Missionary Medical Insurance Rates

Global Mission Medical Insurance is a surplus lines product underwritten by Sirius International Insurance Corporation (publ) (the "Company"). It is distributed, managed and administered, as agent for and on behalf of the Company, by International Medical Group®, Inc. ("IMG®").

New Business Rates through 31-Dec-2012 (Rates include surplus lines tax where applicable)
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 plan. **Dependent child rates are only available when at least one parent or guardian is insured under the plan. Children applying with no parent or guardian insured by 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 31-Dec-2012

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New Business Rates through 31-Dec-2012 (Rates include surplus lines tax where applicable)

GOLD 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 501 First 2 Free*, Then 423 First 2 Free*, Then 322 First 2 Free*, Then 290 First 2 Free*, Then 260 First 2 Free*, Then 235
 
10-18** 545 445 345 312 280 252
* 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 plan. **Dependent child rates are only available when at least one parent or guardian is insured under the plan. Children applying with no parent or guardian insured by must use the Male 19-24 rates.
 
19-24 1,171 1,543 1,008 1,468 784 1,048 691 928 567 786 447 593
 
25-29 1,212 1,722 1,058 1,626 820 1,167 721 1,026 593 894 464 614
 
30-34 1,339 1,927 1,176 1,807 915 1,343 811 1,188 664 1,002 523 749
 
35-39 1,388 2,135 1,234 1,941 954 1,492 845 1,308 691 1,117 543 770
 
40-44 1,791 2,340 1,583 2,091 1,226 1,622 1,089 1,441 887 1,145 702 899
 
45-49 2,015 2,434 1,800 2,196 1,395 1,708 1,237 1,511 1,010 1,166 796 916
 
50-54 2,449 2,642 2,204 2,403 1,715 1,875 1,562 1,701 1,280 1,392 1,004 1,094
 
55-59 3,101 3,014 2,843 2,762 2,219 2,157 1,957 1,902 1,648 1,601 1,286 1,249
 
60-64 4,359 4,109 4,031 3,781 3,375 3,125 3,080 2,850 2,556 2,262 2,098 1,868
 
65-69 9,001 7,849 8,672 7,521 8,018 6,863 6,235 5,633 5,409 4,869 4,457 4,014
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
Rates expire on 31-Dec-2012


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New Business Rates through 31-Dec-2012 (Rates include surplus lines tax where applicable)

PLATINUM WORLDWIDE COVERAGE - ANNUAL PREMIUMS
  $100.00
deductible
$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 M F
 
14 Days-9** First 2 Free*, Then 1,910 First 2 Free*, Then 1,738 First 2 Free*, Then 1,558 First 2 Free*, Then 1,328 First 2 Free*, Then 1,256 First 2 Free*, Then 1,188 First 2 Free*, Then 1,130
 
10-18** 2,020 1,836 1,608 1,381 1,305 1,232 1,168
* 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 plan. **Dependent child rates are only available when at least one parent or guardian is insured under the plan. Children applying with no parent or guardian insured by must use the Male 19-24 rates.
 
19-24 3,585 6,105 3,259 5,510 2,890 5,272 2,380 3,934 2,169 3,552 1,886 3,099 1,613 2,484
 
25-29 3,690 6,685 3,354 6,080 3,004 5,775 2,463 4,313 2,237 3,863 1,945 3,443 1,652 2,551
 
30-34 4,008 7,410 3,644 6,736 3,273 6,352 2,679 4,873 2,441 4,380 2,107 3,787 1,785 2,981
 
35-39 4,130 8,135 3,754 7,395 3,405 6,779 2,767 5,348 2,519 4,762 2,169 4,154 1,831 3,048
 
40-44 5,140 8,855 4,672 8,049 4,200 7,257 3,387 5,762 3,075 5,186 2,615 4,243 2,194 3,459
 
45-49 5,700 6,750 5,181 6,136 4,694 5,184 3,771 4,484 3,411 4,036 2,895 3,250 2,407 2,681
 
50-54 6,290 7,270 5,718 6,608 5,614 6,068 4,501 4,865 4,152 4,469 3,509 3,765 2,882 3,086
 
55-59 8,420 8,205 7,654 7,458 7,069 6,885 5,649 5,507 5,052 4,927 4,348 4,241 3,523 3,440
 
60-64 11,575 10,945 10,522 9,949 9,775 9,205 8,281 7,711 7,609 7,089 6,416 5,747 5,373 4,849
 
65-69 23,205 20,315 21,093 18,466 20,344 17,724 18,855 16,225 14,795 13,424 12,913 11,683 10,745 9,736
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
Rates expire on 31-Dec-2012

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