GLOBAL MEDICAL INSURANCE SM PREMIUMS
Global Benefits | Global Premiums
UNDERWRITTEN BY: SIRIUS
INTERNATIONAL INSURANCE CORPORATION
Global
Medical InsuranceSM 2004 New Business Rates
(Includes
2 ½% surplus lines tax.)
 |
$500
Deductible
Plan |
$1,000
Deductible
Plan |
$2,500
Deductible
Plan |
$5,000
Deductible
Plan |
|
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
|
| 14
days to 9* |
First
2 Free,
Then 380 |
First
2 Free,
Then 290 |
First
2 Free,
Then 260 |
First
2 Free,
Then 250 |
|
| 10-18* |
400 |
400 |
310 |
310 |
280 |
280 |
270 |
270 |
First
two Dependent Children free between the ages of 14 days to 9 years only when both parents or guardians
are insured under the
Global Medical Insurancesm plan. Dependent child rate
only available when parent or guardian is insured under the Global
Medical InsuranceSM plan. Children applying with no
parent or guardian insured by Global Medical InsuranceSM use the Male 19 - 24 rates. |
| 19
- 24 |
925 |
1,585 |
720 |
1,140 |
635 |
1,010 |
520 |
830 |
|
| 25
- 29 |
1,025 |
1,750 |
795 |
1,260 |
700 |
1,115 |
575 |
910 |
|
| 30
- 34 |
1,080 |
1,940 |
840 |
1,445 |
745 |
1,280 |
610 |
1,050 |
|
| 35
- 39 |
1,195 |
2,090 |
925 |
1,600 |
820 |
1,415 |
670 |
1,135 |
|
| 40
- 44 |
1,330 |
1,675 |
1,030 |
1,300 |
915 |
1,155 |
745 |
945 |
|
| 45
- 49 |
1,470 |
1,845 |
1,140 |
1,435 |
1,010 |
1,270 |
825 |
980 |
|
| 50
- 54 |
1,800 |
2,020 |
1,400 |
1,575 |
1,275 |
1,430 |
1,045 |
1,170 |
|
| 55
- 59 |
2,210 |
2,210 |
1,725 |
1,725 |
1,565 |
1,565 |
1,280 |
1,280 |
|
| 60
- 64 |
3,075 |
2,885 |
2,575 |
2,385 |
2,350 |
2,175 |
1,950 |
1,725 |
|
| 65
- 69 |
6,615 |
5,715 |
6,115 |
5,215 |
4,755 |
4,280 |
4,125 |
3,700 |
|
| 70
- 74 |
Please
contact IMG or your agent for premium information |
|
Modal
Payment Factors** Annual 1.00 Semiannual .55 Quarterly
.28 |
| Rates
Expire 12/31/2004 |
|
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