Load Reprojection Data
Person Info
Policy Number:            
Birth Date: Category: Residence State:    
Issue Date: Issue Age: Issue State:    
Pay Frequency: Class: Situs State:    
Re-Enrollment Info
    Existing Coverage Amount:    
Existing Total Modal Premium:        
Existing Total Annual Premium:     Existing Child Rider Amount:
Rider Info
Option:   Restoration Rider Children's CI Rider: CCIR Rate Change(s): %
    Case Type: Wellness Amount: Wellness Rate Change(s): %
Coverage
Coverage Amount: Base Rate Change(s): %        
Results
Coverage Amount: $25,000        
Annual: $939.50 Monthly DB Total: $84.56    
Weekly: $18.07 Monthly PD/EFT Total: $78.30 Combined Modal Premium: $36.14
Modal: $36.14     Combined Annual Premium: $939.50