International Citizen Insurance: Rates

International Citizen SecureSM Plan | Rates

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CitizenSecureSM Rate Tables

Medical Coverage Including US and Canada

Medical Coverage Excluding US and Canada

Optional Term Life and AD&D Insurance

Optional Dental Rider

Optional Sports Rider

New Business Rates for Standard Risks

Rate Table - Medical Coverage Including US and Canada

	$250 Deductible		$500 Deductible		$1,000 Deductible		$2,500 Deductible		$5,000 Deductible
Age	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female
14 days to 9*	$523	$523	$441	$441	$336	$336	$303	$303	$289	$289
10-18	$550	$550	$462	$462	$358	$358	$323	$323	$310	$310
19-24	$1,221	$2,096	$1,051	$1,976	$820	$1,420	$721	$1,258	$619	$1,034
25-29	$1,265	$2,321	$1,100	$2,181	$858	$1,571	$747	$1,389	$684	$1,134
30-34	$1,397	$2,595	$1,227	$2,419	$957	$1,802	$847	$1,596	$727	$1,309
35-39	$1,452	$2,855	$1,276	$2,605	$996	$1,994	$868	$1,763	$796	$1,414
40-44	$1,796	$2,338	$1,587	$2,088	$1,232	$1,628	$990	$1,439	$886	$1,148
45-49	$2,027	$2,450	$1,805	$2,211	$1,403	$1,722	$1,238	$1,520	$1,009	$1,170
50-54	$2,464	$2,659	$2,214	$2,417	$1,727	$1,887	$1,566	$1,713	$1,282	$1,398
55-59	$3,080	$3,031	$2,860	$2,780	$2,200	$2,171	$1,965	$1,970	$1,653	$1,609
60-64	$4,356	$4,106	$4,028	$3,779	$3,373	$3,123	$3,078	$2,847	$2,553	$2,258
65-69	$8,998	$7,847	$8,670	$7,519	$8,016	$6,861	$6,233	$5,187	$5,407	$4,565
70	$10,610	$9,173	$10,277	$8,851	$9,613	$8,187	$7,580	$6,153	$6,575	$5,319
71	$11,107	$9,612	$10,775	$9,282	$10,111	$8,617	$7,983	$6,488	$6,925	$5,608
72	$11,532	$9,977	$11,204	$9,648	$10,547	$8,991	$8,330	$6,776	$7,226	$5,856
73	$11,970	$10,344	$11,645	$10,019	$10,993	$9,369	$8,690	$7,063	$7,538	$6,105
74	$12,553	$10,839	$12,227	$10,514	$11,576	$9,863	$9,153	$7,438	$7,940	$6,430
	*First 2 children age 14 days to 9 are free only when both parents are insured under the plan. The dependent child rate is only available when parent (guardian) is insured under the plan. Dependent children alone must pay the age 19 to 24 Male rate.

	$250 Deductible		$500 Deductible		$1,000 Deductible		$2,500 Deductible		$5,000 Deductible
Age	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female
14 days to 9*	$408	$408	$344	$344	$262	$262	$236	$236	$226	$226
10-18	$429	$429	$360	$360	$279	$279	$252	$252	$242	$242
19-24	$952	$1,634	$819	$1,541	$639	$1,108	$562	$982	$483	$807
25-29	$987	$1,810	$858	$1,701	$669	$1,225	$583	$1,084	$534	$885
30-34	$1,090	$2,024	$957	$1,887	$746	$1,405	$661	$1,245	$567	$1,021
35-39	$1,133	$2,227	$995	$2,032	$776	$1,556	$677	$1,375	$621	$1,103
40-44	$1,455	$1,893	$1,286	$1,691	$998	$1,319	$802	$1,165	$717	$930
45-49	$1,642	$1,984	$1,462	$1,791	$1,136	$1,394	$1,002	$1,231	$817	$948
50-54	$1,996	$2,154	$1,794	$1,958	$1,399	$1,528	$1,269	$1,387	$1,038	$1,132
55-59	$2,526	$2,485	$2,345	$2,279	$1,804	$1,781	$1,611	$1,615	$1,356	$1,320
60-64	$3,572	$3,367	$3,303	$3,098	$2,766	$2,561	$2,524	$2,334	$2,094	$1,852
65-69	$7,378	$6,435	$7,110	$6,165	$6,573	$5,626	$5,111	$4,253	$4,433	$3,743
70	$8,806	$7,614	$8,530	$7,346	$7,979	$6,795	$6,291	$5,107	$5,457	$4,414
71	$9,219	$7,978	$8,943	$7,704	$8,392	$7,152	$6,626	$5,385	$5,747	$4,654
72	$9,572	$8,281	$9,299	$8,008	$8,754	$7,463	$6,914	$5,624	$5,997	$4,861
73	$9,935	$8,586	$9,665	$8,316	$9,125	$7,776	$7,213	$5,862	$6,257	$5,067
74	$10,419	$8,997	$10,148	$8,726	$9,608	$8,186	$7,597	$6,174	$6,590	$5,336
	*First 2 children age 14 days to 9 are free only when both parents are insured under the plan. The dependent child rate is only available when parent (guardian) is insured under the plan. Dependent children alone must pay the age 19 to 24 Male rate.

Age	Option 1	Option 2
19 to 29	$130	$230
30-39	$210	$370
40-44	$310	$545
45-49	$450	$790
50-54	$570	$1000
55-59	$770	$1350
60-64	$585	$1025
65-69	$315	Not Available
Dependent Child	$85	Not Available

US Citizen	$348
All Others	$492

Rate Table - Optional Sports Rider

14 days - 59 years

$250

Rates effective through 6/30/2009

Rates include Surplus Lines Taxes and Fees when applicable.

THIS MEDICAL DENTAL AND LIFE INSURANCE IS UNDERWRITTEN BY CERTAIN UNDERWRITERS AT LLOYD'S, LONDON, AND IS AVAILABLE TO MEMBERS OF THE ATLAS/INTERNATIONAL CITIZEN GROUP INSURANCE TRUST, HAMILTON, BERMUDA.
LLOYD'S IS AN APPROVED NON-ADMITTED INSURER IN ALL STATES OF THE UNITED STATES, EXCEPT KENTUCKY AND ILLINOIS WHERE THEY ARE ADMITTED. CLAIMS UNDER THIS INSURANCE MAY NOT BE MADE AGAINST ANY STATE GUARANTY FUND.

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