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Rates
Eligibility
Terms of Insurance
Summary Schedule of Benefits
Benefits
PPO- Network of Service Providers
Emergency Assistance
Definitions
General Conditions
General Exclusions
Claim Procedures
Refund of Premiums
How to Contact Your Providers
Download Policy and Claim Form
Rates
Age
Apex
Advanced
Essential
16 to 25
$82
$63
$37
26 to 35
$102
$76
$49
36 to 50
$140
$104
$60
51 to 65
$235
$176
$99
Dependent
Child
$120
$96
$52
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*Rates are effective as of November 1, 2006 and are subject to change. Rates are guarantied for the term insurance premiums were paid for
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