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The LIFEBOAT Medical Insurance Plan Annual Non-Smoker Premiums

If you choose a $500 Annual Deductible

If you choose a $1000 Annual Deductible

Age
14 days through 18
19 through 29
30 through 39
40 through 44
45 through 49
50 through 54
55 through 59
60 through 64
65 through 69
70
71
72
73
74
Dependent Child*
Male Female
$934 $934
$1,836 $2,086
$2,136 $2,428
$2,446 $2,770
$2,696 $3,050
$3,302 $3,488
$4,052 $4,052
$5,774 $5,450
$10,444 $9,070
$12,308 $10,674
$12,910 $11,142
$13,494 $11,662
$14,096 $12,182
$14,762 $12,744
$750 $750
Male Female
$480 $480
$891 $1,013
$1,035 $1,176
$1,185 $1,341
$1,305 $1,475
$1,598 $1,685
$1,959 $1,959
$2,786 $2,630
$5,034 $4,374
$5,930 $5,145
$6,221 $5,370
$6,501 $5,620
$6,791 $5,869
$7,111 $6,141
$366 $366

If you choose a $2500 Annual Deductible

If you choose a $3000 Annual Deductible

Age
14 days through 18
19 through 29
30 through 39
40 through 44
45 through 49
50 through 54
55 through 59
60 through 64
65 through 69
70
71
72
73
74
Dependent Child*
Male Female
$448 $448
$780 $885
$905 $1,029
$1,035 $1,170
$1,139 $1,264
$1,391 $1,470
$1,708 $1,708
$2,429 $2,295
$4,385 $3,896
$5,164 $4,480
$5,418 $4,676
$5,661 $4,895
$5,914 $5,111
$6,193 $5,346
$322 $322
Male Female
$444 $444
$645 $731
$748 $850
$853 $965
$938 $1,063
$1,146 $1,210
$1,404 $1,404
$1,955 $1,845
$3,524 $3,061
$4,149 $3,600
$4,351 $3,758
$4,548 $3,931
$4,749 $4,108
$4,973 $4,295
$311 $311

* The Dependent Child Premium is only available when one parent (legal guardian), of a natural or legally adopted unmarried child over 14 days old and under 19 years of age (or under 24 years of age if attending a university full-time and must rely on parents for support), is also covered under the same program. No premium is charged for the first two (2) Dependent Children between the ages of 14 days and 9 years old if both parents are also covered under the same program.

If the Applicant desires to pay premiums on a Semi-Annual or Quarterly basis, they must do so by Visa or Master Card payment only. Kuffel, Collimore & Co. will automatically debit the credit card on the due date of the premium installment.  The Premium Installment Factors to be applied to the Annual Premium are as follows:

  • Annual = 1.00  
  • Semi-Annual = .55   
  • Quarterly = .28

IMPORTANT NOTICE: The premiums referenced above are applicable for the initial 12-month coverage period, only after the Applicant has been accepted by Seven Corners. Seven Corners reserves the right to increase the stated premiums based upon the Applicant’s medical condition and tobacco usage at the time of application and underwriting. Applicants with chronic and/or severe medical conditions may be declined. At each renewal period, Seven Corners will inform the Applicant of the renewal premium for each subsequent coverage period based upon the Applicant’s age and deductible category.

Attention Applicants: Certain Underwriters at Lloyd’s, London, operates as an approved Surplus Lines market in the United States. The premiums listed above include a general Surplus Lines Tax. Your State of Residence may warrant an additional Surplus Lines Tax, Stamping Fees and administration fee. Upon receipt and review of your application, Seven Corners will inform you if additional Surplus Lines Taxes and fees will apply. If so, Seven Corners will request the payment of the additional Surplus Lines Taxes and fees from you prior to issuing coverage. The additional  Surplus Lines Taxes and fees shall be listed on the declaration page of your policy.