Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans...

20
Department of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Benefts Revised May 2012 Administration P71900 Washington, DC 20420

Transcript of Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans...

Page 1: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

Department of Veterans Affairs

Service-DisabledVeterans InsuranceRHInformation andPremium Rates

VA Pamphlet 29-9 Veterans Benefits Revised May 2012 Administration P71900 Washington DC 20420

General

This pamphlet contains premium rates and descriptions of the various plans of insurance issued under the Service-Disabled Veterans Insurance Program Policies for this insurance are issued with the letters ldquoRHrdquo in front of the policy number NOTE RH insurance is nonparticipating which means that no dividends are paid

Who May Apply for RH Insurance

You may apply for RH Insurance if you meet the following 4 criteria

1 You were released from active service on or after April 25 1951

2 You were released under other than dishonorable conditions

3 You have a service-connected disability

4 You apply within 2 years from the date VA grants your new service-connected disability

You must also send one monthly premium with your application unless you plan on paying premiums by deduction from VA compensation benefits or allotment from your service pay

You must be in good health except for your service-connected disability(ies) You may qualify for this coverage even if you have been rejected for insurance by a commercial company or were offered a policy at high premiums because of your service-connected disability(ies)

1

How to Use this Pamphlet

This pamphlet should be used when you fill out your application Your application will refer you to pages in this pamphlet Simply review that page before completing the block

Example

B Plans of Insurance (See pages 6 amp 7)

Each plan of insurance has a different cost Pages 8-16 of this pamphlet show the rates for each plan Please note that premium rates starting on page 8 are shown for $1000 of insurance Once you decide how much insurance you want multiply that amount by the rate for your age and plan

Example

Table 3-Rate per $1000 monthly

Age 51 $257

If you want $10000 worth of insurance 257 X 10

Your rate is $2570

Before you decide to apply for this coverage we encourage you to compare our premium rates to a few other insurance companies If your disability is not too serious a commercial company may be able to offer you a better deal

2

How To Contact Us

Mailing Address Department of Veterans Affairs Regional Office and Insurance Center PO Box 7208 Philadelphia PA 19101

Web site wwwinsurancevagov

Life Insurance Toll-free 1-800-669-8477

Beneficiary Information

Below is some information that should help you complete the beneficiary portion of your RH application

bull You may name as beneficiary(ies) any person firm corporation or other legal entity including your estate A state court order or divorce decree cannot restrict this right

bull The preprinted phrase ldquoor to survivorsrdquo refers to how payments will be made if a principal beneficiary dies before you See the example below

Example If you name three principal beneficiaries and one dies before you that share will be paid to the other principal beneficiaries not to any contingent beneficiary(ies) If you want the contingent beneficiary(ies) to receive that share instead simply cross out the phrase ldquoor to survivorrdquo

3

Amount of Insurance

You can purchase this insurance in amounts from $1000 to $10000 (in multiples of $500) If you have other Government Life Insurance the total amount of the policies cannot be more than $10000 (not including SGLI and VGLI) In other words even though you are covered under Servicemembersrsquo or Veteransrsquo Group Life Insurance this does not deny you the right to buy RH insurance

You may apply for any plans described in this pamphlet starting on page 6 However if you are totally disabled you are not eligible for any of the endowment plans described

Waiver of Premiums

We will waive your premiums if you become totally disabled from any condition before your 65th birthday and remain totally disabled for 6 or more consecutive months This means that you will not have to pay premiums as long as you remain totally disabled Please note that you can apply for waiver even if your disability began before you apply for RH insurance

Itrsquos to your advantage to apply for waiver as soon as possible if you are unable to work due to your disability The percentage of your disability does not determine if we will approve your application

4

4

Insurance Age and Premium Rates

Your age for insurance purposes is not always your actual age If 6 months or more have passed since your last birthday you are considered 1 year older

ExampleIf your birthday is 11280 and you apply forthe insurance 53011 you would be 30 years 5 months and 29 days old For insurance purposes you would be 30

If your birthday is 11280 and you apply forthe insurance 63011 you would be 30 years 6 months and 29 days old For insurance purposes you would be 31

Take these three steps to find the rate that applies to you

1 Determine your age for insurance purposes 2 Use the insurance age and refer to Tables 1-9 in this pamphlet for premium rates

3 Remember that the rates are per $1000 of insurance coverage so you must multiply by the amount of insurance you want (See the sample on the inside front cover)

5

Features

bull Premiums increase every five yearsbull Premiums very low at younger ages increase considerably at older ages

bull Automatically renews every five yearsbull Can convert to a permanent plan

bull Must apply before age 61bull Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime

bull Cheapest permanent plan buthellipAmount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull Must apply before age 70bull Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime

bull Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull Pay same premium throughout lifetimebull No reduction of face amountbull Lowest premium payment of any of the permanent plans except Modified Life

bull Pay same premium for 20 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 30 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before 20 years your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 60 your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 65 your beneficiary will receive a check for the amount of the insurance

Loan Page

Plan and No for Cash Values Rates

8FIVE YEAR LEVEL NO PREMIUM TERM

MODIFIED LIFE AT AGE 65 YES 9

MODIFIED LIFE AT AGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENT AT AGE 60 YES 15

ENDOWMENT AT AGE 65 YES 16

6

PlanLoan and

Cash ValuesFIVE YEAR LEVELPREMIUM TERM

NO

MODIFIED LIFE ATAGE 65 YES 9

MODIFIED LIFE ATAGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENTATAGE 60 YES 15

ENDOWMENTATAGE 65 YES 16

6

Features

bull bull

bull bull

Premiums increase every five years Premiums very low at younger ages increase considerably at older ages Automatically renews every five years Can convert to a permanent plan

bull bull

bull

Must apply before age 61 Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime Cheapest permanent plan buthellip Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull bull

bull

Must apply before age 70 Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull bull bull

Pay same premium throughout lifetime No reduction of face amount Lowest premium payment of any of the permanent plans except Modified Life

bull

bull

Pay same premium for 20 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 30 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before 20 years your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 60 your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 65 your beneficiary will receive a check for the amount of the insurance

7

5-YEAR LEVEL PREMIUM TERM Premium per $1000

Insurance Age Mo Qr SA Ann 16 19 57 113 226 17 20 60 119 238 18 20 60 119 238 19 21 63 125 249 20 21 63 125 249 21 22 66 131 261 22 23 69 137 273 23 24 72 143 285 24 25 75 149 297 25 26 78 155 309 26 27 81 161 321 27 28 84 167 333 28 29 87 173 344 29 31 93 185 368 30 32 96 191 380 31 34 102 203 404 32 36 108 215 428 33 38 114 227 451 34 40 120 239 475 35 43 129 257 511 36 45 135 269 535 37 48 144 287 570 38 51 153 305 606 39 54 162 323 641 40 58 174 346 689 41 62 186 370 736 42 67 201 400 796 43 71 213 424 843 44 76 228 454 903 45 82 246 490 974 46 88 264 526 1045 47 95 284 567 1128 48 102 305 609 1212 49 110 329 657 1307 50 119 356 711 1414 51 128 383 764 1520 52 138 413 824 1639 53 149 446 890 1770 54 161 482 962 1912 55 175 524 1045 2079 56 189 566 1129 2245 57 204 611 1218 2423 58 221 662 1320 2625 59 240 719 1433 2851 60 260 779 1553 3088 61 282 844 1684 3350 62 305 913 1822 3623 63 331 991 1977 3932 64 359 1075 2144 4264 65 390 1168 2329 4633 66 423 1267 2526 5025 67 459 1374 2741 5452 68 498 1491 2974 5915 69 541 1620 3231 6426 70 587 1758 3506 6973

NOTE Premiums for ldquoRHrdquo term policies are capped at the age 70 rate

8

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 2: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

General

This pamphlet contains premium rates and descriptions of the various plans of insurance issued under the Service-Disabled Veterans Insurance Program Policies for this insurance are issued with the letters ldquoRHrdquo in front of the policy number NOTE RH insurance is nonparticipating which means that no dividends are paid

Who May Apply for RH Insurance

You may apply for RH Insurance if you meet the following 4 criteria

1 You were released from active service on or after April 25 1951

2 You were released under other than dishonorable conditions

3 You have a service-connected disability

4 You apply within 2 years from the date VA grants your new service-connected disability

You must also send one monthly premium with your application unless you plan on paying premiums by deduction from VA compensation benefits or allotment from your service pay

You must be in good health except for your service-connected disability(ies) You may qualify for this coverage even if you have been rejected for insurance by a commercial company or were offered a policy at high premiums because of your service-connected disability(ies)

1

How to Use this Pamphlet

This pamphlet should be used when you fill out your application Your application will refer you to pages in this pamphlet Simply review that page before completing the block

Example

B Plans of Insurance (See pages 6 amp 7)

Each plan of insurance has a different cost Pages 8-16 of this pamphlet show the rates for each plan Please note that premium rates starting on page 8 are shown for $1000 of insurance Once you decide how much insurance you want multiply that amount by the rate for your age and plan

Example

Table 3-Rate per $1000 monthly

Age 51 $257

If you want $10000 worth of insurance 257 X 10

Your rate is $2570

Before you decide to apply for this coverage we encourage you to compare our premium rates to a few other insurance companies If your disability is not too serious a commercial company may be able to offer you a better deal

2

How To Contact Us

Mailing Address Department of Veterans Affairs Regional Office and Insurance Center PO Box 7208 Philadelphia PA 19101

Web site wwwinsurancevagov

Life Insurance Toll-free 1-800-669-8477

Beneficiary Information

Below is some information that should help you complete the beneficiary portion of your RH application

bull You may name as beneficiary(ies) any person firm corporation or other legal entity including your estate A state court order or divorce decree cannot restrict this right

bull The preprinted phrase ldquoor to survivorsrdquo refers to how payments will be made if a principal beneficiary dies before you See the example below

Example If you name three principal beneficiaries and one dies before you that share will be paid to the other principal beneficiaries not to any contingent beneficiary(ies) If you want the contingent beneficiary(ies) to receive that share instead simply cross out the phrase ldquoor to survivorrdquo

3

Amount of Insurance

You can purchase this insurance in amounts from $1000 to $10000 (in multiples of $500) If you have other Government Life Insurance the total amount of the policies cannot be more than $10000 (not including SGLI and VGLI) In other words even though you are covered under Servicemembersrsquo or Veteransrsquo Group Life Insurance this does not deny you the right to buy RH insurance

You may apply for any plans described in this pamphlet starting on page 6 However if you are totally disabled you are not eligible for any of the endowment plans described

Waiver of Premiums

We will waive your premiums if you become totally disabled from any condition before your 65th birthday and remain totally disabled for 6 or more consecutive months This means that you will not have to pay premiums as long as you remain totally disabled Please note that you can apply for waiver even if your disability began before you apply for RH insurance

Itrsquos to your advantage to apply for waiver as soon as possible if you are unable to work due to your disability The percentage of your disability does not determine if we will approve your application

4

4

Insurance Age and Premium Rates

Your age for insurance purposes is not always your actual age If 6 months or more have passed since your last birthday you are considered 1 year older

ExampleIf your birthday is 11280 and you apply forthe insurance 53011 you would be 30 years 5 months and 29 days old For insurance purposes you would be 30

If your birthday is 11280 and you apply forthe insurance 63011 you would be 30 years 6 months and 29 days old For insurance purposes you would be 31

Take these three steps to find the rate that applies to you

1 Determine your age for insurance purposes 2 Use the insurance age and refer to Tables 1-9 in this pamphlet for premium rates

3 Remember that the rates are per $1000 of insurance coverage so you must multiply by the amount of insurance you want (See the sample on the inside front cover)

5

Features

bull Premiums increase every five yearsbull Premiums very low at younger ages increase considerably at older ages

bull Automatically renews every five yearsbull Can convert to a permanent plan

bull Must apply before age 61bull Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime

bull Cheapest permanent plan buthellipAmount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull Must apply before age 70bull Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime

bull Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull Pay same premium throughout lifetimebull No reduction of face amountbull Lowest premium payment of any of the permanent plans except Modified Life

bull Pay same premium for 20 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 30 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before 20 years your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 60 your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 65 your beneficiary will receive a check for the amount of the insurance

Loan Page

Plan and No for Cash Values Rates

8FIVE YEAR LEVEL NO PREMIUM TERM

MODIFIED LIFE AT AGE 65 YES 9

MODIFIED LIFE AT AGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENT AT AGE 60 YES 15

ENDOWMENT AT AGE 65 YES 16

6

PlanLoan and

Cash ValuesFIVE YEAR LEVELPREMIUM TERM

NO

MODIFIED LIFE ATAGE 65 YES 9

MODIFIED LIFE ATAGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENTATAGE 60 YES 15

ENDOWMENTATAGE 65 YES 16

6

Features

bull bull

bull bull

Premiums increase every five years Premiums very low at younger ages increase considerably at older ages Automatically renews every five years Can convert to a permanent plan

bull bull

bull

Must apply before age 61 Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime Cheapest permanent plan buthellip Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull bull

bull

Must apply before age 70 Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull bull bull

Pay same premium throughout lifetime No reduction of face amount Lowest premium payment of any of the permanent plans except Modified Life

bull

bull

Pay same premium for 20 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 30 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before 20 years your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 60 your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 65 your beneficiary will receive a check for the amount of the insurance

7

5-YEAR LEVEL PREMIUM TERM Premium per $1000

Insurance Age Mo Qr SA Ann 16 19 57 113 226 17 20 60 119 238 18 20 60 119 238 19 21 63 125 249 20 21 63 125 249 21 22 66 131 261 22 23 69 137 273 23 24 72 143 285 24 25 75 149 297 25 26 78 155 309 26 27 81 161 321 27 28 84 167 333 28 29 87 173 344 29 31 93 185 368 30 32 96 191 380 31 34 102 203 404 32 36 108 215 428 33 38 114 227 451 34 40 120 239 475 35 43 129 257 511 36 45 135 269 535 37 48 144 287 570 38 51 153 305 606 39 54 162 323 641 40 58 174 346 689 41 62 186 370 736 42 67 201 400 796 43 71 213 424 843 44 76 228 454 903 45 82 246 490 974 46 88 264 526 1045 47 95 284 567 1128 48 102 305 609 1212 49 110 329 657 1307 50 119 356 711 1414 51 128 383 764 1520 52 138 413 824 1639 53 149 446 890 1770 54 161 482 962 1912 55 175 524 1045 2079 56 189 566 1129 2245 57 204 611 1218 2423 58 221 662 1320 2625 59 240 719 1433 2851 60 260 779 1553 3088 61 282 844 1684 3350 62 305 913 1822 3623 63 331 991 1977 3932 64 359 1075 2144 4264 65 390 1168 2329 4633 66 423 1267 2526 5025 67 459 1374 2741 5452 68 498 1491 2974 5915 69 541 1620 3231 6426 70 587 1758 3506 6973

NOTE Premiums for ldquoRHrdquo term policies are capped at the age 70 rate

8

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 3: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

How to Use this Pamphlet

This pamphlet should be used when you fill out your application Your application will refer you to pages in this pamphlet Simply review that page before completing the block

Example

B Plans of Insurance (See pages 6 amp 7)

Each plan of insurance has a different cost Pages 8-16 of this pamphlet show the rates for each plan Please note that premium rates starting on page 8 are shown for $1000 of insurance Once you decide how much insurance you want multiply that amount by the rate for your age and plan

Example

Table 3-Rate per $1000 monthly

Age 51 $257

If you want $10000 worth of insurance 257 X 10

Your rate is $2570

Before you decide to apply for this coverage we encourage you to compare our premium rates to a few other insurance companies If your disability is not too serious a commercial company may be able to offer you a better deal

2

How To Contact Us

Mailing Address Department of Veterans Affairs Regional Office and Insurance Center PO Box 7208 Philadelphia PA 19101

Web site wwwinsurancevagov

Life Insurance Toll-free 1-800-669-8477

Beneficiary Information

Below is some information that should help you complete the beneficiary portion of your RH application

bull You may name as beneficiary(ies) any person firm corporation or other legal entity including your estate A state court order or divorce decree cannot restrict this right

bull The preprinted phrase ldquoor to survivorsrdquo refers to how payments will be made if a principal beneficiary dies before you See the example below

Example If you name three principal beneficiaries and one dies before you that share will be paid to the other principal beneficiaries not to any contingent beneficiary(ies) If you want the contingent beneficiary(ies) to receive that share instead simply cross out the phrase ldquoor to survivorrdquo

3

Amount of Insurance

You can purchase this insurance in amounts from $1000 to $10000 (in multiples of $500) If you have other Government Life Insurance the total amount of the policies cannot be more than $10000 (not including SGLI and VGLI) In other words even though you are covered under Servicemembersrsquo or Veteransrsquo Group Life Insurance this does not deny you the right to buy RH insurance

You may apply for any plans described in this pamphlet starting on page 6 However if you are totally disabled you are not eligible for any of the endowment plans described

Waiver of Premiums

We will waive your premiums if you become totally disabled from any condition before your 65th birthday and remain totally disabled for 6 or more consecutive months This means that you will not have to pay premiums as long as you remain totally disabled Please note that you can apply for waiver even if your disability began before you apply for RH insurance

Itrsquos to your advantage to apply for waiver as soon as possible if you are unable to work due to your disability The percentage of your disability does not determine if we will approve your application

4

4

Insurance Age and Premium Rates

Your age for insurance purposes is not always your actual age If 6 months or more have passed since your last birthday you are considered 1 year older

ExampleIf your birthday is 11280 and you apply forthe insurance 53011 you would be 30 years 5 months and 29 days old For insurance purposes you would be 30

If your birthday is 11280 and you apply forthe insurance 63011 you would be 30 years 6 months and 29 days old For insurance purposes you would be 31

Take these three steps to find the rate that applies to you

1 Determine your age for insurance purposes 2 Use the insurance age and refer to Tables 1-9 in this pamphlet for premium rates

3 Remember that the rates are per $1000 of insurance coverage so you must multiply by the amount of insurance you want (See the sample on the inside front cover)

5

Features

bull Premiums increase every five yearsbull Premiums very low at younger ages increase considerably at older ages

bull Automatically renews every five yearsbull Can convert to a permanent plan

bull Must apply before age 61bull Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime

bull Cheapest permanent plan buthellipAmount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull Must apply before age 70bull Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime

bull Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull Pay same premium throughout lifetimebull No reduction of face amountbull Lowest premium payment of any of the permanent plans except Modified Life

bull Pay same premium for 20 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 30 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before 20 years your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 60 your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 65 your beneficiary will receive a check for the amount of the insurance

Loan Page

Plan and No for Cash Values Rates

8FIVE YEAR LEVEL NO PREMIUM TERM

MODIFIED LIFE AT AGE 65 YES 9

MODIFIED LIFE AT AGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENT AT AGE 60 YES 15

ENDOWMENT AT AGE 65 YES 16

6

PlanLoan and

Cash ValuesFIVE YEAR LEVELPREMIUM TERM

NO

MODIFIED LIFE ATAGE 65 YES 9

MODIFIED LIFE ATAGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENTATAGE 60 YES 15

ENDOWMENTATAGE 65 YES 16

6

Features

bull bull

bull bull

Premiums increase every five years Premiums very low at younger ages increase considerably at older ages Automatically renews every five years Can convert to a permanent plan

bull bull

bull

Must apply before age 61 Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime Cheapest permanent plan buthellip Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull bull

bull

Must apply before age 70 Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull bull bull

Pay same premium throughout lifetime No reduction of face amount Lowest premium payment of any of the permanent plans except Modified Life

bull

bull

Pay same premium for 20 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 30 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before 20 years your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 60 your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 65 your beneficiary will receive a check for the amount of the insurance

7

5-YEAR LEVEL PREMIUM TERM Premium per $1000

Insurance Age Mo Qr SA Ann 16 19 57 113 226 17 20 60 119 238 18 20 60 119 238 19 21 63 125 249 20 21 63 125 249 21 22 66 131 261 22 23 69 137 273 23 24 72 143 285 24 25 75 149 297 25 26 78 155 309 26 27 81 161 321 27 28 84 167 333 28 29 87 173 344 29 31 93 185 368 30 32 96 191 380 31 34 102 203 404 32 36 108 215 428 33 38 114 227 451 34 40 120 239 475 35 43 129 257 511 36 45 135 269 535 37 48 144 287 570 38 51 153 305 606 39 54 162 323 641 40 58 174 346 689 41 62 186 370 736 42 67 201 400 796 43 71 213 424 843 44 76 228 454 903 45 82 246 490 974 46 88 264 526 1045 47 95 284 567 1128 48 102 305 609 1212 49 110 329 657 1307 50 119 356 711 1414 51 128 383 764 1520 52 138 413 824 1639 53 149 446 890 1770 54 161 482 962 1912 55 175 524 1045 2079 56 189 566 1129 2245 57 204 611 1218 2423 58 221 662 1320 2625 59 240 719 1433 2851 60 260 779 1553 3088 61 282 844 1684 3350 62 305 913 1822 3623 63 331 991 1977 3932 64 359 1075 2144 4264 65 390 1168 2329 4633 66 423 1267 2526 5025 67 459 1374 2741 5452 68 498 1491 2974 5915 69 541 1620 3231 6426 70 587 1758 3506 6973

NOTE Premiums for ldquoRHrdquo term policies are capped at the age 70 rate

8

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 4: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

How To Contact Us

Mailing Address Department of Veterans Affairs Regional Office and Insurance Center PO Box 7208 Philadelphia PA 19101

Web site wwwinsurancevagov

Life Insurance Toll-free 1-800-669-8477

Beneficiary Information

Below is some information that should help you complete the beneficiary portion of your RH application

bull You may name as beneficiary(ies) any person firm corporation or other legal entity including your estate A state court order or divorce decree cannot restrict this right

bull The preprinted phrase ldquoor to survivorsrdquo refers to how payments will be made if a principal beneficiary dies before you See the example below

Example If you name three principal beneficiaries and one dies before you that share will be paid to the other principal beneficiaries not to any contingent beneficiary(ies) If you want the contingent beneficiary(ies) to receive that share instead simply cross out the phrase ldquoor to survivorrdquo

3

Amount of Insurance

You can purchase this insurance in amounts from $1000 to $10000 (in multiples of $500) If you have other Government Life Insurance the total amount of the policies cannot be more than $10000 (not including SGLI and VGLI) In other words even though you are covered under Servicemembersrsquo or Veteransrsquo Group Life Insurance this does not deny you the right to buy RH insurance

You may apply for any plans described in this pamphlet starting on page 6 However if you are totally disabled you are not eligible for any of the endowment plans described

Waiver of Premiums

We will waive your premiums if you become totally disabled from any condition before your 65th birthday and remain totally disabled for 6 or more consecutive months This means that you will not have to pay premiums as long as you remain totally disabled Please note that you can apply for waiver even if your disability began before you apply for RH insurance

Itrsquos to your advantage to apply for waiver as soon as possible if you are unable to work due to your disability The percentage of your disability does not determine if we will approve your application

4

4

Insurance Age and Premium Rates

Your age for insurance purposes is not always your actual age If 6 months or more have passed since your last birthday you are considered 1 year older

ExampleIf your birthday is 11280 and you apply forthe insurance 53011 you would be 30 years 5 months and 29 days old For insurance purposes you would be 30

If your birthday is 11280 and you apply forthe insurance 63011 you would be 30 years 6 months and 29 days old For insurance purposes you would be 31

Take these three steps to find the rate that applies to you

1 Determine your age for insurance purposes 2 Use the insurance age and refer to Tables 1-9 in this pamphlet for premium rates

3 Remember that the rates are per $1000 of insurance coverage so you must multiply by the amount of insurance you want (See the sample on the inside front cover)

5

Features

bull Premiums increase every five yearsbull Premiums very low at younger ages increase considerably at older ages

bull Automatically renews every five yearsbull Can convert to a permanent plan

bull Must apply before age 61bull Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime

bull Cheapest permanent plan buthellipAmount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull Must apply before age 70bull Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime

bull Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull Pay same premium throughout lifetimebull No reduction of face amountbull Lowest premium payment of any of the permanent plans except Modified Life

bull Pay same premium for 20 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 30 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before 20 years your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 60 your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 65 your beneficiary will receive a check for the amount of the insurance

Loan Page

Plan and No for Cash Values Rates

8FIVE YEAR LEVEL NO PREMIUM TERM

MODIFIED LIFE AT AGE 65 YES 9

MODIFIED LIFE AT AGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENT AT AGE 60 YES 15

ENDOWMENT AT AGE 65 YES 16

6

PlanLoan and

Cash ValuesFIVE YEAR LEVELPREMIUM TERM

NO

MODIFIED LIFE ATAGE 65 YES 9

MODIFIED LIFE ATAGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENTATAGE 60 YES 15

ENDOWMENTATAGE 65 YES 16

6

Features

bull bull

bull bull

Premiums increase every five years Premiums very low at younger ages increase considerably at older ages Automatically renews every five years Can convert to a permanent plan

bull bull

bull

Must apply before age 61 Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime Cheapest permanent plan buthellip Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull bull

bull

Must apply before age 70 Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull bull bull

Pay same premium throughout lifetime No reduction of face amount Lowest premium payment of any of the permanent plans except Modified Life

bull

bull

Pay same premium for 20 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 30 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before 20 years your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 60 your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 65 your beneficiary will receive a check for the amount of the insurance

7

5-YEAR LEVEL PREMIUM TERM Premium per $1000

Insurance Age Mo Qr SA Ann 16 19 57 113 226 17 20 60 119 238 18 20 60 119 238 19 21 63 125 249 20 21 63 125 249 21 22 66 131 261 22 23 69 137 273 23 24 72 143 285 24 25 75 149 297 25 26 78 155 309 26 27 81 161 321 27 28 84 167 333 28 29 87 173 344 29 31 93 185 368 30 32 96 191 380 31 34 102 203 404 32 36 108 215 428 33 38 114 227 451 34 40 120 239 475 35 43 129 257 511 36 45 135 269 535 37 48 144 287 570 38 51 153 305 606 39 54 162 323 641 40 58 174 346 689 41 62 186 370 736 42 67 201 400 796 43 71 213 424 843 44 76 228 454 903 45 82 246 490 974 46 88 264 526 1045 47 95 284 567 1128 48 102 305 609 1212 49 110 329 657 1307 50 119 356 711 1414 51 128 383 764 1520 52 138 413 824 1639 53 149 446 890 1770 54 161 482 962 1912 55 175 524 1045 2079 56 189 566 1129 2245 57 204 611 1218 2423 58 221 662 1320 2625 59 240 719 1433 2851 60 260 779 1553 3088 61 282 844 1684 3350 62 305 913 1822 3623 63 331 991 1977 3932 64 359 1075 2144 4264 65 390 1168 2329 4633 66 423 1267 2526 5025 67 459 1374 2741 5452 68 498 1491 2974 5915 69 541 1620 3231 6426 70 587 1758 3506 6973

NOTE Premiums for ldquoRHrdquo term policies are capped at the age 70 rate

8

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 5: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

Amount of Insurance

You can purchase this insurance in amounts from $1000 to $10000 (in multiples of $500) If you have other Government Life Insurance the total amount of the policies cannot be more than $10000 (not including SGLI and VGLI) In other words even though you are covered under Servicemembersrsquo or Veteransrsquo Group Life Insurance this does not deny you the right to buy RH insurance

You may apply for any plans described in this pamphlet starting on page 6 However if you are totally disabled you are not eligible for any of the endowment plans described

Waiver of Premiums

We will waive your premiums if you become totally disabled from any condition before your 65th birthday and remain totally disabled for 6 or more consecutive months This means that you will not have to pay premiums as long as you remain totally disabled Please note that you can apply for waiver even if your disability began before you apply for RH insurance

Itrsquos to your advantage to apply for waiver as soon as possible if you are unable to work due to your disability The percentage of your disability does not determine if we will approve your application

4

4

Insurance Age and Premium Rates

Your age for insurance purposes is not always your actual age If 6 months or more have passed since your last birthday you are considered 1 year older

ExampleIf your birthday is 11280 and you apply forthe insurance 53011 you would be 30 years 5 months and 29 days old For insurance purposes you would be 30

If your birthday is 11280 and you apply forthe insurance 63011 you would be 30 years 6 months and 29 days old For insurance purposes you would be 31

Take these three steps to find the rate that applies to you

1 Determine your age for insurance purposes 2 Use the insurance age and refer to Tables 1-9 in this pamphlet for premium rates

3 Remember that the rates are per $1000 of insurance coverage so you must multiply by the amount of insurance you want (See the sample on the inside front cover)

5

Features

bull Premiums increase every five yearsbull Premiums very low at younger ages increase considerably at older ages

bull Automatically renews every five yearsbull Can convert to a permanent plan

bull Must apply before age 61bull Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime

bull Cheapest permanent plan buthellipAmount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull Must apply before age 70bull Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime

bull Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull Pay same premium throughout lifetimebull No reduction of face amountbull Lowest premium payment of any of the permanent plans except Modified Life

bull Pay same premium for 20 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 30 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before 20 years your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 60 your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 65 your beneficiary will receive a check for the amount of the insurance

Loan Page

Plan and No for Cash Values Rates

8FIVE YEAR LEVEL NO PREMIUM TERM

MODIFIED LIFE AT AGE 65 YES 9

MODIFIED LIFE AT AGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENT AT AGE 60 YES 15

ENDOWMENT AT AGE 65 YES 16

6

PlanLoan and

Cash ValuesFIVE YEAR LEVELPREMIUM TERM

NO

MODIFIED LIFE ATAGE 65 YES 9

MODIFIED LIFE ATAGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENTATAGE 60 YES 15

ENDOWMENTATAGE 65 YES 16

6

Features

bull bull

bull bull

Premiums increase every five years Premiums very low at younger ages increase considerably at older ages Automatically renews every five years Can convert to a permanent plan

bull bull

bull

Must apply before age 61 Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime Cheapest permanent plan buthellip Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull bull

bull

Must apply before age 70 Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull bull bull

Pay same premium throughout lifetime No reduction of face amount Lowest premium payment of any of the permanent plans except Modified Life

bull

bull

Pay same premium for 20 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 30 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before 20 years your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 60 your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 65 your beneficiary will receive a check for the amount of the insurance

7

5-YEAR LEVEL PREMIUM TERM Premium per $1000

Insurance Age Mo Qr SA Ann 16 19 57 113 226 17 20 60 119 238 18 20 60 119 238 19 21 63 125 249 20 21 63 125 249 21 22 66 131 261 22 23 69 137 273 23 24 72 143 285 24 25 75 149 297 25 26 78 155 309 26 27 81 161 321 27 28 84 167 333 28 29 87 173 344 29 31 93 185 368 30 32 96 191 380 31 34 102 203 404 32 36 108 215 428 33 38 114 227 451 34 40 120 239 475 35 43 129 257 511 36 45 135 269 535 37 48 144 287 570 38 51 153 305 606 39 54 162 323 641 40 58 174 346 689 41 62 186 370 736 42 67 201 400 796 43 71 213 424 843 44 76 228 454 903 45 82 246 490 974 46 88 264 526 1045 47 95 284 567 1128 48 102 305 609 1212 49 110 329 657 1307 50 119 356 711 1414 51 128 383 764 1520 52 138 413 824 1639 53 149 446 890 1770 54 161 482 962 1912 55 175 524 1045 2079 56 189 566 1129 2245 57 204 611 1218 2423 58 221 662 1320 2625 59 240 719 1433 2851 60 260 779 1553 3088 61 282 844 1684 3350 62 305 913 1822 3623 63 331 991 1977 3932 64 359 1075 2144 4264 65 390 1168 2329 4633 66 423 1267 2526 5025 67 459 1374 2741 5452 68 498 1491 2974 5915 69 541 1620 3231 6426 70 587 1758 3506 6973

NOTE Premiums for ldquoRHrdquo term policies are capped at the age 70 rate

8

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 6: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

4

Insurance Age and Premium Rates

Your age for insurance purposes is not always your actual age If 6 months or more have passed since your last birthday you are considered 1 year older

ExampleIf your birthday is 11280 and you apply forthe insurance 53011 you would be 30 years 5 months and 29 days old For insurance purposes you would be 30

If your birthday is 11280 and you apply forthe insurance 63011 you would be 30 years 6 months and 29 days old For insurance purposes you would be 31

Take these three steps to find the rate that applies to you

1 Determine your age for insurance purposes 2 Use the insurance age and refer to Tables 1-9 in this pamphlet for premium rates

3 Remember that the rates are per $1000 of insurance coverage so you must multiply by the amount of insurance you want (See the sample on the inside front cover)

5

Features

bull Premiums increase every five yearsbull Premiums very low at younger ages increase considerably at older ages

bull Automatically renews every five yearsbull Can convert to a permanent plan

bull Must apply before age 61bull Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime

bull Cheapest permanent plan buthellipAmount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull Must apply before age 70bull Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime

bull Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull Pay same premium throughout lifetimebull No reduction of face amountbull Lowest premium payment of any of the permanent plans except Modified Life

bull Pay same premium for 20 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 30 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before 20 years your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 60 your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 65 your beneficiary will receive a check for the amount of the insurance

Loan Page

Plan and No for Cash Values Rates

8FIVE YEAR LEVEL NO PREMIUM TERM

MODIFIED LIFE AT AGE 65 YES 9

MODIFIED LIFE AT AGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENT AT AGE 60 YES 15

ENDOWMENT AT AGE 65 YES 16

6

PlanLoan and

Cash ValuesFIVE YEAR LEVELPREMIUM TERM

NO

MODIFIED LIFE ATAGE 65 YES 9

MODIFIED LIFE ATAGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENTATAGE 60 YES 15

ENDOWMENTATAGE 65 YES 16

6

Features

bull bull

bull bull

Premiums increase every five years Premiums very low at younger ages increase considerably at older ages Automatically renews every five years Can convert to a permanent plan

bull bull

bull

Must apply before age 61 Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime Cheapest permanent plan buthellip Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull bull

bull

Must apply before age 70 Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull bull bull

Pay same premium throughout lifetime No reduction of face amount Lowest premium payment of any of the permanent plans except Modified Life

bull

bull

Pay same premium for 20 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 30 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before 20 years your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 60 your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 65 your beneficiary will receive a check for the amount of the insurance

7

5-YEAR LEVEL PREMIUM TERM Premium per $1000

Insurance Age Mo Qr SA Ann 16 19 57 113 226 17 20 60 119 238 18 20 60 119 238 19 21 63 125 249 20 21 63 125 249 21 22 66 131 261 22 23 69 137 273 23 24 72 143 285 24 25 75 149 297 25 26 78 155 309 26 27 81 161 321 27 28 84 167 333 28 29 87 173 344 29 31 93 185 368 30 32 96 191 380 31 34 102 203 404 32 36 108 215 428 33 38 114 227 451 34 40 120 239 475 35 43 129 257 511 36 45 135 269 535 37 48 144 287 570 38 51 153 305 606 39 54 162 323 641 40 58 174 346 689 41 62 186 370 736 42 67 201 400 796 43 71 213 424 843 44 76 228 454 903 45 82 246 490 974 46 88 264 526 1045 47 95 284 567 1128 48 102 305 609 1212 49 110 329 657 1307 50 119 356 711 1414 51 128 383 764 1520 52 138 413 824 1639 53 149 446 890 1770 54 161 482 962 1912 55 175 524 1045 2079 56 189 566 1129 2245 57 204 611 1218 2423 58 221 662 1320 2625 59 240 719 1433 2851 60 260 779 1553 3088 61 282 844 1684 3350 62 305 913 1822 3623 63 331 991 1977 3932 64 359 1075 2144 4264 65 390 1168 2329 4633 66 423 1267 2526 5025 67 459 1374 2741 5452 68 498 1491 2974 5915 69 541 1620 3231 6426 70 587 1758 3506 6973

NOTE Premiums for ldquoRHrdquo term policies are capped at the age 70 rate

8

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 7: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

Features

bull Premiums increase every five yearsbull Premiums very low at younger ages increase considerably at older ages

bull Automatically renews every five yearsbull Can convert to a permanent plan

bull Must apply before age 61bull Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime

bull Cheapest permanent plan buthellipAmount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull Must apply before age 70bull Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime

bull Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull Pay same premium throughout lifetimebull No reduction of face amountbull Lowest premium payment of any of the permanent plans except Modified Life

bull Pay same premium for 20 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 30 years insurance continues inforce throughout your lifetime

bull No reduction of face amountbull Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before 20 years your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 60 your beneficiary will receive a check for the amount of the insurancebull Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans

bull If you die before age 65 your beneficiary will receive a check for the amount of the insurance

Loan Page

Plan and No for Cash Values Rates

8FIVE YEAR LEVEL NO PREMIUM TERM

MODIFIED LIFE AT AGE 65 YES 9

MODIFIED LIFE AT AGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENT AT AGE 60 YES 15

ENDOWMENT AT AGE 65 YES 16

6

PlanLoan and

Cash ValuesFIVE YEAR LEVELPREMIUM TERM

NO

MODIFIED LIFE ATAGE 65 YES 9

MODIFIED LIFE ATAGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENTATAGE 60 YES 15

ENDOWMENTATAGE 65 YES 16

6

Features

bull bull

bull bull

Premiums increase every five years Premiums very low at younger ages increase considerably at older ages Automatically renews every five years Can convert to a permanent plan

bull bull

bull

Must apply before age 61 Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime Cheapest permanent plan buthellip Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull bull

bull

Must apply before age 70 Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull bull bull

Pay same premium throughout lifetime No reduction of face amount Lowest premium payment of any of the permanent plans except Modified Life

bull

bull

Pay same premium for 20 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 30 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before 20 years your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 60 your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 65 your beneficiary will receive a check for the amount of the insurance

7

5-YEAR LEVEL PREMIUM TERM Premium per $1000

Insurance Age Mo Qr SA Ann 16 19 57 113 226 17 20 60 119 238 18 20 60 119 238 19 21 63 125 249 20 21 63 125 249 21 22 66 131 261 22 23 69 137 273 23 24 72 143 285 24 25 75 149 297 25 26 78 155 309 26 27 81 161 321 27 28 84 167 333 28 29 87 173 344 29 31 93 185 368 30 32 96 191 380 31 34 102 203 404 32 36 108 215 428 33 38 114 227 451 34 40 120 239 475 35 43 129 257 511 36 45 135 269 535 37 48 144 287 570 38 51 153 305 606 39 54 162 323 641 40 58 174 346 689 41 62 186 370 736 42 67 201 400 796 43 71 213 424 843 44 76 228 454 903 45 82 246 490 974 46 88 264 526 1045 47 95 284 567 1128 48 102 305 609 1212 49 110 329 657 1307 50 119 356 711 1414 51 128 383 764 1520 52 138 413 824 1639 53 149 446 890 1770 54 161 482 962 1912 55 175 524 1045 2079 56 189 566 1129 2245 57 204 611 1218 2423 58 221 662 1320 2625 59 240 719 1433 2851 60 260 779 1553 3088 61 282 844 1684 3350 62 305 913 1822 3623 63 331 991 1977 3932 64 359 1075 2144 4264 65 390 1168 2329 4633 66 423 1267 2526 5025 67 459 1374 2741 5452 68 498 1491 2974 5915 69 541 1620 3231 6426 70 587 1758 3506 6973

NOTE Premiums for ldquoRHrdquo term policies are capped at the age 70 rate

8

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 8: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

PlanLoan and

Cash ValuesFIVE YEAR LEVELPREMIUM TERM

NO

MODIFIED LIFE ATAGE 65 YES 9

MODIFIED LIFE ATAGE 70 YES 10

ORDINARY LIFE YES 11

20-PAYMENT LIFE YES 12

30-PAYMENT LIFE YES 13

20 YEAR ENDOWMENT YES 14

ENDOWMENTATAGE 60 YES 15

ENDOWMENTATAGE 65 YES 16

6

Features

bull bull

bull bull

Premiums increase every five years Premiums very low at younger ages increase considerably at older ages Automatically renews every five years Can convert to a permanent plan

bull bull

bull

Must apply before age 61 Face amount is cut by frac12 the day before 65th birthday but premium remains the same for lifetime Cheapest permanent plan buthellip Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $658 per month per $1000

bull bull

bull

Must apply before age 70 Face amount is cut by frac12 the day before 70th birthday but premium remains the same for lifetime Amount of insurance lost can be replaced with purchase of another separate policy at an additional cost of $864 per month per $1000

bull bull bull

Pay same premium throughout lifetime No reduction of face amount Lowest premium payment of any of the permanent plans except Modified Life

bull

bull

Pay same premium for 20 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 30 years insurance continues inforce throughout your lifetime No reduction of face amount

bull

bull

Pay same premium for 20 years At end of 20 years insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before 20 years your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 60th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 60 your beneficiary will receive a check for the amount of the insurance

bull

bull

Pay same premium on policy up until the anniversary date closest to your 65th birthday At that time insurance coverage ends and you will receive a check for face amount of policy less any loans If you die before age 65 your beneficiary will receive a check for the amount of the insurance

7

5-YEAR LEVEL PREMIUM TERM Premium per $1000

Insurance Age Mo Qr SA Ann 16 19 57 113 226 17 20 60 119 238 18 20 60 119 238 19 21 63 125 249 20 21 63 125 249 21 22 66 131 261 22 23 69 137 273 23 24 72 143 285 24 25 75 149 297 25 26 78 155 309 26 27 81 161 321 27 28 84 167 333 28 29 87 173 344 29 31 93 185 368 30 32 96 191 380 31 34 102 203 404 32 36 108 215 428 33 38 114 227 451 34 40 120 239 475 35 43 129 257 511 36 45 135 269 535 37 48 144 287 570 38 51 153 305 606 39 54 162 323 641 40 58 174 346 689 41 62 186 370 736 42 67 201 400 796 43 71 213 424 843 44 76 228 454 903 45 82 246 490 974 46 88 264 526 1045 47 95 284 567 1128 48 102 305 609 1212 49 110 329 657 1307 50 119 356 711 1414 51 128 383 764 1520 52 138 413 824 1639 53 149 446 890 1770 54 161 482 962 1912 55 175 524 1045 2079 56 189 566 1129 2245 57 204 611 1218 2423 58 221 662 1320 2625 59 240 719 1433 2851 60 260 779 1553 3088 61 282 844 1684 3350 62 305 913 1822 3623 63 331 991 1977 3932 64 359 1075 2144 4264 65 390 1168 2329 4633 66 423 1267 2526 5025 67 459 1374 2741 5452 68 498 1491 2974 5915 69 541 1620 3231 6426 70 587 1758 3506 6973

NOTE Premiums for ldquoRHrdquo term policies are capped at the age 70 rate

8

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 9: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

5-YEAR LEVEL PREMIUM TERM Premium per $1000

Insurance Age Mo Qr SA Ann 16 19 57 113 226 17 20 60 119 238 18 20 60 119 238 19 21 63 125 249 20 21 63 125 249 21 22 66 131 261 22 23 69 137 273 23 24 72 143 285 24 25 75 149 297 25 26 78 155 309 26 27 81 161 321 27 28 84 167 333 28 29 87 173 344 29 31 93 185 368 30 32 96 191 380 31 34 102 203 404 32 36 108 215 428 33 38 114 227 451 34 40 120 239 475 35 43 129 257 511 36 45 135 269 535 37 48 144 287 570 38 51 153 305 606 39 54 162 323 641 40 58 174 346 689 41 62 186 370 736 42 67 201 400 796 43 71 213 424 843 44 76 228 454 903 45 82 246 490 974 46 88 264 526 1045 47 95 284 567 1128 48 102 305 609 1212 49 110 329 657 1307 50 119 356 711 1414 51 128 383 764 1520 52 138 413 824 1639 53 149 446 890 1770 54 161 482 962 1912 55 175 524 1045 2079 56 189 566 1129 2245 57 204 611 1218 2423 58 221 662 1320 2625 59 240 719 1433 2851 60 260 779 1553 3088 61 282 844 1684 3350 62 305 913 1822 3623 63 331 991 1977 3932 64 359 1075 2144 4264 65 390 1168 2329 4633 66 423 1267 2526 5025 67 459 1374 2741 5452 68 498 1491 2974 5915 69 541 1620 3231 6426 70 587 1758 3506 6973

NOTE Premiums for ldquoRHrdquo term policies are capped at the age 70 rate

8

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 10: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

MODIFIED LIFE 65 PREMIUMS PER $1000

INSURANCE REDUCING TO $500 AT AGE 65

Insurance Age Mo Qr SA Ann 15 $075 $225 $448 $891 16 77 231 460 915 17 79 237 472 938 18 81 243 484 962 19 83 249 496 986 20 86 258 514 1022 21 88 264 526 1045 22 91 272 543 1081 23 93 278 555 1105 24 96 287 573 1140 25 99 296 591 1176 26 102 305 609 1212 27 105 314 627 1247 28 108 323 645 1283 29 111 332 663 1319 30 115 344 687 1366 31 118 353 705 1402 32 122 365 729 1449 33 126 377 753 1497 34 130 389 776 1544 35 134 401 800 1592 36 138 413 824 1639 37 143 428 854 1699 38 148 443 884 1758 39 153 458 914 1817 40 158 473 944 1877 41 163 488 973 1936 42 169 506 1009 2007 43 174 521 1039 2067 44 180 539 1075 2138 45 187 560 1117 2221 46 193 578 1153 2293 47 200 599 1194 2376 48 207 620 1236 2459 49 214 641 1278 2542 50 222 665 1326 2637 51 229 686 1326 2720 52 237 710 1415 2815 53 245 734 1463 2910 54 254 761 1517 3017 55 262 785 1565 3112

56 270 809 1613 3207

57 279 835 1666 3314

58 287 859 1714 3409

59 296 886 1768 3516

60 303 907 1810 3599 NOTE This plan must be applied for before you reach age 60 + 7 months

9

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 11: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

MODIFIED LIFE 70 PREMIUMS PER $1000INSURANCE REDUCING TO $500 AT AGE 70

Insurance Age Mo Qr SA Ann 15 $081 $243 $484 $962 16 83 249 496 986 17 85 255 503 1010 18 87 261 520 1033 19 90 270 538 1069 20 92 275 549 1093 21 95 284 567 1128 22 98 293 585 1164 23 101 302 603 1200 24 104 311 621 1235 25 107 320 639 1271 26 110 329 657 1307 27 113 338 675 1342 28 117 350 693 1390 29 120 359 717 1425 30 124 371 741 1473 31 128 383 764 1520 32 132 395 788 1568 33 137 410 818 1627 34 141 422 842 1675 35 146 437 872 1734 36 151 452 902 1794 37 156 467 932 1853 38 161 482 962 1912 39 167 500 997 1984 40 173 518 1033 2055 41 179 536 1069 2126 42 185 554 1105 2198 43 192 575 1147 2281 44 199 596 1188 2364 45 206 617 1230 2447 46 214 641 1278 2542 47 222 665 1326 2637 48 230 683 1374 2732 49 239 716 1427 2839 50 248 743 1481 2946 51 257 770 1535 3053 52 267 800 1595 3172 53 277 829 1654 3290 54 287 859 1714 3409 55 298 892 1780 3540 56 309 925 1845 3670 57 321 961 1917 3813 58 333 997 1989 3956 59 344 1030 2054 4086 60 357 1069 2132 4241 61 369 1105 2204 4383 62 381 1141 2275 4526 63 392 1174 2341 4656 64 403 1207 2407 4787 65 414 1240 2473 4918

NOTE It may not be in your best interest to apply for the plan of insurance after age 65 At age 70 the insurance will reduce in half and it will cost more to purchase replacement insurance

10

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 12: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

10

ORDINARY LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 102 305 609 1212 18 105 314 627 1247 19 108 323 645 1283 20 111 332 663 1319 21 115 344 687 1366 22 118 353 705 1402 23 122 365 729 1449 24 126 377 753 1497 25 130 389 776 1544 26 134 401 800 1592 27 138 413 824 1639 28 143 426 854 1699 29 147 440 878 1746 30 152 455 908 1806 31 157 470 938 1865 32 163 488 973 1936 33 168 503 1003 1996 34 174 521 1039 2067 35 180 539 1075 2138 36 187 560 1117 2221 37 194 581 1159 2304 38 201 602 1200 2388 39 208 623 1242 2471 40 216 647 1290 2566 41 225 674 1344 2673 42 233 698 1392 2768 43 243 728 1451 2886 44 252 755 1505 2993 45 262 785 1565 3112 46 273 817 1630 3243 47 285 853 1702 3385 48 297 889 1774 3528 49 309 925 1845 3670 50 323 967 1929 3837 51 337 1009 2013 4003 52 352 1054 2102 4181 53 368 1102 2188 4371 54 385 1153 2299 4573 55 403 1207 2407 4787 56 422 1264 2520 5013 57 442 1324 2640 5250 58 463 1386 2765 5500 59 486 1455 2903 5773 60 510 1527 3046 6058 61 536 1605 3201 6367 62 564 1689 3368 6699 63 593 1776 3542 7044 64 624 1869 3727 7412 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705 70 864 2587 5160 10263 71 915 2740 5465 10869 72 969 2902 5787 11510 73 1027 3075 6134 12199 74 1090 3264 6510 12948 11

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 13: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

20-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 17 187 560 1117 2221 18 191 572 1141 2269 19 195 584 1165 2316 20 199 596 1188 2364 21 202 605 1206 2399 22 206 617 1230 2447 23 211 632 1260 2506 24 215 644 1284 2554 25 219 656 1308 2601 26 224 671 1338 2661 27 228 683 1362 2708 28 233 698 1392 2788 29 238 713 1421 2827 30 243 728 1451 2886 31 248 743 1481 2946 32 253 758 1511 3005 33 258 773 1541 3065 34 264 791 1577 3136 35 270 809 1613 3207 36 276 826 1648 3278 37 282 844 1684 3350 38 288 862 1720 3421 39 295 883 1762 3504 40 302 904 1804 3587 41 309 925 1845 3670 42 317 949 1893 3765 43 324 970 1935 3849 44 332 994 1983 3944 45 341 1021 2037 4051 46 350 1048 2090 4157 47 359 1075 2144 4264 48 369 1105 2204 4383 49 379 1135 2263 4502 50 390 1168 2329 4633 51 402 1204 2401 4775 52 414 1240 2473 4918 53 427 1279 2550 5072 54 441 1321 2634 5238 55 456 1365 2723 5417 56 472 1413 2819 5607 57 489 1464 2920 5809 58 507 1518 3028 6022 59 526 1575 3141 6248 60 547 1638 3267 6498 61 570 1707 3404 6771 62 594 1779 3548 7056 63 620 1857 3703 7365 64 648 1940 3870 7697 65 679 2033 4055 8065 66 712 2132 4252 8457 67 747 2237 4461 8873 68 786 2354 4694 9336 69 828 2479 4945 9835 70 873 2614 5214 10370 71 921 2758 5500 10940 72 974 2917 5817 11570 73 1031 3087 6157 12247 74 1092 3270 6522 12971

12

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 14: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

12

30-PAYMENT LIFE PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $135 $404 $806 $1604 16 138 413 824 1639 17 141 422 842 1675 18 143 428 854 1699 19 146 437 872 1734 20 149 446 890 1770 21 153 459 914 1817 22 156 467 932 1853 23 159 476 950 1889 24 163 488 973 1936 25 166 497 991 1972 26 170 509 1015 2019 27 174 521 1039 2067 28 178 533 1063 2114 29 182 545 1087 2162 30 186 557 1111 2209 31 190 569 1135 2257 32 195 584 1165 2316 33 200 599 1194 2376 34 205 614 1224 2435 35 210 629 1254 2494 36 216 647 1290 2566 37 221 662 1320 2625 38 228 683 1362 2708 39 234 701 1398 2780 40 241 722 1439 2863 41 248 743 1481 2946 42 255 764 1523 3029 43 263 788 1571 3124 44 271 811 1618 3219 45 280 838 1672 3326 46 290 868 1732 3445 47 300 898 1792 3564 48 310 928 1851 3682 49 322 964 1923 3825 50 334 1000 1995 3967 51 347 1039 2072 4122 52 360 1078 2150 4276 53 375 1123 2240 4454 54 391 1171 2335 4644 55 408 1222 2437 4846 56 426 1276 2544 5060 57 445 1333 2658 5286 58 466 1395 2783 5535 59 488 1461 2914 5797 60 512 1533 3058 6082 61 537 1608 3207 6379 62 565 1692 3374 6711 63 594 1779 3548 7056 64 625 1872 3733 7424 65 658 1970 3930 7816 66 694 2078 4145 8244 67 732 2192 4372 8695 68 773 2315 4617 9182 69 817 2446 4879 9705

13

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 15: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

20-YEAR ENDOWMENT PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 19 344 1030 2054 4086 20 345 1033 2060 4098 21 346 1036 2066 4110 22 346 1036 2066 4110 23 347 1039 2072 4122 24 348 1042 2078 4134 25 349 1045 2084 4146 26 350 1048 2090 4157 27 351 1051 2096 4169 28 352 1054 2102 4181 29 353 1057 2108 4193 30 355 1063 2120 4217 31 356 1066 2126 4229 32 358 1072 2138 4252 33 359 1075 2144 4264 34 361 1081 2156 4288 35 363 1087 2168 4312 36 366 1096 2186 4348 37 368 1102 2198 4371 38 371 1111 2216 4407 39 374 1120 2234 4443 40 377 1129 2252 4478 41 381 1141 2275 4526 42 385 1153 2299 4573 43 389 1165 2323 4621 44 393 1177 2347 4668 45 398 1192 2377 4728 46 404 1210 2413 4799 47 410 1228 2449 4870 48 416 1246 2484 4941 49 423 1267 2526 5025 50 431 1291 2574 5120 51 440 1318 2628 5227 52 449 1345 2682 5333 53 459 1374 2741 5452 54 470 1407 2807 5583 55 482 1443 2879 5725 56 496 1485 2962 5892 57 510 1527 3046 6058 58 526 1575 3141 6248 59 543 1626 3243 6450 60 562 1683 3356 6676 61 582 1743 3476 6913 62 605 1812 3613 7186 63 629 1884 3757 7472 64 656 1964 3918 7792 65 685 2051 4091 8137 66 717 2147 4282 8517 67 752 2252 4491 8933 68 789 2363 4712 9372 69 830 2485 4957 9859 70 875 2620 5226 10394 71 923 2764 5612 10964 72 975 2920 5823 11582 73 1032 3090 6163 12259 74 1093 3273 6528 12983

NOTE If you are totally disabled you are not eligible for Endowment plans

14

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 16: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

14

ENDOWMENT AT AGE 60 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $130 $389 $776 $1544 16 134 401 800 1592 17 139 416 830 1651 18 144 431 860 1711 19 149 446 890 1770 20 154 461 920 1829 21 160 479 956 1901 22 166 497 991 1972 23 172 515 1027 2043 24 179 536 1069 2126 25 186 557 1111 2209 26 193 578 1153 2293 27 201 602 1200 2388 28 210 629 1254 2494 29 219 656 1308 2601 30 228 683 1362 2708 31 239 716 1427 2839 32 250 749 1493 2970 33 262 785 1565 3112 34 274 820 1636 3256 35 288 862 1720 3421 36 303 907 1810 3599 37 319 955 1906 3789 38 337 1009 2013 4003 39 356 1066 2126 4229 40 377 1129 2252 4478 41 401 1201 2395 4763 42 426 1276 2544 5060 43 455 1362 2717 5406 44 487 1458 2909 5786 45 524 1569 3129 6224 46 566 1695 3380 6723 47 613 1836 3661 7282 48 669 2003 3995 7947 49 734 2198 4384 8719 50 812 2431 4849 9645 51 907 2716 5417 10774 52 1025 3069 6122 12175 53 1177 3524 7029 13981 54 1378 4126 8230 16389 55 1658 4965 9902 19695 56 2078 6222 12410 24684 57 2774 8307 16567 32951 58 4164 12469 24869 49462 59 8327 24935 49731 98912

NOTE If you are totally disabled you are not eligible for Endowment plans

15

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 17: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

ENDOWMENT AT AGE 65 PREMIUMS Per $1000

Insurance Age Mo Qr SA Ann 15 $117 $350 $699 $1390 16 121 362 723 1437 17 124 371 741 1473 18 128 383 764 1520 19 133 398 794 1580 20 137 410 818 1627 21 142 425 848 1687 22 147 440 878 1746 23 152 455 908 1806 24 157 470 938 1865 25 163 488 973 1936 26 169 506 1009 2007 27 175 524 1045 2079 28 182 545 1087 2162 29 189 566 1129 2245 30 197 590 1177 2340 31 205 614 1224 2435 32 213 638 1272 2530 33 222 665 1326 2637 34 232 695 1386 2756 35 242 725 1445 2875 36 253 758 1511 3005 37 264 791 1577 3136 38 277 829 1654 3290 39 290 868 1732 3445 40 305 913 1822 3623 41 321 961 1917 3813 42 338 1012 2019 4015 43 356 1066 2126 4229 44 376 1126 2246 4466 45 398 1192 2377 4728 46 423 1267 2526 5025 47 450 1348 2688 5345 48 480 1437 2867 5702 49 513 1536 3064 6094 50 551 1650 3291 6545 51 594 1779 3548 7056 52 643 1925 3840 7638 53 700 2096 4181 8315 54 766 2294 4575 9099 55 846 2533 5053 10049 56 943 2824 5632 11201 57 1062 3180 6343 12615 58 1215 3638 7256 14432 59 1418 4246 8469 16844 60 1700 5091 10153 20193 61 2121 6351 12667 25194 62 2819 8441 16836 33483 63 4211 12610 25149 50020 64 8373 25073 50006 99459

NOTE If you are totally disabled you are not eligible for Endowment plans 16

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 18: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

16

Supplemental RH Insurance

Supplemental RH Insurance is insurance you may be able to purchase in addition to your new or present RH policy To be eligible for this supplemental insurance you must meet all of these requirements

bull Have an RH policy

bull Be under age 65

bull Meet the requirements for total disability

bull Apply for this additional insurance within one year from the date you were notified that you meet the Total Disability requirements (The date on your waiver notification letter from VArsquos Insurance Office)

If you are eligible for this supplemental insurance you may select any of the nine plans of insurance shown on pages 8-16 including the endowment policies You must pay premiums on the additional insurance because we do not waive premiums on Supplemental RH Insurance Premium rates are based on your current insurance age

You may choose any amount of insurance from $1000 to $30000 (in multiples of $500)

Rescission VA Pamphlet 29-9 Revised May 2012

Distribution Per VA Form 7225 and 7225a

17

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900

Page 19: Service-Disabled Veterans Insurance Information … of Veterans Affairs Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9 Veterans Beneits Revised

Department of Veterans Affairs Veterans BenefitsAdministrationWashington DC 20420

Service-Disabled Veterans Insurance RH Information and Premium Rates VA Pamphlet 29-9Revised May 2012P71900