| WORLDWIDE COVERAGE - ANNUAL PREMIUMS | |||||||||||||
|
$250.00 deductible |
$500.00 deductible |
$1,000.00 deductible |
$2,500.00 deductible |
$5,000.00 deductible |
$10,000.00 deductible |
||||||||
| Age | M | F | M | F | M | F | M | F | M | F | M | F | |
| 14 Days-9** | First 2 Free*, Then 477 | First 2 Free*, Then 403 | First 2 Free*, Then 307 | First 2 Free*, Then 276 | First 2 Free*, Then 248 | First 2 Free*, Then 224 | |||||||
| 10-18** | 519 | 424 | 329 | 297 | 267 | 240 | |||||||
| * The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the Global Medical Insurance plan. **Dependent child rates are only available when at least one parent or guardian is insured under the Global Medical Insurance plan. Children applying with no parent or guardian insured by Global Medical Insurance must use the Male 19-24 rates. | |||||||||||||
| 19-24 | 1,115 | 1,552 | 960 | 1,378 | 747 | 992 | 658 | 880 | 540 | 722 | 426 | 565 | |
| 25-29 | 1,154 | 1,607 | 1,008 | 1,442 | 781 | 1,039 | 687 | 920 | 565 | 751 | 442 | 585 | |
| 30-34 | 1,275 | 1,861 | 1,120 | 1,696 | 871 | 1,258 | 772 | 1,114 | 632 | 914 | 498 | 713 | |
| 35-39 | 1,322 | 1,903 | 1,175 | 1,723 | 909 | 1,319 | 805 | 1,166 | 658 | 935 | 517 | 733 | |
| 40-44 | 1,643 | 2,147 | 1,452 | 1,918 | 1,125 | 1,488 | 999 | 1,322 | 814 | 1,050 | 644 | 825 | |
| 45-49 | 1,849 | 2,233 | 1,651 | 2,015 | 1,280 | 1,567 | 1,135 | 1,386 | 927 | 1,070 | 730 | 840 | |
| 50-54 | 2,247 | 2,424 | 2,022 | 2,205 | 1,573 | 1,720 | 1,433 | 1,561 | 1,174 | 1,277 | 921 | 1,004 | |
| 55-59 | 2,845 | 2,765 | 2,608 | 2,534 | 2,036 | 1,979 | 1,795 | 1,745 | 1,512 | 1,469 | 1,180 | 1,146 | |
| 60-64 | 3,999 | 3,770 | 3,698 | 3,469 | 3,096 | 2,867 | 2,826 | 2,615 | 2,345 | 2,075 | 1,925 | 1,714 | |
| 65-69 | 8,258 | 7,201 | 7,956 | 6,900 | 7,356 | 6,296 | 5,720 | 5,168 | 4,962 | 4,467 | 4,089 | 3,683 | |
| 70 - 74 | Please contact IMG or your agent for premium information concerning this age bracket | ||||||||||||
| Rates expire on 12/31/2006 | |||||||||||||
| Optional Maternity Rider $2,500 annual premium | |||||||||||||
| WORLDWIDE COVERAGE EXCLUDING U.S/CANADA | |||||||||||||
|
$250.00 deductible |
$500.00 deductible |
$1,000.00 deductible |
$2,500.00 deductible |
$5,000.00 deductible |
$10,000.00 deductible |
||||||||
| Age | M | F | M | F | M | F | M | F | M | F | M | F | |
| 14 Days-9** | First 2 Free*, Then 358 | First 2 Free*, Then 302 | First 2 Free*, Then 230 | First 2 Free*, Then 207 | First 2 Free*, Then 186 | First 2 Free*, Then 168 | |||||||
| 10-18** | 389 | 318 | 247 | 223 | 200 | 180 | |||||||
| * The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the Global Medical Insurance plan. **Dependent child rates are only available when at least one parent or guardian is insured under the Global Medical Insurance plan. Children applying with no parent or guardian insured by Global Medical Insurance must use the Male 19-24 rates. | |||||||||||||
| 19-24 | 836 | 1,164 | 720 | 1,034 | 560 | 744 | 494 | 660 | 405 | 542 | 320 | 424 | |
| 25-29 | 866 | 1,205 | 756 | 1,082 | 586 | 779 | 495 | 690 | 424 | 563 | 332 | 439 | |
| 30-34 | 956 | 1,396 | 840 | 1,272 | 653 | 944 | 579 | 836 | 474 | 686 | 374 | 535 | |
| 35-39 | 992 | 1,427 | 881 | 1,292 | 682 | 989 | 604 | 875 | 494 | 701 | 388 | 550 | |
| 40-44 | 1,232 | 1,610 | 1,089 | 1,439 | 844 | 1,116 | 749 | 992 | 611 | 788 | 483 | 619 | |
| 45-49 | 1,387 | 1,675 | 1,238 | 1,511 | 960 | 1,175 | 851 | 1,040 | 696 | 803 | 548 | 630 | |
| 50-54 | 1,685 | 1,818 | 1,517 | 1,654 | 1,180 | 1,290 | 1,075 | 1,171 | 881 | 958 | 691 | 753 | |
| 55-59 | 2,134 | 2,074 | 1,956 | 1,901 | 1,527 | 1,484 | 1,346 | 1,309 | 1,134 | 1,102 | 885 | 860 | |
| 60-64 | 2,999 | 2,828 | 2,774 | 2,602 | 2,322 | 2,150 | 2,120 | 1,961 | 1,759 | 1,556 | 1,444 | 1,286 | |
| 65-69 | 6,194 | 5,401 | 5,967 | 5,175 | 5,517 | 4,722 | 4,290 | 3,876 | 3,722 | 3,350 | 3,067 | 2,762 | |
| 70 - 74 | Please contact IMG or your agent for premium information concerning this age bracket | ||||||||||||
| Rates expire on 12/31/2006 | |||||||||||||
| Optional Maternity Rider $2,500 annual premium | |||||||||||||