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HomeVisitor to Canada Rates

Visitor to Canada Plans - July 2004

Plan E - Basic Plan

$50 Deductible per person Ploicy. Minimum Premium - 10 days Daily Rate

Age

Sum Insured

$10,000

$25,000

$50,000

$150,000

0 - 40

$1.60

$2.00

$2.30

$3.60

41 - 60

$1.80

$2.40

$2.70

$5.10

61 - 70

$2.90

$4.00

$4.90

N/A

maximum perdiod 180 days

71 - 75

$3.80

$5.20

$6.30

N/A

maximum perdiod 180 days

Family 0 - 60*

$4.50

$6.00

$6.75

$12.75

Additional Family

$1.60

$2.00

$2.30

$3.60

Note: Family rates apply to 2 adults living in the same residence plus up to 3 dependents up to and including age 21.

Plan J - Select Plan

$0 Deductible per person Ploicy. Minimum Premium - 10 days Daily Rate

Age

Sum Insured

$10,000

$25,000

$50,000

$150,000

0 - 40

$2.50

$3.00

$3.30

$4.50

41 - 60

$2.70

$3.30

$3.60

$6.00

61 - 70

$3.90

$5.00

$5.90

N/A

maximum perdiod 180 days

71 - 75

$4.90

$6.30

$7.50

N/A

maximum perdiod 180 days

Family 0 - 60*

$6.75

$8.25

$9.00

$15.00

Additional Family

$2.50

$3.00

$3.30

$4.50

Note: Family rates apply to 2 adults living in the same residence plus up to 3 dependents up to and including age 21.

Select Plan Includes

AD&D

$25,000

Return Home

$3,000

Follow-up Visits

2 Visits

Deductible

$0

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