Global Medical Insurance: Rates

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

Global Medical Insurance New Business Rates
(All rates shown are for yearly premiums)
1.Silver Worldwide Coverage
2.Silver Worldwide Coverage Excluding U.S. & Canada
3.Gold Worldwide Coverage
4.Gold Worldwide Coverage Excluding U.S. & Canada
5.Platinum Worldwide Coverage
6.Platinum Worldwide coverage Excluding U.S. & Canada

(New Business Rates through 3/31/2010. Includes 2.5% 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 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 3/31/2010
Optional Maternity Rider $2,500 annual premium

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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 3/31/2010
Optional Maternity Rider $2,500 annual premium

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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 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	1,171	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 3/31/2010
Optional Maternity Rider $2,500 annual premium

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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 376		First 2 Free*, Then 317		First 2 Free*, Then 242		First 2 Free*, Then 217		First 2 Free*, Then 195		First 2 Free*, Then 176
10-18**	408		334		259		234		210		189
* 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	878	1,157	756	1,101	588	786	519	696	425	590	336	445
25-29	909	1,291	794	1,220	615	875	541	770	445	671	349	461
30-34	1,004	1,446	882	1,355	686	1,008	608	892	498	752	393	562
35-39	1,042	1,601	925	1,456	716	1,119	634	981	519	838	407	578
40-44	1,343	1,755	1,187	1,569	920	1,216	816	1,081	666	859	526	675
45-49	1,512	1,826	1,349	1,647	1,046	1,281	928	1,134	759	875	597	687
50-54	1,837	1,982	1,654	1,803	1,286	1,406	1,172	1,276	960	1,044	753	821
55-59	2,326	2,261	2,132	2,072	1,664	1,618	1,467	1,427	1,236	1,201	965	937
60-64	3,269	3,083	3,024	2,836	2,531	2,344	2,311	2,137	1,917	1,696	1,574	1,402
65-69	6,751	5,887	6,504	5,641	6,014	5,147	4,676	4,225	4,057	3,652	3,343	3,011
70 - 74	Please contact IMG or your agent for premium information concerning this age bracket
Rates expire on 3/31/2010
Optional Maternity Rider $2,500 annual premium

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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 1,618		First 2 Free*, Then 1,471		First 2 Free*, Then 1,320		First 2 Free*, Then 1,125		First 2 Free*, Then 1,064		First 2 Free*, Then 1,006		First 2 Free*, Then 958
10-18**	1,712		1,556		1,363		1,170		1,106		1,044		990
* 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	3,040	5,173	2,764	4,670	2,449	4,468	2,017	3,334	1,838	3,010	1,598	2,626	1,367	2,105
25-29	3,127	5,668	2,843	5,153	2,546	4,894	2,087	3,655	1,896	3,274	1,648	2,918	1,400	2,162
30-34	3,397	6,278	3,088	5,707	2,774	5,383	2,270	4,130	2,069	3,712	1,786	3,209	1,513	2,526
35-39	3,501	6,896	3,183	6,269	2,886	5,745	2,345	4,532	2,135	4,036	1,838	3,520	1,552	2,583
40-44	4,357	7,504	3,961	6,822	3,559	6,150	2,870	4,883	2,606	4,395	2,216	3,596	1,859	2,931
45-49	4,832	5,722	4,393	5,202	3,978	4,393	3,196	3,800	2,891	3,420	2,453	2,754	2,040	2,272
50-54	5,330	6,163	4,845	5,603	4,758	5,142	3,814	4,123	3,519	3,787	2,974	3,191	2,442	2,615
55-59	7,138	6,953	6,489	6,321	5,991	5,835	4,787	4,667	4,281	4,175	3,685	3,594	2,986	2,915
60-64	9,809	9,277	8,917	8,434	8,284	7,801	7,018	6,535	6,448	6,005	5,437	4,870	4,553	4,109
65-69	19,664	17,218	17,876	15,653	17,241	15,020	15,979	13,750	12,538	11,376	10,943	9,901	9,106	8,251
70 - 74	Please contact IMG or your agent for premium information concerning this age bracket
Rates expire on 3/31/2010

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PLATINUM WORLDWIDE COVERAGE EXCLUDING U.S/CANADA - 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 1,353		First 2 Free*, Then 1,230		First 2 Free*, Then 1,116		First 2 Free*, Then 971		First 2 Free*, Then 923		First 2 Free*, Then 880		First 2 Free*, Then 844
10-18**	1,420		1,291		1,149		1,004		956		909		869
* 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	2,419	3,991	2,199	3,628	1,963	3,477	1,639	2,626	1,506	2,383	1,324	2,097	1,152	1,706
25-29	2,484	4,388	2,258	3,989	2,036	3,798	1,691	2,867	1,548	2,583	1,363	2,316	1,178	1,749
30-34	2,686	4,849	2,442	4,408	2,206	4,163	1,828	3,226	1,677	2,912	1,465	2,534	1,262	2,021
35-39	2,767	5,310	2,515	4,827	2,289	4,435	1,886	3,525	1,728	3,153	1,506	2,767	1,290	2,065
40-44	3,406	5,767	3,096	5,243	2,795	4,740	2,280	3,787	2,079	3,423	1,789	2,823	1,519	2,327
45-49	3,764	4,431	3,422	4,028	3,108	3,683	2,523	2,976	2,295	2,693	1,969	2,193	1,656	1,830
50-54	4,454	4,763	4,049	4,330	3,696	3,984	2,986	3,218	2,766	2,967	2,357	2,519	1,957	2,089
55-59	5,492	5,355	4,993	4,868	4,619	4,503	3,716	3,627	3,335	3,258	2,889	2,828	2,366	2,312
60-64	7,494	7,099	6,813	6,545	6,340	5,977	5,389	5,028	4,964	4,628	4,204	3,777	3,542	3,210
65-69	14,886	13,053	13,533	11,866	13,057	11,391	12,111	10,438	9,529	8,658	8,334	7,552	6,956	6,315
70 - 74	Please contact IMG or your agent for premium information concerning this age bracket
Rates expire on 3/31/2010