Standard Premium
(Last Revised:
02/10/2009
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ANNUAL RATES:
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Age
65
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Age
70
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Age
75
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Preexisting Waiting Period
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Issue Age Rated? (Y/N)
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Attained Age Rated? (Y/N)
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Plan A
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$1,331.93
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$1,518.24
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$1,649.91
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N
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Y
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Plan B
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$1,522.59
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$1,768.80
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$1,968.33
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N
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Y
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Plan C
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$1,790.71
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$2,087.52
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$2,332.86
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N
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Y
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Plan D
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Plan E
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Plan F
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$1,592.08
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$1,836.57
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$2,041.54
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N
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Y
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Plan G
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$1,523.97
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$1,787.40
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$2,012.17
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N
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Y
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Plan H
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Plan I
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Plan J
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Plan K
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$695.11
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$800.44
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$913.69
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N
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Y
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Plan L
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High Ded. Plan F
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High Ded. Plan J
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Comment: These are Standard rates for Rate Area I. Please call for Standard rates for Rate Area II. Plan G listed are for nontobacco. Plan K listed are for male nontobacco. Please call for Male tobacco rates. Please call for female tobacco and nontobacco rates.
Medicare Select Premium
(Last Revised:
02/10/2009
)
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ANNUAL RATES:
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Age
65
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Age
70
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Age
75
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Preexisting Waiting Period
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Issue Age Rated? (Y/N)
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Attained Age Rated? (Y/N)
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Plan A
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$1,293.98
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$1,468.36
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$1,586.53
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N
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Y
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Plan B
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$1,313.05
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$1,493.42
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$1,618.37
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N
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Y
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Plan C
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$1,581.16
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$1,812.13
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$1,982.90
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N
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Y
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Plan D
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Plan E
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Plan F
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$1,406.00
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$1,594.58
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$1,735.63
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N
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Y
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Plan G
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$1,330.14
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$1,532.67
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$1,688.46
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N
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Y
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Plan H
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Plan I
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Plan J
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Plan K
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$569.18
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$639.99
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$708.56
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Plan L
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Comment: These are Select rates for Rate Area I. Please call for Standard rates for Rate Area II. Plan G listed are for nontobacco. Plan K listed are for male nontobacco. Please call for Male tobacco rates. Please call for female tobacco and nontobacco rates.
Under Age 65 Premium
(Last Revised:
02/11/2009
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ANNUAL RATES:
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Age
Under 65
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Age
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Age
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Preexisting Waiting Period
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Issue Age Rated? (Y/N)
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Attained Age Rated? (Y/N)
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Plan A
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$3,302.21
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N
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Y
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Plan B
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Plan C
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Plan D
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Plan E
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Plan F
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$4,648.35
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N
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Y
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Plan G
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Plan H
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Plan I
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Plan J
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Comment: These are rates for Rate Area I. Standard Plan A and Standard Plan F female nontobacco. Please call for Rate Area II Standard/Select Plan A and F female/male tobacco and female tobacco rates.
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