| SILVER 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 310 | First 2 Free*, Then 270 | First 2 Free*, Then 210 | First 2 Free*, Then 184 | First 2 Free*, Then 169 | First 2 Free*, Then 150 | |||||||
| 10-18** | 317 | 282 | 233 | 217 | 204 | 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 | 718 | 895 | 622 | 881 | 484 | 675 | 422 | 588 | 331 | 473 | 294 | 407 | |
| 25-29 | 758 | 1,020 | 662 | 991 | 515 | 764 | 449 | 663 | 352 | 551 | 313 | 433 | |
| 30-34 | 848 | 1,128 | 730 | 1,063 | 566 | 823 | 496 | 718 | 389 | 576 | 345 | 490 | |
| 35-39 | 950 | 1,333 | 770 | 1,182 | 596 | 918 | 522 | 793 | 408 | 661 | 364 | 516 | |
| 40-44 | 1,202 | 1,463 | 976 | 1,273 | 647 | 997 | 567 | 873 | 542 | 676 | 482 | 602 | |
| 45-49 | 1,339 | 1,614 | 1,098 | 1,373 | 850 | 1,062 | 741 | 925 | 605 | 730 | 538 | 650 | |
| 50-54 | 1,635 | 1,796 | 1,386 | 1,548 | 1,071 | 1,201 | 935 | 1,068 | 794 | 886 | 706 | 789 | |
| 55-59 | 1,976 | 1,976 | 1,718 | 1,718 | 1,330 | 1,328 | 1,159 | 1,159 | 976 | 984 | 868 | 876 | |
| 60-64 | 2,909 | 2,738 | 2,651 | 2,480 | 2,235 | 1,973 | 2,024 | 1,816 | 1,691 | 1,502 | 1,505 | 1,337 | |
| 65-69 | 6,075 | 5,271 | 5,814 | 5,041 | 5,439 | 4,591 | 4,181 | 3,412 | 3,656 | 3,274 | 3,254 | 2,914 | |
| 70 - 74 | Please contact IMG or your agent for premium information concerning this age bracket | ||||||||||||
| Rates expire on | |||||||||||||
| Optional Maternity Rider $2,500 annual premium | |||||||||||||
| SILVER WORLDWIDE COVERAGE EXCLUDING U.S/CANADA - 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 232 | First 2 Free*, Then 203 | First 2 Free*, Then 158 | First 2 Free*, Then 138 | First 2 Free*, Then 127 | First 2 Free*, Then 112 | |||||||
| 10-18** | 238 | 212 | 175 | 163 | 153 | 134 | |||||||
| * 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 | 539 | 671 | 466 | 660 | 363 | 506 | 317 | 441 | 248 | 355 | 221 | 306 | |
| 25-29 | 569 | 766 | 497 | 744 | 385 | 572 | 336 | 498 | 264 | 413 | 234 | 326 | |
| 30-34 | 636 | 846 | 548 | 798 | 424 | 618 | 372 | 538 | 291 | 432 | 259 | 369 | |
| 35-39 | 714 | 1,000 | 578 | 888 | 447 | 689 | 392 | 595 | 307 | 496 | 273 | 387 | |
| 40-44 | 901 | 1,098 | 731 | 955 | 486 | 748 | 425 | 655 | 407 | 510 | 362 | 451 | |
| 45-49 | 1,004 | 1,211 | 823 | 1,030 | 638 | 797 | 556 | 694 | 453 | 548 | 404 | 487 | |
| 50-54 | 1,226 | 1,347 | 1,040 | 1,161 | 803 | 901 | 702 | 801 | 595 | 665 | 530 | 592 | |
| 55-59 | 1,482 | 1,482 | 1,288 | 1,288 | 997 | 996 | 869 | 869 | 731 | 738 | 651 | 657 | |
| 60-64 | 2,182 | 2,054 | 1,988 | 1,860 | 1,676 | 1,480 | 1,518 | 1,363 | 1,268 | 1,127 | 1,129 | 1,003 | |
| 65-69 | 4,556 | 3,953 | 4,361 | 3,781 | 4,080 | 3,443 | 3,136 | 2,559 | 2,742 | 2,456 | 2,441 | 2,185 | |
| 70 - 74 | Please contact IMG or your agent for premium information concerning this age bracket | ||||||||||||
| Rates expire on | |||||||||||||
| Optional Maternity Rider $2,500 annual premium | |||||||||||||