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Global Medical InsuranceSM

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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 InsuranceSM New Business Rates

Annual Premiums

(Includes 2 ½% surplus lines tax where applicable.)

New Business Rates through 12/31/2008 (Includes 2.5% surplus lines tax where applicable)

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 477 First 2 Free*, Then 403 First 2 Free*, Then 307 First 2 Free*, Then 276 First 2 Free*, Then 248 First 2 Free*, Then 224
 
10-18** 519 424 329 297 267 240
* 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 1,115 1,552 960 1,378 747 992 658 880 540 722 426 565
 
25-29 1,154 1,607 1,008 1,442 781 1,039 687 920 565 751 442 585
 
30-34 1,275 1,861 1,120 1,696 871 1,258 772 1,114 632 914 498 713
 
35-39 1,322 1,903 1,175 1,723 909 1,319 805 1,166 658 935 517 733
 
40-44 1,643 2,147 1,452 1,918 1,125 1,488 999 1,322 814 1,050 644 825
 
45-49 1,849 2,233 1,651 2,015 1,280 1,567 1,135 1,386 927 1,070 730 840
 
50-54 2,247 2,424 2,022 2,205 1,573 1,720 1,433 1,561 1,174 1,277 921 1,004
 
55-59 2,845 2,765 2,608 2,534 2,036 1,979 1,795 1,745 1,512 1,469 1,180 1,146
 
60-64 3,999 3,770 3,698 3,469 3,096 2,867 2,826 2,615 2,345 2,075 1,925 1,714
 
65-69 8,258 7,201 7,956 6,900 7,356 6,296 5,720 5,168 4,962 4,467 4,089 3,683
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
Rates expire on 12/31/2008
Optional Maternity Rider $2,500 annual premium


WORLDWIDE COVERAGE EXCLUDING U.S/CANADA
  $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 358 First 2 Free*, Then 302 First 2 Free*, Then 230 First 2 Free*, Then 207 First 2 Free*, Then 186 First 2 Free*, Then 168
 
10-18** 389 318 247 223 200 180
* 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.
 
19-24 836 1,164 720 1,034 560 744 494 660 405 542 320 424
 
25-29 866 1,205 756 1,082 586 779 515 690 424 563 332 439
 
30-34 956 1,396 840 1,272 653 944 579 836 474 686 374 535
 
35-39 992 1,427 881 1,292 682 989 604 875 494 701 388 550
 
40-44 1,232 1,610 1,089 1,439 844 1,116 749 992 611 788 483 619
 
45-49 1,387 1,675 1,238 1,511 960 1,175 851 1,040 696 803 548 630
 
50-54 1,685 1,818 1,517 1,654 1,180 1,290 1,075 1,171 881 958 691 753
 
55-59 2,134 2,074 1,956 1,901 1,527 1,484 1,346 1,309 1,134 1,102 885 860
 
60-64 2,999 2,828 2,774 2,602 2,322 2,150 2,120 1,961 1,759 1,556 1,444 1,286
 
65-69 6,194 5,401 5,967 5,175 5,517 4,722 4,290 3,876 3,722 3,350 3,067 2,762
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
Rates expire on 12/31/2008
Optional Maternity Rider $2,500 annual premium

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