| Age | Insured only |
Insured & spouse |
Insured & spouse & child(ren) | Insured & child(ren) |
|---|---|---|---|---|
|
Monthly rates effective November 1, 2011 through October 31, 2012 |
||||
| 2 - 19 | $38 | $77 | $111 | $75 |
| 20 - 34 | 40 | 81 | 118 | 81 |
| 35 - 44 | 49 | 100 | 150 | 97 |
| 45 - 64 | 51 | 102 | 152 | 102 |