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Global Mission Medical InsuranceSM

Overview • Benefits • Exclusions • Premiums • Quote / Buy Online

Global Mission Medical Insurance is a surplus lines product underwritten by Sirius International Insurance Corporation (publ) (the "Company"). It is distributed, managed and administered, as agent for and on behalf of the Company, by International Medical Group®, Inc. ("IMG®").

Global Mission Medical InsuranceSM New Business Rates

  1. SILVER - ANNUAL PREMIUMS
  2. GOLD - ANNUAL PREMIUMS
  3. PLATINUM - ANNUAL PREMIUMS
New Business Rates through 30-Jun-2011 (Rates include surplus lines tax where applicable)

SILVER WORLDWIDE COVERAGE - ANNUAL PREMIUMS
  $250.00
deductible 		$500.00
deductible 		$1,000.00
deductible 		$2,500.00
deductible 		$5,000.00
deductible 		$10,000.00
deductible
 
Age M F M F M F M F M F M F
 
14 Days-9** First 2 Free*, Then 310 First 2 Free*, Then 270 First 2 Free*, Then 210 First 2 Free*, Then 184 First 2 Free*, Then 169 First 2 Free*, Then 150
 
10-18** 317 282 233 217 204 180
* The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the plan.  **Dependent child rates are only available when at least one parent or guardian is insured under the plan.  Children applying with no parent or guardian insured by must use the Male 19-24 rates.
 
19-24 718 895 622 881 484 675 422 588 331 473 294 407
 
25-29 758 1,020 662 991 515 764 449 663 352 551 313 433
 
30-34 848 1,128 730 1,063 566 823 496 718 389 576 345 490
 
35-39 950 1,333 770 1,182 596 918 522 793 408 661 364 516
 
40-44 1,202 1,463 976 1,273 647 997 567 873 542 676 482 602
 
45-49 1,339 1,614 1,098 1,373 850 1,062 741 925 605 730 538 650
 
50-54 1,635 1,796 1,386 1,548 1,071 1,201 935 1,068 794 886 706 789
 
55-59 1,976 1,976 1,718 1,718 1,330 1,328 1,159 1,159 976 984 868 876
 
60-64 2,909 2,738 2,651 2,480 2,235 1,973 2,024 1,816 1,691 1,502 1,505 1,337
 
65-69 6,075 5,271 5,814 5,041 5,439 4,591 4,181 3,412 3,656 3,274 3,254 2,914
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
New Business Rates through 30-Jun-2011
Optional Maternity Rider $2,500 annual premium
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New Business Rates through 30-Jun-2011 (Rates include surplus lines tax where applicable)

SILVER WORLDWIDE COVERAGE EXCLUDING U.S/CANADA - ANNUAL PREMIUMS
  $250.00
deductible 		$500.00
deductible 		$1,000.00
deductible 		$2,500.00
deductible 		$5,000.00
deductible 		$10,000.00
deductible
 
Age M F M F M F M F M F M F
 
14 Days-9** First 2 Free*, Then 232 First 2 Free*, Then 203 First 2 Free*, Then 158 First 2 Free*, Then 138 First 2 Free*, Then 127 First 2 Free*, Then 112
 
10-18** 238 212 175 163 153 134
* The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the plan.  **Dependent child rates are only available when at least one parent or guardian is insured under the plan.  Children applying with no parent or guardian insured by must use the Male 19-24 rates.
 
19-24 539 671 466 660 363 506 317 441 248 355 221 306
 
25-29 569 766 497 744 385 572 336 498 264 413 234 326
 
30-34 636 846 548 798 424 618 372 538 291 432 259 369
 
35-39 714 1,000 578 888 447 689 392 595 307 496 273 387
 
40-44 901 1,098 731 955 486 748 425 655 407 510 362 451
 
45-49 1,004 1,211 823 1,030 638 797 556 694 453 548 404 487
 
50-54 1,226 1,347 1,040 1,161 803 901 702 801 595 665 530 592
 
55-59 1,482 1,482 1,288 1,288 997 996 869 869 731 738 651 657
 
60-64 2,182 2,054 1,988 1,860 1,676 1,480 1,518 1,363 1,268 1,127 1,129 1,003
 
65-69 4,556 3,953 4,361 3,781 4,080 3,443 3,136 2,559 2,742 2,456 2,441 2,185
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
New Business Rates through 30-Jun-2011
Optional Maternity Rider $2,500 annual premium
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New Business Rates through 30-Jun-2011 (Rates include surplus lines tax where applicable)

GOLD WORLDWIDE COVERAGE - ANNUAL PREMIUMS
  $250.00
deductible 		$500.00
deductible 		$1,000.00
deductible 		$2,500.00
deductible 		$5,000.00
deductible 		$10,000.00
deductible
 
Age M F M F M F M F M F M F
 
14 Days-9** First 2 Free*, Then 430 First 2 Free*, Then 368 First 2 Free*, Then 275 First 2 Free*, Then 250 First 2 Free*, Then 221 First 2 Free*, Then 200
 
10-18** 476 388 304 275 246 221
* The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the plan.  **Dependent child rates are only available when at least one parent or guardian is insured under the plan.  Children applying with no parent or guardian insured by must use the Male 19-24 rates.
 
19-24 995 1,310 856 1,241 685 917 592 793 462 640 365 483
 
25-29 1,018 1,445 875 1,348 700 995 606 860 473 671 373 495
 
30-34 1,080 1,555 929 1,430 743 1,085 646 944 507 766 401 573
 
35-39 1,100 1,691 946 1,485 757 1,105 658 961 517 780 408 584
 
40-44 1,445 1,888 1,322 1,719 1,058 1,269 910 1,201 710 915 561 717
 
45-49 1,673 2,024 1,522 1,856 1,172 1,407 1,055 1,266 860 989 679 781
 
50-54 1,989 2,144 1,790 1,951 1,432 1,561 1,325 1,444 1,060 1,155 837 913
 
55-59 2,590 2,517 2,305 2,236 1,879 1,822 1,587 1,540 1,333 1,293 1,053 1,022
 
60-64 3,637 3,430 3,401 3,186 2,720 2,516 2,557 2,365 2,148 1,901 1,761 1,568
 
65-69 7,275 6,541 7,057 6,118 6,563 5,611 5,086 4,679 4,476 4,118 3,670 3,377
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
New Business Rates through 30-Jun-2011
Optional Maternity Rider $2,500 annual premium
Top of Page ↑
New Business Rates through 30-Jun-2011 (Rates include surplus lines tax where applicable)

GOLD WORLDWIDE COVERAGE EXCLUDING U.S/CANADA - ANNUAL PREMIUMS
  $250.00
deductible 		$500.00
deductible 		$1,000.00
deductible 		$2,500.00
deductible 		$5,000.00
deductible 		$10,000.00
deductible
 
Age M F M F M F M F M F M F
 
14 Days-9** First 2 Free*, Then 318 First 2 Free*, Then 272 First 2 Free*, Then 203 First 2 Free*, Then 185 First 2 Free*, Then 164 First 2 Free*, Then 148
 
10-18** 352 287 225 204 182 164
* The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the plan.  **Dependent child rates are only available when at least one parent or guardian is insured under the plan.  Children applying with no parent or guardian insured by must use the Male 19-24 rates.
 
19-24 736 969 633 918 507 679 438 587 342 473 270 358
 
25-29 753 1,069 648 998 518 736 448 637 350 497 276 366
 
30-34 799 1,151 687 1,058 550 803 478 698 376 567 297 424
 
35-39 814 1,251 700 1,099 560 818 487 711 382 578 302 432
 
40-44 1,069 1,397 978 1,272 783 939 673 889 525 677 415 531
 
45-49 1,238 1,498 1,127 1,373 867 1,041 781 937 636 732 503 578
 
50-54 1,472 1,587 1,325 1,444 1,060 1,155 980 1,068 784 855 620 675
 
55-59 1,917 1,863 1,706 1,655 1,390 1,348 1,175 1,139 987 957 780 756
 
60-64 2,691 2,538 2,516 2,358 2,013 1,862 1,892 1,750 1,590 1,407 1,303 1,161
 
65-69 5,384 4,840 5,222 4,527 4,856 4,152 3,764 3,463 3,312 3,047 2,716 2,499
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
New Business Rates through 30-Jun-2011
Optional Maternity Rider $2,500 annual premium
Top of Page ↑

New Business Rates through 30-Jun-2011 (Rates include surplus lines tax where applicable)

PLATINUM WORLDWIDE COVERAGE - ANNUAL PREMIUMS
  $100.00
deductible 		$250.00
deductible 		$500.00
deductible 		$1,000.00
deductible 		$2,500.00
deductible 		$5,000.00
deductible 		$10,000.00
deductible
 
Age M F M F M F M F M F M F M F
 
14 Days-9** First 2 Free*, Then 2,120 First 2 Free*, Then 1,929 First 2 Free*, Then 1,729 First 2 Free*, Then 1,474 First 2 Free*, Then 1,394 First 2 Free*, Then 1,319 First 2 Free*, Then 1,254
 
10-18** 2,242 2,038 1,785 1,532 1,449 1,368 1,297
* The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the plan.  **Dependent child rates are only available when at least one parent or guardian is insured under the plan.  Children applying with no parent or guardian insured by must use the Male 19-24 rates.
 
19-24 3,979 6,777 3,617 6,116 3,208 5,852 2,642 4,367 2,407 3,943 2,093 3,440 1,790 2,757
 
25-29 4,096 7,420 3,723 6,749 3,334 6,410 2,734 4,787 2,483 4,288 2,159 3,822 1,834 2,832
 
30-34 4,449 8,225 4,045 7,477 3,633 7,051 2,973 5,409 2,710 4,862 2,339 4,204 1,981 3,309
 
35-39 4,584 9,030 4,167 8,208 3,780 7,525 3,071 5,936 2,796 5,286 2,408 4,611 2,032 3,383
 
40-44 5,705 9,829 5,186 8,935 4,662 8,055 3,759 6,396 3,413 5,756 2,903 4,710 2,435 3,839
 
45-49 6,327 7,493 5,751 6,811 5,210 5,754 4,186 4,977 3,787 4,480 3,213 3,608 2,672 2,976
 
50-54 6,982 8,070 6,347 7,335 6,232 6,735 4,996 5,400 4,609 4,961 3,895 4,179 3,199 3,425
 
55-59 9,346 9,108 8,496 8,279 7,847 7,643 6,270 6,113 5,607 5,469 4,826 4,708 3,911 3,818
 
60-64 12,848 12,149 11,679 11,043 10,850 10,218 9,192 8,560 8,446 7,869 7,122 6,379 5,964 5,382
 
65-69 25,758 22,550 23,414 20,498 22,582 19,673 20,929 18,010 16,422 14,901 14,333 12,968 11,927 10,807
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
New Business Rates through 30-Jun-2011
Top of Page ↑
New Business Rates through 30-Jun-2011 (Rates include surplus lines tax where applicable)

PLATINUM WORLDWIDE COVERAGE EXCLUDING U.S/CANADA - ANNUAL PREMIUMS
  $100.00
deductible 		$250.00
deductible 		$500.00
deductible 		$1,000.00
deductible 		$2,500.00
deductible 		$5,000.00
deductible 		$10,000.00
deductible
 
Age M F M F M F M F M F M F M F
 
14 Days-9** First 2 Free*, Then 1,773 First 2 Free*, Then 1,610 First 2 Free*, Then 1,462 First 2 Free*, Then 1,272 First 2 Free*, Then 1,209 First 2 Free*, Then 1,152 First 2 Free*, Then 1,106
 
10-18** 1,860 1,691 1,505 1,315 1,252 1,191 1,138
* The first two Dependent Children between the ages of 14 days to 9 years are free only when both parents or guardians are insured under the plan.  **Dependent child rates are only available when at least one parent or guardian is insured under the plan.  Children applying with no parent or guardian insured by must use the Male 19-24 rates.
 
19-24 3,168 5,227 2,880 4,752 2,571 4,315 2,147 3,440 1,972 3,121 1,734 2,746 1,508 2,234
 
25-29 3,253 5,748 2,957 5,225 2,666 4,975 2,214 3,755 2,028 3,383 1,785 3,034 1,543 2,291
 
30-34 3,518 6,351 3,199 5,773 2,889 5,452 2,394 4,226 2,197 3,814 1,919 3,319 1,653 2,647
 
35-39 3,624 6,955 3,294 6,323 2,998 5,809 2,470 4,618 2,263 4,130 1,972 3,624 1,689 2,705
 
40-44 4,461 7,554 4,055 6,868 3,661 6,208 2,986 4,961 2,723 4,483 2,343 3,697 1,989 3,048
 
45-49 4,931 5,804 4,482 5,276 4,070 4,824 3,304 3,898 3,006 3,528 2,579 2,873 2,169 2,396
 
50-54 5,834 6,238 5,304 5,671 4,841 5,218 3,911 4,215 3,623 3,886 3,087 3,299 2,563 2,736
 
55-59 7,194 7,014 6,540 6,376 6,050 5,899 4,867 4,751 4,368 4,267 3,784 3,704 3,099 3,028
 
60-64 9,816 9,298 8,923 8,573 8,304 7,829 7,058 6,586 6,502 6,062 5,507 4,947 4,640 4,205
 
65-69 19,497 17,097 17,726 15,542 17,102 14,920 15,863 13,672 12,481 11,340 10,916 9,891 9,111 8,272
 
70 - 74 Please contact IMG or your agent for premium information concerning this age bracket
New Business Rates through 30-Jun-2011
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