Rates for ODS Beneficial Option

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ODS Beneficial Option - $5,000 Deductible
Age Insured
Only
Insured &
Spouse
Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective July 1, 2006 through June 30, 2007
Monthly family rates are based on the age of primary applicant

0 - 1 $82 N/A N/A N/A
2 - 19 $57 $114 $158 $99
20 - 24 $73 $145 $203 $126
25 - 29 $78 $165 $232 $144
30 - 34 $91 $194 $267 $167
35 - 39 $102 $215 $284 $182
40 - 44 $134 $265 $354 $220
45 - 49 $164 $325 $399 $235
50 - 54 $201 $399 $478 $275
55 - 59 $234 $464 $542 $303
60 - 64 $268 $535 $573 $321
ODS Beneficial Option - $7,500 Deductible
Age Insured
Only
Insured &
Spouse
Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective July 1, 2006 through June 30, 2007
Monthly family rates are based on the age of primary applicant

0 - 1 $71 N/A N/A N/A
2 - 19 $50 $99 $137 $85
20 - 24 $63 $125 $175 $108
25 - 29 $67 $141 $200 $124
30 - 34 $79 $168 $231 $144
35 - 39 $88 $185 $245 $157
40 - 44 $115 $229 $305 $190
45 - 49 $142 $282 $346 $203
50 - 54 $174 $346 $415 $239
55 - 59 $201 $400 $467 $261
60 - 64 $231 $461 $494 $277