Simplified Silver Application (Jamaica)

Primary: 40 year old male, smoker Children: Ages 26, 11, 21

Medical Plans

Simplified Silver Medical Plan

    Outpatient Prescription Drug Rider Rider: $85.00
Deductible Plan Premium Rider Premium Total Premium
$50 $2,659.97 $85.00 $2,744.97
$250 $2,329.98 $85.00 $2,414.98
$500 $1,999.98 $85.00 $2,084.98
$1,000 $1,669.98 $85.00 $1,754.98
$2,000 $1,329.99 $85.00 $1,414.99
$3,000 $999.99 $85.00 $1,084.99
$10,000 $330.00 $85.00 $415.00

Life Plans

Plan Name Plan Premium Rider Premium Total Premium
25 Year Level Term
    Cash Value ROP Rider: $175.00 Critical Illness Rider: $250.00 Waiver of Premium Rider: $65.00
$883.74 $490.00 $1,373.74
30 Year Level Term
    Cash Value ROP Rider: $175.00 Critical Illness Rider: $250.00 Waiver of Premium Rider: $65.00
$620.06 $490.00 $1,110.06