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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 November 1, 2008 through October 31, 2009
Monthly family rates are based on the age of primary applicant
0 - 19 $85 $169 $235 $146
20 - 24 124 246 343 212
25 - 29 135 285 402 249
30 - 34 157 333 460 286
35 - 39 171 362 479 308
40 - 44 211 420 561 350
45 - 49 250 498 612 360
50 - 54 297 589 707 406
55 - 59 352 698 816 457
60 - 64 411 819 878 492
Maximizer - $2,500 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective November 1, 2008 through October 31, 2009
Monthly family rates are based on the age of primary applicant
0 - 19 $70 $137 $192 $119
20 - 24 101 201 280 174
25 - 29 110 233 329 204
30 - 34 129 272 376 234
35 - 39 139 296 392 252
40 - 44 173 344 458 285
45 - 49 205 407 500 294
50 - 54 243 482 577 332
55 - 59 287 571 666 374
60 - 64 335 670 718 403
Maximizer - $5,000 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective November 1, 2008 through October 31, 2009
Monthly family rates are based on the age of primary applicant
0 - 19 $56 $110 $154 $96
20 - 24 82 161 224 139
25 - 29 88 187 264 163
30 - 34 102 219 302 188
35 - 39 112 237 314 201
40 - 44 139 276 368 229
45 - 49 164 327 401 236
50 - 54 195 387 463 267
55 - 59 231 458 535 299
60 - 64 269 537 576 322