PROPOSAL POLICY PROPOSAL POLICY

NAME OF INSURED NAME OF INSURED

FEMALE : AGE 25-30 MALE : AGE 25-30
PLAN A PLAN A

HOSPITALIZATION HOSPITALIZATION

PRINCIPAL EACH DEPENDENT PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9 ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
With 9 Major Major With 9 Major Major Major Major Major with out 9
Hospital Hospiital Hospital Hospital Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 2,828.00 2,438.00 2,466.00 1,857.00 Small Suite 240k 3,043.00 2,613.00 2,466.00 1,857.00
Large Private 195k 2,551.00 2,204.00 2,200.00 1,513.00 Large Private 195k 2,726.00 2,379.00 2,200.00 1,513.00
Regular Private 170k 2,399.00 2,088.25 1,792.00 1,354.00 Regular Private 170k 2,203.00 1,574.00 1,792.00 1,354.00
Regular Private 120K 2,321.00 2,438.00 1,713.00 1,299.00 Regular Private 120K 2,249.00 2,200.00 1,713.00 1,299.00
Semi -Private 100K 2,551.00 2,204.00 1,360.00 1,038.00 Semi -Private 100K 2,270.00 2,041.00 1,360.00 1,038.00
Semi -Private 80K 2,399.00 2,088.25 1,328.00 1,013.00 Semi -Private 80K 2,238.00 1,987.00 1,328.00 1,013.00
Ward 70K 1,897.00 1,719.00 1,091.00 837.00 Ward 70K 2,399.00 2,088.25 1,091.00 837.00
MACCIMAX COVERAGE MACCIMAX COVERAGE
300,000 /PER YEAR 300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES W/ 60 CRITICAL ILLNESSES
150,000.00 150,000.00
LIFE PROTECTION LIFE PROTECTION
4,000,000.00 4,000,000.00
 PROPOSAL PROPOSAL

NAME OF INSURED NAME OF INSURED

FEMALE : AGE 25-30 MALE : AGE 25-30
PLAN B PLAN B

HOSPITALIZATION HOSPITALIZATION

PRINCIPAL EACH DEPENDENT PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION with out 9 with out 9 ROOM & BOARD ACCOMODATION with 9 with out 9 with 9
with 9 Major Major with 9 Major Major Major Major Major with out 9
Hospital Hospital Hospital Hospital Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,024.00 2,594.00 2,466.00 1,857.00 Small Suite 240k 3,207.00 2,774.00 2,466.00 1,857.00
Large Private 195k 2,707.00 2,360.00 2,200.00 1,513.00 Platinum Large Private 195k 2,887.00 2,540.00 2,200.00 1,513.00
Regular Private 170k 2,555.00 2,245.00 1,792.00 1,354.00 Regular Private 170k 2,735.00 2,425.00 1,792.00 1,354.00
Regular Private 120K 2,477.00 2,190.00 1,713.00 1,299.00 Regular Private 120K 2,657.00 2,370.00 1,713.00 1,299.00
Semi -Private 100K 2,251.00 2,022.00 1,360.00 1,038.00 Semi -Private 100K 2,431.00 2,202.00 1,360.00 1,038.00
Semi -Private 80K 2,219.00 1,968.00 1,328.00 1,013.00 Semi -Private 80K 2,399.00 2,148.00 1,328.00 1,013.00
Ward 70K 2,053.00 1,875.00 1,091.00 837.00 Ward 70K 2,233.00 2,055.00 1,091.00 837.00
MACCIMAX COVERAGE MACCIMAX COVERAGE
500,000 /PER YEAR 500,000 /PER YEAR
CRITICAL ILLNESS COVERAGE CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES W/ 60 CRITICAL ILLNESSES
300,000.00/ PER YEAR 300,000.00/ PER YEAR
LIFE PROTECTION LIFE PROTECTION
4,000,000.00 4,000,000.00

MANULIFE 2022 MANULIFE 2022

 PROPOSAL POLICY

NAME OF INSURED
FEMALE : AGE 31-35
PLAN A

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 2,956.00 2,526.00 2,466.00 1,857.00
Platinum Large Private 195k 2,639.00 2,292.00 2,200.00 1,513.00
Regular Private 170k 2,487.00 2,176.00 1,792.00 1,354.00
Regular Private 120K 2,409.00 2,113.00 1,713.00 1,299.00
Semi -Private 100K 2,183.00 1,954.00 1,360.00 1,038.00
Semi -Private 80K 2,151.00 1,900.00 1,328.00 1,013.00
Ward 70K 1,985.00 1,807.00 1,091.00 837.00
MACCIMAX COVERAGE
300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
150,000.00/ PER YEAR
LIFE PROTECTION
4,000,000.00

PROPOSAL POLICY

NAME OF INSURED
FEMALE : AGE 31-35
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,121.00 2,691.00 2,466.00 1,857.00
Platinum Large Private 195k 2,804.00 2,457.00 2,200.00 1,513.00
 Regular Private 170k 2,652.00 2,341.00 1,792.00 1,354.00
Regular Private 120K 2,574.00 2,287.00 1,713.00 1,299.00
Semi -Private 100K 2,348.00 2,119.00 1,360.00 1,038.00
Semi -Private 80K 2,316.00 2,065.00 1,328.00 1,013.00
Ward 70K 2,150.00 1,972.00 1,091.00 837.00
MACCIMAX COVERAGE
500,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
300,000.00/ PER YEAR
LIFE PROTECTION
4,000,000.00

MANULIFE 2022
LIST OF HOSPITAL CREDITED:
 PROPOSAL POLICY

NAME OF INSURED
MALE : AGE 31-35
PLAN A

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,349.00 2,919.00 2,466.00 1,857.00
Platinum Large Private 195k 3,032.00 2,684.00 2,200.00 1,513.00
Regular Private 170k 3,881.00 2,570.00 1,792.00 1,354.00
Regular Private 120K 2,803.00 2,595.00 1,713.00 1,299.00
Semi -Private 100K 2,574.00 2,345.00 1,360.00 1,038.00
Semi -Private 80K 2,546.00 2,294.00 1,328.00 1,013.00
Ward 70K 2,379.00 2,201.00 1,091.00 837.00
MACCIMAX COVERAGE
300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
150,000.00/ PER YEAR
LIFE PROTECTION
4,000,000.00

PROPOSAL POLICY

NAME OF INSURED
MALE : AGE 31-35
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,406.00 2,976.00 2,466.00 1,857.00
Platinum Large Private 195k 3,089.00 2,742.00 2,200.00 1,513.00
 Regular Private 170k 2,937.00 2,626.00 1,792.00 1,354.00
Regular Private 120K 2,859.00 2,572.00 1,713.00 1,299.00
Semi -Private 100K 2,633.00 2,404.00 1,360.00 1,038.00
Semi -Private 80K 2,601.00 2,350.00 1,328.00 1,013.00
Ward 70K 2,435.00 2,257.00 1,091.00 837.00
MACCIMAX COVERAGE
500,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
300,000.00/ PER YEAR
LIFE PROTECTION
4,000,000.00

MANULIFE 2022

LIST OF HOSPITAL CREDITED:

 PROPOSAL POLICY

NAME OF INSURED
FEMALE : AGE 36-40
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 2,972.00 2,542.00 2,466.00 1,857.00
Platinum Large Private 195k 2,503.00 2,308.00 2,200.00 1,513.00
Regular Private 170k 2,503.00 2,192.00 1,792.00 1,354.00
Regular Private 120K 2,425.00 2,129.00 1,713.00 1,299.00
Semi -Private 100K 2,199.00 1,970.00 1,360.00 1,038.00
Semi -Private 80K 2,167.00 1,916.00 1,328.00 1,013.00
Ward 70K 2,000.00 1,823.00 1,091.00 837.00
MACCIMAX COVERAGE
300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
150,000.00/ PER YEAR
LIFE PROTECTION
3,000,000.00

PROPOSAL POLICY

NAME OF INSURED

FEMALE : AGE 36-40

PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION

 with out 9
ROOM & BOARD ACCOMODATION Major
with 9 Major Hospital
Hospital with with out
Healthway Healthway
MONTHLY PAYMENT
Small Suite 240k 3,169.00 2,739.00 2,466.00 1,857.00
Platinum Large Private 195k 2,852.00 2,505.00 2,200.00 1,513.00
Regular Private 170k 2,700.00 2,389.00 1,792.00 1,354.00
Regular Private 120K 12,622.00 2,335.00 1,713.00 1,299.00
Semi -Private 100K 2,396.00 2,167.00 1,360.00 1,038.00
Semi -Private 80K 2,364.00 2,113.00 1,328.00 1,013.00
Ward 70K 2,198.00 2,020.00 1,091.00 837.00
MACCIMAX COVERAGE
300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
200,000.00/ PER YEAR
LIFE PROTECTION
3,000,000.00

MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURED
MALE : AGE 36-40
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,399.00 2,969.00 2,466.00 1,857.00
Platinum Large Private 195k 3,082.00 2,735.00 2,200.00 1,513.00
Regular Private 170k 2,930.00 2,619.00 1,792.00 1,354.00
Regular Private 120K 2,852.00 2,556.00 1,713.00 1,299.00
Semi -Private 100K 2,625.00 2,397.00 1,360.00 1,038.00
Semi -Private 80K 2,594.00 2,343.00 1,328.00 1,013.00
Ward 70K 2,427.68 2,250.00 1,091.00 837.00
MACCIMAX COVERAGE
300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
150,000.00/ PER YEAR
LIFE PROTECTION
3,000,000.00

PROPOSAL POLICY

NAME OF INSURED

MALE : AGE 36-40

PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION

ROOM & BOARD ACCOMODATION
With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,443.00 3,013.00 2,466.00 1,857.00
Platinum Large Private 195k 3,126.00 2,779.00 2,200.00 1,513.00
Regular Private 170k 2,974.00 2,663.00 1,792.00 1,354.00
Regular Private 120K 2,896.00 2,609.00 1,713.00 1,299.00
Semi -Private 100K 2,670.00 2,441.00 1,360.00 1,038.00
Semi -Private 80K 2,638.00 2,387.00 1,328.00 1,013.00
Ward 70K 2,472.00 2,294.00 1,091.00 837.00
MACCIMAX COVERAGE
300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
200,000.00/ PER YEAR
LIFE PROTECTION
3,000,000.00

MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
FEMALE : AGE 41-45
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,265.00 2,835.66 2,466.00 1,857.00
Platinum Large Private 195k 1,948.00 2,601.66 2,200.00 1,513.00
Regular Private 170k 2,796.00 2,485.66 1,792.00 1,354.00
Regular Private 120K 2,718.00 2,431.66 1,713.00 1,299.00
Semi -Private 100K 2,492.00 2,263.66 1,360.00 1,038.00
Semi -Private 80K 2,460.00 2,209.66 1,328.00 1,013.00
Ward 70K 2,374.00 2,116.66 1,091.00 837.00
MACCIMAX COVERAGE
100,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
150,000.00/ PER YEAR
LIFE PROTECTION
3,000,000.00

PROPOSAL POLICY

NAME OF INSURED
FEMALE : AGE 41-45
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
 Small Suite 240k 3,363.00 2,933.00 2,466.00 1,857.00
Platinum Large Private 195k 3,046.00 2,699.00 2,200.00 1,513.00
Regular Private 170k 2,894.00 2,583.00 1,792.00 1,354.00
Regular Private 120K 2,816.00 2,529.00 1,713.00 1,299.00
Semi -Private 100K 2,590.00 2,361.00 1,360.00 1,038.00
Semi -Private 80K 2,558.00 2,307.00 1,328.00 1,013.00
Ward 70K 2,392.00 2,214.00 1,091.00 837.00
MACCIMAX COVERAGE
200,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
200,000.00/ PER YEAR
LIFE PROTECTION
3,000,000.00

MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
MALE : AGE 41-45
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,361.64 2,931.64 2,466.00 1,857.00
Platinum Large Private 195k 3,044.64 2,697.64 2,200.00 1,513.00
Regular Private 170k 2,892.64 2,581.64 1,792.00 1,354.00
Regular Private 120K 2,814.64 2,527.64 1,713.00 1,299.00
Semi -Private 100K 2,588.64 2,359.64 1,360.00 1,038.00
Semi -Private 80K 2,556.64 2,305.64 1,328.00 1,013.00
Ward 70K 2,470.64 2,212.64 1,091.00 837.00
MACCIMAX COVERAGE
300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
150,000.00/ PER YEAR
LIFE PROTECTION
4,000,000.00

PROPOSAL POLICY

NAME OF INSURED
MALE : AGE 41-45
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
 Small Suite 240k 3,518.00 3,088.00 2,466.00 1,857.00
Platinum Large Private 195k 3,201.00 2,854.00 2,200.00 1,513.00
Regular Private 170k 3,049.00 2,738.00 1,792.00 1,354.00
Regular Private 120K 2,971.00 2,684.00 1,713.00 1,299.00
Semi -Private 100K 2,745.00 2,516.00 1,360.00 1,038.00
Semi -Private 80K 2,713.00 2,462.00 1,328.00 1,013.00
Ward 70K 2,547.00 2,369.00 1,091.00 837.00
MACCIMAX COVERAGE
200,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
200,000.00/ PER YEAR
LIFE PROTECTION
3,000,000.00

MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
FEMALE : AGE 46-50
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,506.81 3,076.81 2,466.00 1,857.00
Large Private 195k 3,189.81 2,842.81 2,200.00 1,513.00
Regular Private 170k 3,037.81 2,726.81 1,792.00 1,354.00
Regular Private 120K 2,959.81 2,672.81 1,713.00 1,299.00
Semi -Private 100K 2,733.81 2,450.81 1,360.00 1,038.00
Semi -Private 80K 2,701.81 2,450.81 1,328.00 1,013.00
Ward 70K 2,615.81 2,357.81 1,091.00 837.00
MACCIMAX COVERAGE
100,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
100,000.00/ PER YEAR
LIFE PROTECTION
2,000,000.00

PROPOSAL POLICY

NAME OF INSURER:
FEMALE : AGE 46-50
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
 Small Suite 240k 3,468.00 3,038.00 2,466.00 1,857.00
Platinum Large Private 195k 3,151.00 2,804.00 2,200.00 1,513.00
Regular Private 170k 2,999.00 2,688.00 1,792.00 1,354.00
Regular Private 120K 2,921.00 2,634.00 1,713.00 1,299.00
Semi -Private 100K 2,695.00 2,466.00 1,360.00 1,038.00
Semi -Private 80K 2,663.00 2,412.00 1,328.00 1,013.00
Ward 70K 2,497.00 2,319.00 1,091.00 837.00
MACCIMAX COVERAGE
200,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
200,000.00/ PER YEAR
LIFE PROTECTION
2,000,000.00

MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
MALE : AGE 46-50
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,506.81 3,076.81 2,466.00 1,857.00
Large Private 195k 3,189.81 2,842.81 2,200.00 1,513.00
Regular Private 170k 3,037.81 2,726.81 1,792.00 1,354.00
Regular Private 120K 2,959.81 2,672.81 1,713.00 1,299.00
Semi -Private 100K 2,733.81 2,504.81 1,360.00 1,038.00
Semi -Private 80K 2,701.81 2,450.81 1,328.00 1,013.00
Ward 70K 2,535.81 2,357.81 1,091.00 837.00
MACCIMAX COVERAGE
50,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
50,000.00/ PER YEAR
LIFE PROTECTION
2,000,000.00

PROPOSAL POLICY

NAME OF INSURER:
MALE : AGE 46-50
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
 Small Suite 240k 3,694.00 3,264.00 2,466.00 1,857.00
Platinum Large Private 195k 3,377.00 3,030.00 2,200.00 1,513.00
Regular Private 170k 3,225.00 3,914.00 1,792.00 1,354.00
Regular Private 120K 3,147.00 2,860.00 1,713.00 1,299.00
Semi -Private 100K 2,921.00 2,692.00 1,360.00 1,038.00
Semi -Private 80K 2,889.00 2,638.00 1,328.00 1,013.00
Ward 70K 2,723.00 2,545.00 1,091.00 837.00
MACCIMAX COVERAGE
100,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
100,000.00/ PER YEAR
LIFE PROTECTION
2,000,000.00

MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
FEMALE : AGE 51-55
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,758.00 3,328.00 2,466.00 1,857.00
Large Private 195k 3,441.00 3,094.00 2,200.00 1,513.00
Regular Private 170k 3,289.00 2,978.00 1,792.00 1,354.00
Regular Private 120K 3,211.00 2,924.00 1,713.00 1,299.00
Semi -Private 100K 2,985.00 2,756.00 1,360.00 1,038.00
Semi -Private 80K 2,953.00 2,702.00 1,328.00 1,013.00
Ward 70K 2,867.00 2,609.00 1,091.00 837.00
MACCIMAX COVERAGE
100,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
100,000.00/ PER YEAR
LIFE PROTECTION
2,000,000.00

PROPOSAL POLICY

NAME OF INSURER:
FEMALE : AGE 50-55
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
 Small Suite 240k 4,018.53 3,588.53 2,466.00 1,857.00
Large Private 195k 3,701.53 3,354.53 2,200.00 1,513.00
Regular Private 170k 3,549.53 3,238.53 1,792.00 1,354.00
Regular Private 120K 3,471.53 3,184.53 1,713.00 1,299.00
Semi -Private 100K 3,245.53 3,016.53 1,360.00 1,038.00
Semi -Private 80K 3,213.53 2,962.53 1,328.00 1,013.00
Ward 70K 3,047.53 2,869.53 1,091.00 837.00
MACCIMAX COVERAGE
100,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
200,000.00/ PER YEAR
LIFE PROTECTION
2,000,000.00

MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
MALE : AGE 51-55
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,520.00 3,090.00 2,466.00 1,857.00
Large Private 195k 3,203.00 2,856.00 2,200.00 1,513.00
Regular Private 170k 3,504.00 2,680.00 1,792.00 1,354.00
Regular Private 120K 2,973.00 2,677.00 1,713.00 1,299.00
Semi -Private 100K 2,747.00 2,518.00 1,360.00 1,038.00
Semi -Private 80K 2,715.00 2,464.00 1,328.00 1,013.00
Ward 70K 2,549.00 2,371.00 1,091.00 837.00
MACCIMAX COVERAGE
100,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
100,000.00/ PER YEAR
LIFE PROTECTION
2,000,000.00

PROPOSAL POLICY

NAME OF INSURER:
MALE : AGE 50-55
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
 Small Suite 240k 4,033.00 3,603.00 2,466.00 1,857.00
Large Private 195k 3,716.00 3,369.00 2,200.00 1,513.00
Regular Private 170k 3,564.00 4,253.00 1,792.00 1,354.00
Regular Private 120K 3,486.00 3,199.00 1,713.00 1,299.00
Semi -Private 100K 3,260.00 3,031.00 1,360.00 1,038.00
Semi -Private 80K 3,228.00 2,977.00 1,328.00 1,013.00
Ward 70K 3,062.00 2,884.00 1,091.00 837.00
MACCIMAX COVERAGE
100,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
200,000.00/ PER YEAR
LIFE PROTECTION
2,000,000.00

MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
FEMALE : AGE 56-60
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,138.00 2,708.00 2,466.00 1,857.00
Large Private 195k 2,821.00 2,474.00 2,200.00 1,513.00
Regular Private 170k 2,669.00 2,358.00 1,792.00 1,354.00
Regular Private 120K 2,591.00 2,304.00 1,713.00 1,299.00
Semi -Private 100K 2,365.00 2,136.00 1,360.00 1,038.00
Semi -Private 80K 2,333.00 2,082.00 1,328.00 1,013.00
Ward 70K 2,247.00 1,989.00 1,091.00 837.00
MACCIMAX COVERAGE
300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
150,000.00/ PER YEAR
LIFE PROTECTION
4,000,000.00

PROPOSAL POLICY

NAME OF INSURER:
FEMALE : AGE 56-60
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
 Small Suite 240k 3,847.24 3,417.24 2,466.00 1,857.00
Large Private 195k 3,530.24 3,183.24 2,200.00 1,513.00
Regular Private 170k 3,378.24 3,067.24 1,792.00 1,354.00
Regular Private 120K 3,300.24 3,013.24 1,713.00 1,299.00
Semi -Private 100K 3,074.24 2,845.24 1,360.00 1,038.00
Semi -Private 80K 3,042.24 2,791.24 1,328.00 1,013.00
Ward 70K 2,876.24 2,698.24 1,091.00 837.00
MACCIMAX COVERAGE
200,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
200,000.00/ PER YEAR
LIFE PROTECTION
1,000,000.00
MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
MALE : AGE 56-60
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,374.00 2,944.00 2,466.00 1,857.00
Large Private 195k 3,057.00 2,710.00 2,200.00 1,513.00
Regular Private 170k 2,905.00 2,594.00 1,792.00 1,354.00
Regular Private 120K 2,827.00 2,540.00 1,713.00 1,299.00
Semi -Private 100K 2,601.00 2,372.00 1,360.00 1,038.00
Semi -Private 80K 2,569.00 2,318.00 1,328.00 1,013.00
Ward 70K 2,403.00 225.00 1,091.00 837.00
MACCIMAX COVERAGE
300,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
150,000.00/ PER YEAR
LIFE PROTECTION
4,000,000.00

PROPOSAL POLICY

NAME OF INSURER:
MALE : AGE 56-60
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
 Small Suite 240k 3,940.00 3,510.00 2,466.00 1,857.00
Large Private 195k 3,623.00 3,276.00 2,200.00 1,513.00
Regular Private 170k 3,471.00 3,160.00 1,792.00 1,354.00
Regular Private 120K 3,393.00 3,106.00 1,713.00 1,299.00
Semi -Private 100K 3,167.00 2,938.00 1,360.00 1,038.00
Semi -Private 80K 3,135.00 2,884.00 1,328.00 1,013.00
Ward 70K 2,969.00 2,791.00 1,091.00 837.00
MACCIMAX COVERAGE
100,000 /PER YEAR
CRITICAL ILLNESS COVERAGE
W/ 60 CRITICAL ILLNESSES
100,000.00/ PER YEAR
LIFE PROTECTION
1,000,000.00
MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
FEMALE : AGE 61-65
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,888.00 3,458.00 2,466.00 1,857.00
Large Private 195k 3,571.00 3,224.00 2,200.00 1,513.00
Regular Private 170k 3,419.00 3,108.00 1,792.00 1,354.00
Regular Private 120K 3,341.00 3,054.00 1,713.00 1,299.00
Semi -Private 100K 3,115.00 2,886.00 1,360.00 1,038.00
Semi -Private 80K 3,083.00 2,832.00 1,328.00 1,013.00
Ward 70K 2,997.00 2,739.00 1,091.00 837.00

LIFE PROTECTION 1,000,000.00

PROPOSAL POLICY

NAME OF INSURER:
FEMALE : AGE 61-65
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With out 9 With out 9
With 9 Major Major With 9 Major Major
Hospital Hospital Hospital Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 3,888.00 3,458.00 2,466.00 1,857.00
 Large Private 195k 3,571.00 3,224.00 2,200.00 1,513.00
Regular Private 170k 3,419.00 3,108.00 1,792.00 1,354.00
Regular Private 120K 3,341.00 3,054.00 1,713.00 1,299.00
Semi -Private 100K 3,115.00 2,886.00 1,360.00 1,038.00
Semi -Private 80K 3,083.00 2,832.00 1,328.00 1,013.00
Ward 70K 2,997.00 2,739.00 1,091.00 837.00

LIFE PROTECTION 1,000,000.00

MANULIFE 2022
 PROPOSAL POLICY

NAME OF INSURER:
MALE : AGE 61-65
PLAN A

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 4,162.00 3,732.00 2,466.00 1,857.00
Large Private 195k 3,845.00 3,498.00 2,200.00 1,513.00
Regular Private 170k 3,693.00 3,382.00 1,792.00 1,354.00
Regular Private 120K 3,615.00 3,328.00 1,713.00 1,299.00
Semi -Private 100K 3,389.00 3,160.00 1,360.00 1,038.00
Semi -Private 80K 3,357.00 24,606.00 1,328.00 1,013.00
Ward 70K 3,271.00 3,013.00 1,091.00 837.00

LIFE PROTECTION 1,000,000.00

PROPOSAL POLICY

NAME OF INSURER:
MALE : AGE 61-65
PLAN B

HOSPITALIZATION MAXIMUM

PRINCIPAL EACH DEPENDENT

ROOM & BOARD ACCOMODATION With 9 With out 9 With 9
Major Major Major With out 9
Hospital Hospital Hospital Major Hospital
MONTHLY PAYMENT MONTHLY PAYMENT
Small Suite 240k 4,117.00 3,687.00 2,466.00 1,857.00
 Large Private 195k 3,800.00 3,453.00 2,200.00 1,513.00
Regular Private 170k 3,648.00 3,337.00 1,792.00 1,354.00
Regular Private 120K 3,570.00 3,283.00 1,713.00 1,299.00
Semi -Private 100K 3,344.00 3,115.00 1,360.00 1,038.00
Semi -Private 80K 3,312.00 3,061.00 1,328.00 1,013.00
Ward 70K 3,226.00 2,968.00 1,091.00 837.00

LIFE PROTECTION 1,000,000.00

MANULIFE 2022
PERSONAL INFORMATION SHEET

PRINCIPAL INFORMATION
LAST NAME FIRST NAME MIDDLE NAME
Date of Birth Gender Civil Status Height Weight
GSIS/UMID/SSS: Mobile
Place of Birth: TIN: NO. Occupation: Number
PRESENT ADDRESS: OFFICE ADDRESS: EMAIL:
NO. OF
ESTIMATED YEARS
ANNUAL INCOME NATURE OF BUSINESS SERVICES
1. PRIMARY BENEFICIARY INFORMATION
LAST NAME FIRST NAME MIDDLE NAME

PERCENTAGE OF SHARE

Date of Birth Gender Civil Status Height Weight

GSIS/UMID/SSS: Mobile
Place of Birth: TIN: NO. Occupation: Number
PRESENT ADDRESS: OFFICE ADDRESS: EMAIL:
2. PRIMARY BENEFICIARY INFORMATION
LAST NAME FIRST NAME MIDDLE NAME

PERCENTAGE OF SHARE

Date of Birth Gender Civil Status Height Weight

GSIS/UMID/SSS: Mobile
Place of Birth: TIN: NO. Occupation: Number
PRESENT ADDRESS: OFFICE ADDRESS: EMAIL:
3. PRIMARY BENEFICIARY INFORMATION
LAST NAME FIRST NAME MIDDLE NAME
Date of Birth Gender Civil Status Height Weight
GSIS/UMID/SSS: Mobile
Place of Birth: TIN: NO. Occupation: Number
PRESENT ADDRESS: OFFICE ADDRESS: EMAIL: