums to the mandatory expiration of a
policy, where the net premiums within each segment are
a uniform percentage of the respective guaranteed
gross premiums within the segment. The uniform
percentage for each segment is such that at the
beginning of the segment, the present value of the net
premiums within the segment equals:
(1)
The present value of the death benefits
within the segment, plus;
(2)
The present value of any unusual guaranteed
cash value (see subsection 16-171-905(d))
occurring at the end of the segment, less;
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(3)
Any unusual guaranteed cash value occurring
at the start of the segment, plus;
(4)
For the first segment only, the excess of
(A) over (B), as follows:
(A)
A net level annual premium equal to
the present value, at the date of
issue, of the benefits provided for in
the first segment after the first
policy year, divided by the present
value, at the date of issue, of an
annuity of one per year payable on the
first and each subsequent anniversary
within the first segment on which a
premium falls due. However, the net
level annual premium shall not exceed
the net level annual premium on the
nineteen-year premium whole life plan
of insurance of the same renewal year
equivalent level amount at an age one
year higher than the age at issue of
the policy;
(B)
A net one year term premium for the
benefits provided for in the first
policy year.
The length of each segment is determined by the
"contract segmentation method," as defined in this
section. The interest rates used in the present value
calculations for any policy may not exceed the maximum
valuation interest rate, determined with a guarantee
duration equal to the sum of the lengths of all
segments of the policy. For both basic reserves and
deficiency reserves computed by the segmented method,
present values shall include future benefits and net
premiums in the current segment and in all subsequent
segments.
"Tabular cost of insurance" means the net single
premium at the beginning of a policy year for one-year
term insurance in the amount of the guaranteed death
benefit in that policy year.
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"Ten-year select factors" means the select
factors adopted with the 1980 amendments to the NAIC
Standard Valuation Law.
"Unitary reserves" means the present value of all
future guaranteed benefits less the present value of
all future modified net premiums, where:
(1)
Guaranteed benefits and modified net
premiums are considered to the mandatory
expiration of the policy; and
(2)
Modified net premiums are a uniform
percentage of the respective guaranteed
gross premiums, where the uniform percentage
is such that, at issue, the present value of
the net premiums equals the present value of
all death benefits and pure endowments, plus
the excess of (A) over (B), as follows:
(A)
A net level annual premium equal to the
present value, at the date of issue, of
the benefits provided for after the
first policy year, divided by the
present value, at the date of issue, of
an annuity of one per year payable on
the first and each subsequent
anniversary of the policy on which a
premium falls due. The net level
annual premium, however, shall
not
exceed the net level annual premium on
the nineteen-year premium whole life
plan of insurance of the same renewal
year equivalent level amount at an age
one year higher than the age at issue
of the policy; and
(B)
A net one year term premium for the
benefits provided for in the first
policy year.
The interest rates used in the present value
calculations for any policy may not exceed the maximum
valuation interest rate, determined with a guarantee
duration equal to the length from issue to the
mandatory expiration of the policy.
§16-171-903
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"Universal life insurance policy" means any
individual life insurance policy under the provisions
of which separately identified interest credits (other
than in connection with dividend accumulations,
premium deposit funds, or other supplementary
accounts) and mortality or expense charges are made to
the policy. [Eff and comp 02/02/17; comp 9/30/21]
(Auth: HRS §§431:5-401, 432:2-201) (Imp: HRS
§431:5-307)
§16-171-904 General calculation requirements for
basic reserves and premium deficiency reserves. (a)
At the election of the company for any one or more
specified plans of life insurance, the minimum
mortality standard for basic reserves may be
calculated using the 1980 CSO valuation tables with
select mortality factors, or any other valuation
mortality table adopted by the NAIC. If select
mortality factors are elected, they may be:
(1)
The ten-year select mortality factors
incorporated into the 1980 amendments to the
NAIC Standard Valuation Law;
(2)
The select mortality factors in the Appendix
A entitled "Select Mortality Factors" dated
October 2009, located at the end of this
chapter; or
(3)
Any other table of select mortality factors
adopted by the NAIC for the purpose of
calculating basic reserves.
(b)
Deficiency reserves, if any, are calculated
for each policy as the excess, if greater than zero,
of the quantity A over the basic reserve. The
quantity A is obtained by recalculating the basic
reserve for the policy using guaranteed gross premiums
instead of net premiums when the guaranteed gross
premiums are less than the corresponding net premiums.
At the election of the company for any one or more
specified plans of insurance, the quantity A and the
corresponding net premiums used in the determination
§16-171-904
171-47
of quantity A may be based upon the 1980 CSO valuation
tables with select mortality factors, or any other
valuation mortality table adopted by the NAIC. If
select mortality factors are elected, they may be:
(1)
The ten-year select mortality factors
incorporated into the 1980 amendments to the
NAIC Standard Valuation Law;
(2)
The select mortality factors in the Appendix
A of this regulation;
(3)
For durations in the first segment, X per
cent of the select mortality factors in the
Appendix A, subject to the following:
(A)
X may vary by policy year, policy form,
underwriting classification, issue age,
or any other policy factor expected to
affect mortality experience;
(B)
X is such that, when using the
valuation interest rate used for basic
reserves, (i) is greater than or equal
to (ii) below:
(i)
The actuarial present value of
future death benefits,
calculated using the mortality
rates resulting from the
application of X; and
(ii)
The actuarial present value of
future death benefits calculated
using anticipated mortality
experience without recognition
of mortality improvement beyond
the valuation date;
(C)
X is such that the mortality rates
resulting from the application of X are
at least as great as the anticipated
mortality experience, without
recognition of mortality improvement
beyond the valuation date, in each of
the first five years after the
valuation date;
(D)
The appointed actuary shall increase X
at any valuation date where it is
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necessary to continue to meet all the
requirements of this paragraph;
(E)
The appointed actuary may decrease X at
any valuation date as long as X
continues to meet all the requirements
of this paragraph;
(F)
The appointed actuary shall
specifically take into account the
adverse effect on expected mortality
and lapse of any anticipated or actual
increase in gross premiums;
(G)
If X is less than one hundred per cent
at any duration for any policy, the
following requirements shall be met:
(i)
The appointed actuary shall
annually prepare an actuarial
opinion and a memorandum for the
company in accordance with the
requirements of section 16-169-
2;
(ii)
The appointed actuary shall
disclose in the Regulatory Asset
Adequacy Issues Summary the
impact of the insufficiency of
assets to support the payment of
benefits and expenses and the
establishment of statutory
reserves during one or more
interim periods; and
(iii)
The appointed actuary shall
annually opine for all policies
subject to this subchapter as to
whether the mortality rates
resulting from the application
of X meet the requirements of
this paragraph. This opinion
shall be supported by an
actuarial report, subject to
appropriate Actuarial Standards
of Practice promulgated by the
Actuarial Standards Board of the
American Academy of Actuaries.
§16-171-904
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The X factors shall reflect
anticipated future mortality,
without recognition of mortality
improvement beyond the valuation
date, and take into account
relevant emerging experience; or
(4)
Any other table of select mortality factors
adopted by the NAIC for the purpose of
calculating deficiency reserves.
(c)
This subsection applies to both basic
reserves and deficiency reserves. Any set of select
mortality factors may be used only for the first
segment. If the first segment is less than ten years,
however, the appropriate ten-year select mortality
factors incorporated into the 1980 amendments to the
NAIC Standard Valuation Law may be used thereafter
through the tenth policy year from the date of issue.
In addition, for policies that have reentry
provisions, select mortality factors shall not be used
in segments beginning after reentry unless a new
policy is actually issued.
(d)
In determining basic reserves or deficiency
reserves, guaranteed gross premiums without policy
fees may be used where the calculation involves the
guaranteed gross premium, but only if the policy fee
is a level dollar amount after the first policy year.
In determining deficiency reserves, policy fees may be
included in guaranteed gross premiums, even if not
included in the actual calculation of basic reserves.
(e)
Reserves for policies that have changes to
guaranteed gross premiums, guaranteed benefits,
guaranteed charges, or guaranteed credits that are
unilaterally made by the insurer after issue and that
are effective for more than one year after the date of
the change shall be the greatest of the following:
(1)
Reserves calculated ignoring the guarantee;
(2)
Reserves assuming the guarantee was made at
issue; or
(3)
Reserves assuming that the policy was issued
on the date of the guarantee.
(f)
The commissioner may require that the
company document the extent of the adequacy of
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reserves for specified blocks, including, but not
limited to, policies issued prior to the effective
date of this subchapter. This documentation may
include a demonstration of the extent to which
aggregation with other non-specified blocks of
business is relied upon in the formation of the
appointed actuary opinion pursuant to and consistent
with the requirements of section 16-169-2. [Eff and
comp 02/02/17; comp 9/30/21] (Auth: HRS §§431:5-401,
432:2-201) (Imp: HRS §431:5-307)
§16-171-905 Calculation of minimum valuation
standard for policies, other than universal life
policies, with guaranteed nonlevel gross premiums or
guaranteed nonlevel benefits. (a) Basic reserves
shall be calculated as the greater of the segmented
reserves and the unitary reserves. Both the segmented
reserves and the unitary reserves for any policy shall
use the same valuation mortality table and selection
factors. At the option of the insurer, in calculating
segmented reserves and net premiums, the following
adjustments may be made:
(1)
Treat the unitary reserve, if greater than
zero, applicable at the end of each segment
as a pure endowment, and subtract the
unitary reserve, if greater than zero,
applicable at the beginning of each segment
from the present value of guaranteed life
insurance and endowment benefits for each
segment; or
(2)
Treat the guaranteed cash surrender value,
if greater than zero, applicable at the end
of each segment as a pure endowment, and
subtract the guaranteed cash surrender
value, if greater than zero, applicable at
the beginning of each segment from the
present value of guaranteed life insurance
and endowment benefits for each segment.
(b)
Deficiency reserves.
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171-51
(1)
The deficiency reserve at any duration shall
be calculated:
(A)
On a unitary basis if the corresponding
basic reserve determined by subsection
(a) is unitary;
(B)
On a segmented basis if the
corresponding basic reserve determined
by subsection (a) is segmented; or
(C)
On a segmented basis if the
corresponding basic reserve determined
by subsection (a) is equal to both the
segmented reserve and the unitary
reserve.
(2)
This subsection shall apply to any policy
for which the guaranteed gross premium at
any duration is less than the corresponding
modified net premium calculated by the
method used in determining the basic
reserves, but using the minimum valuation
standards of mortality as specified in
section 16-171-904(b), and rate of interest.
(3)
For the current and all remaining periods,
deficiency reserves, if any, shall be
calculated for each policy as the excess, if
greater than zero, of the quantity A over
the basic reserve, where A is obtained as
indicated in section 16-171-904(b).
(4)
For deficiency reserves determined on a
segmented basis, the quantity A is
determined using segment lengths equal to
those determined for segmented basic
reserves.
(c)
If mean reserves are used, the minimum value
of basic reserves may not be less than the tabular
cost of insurance for the balance of the policy year.
If mid-terminal reserves are used, basic reserves may
not be less than the tabular cost of insurance for the
balance of the current modal period or to the paid-to-
date, if later, but not beyond the next policy
anniversary. The tabular cost of insurance shall use
the same valuation mortality table and interest rates
§16-171-905
171-52
as that used for the calculation of the segmented
reserves. If select mortality factors are used,
however, they shall be the ten-year select factors
incorporated into the 1980 amendments of the NAIC
Standard Valuation Law. In no case may total
reserves, including basic reserves, deficiency
reserves, and any reserves held for supplemental
benefits that would expire upon contract termination,
exclusive of any deduction for policy loans upon
termination of the policy, be less than the amount
that the policyowner would receive, including the cash
surrender value of the supplemental benefits, if any,
referred to in subsection (a)(2).
(d)
Unusual pattern of guaranteed cash surrender
values. The requirements of this subsection are
independent of both the segmentation and the unitary
process.
(1)
For any policy with an unusual pattern of
guaranteed cash surrender values, the
reserves actually held prior to the first
unusual guaranteed cash surrender value
shall not be less than the reserves
calculated by treating the first unusual
guaranteed cash surrender value as a pure
endowment and treating the policy as an n
year policy providing term insurance plus a
pure endowment equal to the unusual cash
surrender value, where n is the number of
years from the date of issue to the date the
unusual cash surrender value is scheduled.
(2)
The reserves actually held subsequent to any
unusual guaranteed cash surrender value
shall not be less than the reserves
calculated by treating the policy as an n
year policy providing term insurance plus a
pure endowment equal to the next unusual
guaranteed cash surrender value, and
treating any unusual guaranteed cash
surrender value at the end of the prior
segment as a net single premium, where:
(A)
n is the number of years from the date
of the last unusual guaranteed cash
§16-171-905
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surrender value prior to the valuation
date to the earlier of:
(i)
The date of the next unusual
guaranteed cash surrender value,
if any, that is scheduled after
the valuation date; or
(ii)
The mandatory expiration date of
the policy;
(B)
The net premium for a given year during
the n year period is equal to the
product of the net to gross ratio and
the respective gross premium; and
(C)
The net to gross ratio is equal to (i)
divided by (ii) as follows:
(i)
The present value, at the
beginning of the n year period,
of death benefits payable during
the n year period plus the
present value, at the beginning
of the n year period, of the
next unusual guaranteed cash
surrender value, if any, minus
the amount of the last unusual
guaranteed cash surrender value,
if any, scheduled at the
beginning of the n year period;
(ii)
The present value, at the
beginning of the n year period,
of the scheduled gross premiums
payable during the n year
period.
(3)
For purposes of this subsection, a policy is
considered to have an unusual pattern of
guaranteed cash surrender values if any
future guaranteed cash surrender value
exceeds the prior year's guaranteed cash
surrender value by more than the sum of:
(A)
One hundred ten per cent of the
scheduled gross premium for that year;
(B)
One hundred ten per cent of one year's
accrued interest on the sum of the
prior year's guaranteed cash surrender
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value and the scheduled gross premium
using the nonforfeiture interest rate
used for calculating policy guaranteed
cash surrender values; and
(C)
Five per cent of the first policy year
surrender charge, if any.
(e)
Optional exemption for yearly renewable term
("YRT") reinsurance. At the option of the company,
the following approach for reserves on YRT reinsurance
may be used:
(1)
Calculate the valuation net premium for each
future policy year as the tabular cost of
insurance for that future year;
(2)
Basic reserves shall never be less than the
tabular cost of insurance for the
appropriate period, as defined in subsection
(c); or
(3)
Deficiency reserves.
(A)
For each policy year, calculate the
excess, if greater than zero, of the
valuation net premium over the
respective maximum guaranteed gross
premium.
(B)
Deficiency reserves shall never be less
than the sum of the present values, at
the date of valuation, of the excesses
determined in accordance with
subparagraph (A).
(4)
For purposes of this subsection, the
calculations use the maximum valuation
interest rate and the 1980 CSO mortality
tables with or without ten-year select
mortality factors, or any other table
adopted.
(5)
A reinsurance agreement shall be considered
YRT reinsurance for purposes of this
subsection if only the mortality risk is
reinsured.
(6)
If the assuming company chooses this
optional exemption, the ceding company's
reinsurance reserve credit shall be limited
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to the amount of reserve held by the
assuming company for the affected policies.
(f)
Optional exemption for attained-age-based
YRT life insurance policies. At the option of the
company, the following approach for reserves for
attained-age-based YRT life insurance policies may be
used:
(1)
Calculate the valuation net premium for each
future policy year as the tabular cost of
insurance for that future year;
(2)
Basic reserves shall never be less than the
tabular cost of insurance for the
appropriate period, as defined in subsection
(c); or
(3)
Deficiency reserves.
(A)
For each policy year, calculate the
excess, if greater than zero, of the
valuation net premium over the
respective maximum guaranteed gross
premium.
(B)
Deficiency reserves shall never be less
than the sum of the present values, at
the date of valuation, of the excesses
determined in accordance with
subparagraph (A).
(4)
For purposes of this subsection, the
calculations use the maximum valuation
interest rate and the 1980 CSO valuation
tables with or without ten-year select
mortality factors, or any other table
adopted.
(5)
A policy shall be considered an attained-
age-based YRT life insurance policy for
purposes of this subsection if:
(A)
The premium rates on both the initial
current premium scale and the
guaranteed maximum premium scale are
based upon the attained age of the
insured, such that the rate for any
given policy at a given attained age of
the insured is independent of the year
the policy was issued; and
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171-56
(B)
The premium rates on both the initial
current premium scale and the
guaranteed maximum premium scale are
the same as the premium rates for
policies covering all insureds of the
same sex, risk class, plan of
insurance, and attained age.
(6)
For policies that become attained-age-based
YRT policies after an initial period of
coverage, the approach of this subsection
may be used after the initial period if:
(A)
The initial period is constant for all
insureds of the same sex, risk class,
and plan of insurance; or
(B)
The initial period runs to a common
attained age for all insureds of the
same sex, risk class, and plan of
insurance; and
(C)
After the initial period of coverage,
the policy meets the conditions of
paragraph (5).
(7)
If this election is made, this approach
shall be applied in determining reserves for
all attained-age-based YRT life insurance
policies issued on or after the effective
date of this regulation.
(g)
Exemption from unitary reserves for certain
n-year renewable term life insurance polices. Unitary
basic reserves and unitary deficiency reserves need
not be calculated for a policy if the following
conditions are met:
(1)
The policy consists of a series of n-year
periods, including the first period and all
renewal periods, where n is the same for
each period, except that for the final
renewal period, n may be truncated or
extended to reach the expiry age, provided
that this final renewal period is less than
ten years and less than twice the size of
the earlier n-year periods, and for each
period, the premium rates on both the
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initial current premium scale and the
guaranteed maximum premium scale are level;
(2)
The guaranteed gross premiums in all n-year
periods are not less than the corresponding
net premiums based upon the 1980 CSO Table,
with or without the ten-year select
mortality factors; and
(3)
There are no cash surrender values in any
policy year.
(h)
Exemption from unitary reserves for certain
juvenile policies. Unitary basic reserves and unitary
deficiency reserves need not be calculated for a
policy if the following conditions are met, based upon
the initial current premium scale at issue:
(1)
The insured at issue is age twenty-four or
younger;
(2)
Until the insured reaches the end of the
juvenile period, which shall occur at or
before age twenty-five, the gross premiums
and death benefits are level and there are
no cash surrender values; and
(3)
After the end of the juvenile period, gross
premiums are level for the remainder of the
premium paying period and death benefits are
level for the remainder of the life of the
policy. [Eff and comp 02/02/17; comp
9/30/21] (Auth: HRS §§431:5-401, 432:2-
201) (Imp: HRS §431:5-307)
§16-171-906 Calculation of minimum valuation
standard for flexible premium and fixed premium
universal life insurance policies that contain
provisions resulting in the ability of a policyowner
to keep a policy in force over a secondary guarantee
period. (a) General.
(1)
Policies with a secondary guarantee include:
(A)
A policy with a guarantee that the
policy will remain in force at the
original schedule of benefits, subject
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only to the payment of specified
premiums;
(B)
A policy in which the minimum premium
at any duration is less than the
corresponding one-year valuation
premium, calculated using the maximum
valuation interest rate and the 1980
CSO valuation tables, with or without
ten-year select mortality factors, or
any other table adopted; or
(C)
A policy with any combination of
subparagraphs (A) and (B).
(2)
A secondary guarantee period is the period
for which the policy is guaranteed to remain
in force subject only to a secondary
guarantee. When a policy contains more than
one secondary guarantee, the minimum reserve
shall be the greatest of the respective
minimum reserves at that valuation date of
each unexpired secondary guarantee, ignoring
all other secondary guarantees. Secondary
guarantees that are unilaterally changed by
the insurer after issue shall be considered
to have been made at issue. Reserves
described in subsections (b) and (c) shall
be recalculated from issue to reflect these
changes.
(3)
Specified premiums mean the premiums
specified in the policy, the payment of
which guarantees that the policy will remain
in force at the original schedule of
benefits, but which otherwise would be
insufficient to keep the policy in force in
the absence of the guarantee if maximum
mortality and expense charges and minimum
interest credits were made and any
applicable surrender charges were assessed.
(4)
For purposes of this section, the minimum
premium for any policy year is the premium
that, when paid into a policy with a zero
account value at the beginning of the policy
year, produces a zero account value at the
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end of the policy year. The minimum premium
calculation shall use the policy cost
factors, including mortality charges, loads,
and expense charges, and the interest
crediting rate, which are all guaranteed at
issue.
(5)
The one-year valuation premium means the net
one-year premium based upon the original
schedule of benefits for a given policy
year. The one-year valuation premiums for
all policy years are calculated at issue.
The select mortality factors defined in
section 16-171-904(b)(2), (3), and (4), HAR,
may not be used to calculate the one-year
valuation premiums.
(6)
The one-year valuation premium should
reflect the frequency of fund processing, as
well as the distribution of deaths
assumption employed in the calculation of
the monthly mortality charges to the fund.
(b)
Basic reserves for the secondary guarantees.
Basic reserves for the secondary guarantees shall be
the segmented reserves for the secondary guarantee
period. In calculating the segments and the segmented
reserves, the gross premiums shall be set equal to the
specified premiums, if any, or otherwise to the
minimum premiums, that keep the policy in force. The
segments will be determined according to the contract
segmentation method as defined in section 16-171-
903(b).
(c)
Deficiency reserves for the secondary
guarantees. Deficiency reserves, if any, for the
secondary guarantees shall be calculated for the
secondary guarantee period in the same manner as
described in section 16-171-905(b), with gross
premiums set equal to the specified premiums, if any,
or otherwise to the minimum premiums that keep the
policy in force.
(d)
Minimum reserves. The minimum reserves
during the secondary guarantee period are the greater
of:
§16-171-906
171-60
(1)
The basic reserves for the secondary
guarantee plus the deficiency reserve, if
any, for the secondary guarantees; or
(2)
The minimum reserves required by other rules
or regulations governing universal life
plans. [Eff and comp 02/02/17; comp
9/30/21] (Auth: HRS §§431:5-401, 432:2-
201) (Imp: HRS §431:5-307)
Amendments to and compilation of chapter 16-171,
Hawaii Administrative Rules, on the Summary page dated
September 30, 2021, were adopted on September 30,
2021, following a public hearing held on September 30,
2021, after public notice was given in The Honolulu
Star-Advertiser on August 30, 2021.
These rules are filed with the Office of the
Lieutenant Governor and shall take effect on January
1, 2022; provided that if the commissioner determines
that the insurance division is unable to implement
this rule by January 1, 2022, the insurance division
may delay implementation, but in no event shall the
delay be in force beyond December 31, 2022.
APPROVED:
/s/ Catherine P Awakuni Colón
CATHERINE P. AWAKUNI COLÓN
Director of Commerce and
Consumer Affairs
Date: 11/15/2021_________
/s/ David Y. Ige__________
DAVID Y. IGE
Governor
State of Hawaii
Date: 12/13/21___________
APPROVED AS TO FORM:
Bryan C Yee_____________
Deputy Attorney General
____12/13/2021___________
Filed
171-1
APPENDIX A: SELECT MORTALITY FACTORS
This appendix contains tables of select mortality
factors that are the bases to which the respective
percentage of paragraphs 16-171-904(a)(2), (b)(2) and
(b)(3) are applied.
The six tables of select mortality factors contained
herein include: Table 1 - male aggregate; Table 2 - male
nonsmoker; Table 3 - male smoker; Table 4 - female
aggregate; Table 5 - female nonsmoker; and Table 6 -
female smoker.
These tables apply to both age last birthday and age
nearest birthday mortality tables.
For sex-blended mortality tables, compute select
mortality factors in the same proportion as the
underlying mortality. For example, for the 1980 CSO-B
Table, the calculated select mortality factors are
eighty per cent of the appropriate male table in this
appendix, plus twenty per cent of the appropriate
female table in this appendix.
2
Table 1
Male, Aggregate
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
0-15
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
16
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
17
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
18
96
98
98
99
99
100
100
90
92
92
92
92
93
93
96
97
98
98
99
100
19
83
84
84
87
87
87
79
79
79
81
81
82
82
82
85
88
91
94
97
100
20
69
71
71
74
74
69
69
67
69
70
71
71
71
71
74
79
84
90
95
100
21
66
68
69
71
66
66
67
66
67
70
70
70
70
71
71
77
83
88
94
100
22
65
66
66
63
63
64
64
64
65
68
68
68
68
69
71
77
83
88
94
100
23
62
63
59
60
62
62
63
63
64
65
65
67
67
69
70
76
82
88
94
100
24
60
56
56
59
59
60
61
61
61
64
64
64
66
67
70
76
82
88
94
100
25
52
53
55
56
58
58
60
60
60
63
62
63
64
67
69
75
81
88
94
100
26
51
52
55
56
58
58
57
61
61
62
63
64
66
69
66
73
80
86
93
100
27
51
52
55
57
58
60
61
61
60
63
63
64
67
66
67
74
80
87
93
100
28
49
51
56
58
60
60
61
62
62
63
64
66
65
66
68
74
81
87
94
100
29
49
51
56
58
60
61
62
62
62
64
64
62
66
67
70
76
82
88
94
100
30
49
50
56
58
60
60
62
63
63
64
62
63
67
68
71
77
83
88
94
100
31
47
50
56
58
60
62
63
64
64
62
63
66
68
70
72
78
83
89
94
100
32
46
49
56
59
60
62
63
66
62
63
66
67
70
72
73
78
84
89
95
100
33
43
49
56
59
62
63
64
62
65
66
67
70
72
73
75
80
85
90
95
100
34
42
47
56
60
62
63
61
63
66
67
70
71
73
75
76
81
86
90
95
100
35
40
47
56
60
63
61
62
65
67
68
71
73
74
76
76
81
86
90
95
100
36
38
42
56
60
59
61
63
65
67
68
70
72
74
76
77
82
86
91
95
100
37
38
45
56
57
61
62
63
65
67
68
70
72
74
76
76
81
86
90
95
100
38
37
44
53
58
61
62
65
66
67
69
69
73
75
76
77
82
86
91
95
100
39
37
41
53
58
62
63
65
65
66
68
69
72
74
76
76
81
86
90
95
100
40
34
40
53
58
62
63
65
65
66
68
68
71
75
76
77
82
86
91
95
100
Effective: October 2009
3
Male, Aggregate
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
41
34
41
53
58
62
63
65
64
64
66
68
70
74
76
77
82
86
91
95
100
42
34
43
53
58
61
62
63
63
63
64
66
69
72
75
77
82
86
91
95
100
43
34
43
54
59
60
61
63
62
62
64
66
67
72
74
77
82
86
91
95
100
44
34
44
54
58
59
60
61
60
61
62
64
67
71
74
77
82
86
91
95
100
45
34
45
53
58
59
60
60
60
59
60
63
66
71
74
77
82
86
91
95
100
46
31
43
52
56
57
58
59
59
59
60
63
67
71
74
75
80
85
90
95
100
47
32
42
50
53
55
56
57
58
59
60
65
68
71
74
75
80
85
90
95
100
48
32
41
47
52
54
56
57
57
57
61
65
68
72
73
74
79
84
90
95
100
49
30
40
46
49
52
54
55
56
57
61
66
69
72
73
74
79
84
90
95
100
50
30
38
44
47
51
53
54
56
57
61
66
71
72
73
75
80
85
90
95
100
51
28
37
42
46
49
53
54
56
57
61
66
71
72
73
75
80
85
90
95
100
52
28
35
41
45
49
51
54
56
57
61
66
71
72
74
75
80
85
90
100
100
53
27
35
39
44
48
51
53
55
57
61
67
71
74
75
76
81
86
100
100
100
54
27
33
38
44
48
50
53
55
57
61
67
72
74
75
76
81
100
100
100
100
55
25
32
37
43
47
50
53
55
57
61
68
72
74
75
78
100
100
100
100
100
56
25
32
37
43
47
49
51
54
56
61
67
70
73
74
100
100
100
100
100
100
57
24
31
38
43
47
49
51
54
56
59
66
69
72
100
100
100
100
100
100
100
58
24
31
38
43
48
48
50
53
56
59
64
67
100
100
100
100
100
100
100
100
59
23
30
39
43
48
48
51
53
55
58
63
100
100
100
100
100
100
100
100
100
60
23
30
39
43
48
47
50
52
53
57
100
100
100
100
100
100
100
100
100
100
61
23
30
39
43
49
49
50
52
53
75
100
100
100
100
100
100
100
100
100
100
62
23
30
39
44
49
49
51
52
75
75
100
100
100
100
100
100
100
100
100
100
63
22
30
39
45
50
50
52
75
75
75
100
100
100
100
100
100
100
100
100
100
64
22
30
39
45
50
51
75
75
75
75
100
100
100
100
100
100
100
100
100
100
65
22
30
39
45
50
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
66
22
30
39
45
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
67
22
30
39
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
68
23
32
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
69
23
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
70
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
10
Effective: October 2009
4
Male, Aggregate
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
71
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
72
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
73
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
74
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
75
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
76
48
52
55
60
60
65
70
70
70
100
100
100
100
100
100
100
100
100
100
100
77
48
52
55
60
60
65
70
70
100
100
100
100
100
100
100
100
100
100
100
100
78
48
52
55
60
60
65
70
100
100
100
100
100
100
100
100
100
100
100
100
100
79
48
52
55
60
60
65
100
100
100
100
100
100
100
100
100
100
100
100
100
100
80
48
52
55
60
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
81
48
52
55
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
82
48
52
55
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
83
48
52
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
84
48
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
85+
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
5
Table 2
Male, Non-Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
0-15
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
16
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
17
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
18
93
95
96
98
99
100
100
90
92
92
92
92
95
95
96
97
98
98
99
100
19
80
81
83
86
87
87
79
79
79
81
81
82
83
83
86
89
92
94
97
100
20
65
68
69
72
74
69
69
67
69
70
71
71
72
72
75
80
85
90
95
100
21
63
66
68
71
66
66
67
66
67
70
70
70
71
71
73
78
84
89
95
100
22
62
65
66
62
63
64
64
64
67
68
68
68
70
70
73
78
84
89
95
100
23
60
62
58
60
62
62
63
63
64
67
68
68
67
69
71
77
83
88
94
100
24
59
55
56
58
59
60
61
61
63
65
67
66
66
69
71
77
83
88
94
100
25
52
53
55
56
58
58
60
60
61
64
64
64
64
67
70
76
82
88
94
100
26
51
53
55
56
58
60
61
61
61
63
64
64
66
69
67
74
80
87
93
100
27
51
52
55
58
60
60
61
61
62
63
64
66
67
66
67
74
80
87
93
100
28
49
52
57
58
60
61
63
62
62
64
66
66
63
66
68
74
81
87
94
100
29
49
51
57
60
61
61
62
62
63
64
66
63
65
67
68
74
81
87
94
100
30
49
51
57
60
61
62
63
63
63
64
62
63
66
68
70
76
82
88
94
100
31
47
50
57
60
60
62
63
64
64
62
63
65
67
70
71
77
83
88
94
100
32
46
50
57
60
62
63
64
64
62
63
65
66
68
71
72
78
83
89
94
100
33
45
49
56
60
62
63
64
62
63
65
66
68
71
73
74
79
84
90
95
100
34
43
48
56
62
63
64
62
62
65
66
67
70
72
74
74
79
84
90
95
100
35
41
47
56
62
63
61
62
63
66
67
68
70
72
74
75
80
85
90
95
100
36
40
47
56
62
59
61
62
63
66
67
68
70
72
74
75
80
85
90
95
100
37
38
45
56
58
59
61
62
63
66
67
67
69
71
73
74
79
84
90
95
100
38
38
45
53
58
61
62
63
65
65
67
68
70
72
74
73
78
84
89
95
100
39
37
41
53
58
61
62
63
64
65
67
68
70
71
73
73
78
84
89
95
100
40
34
41
53
58
61
62
63
64
64
66
67
69
71
73
72
78
83
89
94
100
Effective: October 2009
6
Male, Non-Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
41
34
41
53
58
61
61
62
62
63
65
65
67
69
71
71
77
83
88
94
100
42
34
43
53
58
60
61
62
61
61
63
64
66
67
69
71
77
83
88
94
100
43
32
43
53
58
60
61
60
60
60
60
62
64
66
68
69
75
81
88
94
100
44
32
44
52
57
59
60
60
59
59
58
60
62
65
67
69
75
81
88
94
100
45
32
44
52
57
59
60
59
57
57
57
59
61
63
66
68
74
81
87
94
100
46
32
42
50
54
56
57
57
56
55
56
59
61
63
65
67
74
80
87
93
100
47
30
40
48
52
54
55
55
54
54
55
59
61
62
63
66
73
80
86
93
100
48
30
40
46
49
51
52
53
53
54
55
57
61
62
63
63
70
78
85
93
100
49
29
39
43
48
50
51
50
51
53
54
57
61
61
62
62
70
77
85
92
100
50
29
37
42
45
47
48
49
50
51
54
57
61
61
61
61
69
77
84
92
100
51
27
35
40
43
45
47
48
50
51
53
57
60
61
61
62
70
77
85
92
100
52
27
34
39
42
44
45
48
49
50
53
56
60
60
62
62
70
77
85
100
100
53
25
31
37
41
44
45
47
49
50
51
56
59
61
61
62
70
77
100
100
100
54
25
30
36
39
43
44
47
48
49
51
55
59
59
61
62
70
100
100
100
100
55
24
29
35
38
42
43
45
48
49
50
56
58
59
61
62
100
100
100
100
100
56
23
29
35
38
42
42
44
47
48
50
55
57
58
59
100
100
100
100
100
100
57
23
28
35
38
42
42
43
45
47
49
53
55
56
100
100
100
100
100
100
100
58
22
28
33
37
41
41
43
45
45
47
51
53
100
100
100
100
100
100
100
100
59
22
26
33
37
41
41
42
44
44
46
50
100
100
100
100
100
100
100
100
100
60
20
26
33
37
41
40
41
42
42
45
100
100
100
100
100
100
100
100
100
100
61
20
26
33
37
41
40
41
42
42
75
100
100
100
100
100
100
100
100
100
100
62
19
25
32
38
40
40
41
42
75
75
100
100
100
100
100
100
100
100
100
100
63
19
25
33
36
40
40
41
75
75
75
100
100
100
100
100
100
100
100
100
100
64
18
24
32
36
39
40
75
75
75
75
100
100
100
100
100
100
100
100
100
100
65
18
24
32
36
39
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
66
18
24
32
36
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
67
18
24
32
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
68
18
24
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
69
18
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
70
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
7
Male, Non-Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
71
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
72
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
73
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
74
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
75
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
76
48
52
55
60
60
65
70
70
70
100
100
100
100
100
100
100
100
100
100
100
77
48
52
55
60
60
65
70
70
100
100
100
100
100
100
100
100
100
100
100
100
78
48
52
55
60
60
65
70
100
100
100
100
100
100
100
100
100
100
100
100
100
79
48
52
55
60
60
65
100
100
100
100
100
100
100
100
100
100
100
100
100
100
80
48
52
55
60
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
81
48
52
55
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
82
48
52
55
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
83
48
52
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
84
48
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
85+
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
8
Table 3
Male, Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
0-15
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
16
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
17
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
18
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
19
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
20
98
100
100
100
100
100
100
99
99
99
100
99
99
99
100
100
100
100
100
100
21
95
98
99
100
95
96
96
95
96
97
97
96
96
96
96
97
98
98
99
100
22
92
95
96
90
90
93
93
92
93
95
95
93
93
92
93
94
96
97
99
100
23
90
92
85
88
88
89
89
89
90
90
90
90
89
90
92
94
95
97
98
100
24
87
81
82
85
84
86
88
86
86
88
88
86
86
88
89
91
93
96
98
100
25
77
78
79
82
81
83
83
82
83
85
84
84
84
85
86
89
92
94
97
100
26
75
77
79
82
82
83
83
82
83
84
84
84
84
85
81
85
89
92
96
100
27
73
75
78
82
82
83
83
82
82
82
82
84
84
80
81
85
89
92
96
100
28
71
73
79
82
81
82
83
81
81
82
82
82
80
80
81
85
89
92
96
100
29
69
72
78
81
81
82
82
81
81
81
81
77
80
80
81
85
89
92
96
100
30
68
71
78
81
81
81
82
81
81
81
76
77
80
80
81
85
89
92
96
100
31
65
70
77
81
79
81
82
81
81
76
77
79
81
81
83
86
90
93
97
100
32
63
67
77
78
79
81
81
81
76
77
77
80
83
83
85
88
91
94
97
100
33
60
65
74
78
79
79
81
76
77
77
79
80
83
85
85
88
91
94
97
100
34
57
62
74
77
79
79
75
76
77
79
79
81
83
85
87
90
92
95
97
100
35
53
60
73
77
79
75
75
76
77
79
80
82
84
86
88
90
93
95
98
100
36
52
59
71
75
74
75
75
76
77
79
79
81
83
85
87
90
92
95
97
100
37
49
58
70
71
74
74
75
76
77
78
79
81
84
86
86
89
92
94
97
100
38
48
55
66
70
72
74
74
75
76
78
79
81
83
85
87
90
92
95
97
100
39
45
50
65
70
72
72
74
74
75
77
79
81
84
86
86
89
92
94
97
100
40
41
49
63
68
71
72
73
74
74
76
78
80
83
85
86
89
92
94
97
100
Effective: October 2009
9
Male, Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
41
40
49
63
68
71
72
72
72
73
75
76
78
81
84
85
88
91
94
97
100
42
40
49
62
68
70
71
71
71
71
73
75
76
81
83
85
88
91
94
97
100
43
39
50
62
67
69
69
70
70
70
71
73
76
79
83
85
88
91
94
97
100
44
39
50
60
66
68
69
68
69
69
69
71
74
79
81
85
88
91
94
97
100
45
37
50
60
66
68
68
68
67
67
67
69
73
78
81
85
88
91
94
97
100
46
37
48
58
63
65
67
66
66
66
67
71
74
78
81
84
87
90
94
97
100
47
36
47
55
61
63
64
64
64
65
67
71
75
79
81
84
87
90
94
97
100
48
35
46
53
58
60
62
63
63
65
67
72
75
79
81
83
86
90
93
97
100
49
34
45
51
56
58
59
61
62
63
67
72
77
80
81
83
86
90
93
97
100
50
34
43
49
53
55
57
60
61
63
67
73
78
80
81
81
85
89
92
96
100
51
32
42
47
52
55
57
60
61
63
67
73
78
80
83
84
87
90
94
97
100
52
32
40
46
50
54
56
60
61
63
67
73
78
81
84
85
88
91
94
100
100
53
30
37
44
49
54
56
59
61
65
67
74
79
83
85
87
90
92
100
100
100
54
30
36
43
48
53
55
59
61
65
67
74
80
84
85
89
91
100
100
100
100
55
29
35
42
47
53
55
59
61
65
67
75
80
84
86
90
100
100
100
100
100
56
28
35
42
47
53
55
57
60
63
68
74
79
83
85
100
100
100
100
100
100
57
28
35
42
47
53
54
57
60
64
67
74
78
81
100
100
100
100
100
100
100
58
26
33
43
48
54
54
56
59
63
67
73
78
100
100
100
100
100
100
100
100
59
26
33
43
48
54
53
57
59
63
66
73
100
100
100
100
100
100
100
100
100
60
25
33
43
48
54
53
56
58
62
66
100
100
100
100
100
100
100
100
100
100
61
25
33
43
49
55
55
57
59
63
75
100
100
100
100
100
100
100
100
100
100
62
25
33
43
50
56
56
58
61
75
75
100
100
100
100
100
100
100
100
100
100
63
24
33
45
51
56
56
59
75
75
75
100
100
100
100
100
100
100
100
100
100
64
24
34
45
51
57
57
75
75
75
75
100
100
100
100
100
100
100
100
100
100
65
24
34
45
52
57
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
66
24
35
45
53
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
67
25
35
45
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
68
25
36
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
69
27
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
70
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
10
Male, Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
71
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
72
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
73
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
74
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
75
48
52
55
60
60
65
70
70
70
70
100
100
100
100
100
100
100
100
100
100
76
48
52
55
60
60
65
70
70
70
100
100
100
100
100
100
100
100
100
100
100
77
48
52
55
60
60
65
70
70
100
100
100
100
100
100
100
100
100
100
100
100
78
48
52
55
60
60
65
70
100
100
100
100
100
100
100
100
100
100
100
100
100
79
48
52
55
60
60
65
100
100
100
100
100
100
100
100
100
100
100
100
100
100
80
48
52
55
60
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
81
48
52
55
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
82
48
52
55
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
83
48
52
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
84
48
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
85+
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
11
Table 4
Female, Aggregate
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
0-15
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
16
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
17
99
100
100
100
100
100
100
100
93
95
96
97
97
100
100
100
100
100
100
100
18
83
83
84
84
84
84
86
78
78
79
82
84
85
88
88
90
93
95
98
100
19
65
66
68
68
68
68
63
63
64
66
69
71
72
74
75
80
85
90
95
100
20
48
50
51
51
51
47
48
48
49
51
56
57
58
61
63
70
78
85
93
100
21
47
48
50
51
47
47
48
49
51
53
57
60
61
64
64
71
78
86
93
100
22
44
47
48
45
47
47
48
49
53
54
60
61
63
64
66
73
80
86
93
100
23
42
45
44
45
47
47
49
51
53
54
61
64
64
67
69
75
81
88
94
100
24
39
40
42
44
47
47
50
51
54
56
64
64
66
69
70
76
82
88
94
100
25
34
38
41
44
47
47
50
53
56
57
64
67
69
71
73
78
84
89
95
100
26
34
38
41
45
49
49
51
56
58
59
66
69
70
73
70
76
82
88
94
100
27
34
38
41
47
50
51
54
57
59
60
69
70
73
70
71
77
83
88
94
100
28
34
37
43
47
53
53
56
59
62
63
70
73
70
72
74
79
84
90
95
100
29
34
38
43
49
54
56
58
60
63
64
73
70
72
74
75
80
85
90
95
100
30
35
38
43
50
56
56
59
63
66
67
70
71
74
75
76
81
86
90
95
100
31
35
38
43
51
56
58
60
64
67
65
71
72
74
75
76
81
86
90
95
100
32
35
39
45
51
56
59
63
66
65
66
72
72
75
76
76
81
86
90
95
100
33
36
39
44
52
58
62
64
65
66
67
72
74
75
76
76
81
86
90
95
100
34
36
40
45
52
58
63
63
66
67
68
74
74
76
76
76
81
86
90
95
100
35
36
40
45
53
59
61
65
67
68
70
75
74
75
76
75
80
85
90
95
100
36
36
40
45
53
55
62
65
67
68
70
74
74
74
75
75
80
85
90
95
100
37
36
41
47
52
57
62
65
67
68
69
72
72
73
75
74
79
84
90
95
100
38
34
41
44
52
57
63
66
68
69
70
72
71
72
74
75
80
85
90
95
100
39
34
40
45
53
58
63
66
68
69
69
70
70
70
73
74
79
84
90
95
100
40
32
40
45
53
58
65
65
67
68
69
70
69
70
73
73
78
84
89
95
100
Effective: October 2009
12
Female, Aggregate
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
41
32
40
45
53
57
63
64
67
68
68
69
69
69
73
74
79
84
90
95
100
42
32
40
45
52
56
61
63
65
66
68
69
68
70
74
75
80
85
90
95
100
43
31
39
45
51
55
59
61
65
65
66
68
69
69
74
77
82
86
91
95
100
44
31
39
45
50
54
58
61
63
64
66
67
68
71
75
78
82
87
91
96
100
45
31
38
44
49
53
56
59
62
63
65
67
68
71
77
79
83
87
92
96
100
46
29
37
43
48
51
54
59
62
63
65
67
69
71
77
78
82
87
91
96
100
47
28
35
41
46
49
54
57
61
62
66
68
69
71
77
77
82
86
91
95
100
48
28
35
41
44
49
52
57
61
63
66
68
71
72
75
77
82
86
91
95
100
49
26
34
39
43
47
52
55
61
63
67
69
71
72
75
75
80
85
90
95
100
50
25
32
38
41
46
50
55
61
63
67
69
72
72
75
74
79
84
90
95
100
51
25
32
38
41
45
50
55
61
63
66
68
69
71
74
74
79
84
90
95
100
52
23
30
36
41
45
51
56
61
62
65
66
68
68
73
73
78
84
89
100
100
53
23
30
36
41
47
51
56
61
62
63
65
66
68
72
72
78
83
100
100
100
54
22
29
35
41
47
53
57
61
61
62
62
66
66
69
70
76
100
100
100
100
55
22
29
35
41
47
53
57
61
61
61
62
63
64
68
69
100
100
100
100
100
56
22
29
35
41
45
51
56
59
60
61
62
63
64
67
100
100
100
100
100
100
57
22
29
35
41
45
50
54
56
58
59
61
62
63
100
100
100
100
100
100
100
58
22
30
36
41
44
49
53
56
57
57
61
62
100
100
100
100
100
100
100
100
59
22
30
36
41
44
48
51
53
55
56
59
100
100
100
100
100
100
100
100
100
60
22
30
36
41
43
47
50
51
53
55
100
100
100
100
100
100
100
100
100
100
61
22
29
35
39
42
46
49
50
52
80
100
100
100
100
100
100
100
100
100
100
62
20
28
33
39
41
45
47
49
80
80
100
100
100
100
100
100
100
100
100
100
63
20
28
33
38
41
44
46
80
80
80
100
100
100
100
100
100
100
100
100
100
64
19
27
32
36
40
42
80
80
80
80
100
100
100
100
100
100
100
100
100
100
65
19
25
30
35
39
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
66
19
25
30
35
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
67
19
25
30
72
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
68
19
25
68
72
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
69
19
64
68
72
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
70
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
13
Female, Aggregate
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
71
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
72
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
73
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
74
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
75
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
76
60
60
64
68
68
72
75
75
80
100
100
100
100
100
100
100
100
100
100
100
77
60
60
64
68
68
72
75
75
100
100
100
100
100
100
100
100
100
100
100
100
78
60
60
64
68
68
72
75
100
100
100
100
100
100
100
100
100
100
100
100
100
79
60
60
64
68
68
72
100
100
100
100
100
100
100
100
100
100
100
100
100
100
80
60
60
64
68
68
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
81
60
60
64
68
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
82
60
60
64
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
83
60
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
84
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
85+
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
14
Table 5
Female, Non-Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
0-15
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
16
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
17
96
98
98
98
98
99
99
99
92
92
93
95
95
97
99
99
99
100
100
100
18
78
80
80
80
80
81
81
74
75
75
78
79
82
83
85
88
91
94
97
100
19
60
62
63
63
63
65
59
59
60
60
64
67
67
70
72
78
83
89
94
100
20
42
44
45
45
45
42
42
42
45
45
50
51
53
56
58
66
75
83
92
100
21
41
42
44
45
41
42
42
44
47
47
51
53
54
57
59
67
75
84
92
100
22
39
41
44
41
41
42
44
45
49
49
54
56
57
58
60
68
76
84
92
100
23
38
41
38
40
41
42
44
46
49
50
56
57
58
60
62
70
77
85
92
100
24
36
36
38
40
41
42
46
47
50
51
58
59
60
62
63
70
78
85
93
100
25
32
34
37
40
41
43
46
49
51
53
59
60
62
63
64
71
78
86
93
100
26
32
34
37
41
43
45
47
50
53
53
60
62
63
64
62
70
77
85
92
100
27
32
34
38
43
46
47
49
51
53
55
62
63
64
62
62
70
77
85
92
100
28
30
34
39
43
47
49
51
53
56
58
63
63
61
62
63
70
78
85
93
100
29
30
35
40
45
50
51
52
55
58
59
64
61
62
63
63
70
78
85
93
100
30
31
35
40
46
51
52
53
56
59
60
62
62
63
65
65
72
79
86
93
100
31
31
35
40
46
51
53
55
58
60
58
62
62
63
65
65
72
79
86
93
100
32
32
35
40
45
51
53
56
59
57
58
62
63
63
65
64
71
78
86
93
100
33
32
36
41
47
52
55
58
55
58
59
63
63
65
65
65
72
79
86
93
100
34
33
36
41
47
52
55
55
57
58
59
63
65
64
65
64
71
78
86
93
100
35
33
36
41
47
52
53
57
58
59
61
63
64
64
64
64
71
78
86
93
100
36
33
36
41
47
49
53
57
58
59
61
63
64
63
64
63
70
78
85
93
100
37
32
36
41
44
49
53
57
58
59
60
62
62
61
62
63
70
78
85
93
100
38
32
37
39
45
50
54
57
58
60
60
61
61
61
62
61
69
77
84
92
100
39
30
35
39
45
50
54
57
58
60
59
60
60
59
60
61
69
77
84
92
100
40
28
35
39
45
50
54
56
57
59
59
60
59
59
59
60
68
76
84
92
100
Effective: October 2009
15
Female, Non-Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
41
28
35
39
45
49
52
55
55
58
57
58
59
58
59
60
68
76
84
92
100
42
27
35
39
44
49
52
54
55
56
57
57
57
58
60
61
69
77
84
92
100
43
27
34
39
44
47
50
53
53
55
55
56
57
56
60
61
69
77
84
92
100
44
26
34
38
42
47
50
52
53
54
55
55
55
56
61
62
70
77
85
92
100
45
26
33
38
42
45
48
51
51
52
53
54
55
56
61
62
70
77
85
92
100
46
24
32
37
40
43
47
49
51
52
53
54
55
56
60
61
69
77
84
92
100
47
24
30
35
39
42
45
47
49
51
53
54
55
56
59
60
68
76
84
92
100
48
23
30
35
37
40
44
47
49
50
53
54
55
55
59
57
66
74
83
91
100
49
23
29
33
35
39
42
45
48
50
53
54
55
55
57
56
65
74
82
91
100
50
21
27
32
34
37
41
44
48
50
53
54
55
55
56
55
64
73
82
91
100
51
21
26
30
34
37
41
44
48
49
51
53
53
54
55
55
64
73
82
91
100
52
20
25
30
33
37
41
44
47
48
50
50
51
51
55
53
62
72
81
100
100
53
19
24
29
32
37
41
43
47
48
48
49
49
51
52
52
62
71
100
100
100
54
18
24
29
32
37
41
43
45
47
47
47
49
49
51
51
61
100
100
100
100
55
18
23
28
32
37
41
43
45
45
45
46
46
47
50
50
100
100
100
100
100
56
18
23
28
32
36
39
42
44
44
45
46
46
46
49
100
100
100
100
100
100
57
18
23
28
31
35
38
41
42
44
44
45
45
46
100
100
100
100
100
100
100
58
17
23
26
31
35
36
38
41
41
42
45
45
100
100
100
100
100
100
100
100
59
17
23
26
30
33
35
38
39
40
41
44
100
100
100
100
100
100
100
100
100
60
17
23
26
30
32
34
36
38
39
40
100
100
100
100
100
100
100
100
100
100
61
17
22
25
29
32
33
35
36
38
80
100
100
100
100
100
100
100
100
100
100
62
16
22
25
28
30
32
34
35
80
80
100
100
100
100
100
100
100
100
100
100
63
16
20
24
28
30
32
34
80
80
80
100
100
100
100
100
100
100
100
100
100
64
14
21
24
27
29
30
80
80
80
80
100
100
100
100
100
100
100
100
100
100
65
15
19
23
25
28
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
66
15
19
23
25
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
67
15
19
22
72
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
68
13
18
68
72
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
69
13
64
68
72
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
70
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
16
Female, Non-Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
71
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
72
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
73
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
74
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
75
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
76
60
60
64
68
68
72
75
75
80
100
100
100
100
100
100
100
100
100
100
100
77
60
60
64
68
68
72
75
75
100
100
100
100
100
100
100
100
100
100
100
100
78
60
60
64
68
68
72
75
100
100
100
100
100
100
100
100
100
100
100
100
100
79
60
60
64
68
68
72
100
100
100
100
100
100
100
100
100
100
100
100
100
100
80
60
60
64
68
68
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
81
60
60
64
68
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
82
60
60
64
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
83
60
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
84
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
85+
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
17
Table 6
Female, Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
0-15
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
16
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
17
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
18
99
100
100
100
100
100
100
95
96
97
100
100
100
100
100
100
100
100
100
100
19
87
89
92
92
92
92
84
84
86
86
92
93
95
96
99
99
99
100
100
100
20
74
77
80
80
80
73
73
73
75
77
83
83
86
88
90
92
94
96
98
100
21
71
74
78
78
71
71
73
74
77
79
85
86
88
89
90
92
94
96
98
100
22
68
71
75
70
71
71
73
74
78
79
88
90
89
89
92
94
95
97
98
100
23
65
69
67
70
70
70
73
77
79
81
89
90
90
92
92
94
95
97
98
100
24
62
60
64
69
70
70
74
77
79
81
92
90
92
93
93
94
96
97
99
100
25
53
58
63
67
69
70
74
78
81
82
92
93
93
95
95
96
97
98
99
100
26
53
58
63
69
71
72
75
79
82
82
93
93
95
96
90
92
94
96
98
100
27
52
56
63
70
74
74
78
81
82
84
93
95
95
90
90
92
94
96
98
100
28
52
56
64
71
75
77
79
82
85
86
95
95
90
92
92
94
95
97
98
100
29
51
56
64
71
78
78
81
84
86
88
95
90
90
92
92
94
95
97
98
100
30
51
56
64
72
79
79
82
85
88
89
90
90
92
93
93
94
96
97
99
100
31
51
56
64
72
78
81
84
84
88
84
90
90
92
93
93
94
96
97
99
100
32
51
56
64
71
78
81
85
86
84
85
90
90
92
94
93
94
96
97
99
100
33
51
57
62
71
78
82
85
83
84
85
90
92
93
93
93
94
96
97
99
100
34
51
56
62
71
78
82
81
83
85
86
90
92
92
94
93
94
96
97
99
100
35
51
56
62
71
78
79
83
84
85
86
90
91
91
93
93
94
96
97
99
100
36
49
56
62
71
74
79
83
84
85
86
90
90
91
93
92
94
95
97
98
100
37
48
55
62
67
74
79
83
84
85
86
89
90
89
92
91
93
95
96
98
100
38
47
55
57
66
72
77
81
84
86
86
87
88
88
90
91
93
95
96
98
100
39
45
50
57
66
72
77
81
83
85
86
86
87
86
89
90
92
94
96
98
100
40
41
50
57
66
72
77
81
83
84
85
86
86
86
89
89
91
93
96
98
100
Effective: October 2009
18
Female, Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
41
40
50
57
65
71
76
79
81
83
84
85
86
85
89
90
92
94
96
98
100
42
40
49
57
65
69
74
77
80
82
83
84
85
86
90
92
94
95
97
98
100
43
39
49
55
63
69
73
76
78
80
82
83
84
85
92
93
94
96
97
99
100
44
39
48
55
62
67
71
75
78
80
80
82
84
86
93
96
97
98
98
99
100
45
37
47
55
61
65
70
73
76
78
80
81
84
86
94
97
98
98
99
99
100
46
36
46
53
59
63
68
71
75
77
79
83
85
86
93
96
97
98
98
99
100
47
34
44
51
57
62
66
70
75
77
80
83
85
86
93
94
95
96
98
99
100
48
34
44
50
54
60
64
69
74
77
80
84
86
87
92
92
94
95
97
98
100
49
33
42
48
53
58
63
68
74
77
81
84
86
87
92
91
93
95
96
98
100
50
31
41
46
51
57
61
67
74
77
81
85
87
87
91
90
92
94
96
98
100
51
30
39
45
51
56
61
67
74
75
80
83
85
85
90
90
92
94
96
98
100
52
29
38
45
50
56
62
68
74
75
79
81
83
84
90
90
92
94
96
100
100
53
28
37
43
49
57
62
68
73
74
77
79
81
83
89
89
91
93
100
100
100
54
28
36
43
49
57
63
69
73
74
75
78
80
81
87
89
91
100
100
100
100
55
26
35
42
49
57
63
69
73
73
74
76
78
79
86
87
100
100
100
100
100
56
26
35
42
49
56
62
67
71
72
74
76
78
79
85
100
100
100
100
100
100
57
26
35
42
49
55
61
66
69
72
73
76
78
79
100
100
100
100
100
100
100
58
28
36
43
49
55
59
63
68
69
72
76
78
100
100
100
100
100
100
100
100
59
28
36
43
49
54
57
63
67
68
70
76
100
100
100
100
100
100
100
100
100
60
28
36
43
49
53
57
61
64
67
69
100
100
100
100
100
100
100
100
100
100
61
26
35
42
48
52
56
59
63
66
80
100
100
100
100
100
100
100
100
100
100
62
26
33
41
47
51
55
58
62
80
80
100
100
100
100
100
100
100
100
100
100
63
25
33
41
46
51
55
57
80
80
80
100
100
100
100
100
100
100
100
100
100
64
25
33
40
45
50
53
80
80
80
80
100
100
100
100
100
100
100
100
100
100
65
24
32
39
44
49
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
66
24
32
39
44
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
67
24
32
39
72
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
68
24
32
68
72
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
69
24
64
68
72
72
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
70
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
19
Female, Smoker
Issue Duration
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
71
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
72
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
73
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
74
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
75
60
60
64
68
68
72
75
75
80
80
100
100
100
100
100
100
100
100
100
100
76
60
60
64
68
68
72
75
75
80
100
100
100
100
100
100
100
100
100
100
100
77
60
60
64
68
68
72
75
75
100
100
100
100
100
100
100
100
100
100
100
100
78
60
60
64
68
68
72
75
100
100
100
100
100
100
100
100
100
100
100
100
100
79
60
60
64
68
68
72
100
100
100
100
100
100
100
100
100
100
100
100
100
100
80
60
60
64
68
68
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
81
60
60
64
68
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
82
60
60
64
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
83
60
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
84
60
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
85+
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
Effective: October 2009
20
21
22
23
24
25
26
27
28
29
30