| $250 Deductible |
$500 Deductible |
$1,000 Deductible |
$2,500 Deductible |
$5,000 Deductible |
$10,000 Deductible |
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| Age | M | F | M | F | M | F | M | F | M | F | M | F |
| 14 days to 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 265 | First 2 Free*, Then 233 | ||||||
| 10-18** | 519 | 424 | 329 | 297 | 286 | 254 | ||||||
| * 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 | 1,174 | M-2,043 S-1,700 |
1,010 | M-1,814 S-1,471 |
786 | M-1,305 S-961 |
693 | M-1,157 S-933 |
568 | M-950 S-916 |
448 | M-744 S-710 |
| 25 - 29 | 1,283 | M-2,232 S-1,717 |
1,120 | M-2,003 S-1,488 |
868 | M-1,443 S-1,145 |
764 | M-1,277 S-1,110 |
628 | M-1,042 S-1,018 |
491 | M-813 S-789 |
| 30 - 34 | 1,343 | M-2,449 S-1,769 |
1,179 | M-2,220 S-1,540 |
917 | M-1,655 S-1,190 |
813 | M-1,466 S-1,157 |
666 | M-1,202 S-1,145 |
524 | M-939 S-888 |
| 35 - 39 | 1,469 | M-2,643 S-1,872 |
1,305 | M-2,392 S-1,643 |
1,010 | M-1,832 S-1,282 |
895 | M-1,620 S-1,247 |
731 | M-1,299 S-1,237 |
574 | M-1,018 S-960 |
| 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 | 1,795 | 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 Derek Patterson at 417.882.1413 for premium information concerning this age bracket | |||||||||||
| Rates expire on 12/31/2005 | ||||||||||||