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Examples
 
 
               
Low, Median, and High Option Premiums

Issue Age: 16-35

 

The Low Option package and premiums consist of:
Category 1 and Category 2 Group Voluntary Critical Illness benefits; Category 3 Critical Illness Cancer Coverage; Wellness Benefit (4 units); and Recurrence Benefit.

 The Median Option package and premiums consist of: The Median Option package and premiums consist of: Category 1 and Category 2 Group Voluntary Critical Illness benefits; Category 3 Critical Illness Cancer Coverage; Wellness Benefit (4 units); and Recurrence Benefit.

The High Option package and premiums consist of:
Category 1 and Category 2 Group Voluntary Critical Illness benefits; Category 3 Critical Illness Cancer Coverage; Wellness Benefit (4 units), and Recurrence Benefit.
Non-Tobacco
   Low Medium High
         
Employee Only
Employee and Spouse
Employee and Child(ren) Family
  
$3.33
$5.21
$3.45
$5.36
$4.65
$7.16
$4.90
$7.46
$5.98
$9.11
$6.35
$9.56
         
Tobacco
   Low Medium High
         
Employee Only
Employee and Spouse
Employee and Child(ren) Family
  
$4.43
$6.84
$4.55
$6.99
$6.85
$10.41
$7.10
$10.71
$9.28
$13.99
$9.65
$14.44
 
 
Issue ages: 18 and over
              
 
                   
Semi-Monthly
Issue Age: 36-49
Issue Age: 50-59
Issue Age: 60-64
Non-Tobacco

Employee Only
Employee and Spouse
Employee and Child(ren) Family
Low
Medium
High
Low
Medium
High
Low
Medium
High

$5.68
$8.71
$5.83
$8.84

$9.35
$14.16
$9.65
$14.41

$13.03
$19.61
$13.48
$19.99

$10.33
$15.56
$10.45
$15.71

$18.65
$27.86
$18.90
$28.16

$26.98
$40.16
$27.35
$40.61

$15.23
$22.84
$15.38
$22.96

$28.45
$42.41
$28.75
$42.66

$41.68
$61.99
$42.13
$62.36
Tobacco

Employee Only
Employee and Spouse
Employee and Child(ren)
Family
Low
 
Medium
High
Low
 
Medium
High
Low
 
Medium
High
$9.25
$13.99
$9.38
$14.11
$16.50
$24.71
$16.75
$24.96
$23.75
$35.44
$24.13
$35.81
$18.23
$27.29
$18.38
$27.41
$34.45
$51.31
$34.75
$51.56
$50.68
$75.34
$51.13
$75.71
$24.45
$36.49
$24.58
$36.61
$46.90
$69.71
$47.15
$69.96
$69.35
$102.94
$69.73
$103.31
                   
                   
Semi-Monthly
Issue Age: 65-69
Issue Age: 70+
  
Non-Tobacco

Employee Only
Employee and Spouse
Employee and Child(ren) Family
Low
Medium
High
Low
Medium
High
     

$18.58
$27.81
$18.73
$27.96

$35.15
$52.36
$35.45
$52.66

$51.73
$76.91
$52.18
$77.36

$21.55
$32.16
$21.68
$32.31

$41.10
$61.06
$41.35
$61.36

$60.65
$89.96
$61.03
$90.41
      
Tobacco

Employee Only
Employee and Spouse
Employee and Child(ren)
Family
Low
 
Medium
High
Low
 
Medium
High
     
$27.25
$40.61
$27.38
$40.74
$52.50
$77.96
$52.75
$78.21
$77.75
$115.31
$78.13
$115.69
$29.45
$43.89
$29.60
$44.04
$56.90
$84.51
$57.20
$84.81
$84.35
$125.14
$84.80
$125.59
      
                   
 
 
 
           
419 E. High Street | Jefferson City, MO 65101 | FAX: 573-896-9971