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
STANDARD MEDICAL PLAN

Private Room Option
1,003
1,003
1,806
1,934
2,065
2,193
2,366
2,498
2,874
3,234
3,953
230
230
333
333
375
375
419
419
524
524
594
COMPREHENSIVE MEDICAL PLAN
1,662
1,923
2,934
3,062
3,214
3,349
3,537
3,674
4,092
4,468
5,220

ADDITIONAL BENEFIT PLANS
Dental Plan

Vision Plan

Personal Accident Plan

Travel Plan

Rental Car Protection

250
500
500
500
500
500
500
500
500
500
500
125
125
125
125
125
125
125
125
125
125
125
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
75
75
75
75
75
75
75
75
75
75
75
Not available below age 23 75 for ages 23 to 75

Note 1: 15% geographical loading applies to residents in E.U.Countries and Switzerland.
         2 : 20% geographical loading applies to residents in Hong Kong.
         3 : Geographical loading for North American residents is available on request.
         4 : Medical premiums for age over 65 are available on request.

This web site is not a contract.
For exact wording and complete details, please refer to the policy itself.
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http://www.insurance-pacific.com/