Maddock and Associates
Insurance Specialists
Washington State Individual
  Regence BlueShield
  LifeWise of WA
  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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