Maximizer (PPO) Rates

Maximizer - $1,000 deductible
Age	Insured only	Insured & spouse	Insured & spouse & child(ren)	Insured & child(ren)
Monthly rates effective November 1, 2011 through October 31, 2012 Monthly family rates are based on the age of primary applicant
0 - 19	$131	$260	$363	$225
20 - 24	$186	$368	$517	$322
25 - 29	$202	$426	$606	$378
30 - 34	$234	$498	$693	$434
35 - 39	$255	$540	$722	$468
40 - 44	$316	$628	$845	$529
45 - 49	$374	$744	$920	$544
50 - 54	$444	$880	$1,062	$612
55 - 59	$526	$1,043	$1,225	$689
60 - 64	$613	$1,224	$1,314	$740
65+	$705	$1,411	$1,515	$853

Maximizer - $2,500 deductible
Age	Insured only	Insured & spouse	Insured & spouse & child(ren)	Insured & child(ren)
Monthly rates effective November 1, 2011 through October 31, 2012 Monthly family rates are based on the age of primary applicant
0 - 19	$106	$208	$291	$180
20 - 24	$149	$296	$415	$259
25 - 29	$162	$342	$488	$304
30 - 34	$189	$400	$557	$349
35 - 39	$205	$435	$581	$375
40 - 44	$254	$506	$679	$425
45 - 49	$301	$598	$739	$436
50 - 54	$357	$709	$853	$492
55 - 59	$422	$838	$984	$553
60 - 64	$493	$984	$1,057	$595
65+	$566	$1,134	$1,217	$685

Maximizer - $5,000 deductible
Age	Insured only	Insured & spouse	Insured & spouse & child(ren)	Insured & child(ren)
Monthly rates effective November 1, 2011 through October 31, 2012 Monthly family rates are based on the age of primary applicant
0 - 19	$82	$162	$227	$141
20 - 24	$117	$231	$324	$202
25 - 29	$126	$268	$381	$237
30 - 34	$146	$313	$435	$273
35 - 39	$160	$340	$452	$292
40 - 44	$199	$394	$531	$331
45 - 49	$235	$467	$577	$341
50 - 54	$279	$553	$666	$385
55 - 59	$330	$656	$768	$432
60 - 64	$385	$768	$826	$464
65+	$442	$886	$951	$536