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Calculate Your Premium for Transition Product

  

Step 1 of 3:   Select Coverage Options
Start Day of Coverage: Pick the Start Day of Coverage
Last Day of Coverage: Pick the Last Day of Coverage
Type of Coverage:
Age of Oldest Applicant:   (Oldest applicant must be age 19 or older.)

Step 2 of 3:   Choose a Deductible and Coinsurance level.
(Deductibles and maximum coinsurance amounts are calculated on a plan term basis.)
Medical
Deductibles		 Maximum Coinsurance  
Per Person		   

Single

80/20

50/50
$250 $1000 $2500
$500 $1000 $2500
$1000 $1000 $2500
$2500 $1000 $2500

Step 3 of 3:   Estimated Premium
  Single Payment Rate
Coinsurance : 80/20 50/50
Monthly : N/A N/A
Full Term : N/A N/A
 
These premiums are based upon paying the full term of
coverage upfront. With this option the last day of coverage
you select on the application cannot be changed once you're
enrolled.
Monthly Payment Rate
Coinsurance : 80/20 50/50
Monthly : N/A N/A
Full Term : N/A N/A
 
These premiums are based upon a monthly draft from
your bank account.
 
 

Additional Information About Estimated Monthly Premiums
1. Minimum length of coverage is one full month. Maximum length is six months.
2. Premium rates are based on the age of the oldest family member. The enrollment
application must be written with the oldest family member as the applicant.
3. Payment method for Single Payment is credit card, for Monthly Payment it is preauthorized checking withdrawal.
4. "Full Term" is the total premium for the start and last day of coverage dates as selected above.