
OPTIONAL CATASTROPHIC COVERAGE PREMIUM RATES
(Available only if Plan II is purchased)
The policy maximum (Plan II) can be increased to $100,000 for an
additional premium.
All Accident and Sickness insured family members must enroll.
2009-2010
MONTHLY PREMIUM
PERSONS INSURED |
STUDENT'S AGE |
|
|---|
Student
|
| 24 & Under | $17 |
| 25-34 | 18 |
| 35-44 | 23 |
| 45 & Over | 35 |
Student & Spouse |
| 24 & Under | $34 |
| 25-34 | 36 |
| 35-44 | 43 |
| 45 & Over | 61 |
Student, Spouse & Children |
| 24 & Under | $46 |
| 25-34 | 48 |
| 35-44 | 55 |
| 45 & Over | 73 |
Student & Children
|
| 24 & Under | $29 |
| 25-34 | 30 |
| 35-44 | 35 |
| 45 & Over | 47 |
Multiply
the rates shown above by 4 to determine the tri-annual premium. Catastrophic
Coverage is optional and available to Plan II Accident and Sickness Insureds.
All Accident and Sickness insured family members must enroll.
|