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 |
|
 |
|
| Each Adult |
1 |
Plan Type
2 |
3 |
| Age 29 or under |
$80 |
$68 |
$105 |
| 30-54 |
$125 |
$94 |
$145 |
| 55-64 |
$205 |
$157 |
$243 |
| 65 or above |
$432 |
$360 |
$558 |
Each Dependent Child
(to Age 18, or age 23
if a full-time student) |
$40 |
$37 |
$57 |
| Option 1: |
Each Adult |
| Additional $100,000 Principal Sum |
$12 |
| Option 2: |
|
| Additional $250,000 Principal Sum |
$30 |
Please Note:
- Above premium rates represent $100 Deductible. Selection of higher Deductible lowers premium. Rate factors and instructions appear on page 1 of Application form.
- If Child (under age 18) is the only person listed on Application, Adult Rates (age 29 and under) apply.
- Options 1 and 2 are available only to persons age 18 and older. If purchased, both Primary Insured and Spouse must have same coverage amount.
- The minimum Term of Insurance for Gateway Premier is 6 months, maximum 12 months. Coverage may be renewed for a minimum of 3 months up to a maximum of 12 months at a time, to a maximum total of 5 years.
- Plan Selection - see brochure
1 - Worldwide, including U.S.
2 - Worldwide, excluding U.S.
3 - Employment assignments Worldwide, excluding U.S.
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