GMI 99 Premiums
GLOBAL MEDICAL INSURANCEsm
Premiums

UNDERWRITTEN BY: SIRIUS INTERNATIONAL INSURANCE CORPORATION

Global Medical InsuranceSM 1999 New Business Rates©
Effective 1/1/99 Rates quoted in US Dollars.
(Includes 2½% surplus lines tax.)

 

$500

Deductible Plan

$1,000

Deductible Plan

$2,500

Deductible Plan

$5,000

Deductible Plan
 
Age

Male

Female

Male

Female

Male

Female

Male

Female
 
14 days to 9*

First 2 Free, Then 380

First 2 Free, Then 290

First 2 Free, Then 260

First 2 Free, Then 250
 
10-18*

400

400

310

310

280

280

270

270
* First two (2) children free between the ages of 14 days to 9 years only when both parents are insured under the Global Medical InsuranceSM plan.

Dependent child rate only available when parent (guardian) is insured under the Global Medical InsuranceSM plan.
19 - 24

925

1,585

720

1,140

635

1,010

520

830
 
25 - 29

1,025

1,750

795

1,260

700

1,115

575

910

 
30 - 34

1,080

1,940

840

1,445

745

1,280

610

1,050
 
35 - 39

1,195

2,090

925

1,600

820

1,415

670

1,135
 
40 - 44

1,330

1,675

1,030

1,300

915

1,155

745

945
 
45 - 49

1,470

1,845

1,140

1,435

1,010

1,270

825

980
 
50 - 54

1,800

2,020

1,400

1,575

1,275

1,430

1,045

1,170
 
55 - 59

2,210

2,210

1,725

1,725

1,565

1,565

1,280

1,280
 
60 - 64

3,075

2,885

2,575

2,385

2,350

2,175

1,950

1,725
 
65 - 69

6,615

5,715

6,115

5,215

4,755

4,280

4,125

3,700
 
70

8,150

7,020

7,645

6,520

6,010

5,400

5,260

4,700
 
71

8,545

7,360

8,045

6,860

6,330

5,685

5,540

4,950
 
72

8,970

7,725

8,470

7,220

6,670

5,990

5,840

5,220
 
73

9,415

8,100

8,915

7,600

7,025

6,305

6,150

5,500
 
74

9,885

8,500

9,385

8,000

7,400

6,645

6,485

5,800
 

Modal Payment Factors** Annual 1.00 Semi-Annual .55 Quarterly .28

** For Semi-Annual or Quarterly payment modes, IMGSM will only accept Visa, MasterCard or American Express on a pre-authorized basis. IMGsm will automatically debit your card on the due dates of your premium installment.

Rates Expire 12/31/99

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