Maddock and Associates
Insurance Specialists
Washington State Individual
  Regence BlueShield
  LifeWise of WA
  Group Health
  HSA Plans
  Individual Dental

Washington State Group
  Group Medical
  Group Dental

Washington State Life
  Grp Life & Disability

Temporary Insurance
  About the Plan
  Premiums
  Application

Travel Insurance
  US Citizens
    Eligibility
    Benefits
    Exclusions
    A D & D
    Optional Riders
    Coverage Periods
    Premiums
    Application
    Apply Online
  Foreign Nationals
  Long Term

 



PREMIUMS

For Individuals Traveling outside the USA.
Rates are Based on a $250 Deductible. This plan is NOT available to foreign nationals visiting the USA.


Age

Plan A
$ 50,000
month / 15 day

Plan B
$100,000
month / 15 day

Plan C
$500,000
month / 15 day

Plan D
$1,000,000

month / 15 day

18 - 29

$ 33

$ 19

$ 39

$ 22

$ 48

$ 25

$ 53

$ 28

30 - 39

$ 37

$ 21

$ 43

$ 24

$ 61

$ 33

$ 64

$ 35

40 - 49

$ 61

$ 33

$ 69

$ 37

$ 80

$ 42

$ 84

$ 44

50 - 59

$102

$ 53

$117

$ 61

$134

$ 69

$144

$ 75

60 - 64

$119

$ 61

$140

$ 73

$164

$ 84

$200

$103

65 - 69

$149

$ 79

$152

$ 79

$175

$ 90

$210

$108

70 - 79

$210

$107

$275

$148

N/A

N/A

80 +

$360

$185

N/A

N/A

N/A

Dependent Child

$ 20

$ 11

$ 25

$ 15

$ 30

$ 17

$ 32

$ 19

Child Alone

$ 34

$ 19

$ 40

$ 23

$ 46

$ 28

$ 50

$ 30

Deductable

Factors

$ 100

x 1.10

$ 250

x 1.00

$ 500

x .90

$ 1,000

x .80

$ 2,500

x .70

Optional Rider

Factors

Hazardous Activity

x 1.25

Athletic

x 1.20

Home Country

x 1.10



E-mail us for more information and a free quote or CALL TOLL FREE
1-800-875-4490 (in the U.S.) or 1-253-854-0199 (outside the U.S.)
Fax: 1-253-896-9411


Mailing address: Maddock & Associates, 1407 Willow Road E, Suite C, Tacoma, WA 98424
Serving all of Washington at 800-875-4490, Seattle at 206-682-1628,
Bellevue at 425-454-6834, Kent at 253-854-0199 and Tacoma at 253-572-3291.
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