VISIT Incoming Premium Schedule

	Travel & Medical Insurance Program for Students, Scholars, Spouses, Families and Visitors
Call Us At 1-800-247-5575 or 1-703-660-9062 To Explore All Your Insurance Plan Options!

Economy $100,000 versus Traditional Plan AB

NEW Plan ECON100 Effective 4/1/2009
$100 Per Occurrence Deductible
Co-insurance 80/20 to $10,000
$10,000 maximum maternity
View Plan Summary

COMPARE to Traditional Plan AB
$100 Per Occurrence Deductible
Co-insurance 80/20 to $5000
$5000 maximum maternity
View Plan Summary

Age	ECON100 Student	ECON100 Spouse
12-18	$36	$100
19-23	$39	$108
24-30	$78	$217
31-40	$121	$337
41-49	$195	$544
50-64	$266	$742
64-69	n/a	n/a
Dependent Child 30 days-18 (25 if full-time student)		$86

Plan AB Student	Plan AB Spouse
$89	$228
$89	$228
$89	$228
$89	$228
$89	$228
$89	$228
$89	$228
Dependent Child 30 days-18 (25 if full-time student)	$80

Economy $250,000 versus Traditional Plan CD

NEW Plan ECON250 Effective 4/1/2009
$100 Per Occurrence Deductible
Co-insurance 80/20 to $10,000
$10,000 maximum maternity
View Plan Summary

COMPARE to Traditional Plan CD
$250 Per Occurrence Deductible
Co-insurance 80/20 to $5000
$5000 maximum maternity
View Plan Summary

Age	ECON250 Student	ECON250 Spouse
12-18	$39	$108
19-23	$41	$114
24-30	$83	$231
31-40	$128	$357
41-49	$207	$577
50-64	$282	$786
64-69	n/a	n/a
Dependent Child 30 days-18 (25 if full-time student)		$93

Plan CD Student	Plan CD Spouse
$105	$268
$105	$268
$105	$268
$105	$268
$105	$268
$105	$268
$105	$268
Dependent Child 30 days-18 (25 if full-time student)	$95

Standard $100,000 versus Traditional Plan AB

Standard $250,000 versus Traditional Plan CD

NEW Plan STD100 Effective 4/1/2009
$100 Per Occurrence Deductible
Co-insurance 80/20 to $5000
$10,000 maximum maternity
View Plan Summary

COMPARE to Traditional PlanAB
$100 Per Occurrence Deductible
Co-insurance 80/20 to $5000
$5000 maximum maternity
View Plan Summary

Age	STD100 Student	STD100 Spouse
12-18	$40	$111
19-23	$43	$119
24-30	$86	$239
31-40	$133	$371
41-49	$215	$599
50-64	$293	$817
64-69	n/a	n/a
Dependent Child 30 days-18 (25 if full-time student)		$96

Plan AB Student	Plan AB Spouse
$89	$228
$89	$228
$89	$228
$89	$228
$89	$228
$89	$228
$89	$228
Dependent Child 30 days-18 (25 if full-time student)	$80

NEW Plan STD250 Effective 4/1/2009
$100 Per Occurrence Deductible
Co-insurance 80/20 to $5000
$10,000 maximum maternity
View Plan Summary

COMPARE to Traditional PlanCD
$250 Per Occurrence Deductible
Co-insurance 80/20 to $5000
$5000 maximum maternity
View Plan Summary

Age	STD250 Student	STD250 Spouse
12-18	$42	$117
19-23	$45	$125
24-30	$90	$251
31-40	$140	$390
41-49	$226	$630
50-64	$308	$859
64-69	n/a	n/a
Dependent Child 30 days-18 (25 if full-time student)		$101

Plan CD Student	Plan CD Spouse
$105	$268
$105	$268
$105	$268
$105	$268
$105	$268
$105	$268
$105	$268
Dependent Child 30 days-18 (25 if full-time student)	$95

Super $100,000 versus Traditional Plan AB

Super $250,000 versus Traditional Plan CD

NEW Plan SPR100 Effective 4/1/2009
$100 Per Occurrence Deductible
Co-insurance 80/20 to $5000
Maternity Up to Policy Maximum
View Plan Summary

COMPARE to Traditional Plan AB
$100 Per Occurrence Deductible
Co-insurance 80/20 to $5000
$5000 maternity
View Plan Summary

Age	SPR100 Student	SPR100 Spouse
12-18	$45	$125
19-23	$47	$131
24-30	$95	$265
31-40	$148	$412
41-49	$240	$668
50-64	$326	$910
64-69	n/a	n/a
Dependent Child 30 days-18 (25 if full-time student)		$108

Plan AB Student	Plan AB Spouse
$89	$228
$89	$228
$89	$228
$89	$228
$89	$228
$89	$228
$89	$228
Dependent Child 30 days-18 (25 if full-time student)	$80

NEW Plan SPR250 Effective 4/1/2009
$100 Per Occurrence Deductible
Co-insurance 80/20 to $5000
Maternity Up to Policy Maximum
View Plan Summary

COMPARE to Traditional Plan CD
$250 Per Occurrence Deductible
Co-insurance 80/20 to $5000
$5000 maternity
View Plan Summary

Age	SPR250 Student	SPR250 Spouse
12-18	$48	$134
19-23	$52	$144
24-30	$105	$292
31-40	$162	$451
41-49	$261	$727
50-64	$355	$991
64-69	n/a	n/a
Dependent Child 30 days-18 (25 if full-time student)		$117

Plan CD Student	Plan CD Spouse
$105	$268
$105	$268
$105	$268
$105	$268
$105	$268
$105	$268
$105	$268
Dependent Child 30 days-18 (25 if full-time student)	$95

Student "Plan S" $100,000
$100 Annual Deductible
Co-insurance 80/20 to $5000
View Plan Summary

For Students 17-26 that do NOT require maternity coverage

Student/Family/Visitor "Plan E" $100,000
$100 Annual Deductible
Co-insurance 80/20 to $5000
View Plan Summary

For Students/Scholars/Children or Visitors - NO Maternity

Age	Student Plan S
17-26, inclusive	$50

Age	Student/Visitor Plan E
0-69	$90