| | Benefits | Pricing | Brochure | FAQs | Exclusions | Enroll | Pricing For individuals traveling to the USA. Rates are based on a $250 deductible. |
| PLAN A
$50,000 Per
Condition | PLAN B
$100,000 Lifetime | PLAN C
$250,000 Lifetime | Plan D
$500,000
Lifetime | Age | Month | 15-
Day | Month | 15-Day | Month | 15-Day | Month | 15-Day | 18-29 | $ 65.00 | $ 35.00 | $ 75.00 | $ 42.00 | $ 83.00 | $ 46.00 | $ 87.00 | $ 48.00 | 30-39 | $ 87.00 | $ 48.00 | $105.00 | $ 58.00 | $114.00 | $ 63.00 | $121.00 | $ 67.00 | 40-49 | $130.00 | $ 71.00 | $152.00 | $ 85.00 | $164.00 | $ 90.00 | $175.00 | $ 97.00 | 50-59 | $182.00 | $101.00 | $202.00 | $118.00 | $229.00 | $126.00 | $249.00 | $137.00 | 60-64 | $235.00 | $129.00 | $269.00 | $148.00 | N/A | N/A | N/A | N/A | 65-69 | $256.00 | $141.00 | $322.00 | $178.00 | N/A | N/A | N/A | N/A | 70-79* | $277.00 | $153.00 | N/A | N/A | N/A | N/A | N/A | N/A | 80+*($10,000 max.) | $428.00 | $235.00 | N/A | N/A | N/A | N/A | N/A | N/A | Dep. Child | $ 43.00 | $ 24.00 | $ 47.00 | $ 26.00 | $ 51.00 | $ 28.00 | $ 55.00 | $ 31.00 | Child Alone | $ 63.00 | $ 35.00 | $ 70.00 | $ 38.00 | $ 75.00 | $ 40.00 | $ 81.00 | $ 43.00 | | | | | | | | | | | | | | | | | | |
*Benefits reduced to $10,000 at age 80.
Deductable Factors: $250 x 1.00 $500 x .90 $1,000 x .80 $2,500 x .70
Optional Rider Factors: Hazardous Activity x 1.15 Athletic x 1.10 Home Country x 1.15
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Policy terms and conditions are briefly outlined in this Description of Insurance. Complete provisions pertaining to this insurance plan are contained in the Master Policy which is on file with the Policyholder, Trustee of ACE USA Accident & Health Insurance Trust in the District of Columbia. In the event of any conflict between this Description of Coverage and the Master Policy, the Master Policy will govern. ACE USA is a division of ACE Corporation. Insurance products and services are provided by ACE insurance underwriting companies and not by the corporation itself. This Plan may not be available in all states. 08/07 ©CMI 2007 Personal Information Notification: All verification or changes for an Enrolled Person's information must be submitted to CMI Insurance in writing at 1447 York Road, Lutherville, MD 21093. The Enrolled Person will receive a letter to either verify current information or to acknowledge the changes made within 30 days from receipt of the letter. |
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