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Maximizer (PPO) Rates

Maximizer - $1,000 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective December 1, 2009 through October 31, 2010
Monthly family rates are based on the age of primary applicant
0 - 19 $100 $199 $277 $172
20 - 24 146 290 404 250
25 - 29 159 336 473 293
30 - 34 185 392 541 337
35 - 39 201 425 564 363
40 - 44 249 495 660 411
45 - 49 295 586 720 424
50 - 54 350 693 832 478
55 - 59 414 821 960 538
60 - 64 483 964 1033 579
Maximizer - $2,500 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective December 1, 2009 through October 31, 2010
Monthly family rates are based on the age of primary applicant
0 - 19 $82 $161 $226 $140
20 - 24 119 237 329 205
25 - 29 129 274 387 240
30 - 34 151 320 442 276
35 - 39 164 349 461 296
40 - 44 204 405 539 336
45 - 49 241 479 588 346
50 - 54 286 568 679 391
55 - 59 338 671 784 440
60 - 64 395 788 844 474
Maximizer - $5,000 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective December 1, 2009 through October 31, 2010
Monthly family rates are based on the age of primary applicant
0 - 19 $65 $129 $181 $113
20 - 24 96 190 264 164
25 - 29 104 220 310 192
30 - 34 120 258 355 222
35 - 39 132 279 369 237
40 - 44 164 324 433 269
45 - 49 194 384 472 278
50 - 54 229 455 545 314
55 - 59 272 539 629 352
60 - 64 317 632 678 379