Global Medical Insurance: Rates

Global Medical Insurance^® New Business Rates

1. SILVER - ANNUAL PREMIUMS

2. GOLD - ANNUAL PREMIUMS

3. GOLD PLUS - ANNUAL PREMIUMS

4. PLATINUM - ANNUAL PREMIUMS

New Business Rates through 30-Jun-2011 (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
New Business Rates through 30-Jun-2011
Optional Maternity Rider $2,500 annual premium

New Business Rates through 30-Jun-2011 (Rates include surplus lines tax where applicable)

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 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	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
New Business Rates through 30-Jun-2011
Optional Maternity Rider $2,500 annual premium

New Business Rates through 30-Jun-2011 (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 430		First 2 Free*, Then 368		First 2 Free*, Then 275		First 2 Free*, Then 250		First 2 Free*, Then 221		First 2 Free*, Then 200

10-18**	476		388		304		275		246		221
* 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	995	1,310	856	1,241	685	917	592	793	462	640	365	483

25-29	1,018	1,445	875	1,348	700	995	606	860	473	671	373	495

30-34	1,080	1,555	929	1,430	743	1,085	646	944	507	766	401	573

35-39	1,100	1,691	946	1,485	757	1,105	658	961	517	780	408	584

40-44	1,445	1,888	1,322	1,719	1,058	1,269	910	1,201	710	915	561	717

45-49	1,673	2,024	1,522	1,856	1,172	1,407	1,055	1,266	860	989	679	781

50-54	1,989	2,144	1,790	1,951	1,432	1,561	1,325	1,444	1,060	1,155	837	913

55-59	2,590	2,517	2,305	2,236	1,879	1,822	1,587	1,540	1,333	1,293	1,053	1,022

60-64	3,637	3,430	3,401	3,186	2,720	2,516	2,557	2,365	2,148	1,901	1,761	1,568

65-69	7,275	6,541	7,057	6,118	6,563	5,611	5,086	4,679	4,476	4,118	3,670	3,377

70 - 74	Please contact IMG or your agent for premium information concerning this age bracket
New Business Rates through 30-Jun-2011
Optional Maternity Rider $2,500 annual premium

New Business Rates through 30-Jun-2011 (Rates include surplus lines tax where applicable)

GOLD 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 318		First 2 Free*, Then 272		First 2 Free*, Then 203		First 2 Free*, Then 185		First 2 Free*, Then 164		First 2 Free*, Then 148

10-18**	352		287		225		204		182		164
* 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	736	969	633	918	507	679	438	587	342	473	270	358

25-29	753	1,069	648	998	518	736	448	637	350	497	276	366

30-34	799	1,151	687	1,058	550	803	478	698	376	567	297	424

35-39	814	1,251	700	1,099	560	818	487	711	382	578	302	432

40-44	1,069	1,397	978	1,272	783	939	673	889	525	677	415	531

45-49	1,238	1,498	1,127	1,373	867	1,041	781	937	636	732	503	578

50-54	1,472	1,587	1,325	1,444	1,060	1,155	980	1,068	784	855	620	675

55-59	1,917	1,863	1,706	1,655	1,390	1,348	1,175	1,139	987	957	780	756

60-64	2,691	2,538	2,516	2,358	2,013	1,862	1,892	1,750	1,590	1,407	1,303	1,161

65-69	5,384	4,840	5,222	4,527	4,856	4,152	3,764	3,463	3,312	3,047	2,716	2,499

70 - 74	Please contact IMG or your agent for premium information concerning this age bracket
New Business Rates through 30-Jun-2011
Optional Maternity Rider $2,500 annual premium

New Business Rates through 30-Jun-2011 (Rates include surplus lines tax where applicable)

GOLD PLUS 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 576		First 2 Free*, Then 485		First 2 Free*, Then 370		First 2 Free*, Then 335		First 2 Free*, Then 300		First 2 Free*, Then 270

10-18**	625		510		395		360		320		290
* 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	1,230	1,620	1,058	1,541	823	1,153	726	1,021	595	825	469	623

25-29	1,273	1,894	1,111	1,789	861	1,284	757	1,129	623	983	487	675

30-34	1,406	2,120	1,235	1,988	961	1,477	852	1,307	697	1,102	549	824

35-39	1,527	2,349	1,357	2,135	1,049	1,641	930	1,439	760	1,229	597	847

40-44	1,970	2,574	1,741	2,300	1,349	1,784	1,198	1,585	976	1,260	772	989

45-49	2,217	2,677	1,980	2,416	1,535	1,879	1,361	1,662	1,111	1,283	876	1,008

50-54	2,694	2,906	2,424	2,643	1,887	2,063	1,718	1,871	1,408	1,531	1,104	1,203

55-59	3,411	3,315	3,127	3,038	2,441	2,373	2,153	2,092	1,813	1,761	1,415	1,374

60-64	4,795	4,520	4,434	4,159	3,713	3,438	3,388	3,135	2,812	2,488	2,308	2,055

65-69	11,385	8,634	9,539	8,273	8,820	7,549	6,859	6,196	5,950	5,356	4,903	4,415

70 - 74	Please contact IMG or your agent for premium information concerning this age bracket
New Business Rates through 30-Jun-2011
Optional Maternity Rider $2,500 annual premium