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)
| |
$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 |
| |
$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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