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Global Mission Basic ®

Worldwide Coverage (U.S. & Canada)

Global Mission Basic® Insurance^® New Business Rates through 4/30/2008.

(Includes 2 ½ % surplus lines tax where applicable.)

Annual Premiums
All amounts are shown in U.S. Dollars. Please select your deductible carefully, as you will be unable to select a lower deductible when you renew your coverage.
Deductible	US$250		US$500		US$1,000		US$2,500		US$5,000		US$10,000

Age	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female

14 days to 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 info@nyig.com for premium information concerning this age bracket.
Modal Payment Factors *** Annual 1.00 Semi-Annual .55 Quarterly .28 Monthly .10 Optional Maternity Rider $2,500 annual premium

*** For semi-annual, quarterly, and monthly payment modes, IMG will only accept valid Visa, MasterCard, American Express, Discover or JCB credit cards on a pre-authorized basis prior to the expiration date. Your credit card will be debited automatically on the due date(s) of your future premium installment(s).

Note: Choosing the semi-annual payment option (modal payment factor .55) results in total payments of 110% of the annual premium, choosing the quarterly payment option (modal payment factor .28) results in total payments of 112% of the annual premium, and choosing the monthly payment option (modal payment factor .10) results in total payments of 120% of the annual premium.

Global Mission Medical Insurance Home

© 2007 NYIG – New York International Group. All Rights Reserved.
Leader in Affordable Travel Insurance, International Health Insurance,
International Travel Insurance & International Medical Insurance. The Empire State Building
350 Fifth Avenue Suite 3304, New York, NY 10118

Tel: 212.268-8520 – 800.804.5763– Fax: 212.268-8524 – E-mail: info@nyig.com

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