Patriot Extreme: Rates

Patriot Extreme International provides coverage for US citizens traveling abroad for a minimum of 30 days up to a maximum of three months. Although the Patriot Extreme International plan is not renewable, it can be rewritten for succeeding or subsequent coverage periods. New Deductible, Coinsurance, Eligibility, Conditions of Coverage and Pre-Existing Condition Exclusions apply to any succeeding or subsequent Period of Coverage. A new application also must be completed.

ONE MONTH RATES US$50,000 POLICY MAXIMUM
Age	One Month
17 or younger	$54
18-39	$64
40-49	$100

EACH ADDITIONAL 15 DAYS US$50,000 POLICY MAXIMUM
Age	15 Days
17 or younger	$27
18-39	$32
40-49	$50

All premium rates are in US dollars. Rates include 2.5% surplus lines tax. A dependent child is your child shown on the Enrollment Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.

Patriot Extreme America provides coverage for non-US citizens traveling outside their country of citizenship for a minimum of 30 days up to a maximum of three months. Although the Patriot Extreme America plan is not renewable, it can be rewritten for succeeding or subsequent coverage periods. New Deductible, Coinsurance, Eligibility, Conditions of Coverage and Pre-Existing Condition Exclusions apply to any succeeding or subsequent Period of Coverage. A new application also must be completed.

ONE MONTH RATES US$50,000 POLICY MAXIMUM
Age	One Month
17 or younger	$72
18-39	$94
40-49	$142

EACH ADDITIONAL 15 DAYS US$50,000 POLICY MAXIMUM
Age	15 Days
17 or younger	$36
18-39	$47
40-49	$71

All premium rates are in US dollars. Rates include 2.5% surplus lines tax. A dependent child is your child shown on the Enrollment Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.