Annual Premiums



New Business Rates through 12/31/2004 (Includes 2.5% surplus lines tax)

Underwritten by Sirius International Insurance Corporation (publ) (the Company). Distributed, managed and administered, as agent for and on behalf of the Company, by International Medical Group^®, Inc ("IMG^®").

More Deductibles	$250 Deductible		$500 Deductible		$1,000 Deductible
Age	M	F	M	F	M	F
14 days to 9*	First 2 Free, Then 311		First 2 Free, Then 270		First 2 Free, Then 211
10-18*	336		299		247
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 Basic Insurance plan.  Dependent child rate only available when parent or guardian is insured under the Global Basic Insurance plan.   Children applying with no parent or guardian insured by Global Basic Insurance use the Male 19 - 24 rates.
19 - 24	720	1,184	623	1,087	485	841
25 - 29	802	1,322	700	1,221	544	944
30 - 34	851	1,432	732	1,313	567	1,015
35 - 39	1,006	1,650	814	1,458	631	1,127
40 - 44	1,103	1,332	895	1,124	694	870
45 - 49	1,228	1,481	1,007	1,260	780	974
50 - 54	1,500	1,648	1,272	1,420	983	1,102
55 - 59	1,813	1,813	1,576	1,576	1,220	1,218
60 - 64	2,669	2,512	2,432	2,275	2,050	1,810
65 - 69	5,573	4,863	5,334	4,625	4,990	4,212
70 - 74	Please contact IMG or your agent for premium information concerning this age bracket

	$2,500 Deductible		$5,000 Deductible		$10,000 Deductible
Age	M	F	M	F	M	F
14 days to 9*	First 2 Free, Then 184		First 2 Free, Then 169		First 2 Free, Then 150
10-18*	230		216		190
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 Basic Insurance plan.  Dependent child rate only available when parent or guardian is insured under the Global Basic Insurance plan.   Children applying with no parent or guardian insured by Global Basic Insurance use the Male 19 - 24 rates.
19 - 24	423	733	332	573	295	510
25 - 29	475	825	372	643	331	572
30 - 34	497	885	389	691	346	615
35 - 39	552	983	432	768	385	683
40 - 44	605	759	497	632	442	562
45 - 49	680	849	555	670	494	596
50 - 54	858	980	728	813	648	724
55 - 59	1,063	1,063	895	903	796	804
60 - 64	1,857	1,666	1,551	1,378	1,381	1,227
65 - 69	3,836	3,130	3,354	3,004	2,985	2,673
70 - 74	Please contact IMG or your agent for premium information concerning this age bracket