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Rx Rider Rates

Rx Rider Rates
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective December 1, 2009 through October 31, 2010
Monthly family rates are based on the age of primary applicant
0 - 19 $6 $13 $18 $12
20 - 24 9 18 24 15
25 - 29 10 22 31 19
30 - 34 12 24 33 21
35 - 39 13 27 36 23
40 - 44 15 31 41 26
45 - 49 18 36 44 26
50 - 54 21 41 49 28
55 - 59 24 49 56 32
60 - 64 29 59 63 36