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 Pricing

 PREMIUMS  


For individuals traveling outside the USA.

PLAN A, BASIC PLAN
MONTHLY RATES*

Insured's
Age

Insured
Only

Insured
& Spouse

Less than 25

$ 30.00

$ 85.00

25-34

$ 45.00

$120.00

35-49

$ 85.00

$175.00

50-64

$135.00

$280.00


One Child

$ 44.00

Two or more children

$ 88.00

 
To add the Home Country Benefit Optional Rider, the factor is 1.15 times the above rates.


For individuals traveling outside the USA.

 PLAN B, HIGH OPTION PLAN
MONTHLY RATES*

Insured's
Age

Insured
Only

Insured
& Spouse

Less than 25

$ 34.00

$ 94.00

25-34

$ 50.00

$135.00

35-49

$ 96.00

$226.00

50-64

$155.00

$335.00

One Child

$ 50.00

Two or more children

$100.00

To add the Home Country Benefit Optional Rider, the factor is 1.15 times the above rates.

Rates are based on the effective date and expiration date you enter.  Rates are monthly and will round up to the next month.  For example, if the effective date is August 5, one month's coverage will be calculated as if it were to end at midnight, September 4.

* a $7.00 administrative fee is added to each period of coverage issued, one fee per purchase, you will see this calculated when you process your credit card for payment on line.  It is also illustrated on the enrollment form in the brochure.

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.

Copyright CMI 2007