Premiums

MEDICAL PLANS: Major Medical Plan

PREMIUMS (in US$)											For Renewal Only 61-65
AGE BANDS	0-3	4-18	19-25	26-30	31-35	36-40	41-45	46-50	51-55	56-60	For Renewal Only 61-65
MAJOR MEDICAL PLAN	614	614	769	847	928	1,009	1,097	1,178	1,371	1,469	1,586
Optional Benefits US$1,000,000 Benefit	250	250	250	250	250	250	250	250	250	250	250
Additional Room & Board (per US$50 increase)	30	30	30	30	30	30	30	40	40	40	50
US$50,000 Surgeon's Fee	53	53	65	71	77	83	88	93	103	109	120
ADDITIONAL BENEFIT PLANS
Dental Benefit	300	600	600	600	600	600	600	600	600	600	600
Personal Accident Benefit	Rate for Class 1 Occupation - $1.00 per 1,000 Rate for Class 2 Occupation - $1.25 per 1,000 Rate for Class 3 Occupation is available on request
Travel Benefit	85	85	85	85	85	85	85	85	85	85	85
Rental Car Protection	Not available below age 23					75 for ages 23 to 75

NOTE:

15% geographical loading applies to residents in E.U.Countries and Switzerland.
20% geographical loading applies to residents in Hong Kong.
Geographical loading for North American residents is available on request.
US$1,000,000 benefit option can be renewed up to age 75 and is subject to availability.
Medical premiums for age over 65 are available on request.