Rate Table for
CitizenSecureSM
Click here
for Online Application
If you reside reside in Florida or have a mailing address in
Florida, please contact us at 877-211-3654 or info@internationalriskmanagement.com
before submit your application for this plan.
Please read
the Benefits & Exclusions of this plan carefully before submitting your application.
Back to
CitizenSecureSM
Brochure
|
Rate Table -
Medical Coverage Including the U.S. and Canada |
| |
$250
Deductible |
$500
Deductible |
$1,000 Deductible |
$2,500 Deductible |
$5,000 Deductible |
|
Age |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
|
14 days to 9* |
$475 |
$475 |
$401 |
$401 |
$305 |
$305 |
$275 |
$275 |
$263 |
$263 |
|
10 to 18 |
$500 |
$500 |
$420 |
$420 |
$325 |
$325 |
$294 |
$294 |
$282 |
$282 |
|
19-24 |
$1,110 |
$1,905 |
$955 |
$1,796 |
$745 |
$1,291 |
$655 |
$1,144 |
$563 |
$940 |
|
25-29 |
$1,150 |
$2,110 |
$1,000 |
$1,983 |
$780 |
$1,428 |
$679 |
$1,263 |
$622 |
$1,031 |
|
30-34 |
$1,270 |
$2,359 |
$1,115 |
$2,199 |
$870 |
$1,638 |
$770 |
$1,451 |
$661 |
$1,190 |
|
35-39 |
$1,320 |
$2,595 |
$1,160 |
$2,368 |
$905 |
$1,813 |
$789 |
$1,603 |
$724 |
$1,285 |
|
40-44 |
$1,633 |
$2,125 |
$1,443 |
$1,898 |
$1,120 |
$1,480 |
$900 |
$1,308 |
$805 |
$1,044 |
|
45-49 |
$1,843 |
$2,227 |
$1,641 |
$2,010 |
$1,275 |
$1,565 |
$1,125 |
$1,382 |
$917 |
$1,064 |
|
50-54 |
$2,240 |
$2,417 |
$2,013 |
$2,197 |
$1,570 |
$1,715 |
$1,424 |
$1,557 |
$1,165 |
$1,271 |
|
55-59 |
$2,800 |
$2,755 |
$2,600 |
$2,527 |
$2,000 |
$1,974 |
$1,786 |
$1,791 |
$1,503 |
$1,463 |
|
60-64 |
$3,960 |
$3,733 |
$3,662 |
$3,435 |
$3,066 |
$2,839 |
$2,798 |
$2,588 |
$2,321 |
$2,053 |
|
65-69 |
$8,180 |
$7,134 |
$7,882 |
$6,835 |
$7,287 |
$6,237 |
$5,666 |
$4,715 |
$4,915 |
$4,150 |
|
70 |
$9,645 |
$8,339 |
$9,343 |
$8,046 |
$8,739 |
$7,443 |
$6,891 |
$5,594 |
$5,977 |
$4,835 |
|
71 |
$10,097 |
$8,738 |
$9,795 |
$8,438 |
$9,192 |
$7,834 |
$7,257 |
$5,898 |
$6,295 |
$5,098 |
|
72 |
$10,484 |
$9,070 |
$10,185 |
$8,771 |
$9,588 |
$8,174 |
$7,573 |
$6,160 |
$6,569 |
$5,324 |
|
73 |
$10,882 |
$9,404 |
$10,586 |
$9,108 |
$9,994 |
$8,517 |
$7,900 |
$6,421 |
$6,853 |
$5,550 |
|
74 |
$11,412 |
$9,854 |
$11,115 |
$9,558 |
$10,524 |
$8,966 |
$8,321 |
$6,762 |
$7,218 |
$5,845 |
|
*First 2 children age 14 days to 9 are free only
when both parents are insured under the Plan. The Dependent
Child rate is only available when parent (guardian) is insured under the
Platinum Plan. Dependent children alone must pay the age 19 to 24 Male
rate.
If
the Applicant desires to pay premiums on a Semi-Annual, Quarterly or Monthly basis, they
must do so by credit card payment only. The Plan Administrator will automatically debit
the credit card on the due date of the premium installment. The Premium Installment
Factors to be applied to the Annual Premium are as follows:
Annual 1.00 / Semi-Annual 0.55 / Quarterly 0.28 |
|
Rate Table -
Medical Coverage Excluding the U.S. and Canada |
| |
$250 Deductible |
$500 Deductible |
$1,000 Deductible |
$2,500 Deductible |
$5,000 Deductible |
|
Age |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
|
14 days to 9* |
$371 |
$371 |
$313 |
$313 |
$238 |
$238 |
$215 |
$215 |
$205 |
$205 |
|
10 to 18* |
$390 |
$390 |
$328 |
$328 |
$254 |
$254 |
$229 |
$229 |
$220 |
$220 |
|
19-24 |
$866 |
$1,486 |
$745 |
$1,401 |
$581 |
$1,007 |
$511 |
$892 |
$439 |
$733 |
|
25-29 |
$897 |
$1,646 |
$780 |
$1,547 |
$608 |
$1,114 |
$530 |
$985 |
$485 |
$804 |
|
30-34 |
$991 |
$1,840 |
$870 |
$1,715 |
$679 |
$1,278 |
$601 |
$1,132 |
$516 |
$928 |
|
35-39 |
$1,030 |
$2,024 |
$905 |
$1,847 |
$706 |
$1,414 |
$615 |
$1,250 |
$565 |
$1,002 |
|
40-44 |
$1,323 |
$1,721 |
$1,169 |
$1,537 |
$907 |
$1,199 |
$729 |
$1,059 |
$652 |
$846 |
|
45-49 |
$1,493 |
$1,804 |
$1,329 |
$1,628 |
$1,033 |
$1,268 |
$911 |
$1,119 |
$743 |
$862 |
|
50-54 |
$1,814 |
$1,958 |
$1,631 |
$1,780 |
$1,272 |
$1,389 |
$1,153 |
$1,261 |
$944 |
$1,030 |
|
55-59 |
$2,296 |
$2,259 |
$2,132 |
$2,072 |
$1,640 |
$1,619 |
$1,465 |
$1,469 |
$1,232 |
$1,200 |
|
60-64 |
$3,247 |
$3,061 |
$3,003 |
$2,817 |
$2,514 |
$2,328 |
$2,294 |
$2,122 |
$1,903 |
$1,683 |
|
65-69 |
$6,708 |
$5,850 |
$6,463 |
$5,605 |
$5,975 |
$5,114 |
$4,646 |
$3,866 |
$4,030 |
$3,403 |
|
70 |
$8,005 |
$6,921 |
$7,755 |
$6,678 |
$7,253 |
$6,178 |
$5,720 |
$4,643 |
$4,961 |
$4,013 |
|
71 |
$8,381 |
$7,253 |
$8,130 |
$7,004 |
$7,629 |
$6,502 |
$6,023 |
$4,895 |
$5,225 |
$4,231 |
|
72 |
$8,702 |
$7,528 |
$8,454 |
$7,280 |
$7,958 |
$6,784 |
$6,286 |
$5,113 |
$5,452 |
$4,419 |
|
73 |
$9,032 |
$7,805 |
$8,786 |
$7,560 |
$8,295 |
$7,069 |
$6,557 |
$5,329 |
$5,688 |
$4,607 |
|
74 |
$9,472 |
$8,179 |
$9,225 |
$7,933 |
$8,735 |
$7,442 |
$6,906 |
$5,612 |
$5,991 |
$4,851 |
| |
*First 2 children age 14 days to 9 are
free only when both parents are insured under the plan. The dependent
child rate is only available when parent (guardian) is insured under the
plan. Dependent children alone must pay the age 19 to 24 Male rate.
|
Click here
for Online Application
If you reside reside in Florida or have a mailing address in
Florida, please contact us at 877-211-3654 or info@internationalriskmanagement.com
before submit your application for this plan.
Optional
Term Life and AD&D Insurance
(Not available for Residence of US
regardless of your citizenship) |
| AGE |
BASIC PREMIUM |
SUPPLEMENTAL PREMIUM |
| 19-29 |
$130 |
$100 |
| 30-39 |
$210 |
$160 |
| 40-44 |
$310 |
$235 |
| 45-49 |
$450 |
$340 |
| 50-54 |
$570 |
$430 |
| 55-59 |
$770 |
$580 |
| 60-64 |
$585 |
$440 |
65-69 |
$315 |
Not Available |
Dependent Child |
$85 |
Not Available |
Optional Dental Rider Rates |
Annual
Premium |
US
Citizen |
$ 348.00 |
|
All Other |
$ 492.00 |
Click here
for Online Application
If you reside reside in Florida or have a mailing address in
Florida, please contact us at 877-211-3654 or info@internationalriskmanagement.com
before submit your application for this plan.
Please read
the Benefits & Exclusions of this plan carefully before submitting your application.
Back
to CitizenSecureSM
Brochure
If you have
any questions or concerns, please contact us.
info@internationalriskmanagement.com
877-211-3654 or
559-294-0316
Thank you for
visiting our website.
www.InternationalRiskManagement.com
|