Rx Rider Rates

Rx Rider Rates
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 $8 $17 $24 $15
20 - 24 $11 $23 $31 $20
25 - 29 $13 $28 $40 $25
30 - 34 $15 $31 $43 $27
35 - 39 $16 $34 $46 $30
40 - 44 $20 $39 $53 $33
45 - 49 $23 $46 $56 $33
50 - 54 $26 $52 $62 $36
55 - 59 $31 $62 $72 $41
60 - 64 $38 $75 $80 $46
65+ $43 $85 $92 $51