|
Premiums for non-US Citizens
Platinum Premiums
| |
$250 Deductible |
$500 Deductible |
| Age |
Male |
Female |
Male |
Female |
| 14 days to 9* |
$475 |
$475 |
$429 |
$429 |
| 10 to 18* |
$500 |
$500 |
$452 |
$452 |
| 19-24 |
$1,180 |
$1,905 |
$1,048 |
$1,796 |
| 25-29 |
$1,300 |
$2,110 |
$1,162 |
$1,983 |
| 30-34 |
$1,394 |
$2,359 |
$1,224 |
$2,199 |
| 35-39 |
$1,525 |
$2,595 |
$1,355 |
$2,368 |
| 40-44 |
$1,705 |
$2,125 |
$1,507 |
$1,898 |
| 45-49 |
$1,865 |
$2,319 |
$1,666 |
$2,092 |
| 50-54 |
$2,266 |
$2,516 |
$2,040 |
$2,289 |
| 55-59 |
$2,800 |
$2,800 |
$2,630 |
$2,630 |
| 60-64 |
$3,960 |
$3,733 |
$3,662 |
$3,435 |
| 65-69 |
$8,180 |
$7,134 |
$7,882 |
$6,835 |
| 70 |
$9,645 |
$8,339 |
$9,343 |
$8,046 |
| 71 |
$10,097 |
$8,738 |
$9,795 |
$8,438 |
| 72 |
$10,484 |
$9,070 |
$10,185 |
$8,771 |
| 73 |
$10,882 |
$9,404 |
$10,586 |
$9,108 |
| 74 |
$11,412 |
$9,854 |
$11,115 |
$9,558 |
| |
$1,000 Deductible |
$2,500 Deductible |
$5,000 Deductible |
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
| 14 days to 9* |
$326 |
$326 |
$293 |
$293 |
$282 |
$282 |
| 10 to 18* |
$350 |
$350 |
$316 |
$316 |
$304 |
$304 |
| 19-24 |
$814 |
$1,291 |
$718 |
$1,144 |
$588 |
$940 |
| 25-29 |
$901 |
$1,428 |
$793 |
$1,263 |
$652 |
$1,031 |
| 30-34 |
$951 |
$1,638 |
$844 |
$1,451 |
$691 |
$1,190 |
| 35-39 |
$1,049 |
$1,813 |
$929 |
$1,603 |
$759 |
$1,285 |
| 40-44 |
$1,166 |
$1,472 |
$1,036 |
$1,308 |
$843 |
$1,070 |
| 45-49 |
$1,292 |
$1,626 |
$1,145 |
$1,439 |
$935 |
$1,111 |
| 50-54 |
$1,586 |
$1,785 |
$1,445 |
$1,620 |
$1,184 |
$1,325 |
| 55-59 |
$2,000 |
$2,000 |
$1,863 |
$1,863 |
$1,524 |
$1,524 |
| 60-64 |
$3,066 |
$2,839 |
$2,798 |
$2,588 |
$2,321 |
$2,053 |
| 65-69 |
$7,287 |
$6,237 |
$5,666 |
$4,715 |
$4,915 |
$4,150 |
| 70 |
$8,739 |
$7,443 |
$6,891 |
$5,594 |
$5,977 |
$4,835 |
| 71 |
$9,192 |
$7,834 |
$7,257 |
$5,898 |
$6,295 |
$5,098 |
| 72 |
$9,588 |
$8,174 |
$7,573 |
$6,160 |
$6,569 |
$5,324 |
| 73 |
$9,994 |
$8,517 |
$7,900 |
$6,421 |
$6,853 |
$5,550 |
| 74 |
$10,524 |
$8,966 |
$8,321 |
$6,762 |
$7,218 |
$5,845 |
Premier Premiums
| |
$250 Deductible |
$500 Deductible |
| Age |
Male |
Female |
Male |
Female |
| 14 days to 9* |
$326 |
$326 |
$280 |
$280 |
| 10 to 18* |
$350 |
$350 |
$300 |
$300 |
| 19-24 |
$624 |
$863 |
$553 |
$797 |
| 25-29 |
$687 |
$950 |
$621 |
$883 |
| 30-34 |
$737 |
$1,050 |
$654 |
$966 |
| 35-39 |
$858 |
$1,183 |
$722 |
$1,049 |
| 40-44 |
$953 |
$1,162 |
$804 |
$1,014 |
| 45-49 |
$1,044 |
$1,271 |
$890 |
$1,116 |
| 50-54 |
$1,244 |
$1,376 |
$1,083 |
$1,216 |
| 55-59 |
$1,497 |
$1,497 |
$1,330 |
$1,330 |
| 60-64 |
$2,488 |
$2,368 |
$2,196 |
$2,076 |
| 65-69 |
$4,726 |
$4,157 |
$4,434 |
$3,865 |
| 70 |
$5,753 |
$5,031 |
$5,459 |
$4,735 |
| 71 |
$6,005 |
$5,248 |
$5,709 |
$4,953 |
| 72 |
$6,216 |
$5,428 |
$5,924 |
$5,136 |
| 73 |
$6,433 |
$5,610 |
$6,143 |
$5,320 |
| 74 |
$6,727 |
$5,861 |
$6,439 |
$5,571 |
| |
$1,000 Deductible |
$2,500 Deductible |
$5,000 Deductible |
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
| 14 days to 9* |
$218 |
$218 |
$190 |
$190 |
$174 |
$174 |
| 10 to 18* |
$245 |
$245 |
$220 |
$220 |
$205 |
$205 |
| 19-24 |
$435 |
$588 |
$385 |
$520 |
$335 |
$452 |
| 25-29 |
$481 |
$650 |
$424 |
$575 |
$369 |
$500 |
| 30-34 |
$508 |
$728 |
$450 |
$645 |
$391 |
$561 |
| 35-39 |
$560 |
$804 |
$497 |
$712 |
$432 |
$620 |
| 40-44 |
$623 |
$787 |
$554 |
$700 |
$482 |
$609 |
| 45-49 |
$690 |
$868 |
$611 |
$769 |
$532 |
$669 |
| 50-54 |
$843 |
$948 |
$767 |
$861 |
$667 |
$749 |
| 55-59 |
$996 |
$996 |
$942 |
$942 |
$820 |
$820 |
| 60-64 |
$1,612 |
$1,492 |
$1,486 |
$1,366 |
$1,293 |
$1,188 |
| 65-69 |
$3,850 |
$3,281 |
$3,008 |
$2,437 |
$2,617 |
$2,121 |
| 70 |
$4,869 |
$4,146 |
$3,100 |
$2,495 |
$2,697 |
$2,170 |
| 71 |
$5,120 |
$4,363 |
$3,263 |
$2,506 |
$2,839 |
$2,180 |
| 72 |
$5,340 |
$4,552 |
$3,471 |
$2,684 |
$3,020 |
$2,335 |
| 73 |
$5,565 |
$4,742 |
$3,686 |
$2,863 |
$3,207 |
$2,491 |
| 74 |
$5,861 |
$4,993 |
$3,952 |
$3,085 |
$3,438 |
$2,684 |
Optional Add-ons:
Term Life Insurance
| AGE |
BASIC PREMIUM |
SUPPLEMENTAL PREMIUM |
| 19-29 |
$130 |
$100 |
| 30-39 |
$210 |
$160 |
| 40-44 |
$310 |
$235 |
| 45-49 |
$450 |
$340 |
| 50-54 |
$570 |
$430 |
| 55-59 |
$770 |
$580 |
| 60-64 |
$585 |
$440 |
| 65-69 |
$315 |
Not Available |
| Dependent Child |
$85 |
Not Available |
Dental Rider
Annual Extra Premium |
US Citizen |
$ 348.00 |
|
All Other |
$ 492.00 |
Premiums for US Citizens
Platinum Premiums
| |
$250 Deductible |
$500 Deductible |
| Age |
Male |
Female |
Male |
Female |
| 14 days to 9* |
$475 |
$475 |
$429 |
$429 |
| 10 to 18* |
$500 |
$500 |
$452 |
$452 |
| 19-24 |
$1,180 |
$1,905 |
$1,048 |
$1,796 |
| 25-29 |
$1,300 |
$2,110 |
$1,162 |
$1,983 |
| 30-34 |
$1,394 |
$2,359 |
$1,224 |
$2,199 |
| 35-39 |
$1,525 |
$2,595 |
$1,355 |
$2,368 |
| 40-44 |
$1,705 |
$2,125 |
$1,507 |
$1,898 |
| 45-49 |
$1,865 |
$2,319 |
$1,666 |
$2,092 |
| 50-54 |
$2,266 |
$2,516 |
$2,040 |
$2,289 |
| 55-59 |
$2,800 |
$2,800 |
$2,630 |
$2,630 |
| 60-64 |
$3,960 |
$3,733 |
$3,662 |
$3,435 |
| 65-69 |
$8,180 |
$7,134 |
$7,882 |
$6,835 |
| 70 |
$9,645 |
$8,339 |
$9,343 |
$8,046 |
| 71 |
$10,097 |
$8,738 |
$9,795 |
$8,438 |
| 72 |
$10,484 |
$9,070 |
$10,185 |
$8,771 |
| 73 |
$10,882 |
$9,404 |
$10,586 |
$9,108 |
| 74 |
$11,412 |
$9,854 |
$11,115 |
$9,558 |
| |
$1,000 Deductible |
$2,500 Deductible |
$5,000 Deductible |
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
| 14 days to 9* |
$326 |
$326 |
$293 |
$293 |
$282 |
$282 |
| 10 to 18* |
$350 |
$350 |
$316 |
$316 |
$304 |
$304 |
| 19-24 |
$814 |
$1,291 |
$718 |
$1,144 |
$588 |
$940 |
| 25-29 |
$901 |
$1,428 |
$793 |
$1,263 |
$652 |
$1,031 |
| 30-34 |
$951 |
$1,638 |
$844 |
$1,451 |
$691 |
$1,190 |
| 35-39 |
$1,049 |
$1,813 |
$929 |
$1,603 |
$759 |
$1,285 |
| 40-44 |
$1,166 |
$1,472 |
$1,036 |
$1,308 |
$843 |
$1,070 |
| 45-49 |
$1,292 |
$1,626 |
$1,145 |
$1,439 |
$935 |
$1,111 |
| 50-54 |
$1,586 |
$1,785 |
$1,445 |
$1,620 |
$1,184 |
$1,325 |
| 55-59 |
$2,000 |
$2,000 |
$1,863 |
$1,863 |
$1,524 |
$1,524 |
| 60-64 |
$3,066 |
$2,839 |
$2,798 |
$2,588 |
$2,321 |
$2,053 |
| 65-69 |
$7,287 |
$6,237 |
$5,666 |
$4,715 |
$4,915 |
$4,150 |
| 70 |
$8,739 |
$7,443 |
$6,891 |
$5,594 |
$5,977 |
$4,835 |
| 71 |
$9,192 |
$7,834 |
$7,257 |
$5,898 |
$6,295 |
$5,098 |
| 72 |
$9,588 |
$8,174 |
$7,573 |
$6,160 |
$6,569 |
$5,324 |
| 73 |
$9,994 |
$8,517 |
$7,900 |
$6,421 |
$6,853 |
$5,550 |
| 74 |
$10,524 |
$8,966 |
$8,321 |
$6,762 |
$7,218 |
$5,845 |
Premier Premiums
| |
$250 Deductible |
$500 Deductible |
| Age |
Male |
Female |
Male |
Female |
| 14 days to 9* |
$326 |
$326 |
$280 |
$280 |
| 10 to 18* |
$350 |
$350 |
$300 |
$300 |
| 19-24 |
$624 |
$863 |
$553 |
$797 |
| 25-29 |
$687 |
$950 |
$621 |
$883 |
| 30-34 |
$737 |
$1,050 |
$654 |
$966 |
| 35-39 |
$858 |
$1,183 |
$722 |
$1,049 |
| 40-44 |
$953 |
$1,162 |
$804 |
$1,014 |
| 45-49 |
$1,044 |
$1,271 |
$890 |
$1,116 |
| 50-54 |
$1,244 |
$1,376 |
$1,083 |
$1,216 |
| 55-59 |
$1,497 |
$1,497 |
$1,330 |
$1,330 |
| 60-64 |
$2,488 |
$2,368 |
$2,196 |
$2,076 |
| 65-69 |
$4,726 |
$4,157 |
$4,434 |
$3,865 |
| 70 |
$5,753 |
$5,031 |
$5,459 |
$4,735 |
| 71 |
$6,005 |
$5,248 |
$5,709 |
$4,953 |
| 72 |
$6,216 |
$5,428 |
$5,924 |
$5,136 |
| 73 |
$6,433 |
$5,610 |
$6,143 |
$5,320 |
| 74 |
$6,727 |
$5,861 |
$6,439 |
$5,571 |
| |
$1,000 Deductible |
$2,500 Deductible |
$5,000 Deductible |
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
| 14 days to 9* |
$218 |
$218 |
$190 |
$190 |
$174 |
$174 |
| 10 to 18* |
$245 |
$245 |
$220 |
$220 |
$205 |
$205 |
| 19-24 |
$435 |
$588 |
$385 |
$520 |
$335 |
$452 |
| 25-29 |
$481 |
$650 |
$424 |
$575 |
$369 |
$500 |
| 30-34 |
$508 |
$728 |
$450 |
$645 |
$391 |
$561 |
| 35-39 |
$560 |
$804 |
$497 |
$712 |
$432 |
$620 |
| 40-44 |
$623 |
$787 |
$554 |
$700 |
$482 |
$609 |
| 45-49 |
$690 |
$868 |
$611 |
$769 |
$532 |
$669 |
| 50-54 |
$843 |
$948 |
$767 |
$861 |
$667 |
$749 |
| 55-59 |
$996 |
$996 |
$942 |
$942 |
$820 |
$820 |
| 60-64 |
$1,612 |
$1,492 |
$1,486 |
$1,366 |
$1,293 |
$1,188 |
| 65-69 |
$3,850 |
$3,281 |
$3,008 |
$2,437 |
$2,617 |
$2,121 |
| 70 |
$4,869 |
$4,146 |
$3,100 |
$2,495 |
$2,697 |
$2,170 |
| 71 |
$5,120 |
$4,363 |
$3,263 |
$2,506 |
$2,839 |
$2,180 |
| 72 |
$5,340 |
$4,552 |
$3,471 |
$2,684 |
$3,020 |
$2,335 |
| 73 |
$5,565 |
$4,742 |
$3,686 |
$2,863 |
$3,207 |
$2,491 |
| 74 |
$5,861 |
$4,993 |
$3,952 |
$3,085 |
$3,438 |
$2,684 |
Optional Add-ons:
Term Life Insurance
| AGE |
BASIC PREMIUM |
SUPPLEMENTAL PREMIUM |
| 19-29 |
$130 |
$100 |
| 30-39 |
$210 |
$160 |
| 40-44 |
$310 |
$235 |
| 45-49 |
$450 |
$340 |
| 50-54 |
$570 |
$430 |
| 55-59 |
$770 |
$580 |
| 60-64 |
$585 |
$440 |
| 65-69 |
$315 |
Not Available |
| Dependent Child |
$85 |
Not Available |
Dental Rider
Annual Extra Premium |
US Citizen |
$ 348.00 |
|
All Other |
$ 492.00 |
|