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Beneficial Rx Rates

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

Monthly rates effective July 1, 2007 through September 30, 2008
Monthly family rates are based on the age of primary applicant
0 - 19 $85 $170 $236 $147
20 - 24 125 248 345 214
25 - 29 136 287 405 251
30 - 34 158 336 463 289
35 - 39 172 364 482 310
40 - 44 213 424 565 352
45 - 49 253 502 616 362
50 - 54 299 594 711 410
55 - 59 354 703 821 460
60 - 64 413 825 884 496
Beneficial Rx - $2,500 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective July 1, 2007 through September 30, 2008
Monthly family rates are based on the age of primary applicant
0 - 19 $71 $140 $195 $121
20 - 24 103 204 285 177
25 - 29 112 237 334 208
30 - 34 130 277 382 239
35 - 39 142 301 398 256
40 - 44 176 350 467 291
45 - 49 209 414 509 299
50 - 54 247 490 588 338
55 - 59 292 581 678 380
60 - 64 341 681 730 409
Beneficial Rx - $5,000 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective July 1, 2007 through September 30, 2008
Monthly family rates are based on the age of primary applicant
0 - 19 $56 $111 $155 $96
20 - 24 81 162 226 140
25 - 29 89 188 265 164
30 - 34 103 219 303 189
35 - 39 113 238 315 203
40 - 44 139 277 370 230
45 - 49 165 328 403 237
50 - 54 195 388 465 268
55 - 59 231 460 537 301
60 - 64 270 539 578 324