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Global Mission Basic Rates
Plan Overview
| Benefits
| Exclusions
| Providers
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Application | Apply
Online
Rates: Worldwide Including US & Canada | Worldwide Excluding US & Canada
New Business Rates through 3/31/2006 (Includes 2.5%
surplus lines tax)
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®").
| more
deductibles |
$250
Deductible |
$500
Deductible |
$1,000
Deductible |
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
| 14 days to 9* |
First 2 Free, Then 311 |
First 2 Free, Then 270 |
First 2 Free, Then 211 |
| 10-18* |
336 |
299 |
247 |
| First two Dependent Children free between
the ages of 14 days to 9 years only when both parents or guardians are insured
under the Global Mission Basic Insurance plan. Dependent child rate only
available when parent or guardian is insured under the Global Mission Basic
Insurance plan. Children applying with no parent or guardian insured by
Global Basic Insurance use the Male 19 - 24 rates. |
| 19 - 24 |
720 |
M - 1,184
S - 985 |
623 |
M - 1,087
S - 882 |
485 |
M - 841
S - 620 |
| 25 - 29 |
802 |
M - 1,322
S - 1,017 |
700 |
M - 1,221
S - 907 |
544 |
M - 944
S - 749 |
| 30 - 34 |
851 |
M - 1,432
S - 1,034 |
732 |
M - 1,313
S - 911 |
567 |
M - 1,015
S - 761 |
| 35 - 39 |
1,006 |
M - 1,650
S - 1,178 |
814 |
M - 1,458
S - 1,002 |
631 |
M - 1,127
S - 789 |
| 40 - 44 |
1,103 |
1,332 |
895 |
1,124 |
694 |
870 |
| 45 - 49 |
1,228 |
1,481 |
1,007 |
1,260 |
780 |
974 |
| 50 - 54 |
1,500 |
1,648 |
1,272 |
1,420 |
983 |
1,102 |
| 55 - 59 |
1,813 |
1,813 |
1,576 |
1,576 |
1,220 |
1,218 |
| 60 - 64 |
2,669 |
2,512 |
2,432 |
2,275 |
2,050 |
1,810 |
| 65 - 69 |
5,573 |
4,863 |
5,334 |
4,625 |
4,990 |
4,212 |
| 70 - 74 |
Please contact us for premium information
concerning this age bracket |
| |
more
deductibles |
$2,500
Deductible |
$5,000
Deductible |
$10,000
Deductible |
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
| 14 days to 9* |
First 2 Free, Then 184 |
First 2 Free, Then 169 |
First 2 Free, Then 150 |
| 10-18* |
230 |
216 |
190 |
| First two Dependent Children free between
the ages of 14 days to 9 years only when both parents or guardians are insured
under the Global Mission Basic Insurance plan. Dependent child rate only
available when parent or guardian is insured under the Global Mission Basic
Insurance plan. Children applying with no parent or guardian insured by
Global Basic Insurance use the Male 19 - 24 rates. |
| 19 - 24 |
423 |
M - 733
S - 592 |
332 |
M - 573
S - 552 |
295 |
M - 510
S - 487 |
| 25 - 29 |
475 |
M - 825
S - 718 |
372 |
M - 643
S - 628 |
331 |
M - 572
S - 555 |
| 30 - 34 |
497 |
M - 885
S - 735 |
389 |
M - 691
S - 658 |
346 |
M - 615
S - 615 |
| 35 - 39 |
552 |
M - 983
S - 757 |
432 |
M - 768
S - 731 |
385 |
M - 683
S - 645 |
| 40 - 44 |
605 |
759 |
497 |
632 |
442 |
562 |
| 45 - 49 |
680 |
849 |
555 |
670 |
494 |
596 |
| 50 - 54 |
858 |
980 |
728 |
813 |
648 |
724 |
| 55 - 59 |
1,063 |
1,063 |
895 |
903 |
796 |
804 |
| 60 - 64 |
1,857 |
1,666 |
1,551 |
1,378 |
1,381 |
1,227 |
| 65 - 69 |
3,836 |
3,130 |
3,354 |
3,004 |
2,985 |
2,673 |
| 70 - 74 |
Please contact us for premium information
concerning this age bracket |
|
Atlas
