
|
|
$250 Deductible |
$500 Deductible |
$1000 Deductible |
$2,500 Deductible |
$5,000 Deductible |
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
| 14 days to 9 |
$308 |
$308 |
$267 |
$267 |
$209 |
$209 |
$198 |
$198 |
$181 |
$181 |
| 10 to 18 |
$333 |
$333 |
$296 |
$296 |
$245 |
$245 |
$228 |
$228 |
$214 |
$214 |
| 19-24 |
$716 |
$1,178 |
$620 |
$1,082 |
$483 |
$837 |
$421 |
$729 |
$350 |
$570 |
| 25-29 |
$798 |
$1,315 |
$697 |
$1,215 |
$541 |
$939 |
$473 |
$821 |
$380 |
$640 |
| 30-34 |
$847 |
$1,425 |
$728 |
$1,306 |
$564 |
$1,010 |
$495 |
$881 |
$407 |
$688 |
| 35-39 |
$1,001 |
$1,642 |
$810 |
$1,451 |
$628 |
$1,121 |
$549 |
$978 |
$445 |
$764 |
| 40-44 |
$1,097 |
$1,325 |
$891 |
$1,118 |
$691 |
$866 |
$602 |
$755 |
$495 |
$629 |
| 45-49 |
$1,222 |
$1,474 |
$1,002 |
$1,254 |
$776 |
$969 |
$677 |
$845 |
$552 |
$700 |
| 50-54 |
$1,493 |
$1,640 |
$1,266 |
$1,413 |
$978 |
$1,096 |
$854 |
$975 |
$724 |
$809 |
| 55-59 |
$1,804 |
$1,804 |
$1,568 |
$1,568 |
$1,214 |
$1,212 |
$1,058 |
$1,058 |
$891 |
$898 |
| 60-64 |
$2,656 |
$2,499 |
$2,420 |
$2,264 |
$2,040 |
$1,801 |
$1,848 |
$1,658 |
$1,543 |
$1,371 |
| 65-69 |
$5,545 |
$4,839 |
$5,307 |
$4,602 |
$4,965 |
$4,191 |
$3,817 |
$3,114 |
$3,337 |
$2,989 |
| 70 |
$6,654 |
$5,806 |
$6,369 |
$5,522 |
$5,958 |
$5,029 |
$4,580 |
$3,737 |
$4,005 |
$3,587 |
| 71 |
$6,987 |
$6,097 |
$6,687 |
$5,798 |
$6,256 |
$5,281 |
$4,809 |
$3,924 |
$4,205 |
$3,766 |
| 72 |
$7,336 |
$6,402 |
$7,022 |
$6,088 |
$6,569 |
$5,545 |
$5,050 |
$4,120 |
$4,415 |
$3,954 |
| 73 |
$7,703 |
$6,722 |
$7,373 |
$6,393 |
$6,897 |
$5,822 |
$5,302 |
$4,326 |
$4,636 |
$4,152 |
| 74 |
$8,088 |
$7,058 |
$7,741 |
$6,712 |
$7,242 |
$6,113 |
$5,567 |
$4,543 |
$4,868 |
$4,360 |
| *First two children age 14 days to 9 years are free only when both parents are insured under the Economy Plan. The dependent child rate is only available when parent (guardian) is insured under the Economy Plan. Dependent children alone must pay the age 19 to 24 Male rate. |
Optional Term Life and AD&D 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 |
Optional Dental Rider
| Citizenship |
Premium |
| US Citizen |
$ 348 |
| All Others |
$ 492 |
Optional Sports Rider
|