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bupa secure care premium rates - ASA International Insurance

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BUPA SECURE CARE PREMIUM RATES, EFFECTIVE JANUARY 1, 2013ZONE 8Deductibles Plan 1 (a) Plan 2 Plan 3 Plan 4 Plan 5 Plan 6In country ofresidenceOut of countryof residenceUS$0 US$1,000 US$2,000 US$5,000 US$10,000 US$20,000US$1,000 US$2,000 US$3,000 US$5,000 US$10,000 US$20,000Age Annual Semiannual Annual Semiannual Annual Semiannual Annual Semiannual Annual Semiannual Annual Semiannual1 Child US$1,018.00 US$539.54 US$914.00 US$484.42 US$538.00 US$285.14 US$461.00 US$244.33 US$395.00 US$209.35 US$291.00 US$154.232 Children 1,667.00 883.51 1,541.00 816.73 805.00 426.65 724.00 383.72 625.00 331.25 463.00 245.393+ Children 2,440.00 1,293.20 2,263.00 1,199.39 1,155.00 612.15 1,052.00 557.56 906.00 480.18 670.00 355.1018-24 2,244.00 1,189.32 1,894.00 1,003.82 1,486.00 787.58 1,141.00 604.73 988.00 523.64 750.00 397.5025-29 2,489.00 1,319.17 2,091.00 1,108.23 1,676.00 888.28 1,272.00 674.16 1,101.00 583.53 834.00 442.0230-34 2,873.00 1,522.69 2,395.00 1,269.35 1,968.00 1,043.04 1,477.00 782.81 1,280.00 678.40 966.00 511.9835-39 3,179.00 1,684.87 2,638.00 1,398.14 2,200.00 1,166.00 1,644.00 871.32 1,422.00 753.66 1,069.00 566.5740-44 3,587.00 1,901.11 2,957.00 1,567.21 2,510.00 1,330.30 1,857.00 984.21 1,607.00 851.71 1,209.00 640.7745-49 4,155.00 2,202.15 3,404.00 1,804.12 2,945.00 1,560.85 2,163.00 1,146.39 1,867.00 989.51 1,403.00 743.5950-54 4,546.00 2,409.38 3,715.00 1,968.95 3,242.00 1,718.26 2,371.00 1,256.63 2,049.00 1,085.97 1,535.00 813.5555-59 5,367.00 2,844.51 4,365.00 2,313.45 3,869.00 2,050.57 2,812.00 1,490.36 2,430.00 1,287.90 1,816.00 962.4860 5,658.00 2,998.74 4,569.00 2,421.57 4,137.00 2,192.61 2,977.00 1,577.81 2,570.00 1,362.10 1,923.00 1,019.1961 6,372.00 3,377.16 5,147.00 2,727.91 4,655.00 2,467.15 3,352.00 1,776.56 2,895.00 1,534.35 2,166.00 1,147.9862 7,082.00 3,753.46 5,720.00 3,031.60 5,175.00 2,742.75 3,730.00 1,976.90 3,218.00 1,705.54 2,409.00 1,276.7763 7,793.00 4,130.29 6,293.00 3,335.29 5,695.00 3,018.35 4,103.00 2,174.59 3,543.00 1,877.79 2,653.00 1,406.0964 8,504.00 4,507.12 6,870.00 3,641.10 6,215.00 3,293.95 4,479.00 2,373.87 3,867.00 2,049.51 2,896.00 1,534.8865 8,536.00 4,524.08 6,875.00 3,643.75 6,274.00 3,325.22 4,506.00 2,388.18 3,888.00 2,060.64 2,906.00 1,540.1866 8,569.00 4,541.57 6,882.00 3,647.46 6,333.00 3,356.49 4,530.00 2,400.90 3,907.00 2,070.71 2,915.00 1,544.9567 9,525.00 5,048.25 7,652.00 4,055.56 7,040.00 3,731.20 5,036.00 2,669.08 4,346.00 2,303.38 3,242.00 1,718.2668 10,479.00 5,553.87 8,418.00 4,461.54 7,743.00 4,103.79 5,543.00 2,937.79 4,783.00 2,534.99 3,570.00 1,892.1069 10,958.00 5,807.74 8,803.00 4,665.59 8,094.00 4,289.82 5,795.00 3,071.35 4,998.00 2,648.94 3,734.00 1,979.0270 11,035.00 5,848.55 8,817.00 4,673.01 8,232.00 4,362.96 5,854.00 3,102.62 5,048.00 2,675.44 3,752.00 1,988.5671 12,418.00 6,581.54 9,922.00 5,258.66 9,265.00 4,910.45 6,590.00 3,492.70 5,682.00 3,011.46 4,225.00 2,239.2572 13,801.00 7,314.53 11,029.00 5,845.37 10,298.00 5,457.94 7,326.00 3,882.78 6,316.00 3,347.48 4,696.00 2,488.8873 15,184.00 8,047.52 12,133.00 6,430.49 11,327.00 6,003.31 8,059.00 4,271.27 6,950.00 3,683.50 5,168.00 2,739.0474 16,568.00 8,781.04 13,239.00 7,016.67 12,360.00 6,550.80 8,795.00 4,661.35 7,584.00 4,019.52 5,640.00 2,989.2075 and up 18,096.00 9,590.88 14,429.00 7,647.37 13,557.00 7,185.21 9,617.00 5,097.01 8,295.00 4,396.35 6,164.00 3,266.92Additional coverageMaternitycomplicationsUS$225.00 US$119.25 US$225.00 US$119.25 US$225.00 US$119.25 US$225.00 US$119.25 US$225.00 US$119.25 US$225.00 US$119.25TransplantProcedures250.00 132.50 250.00 132.50 250.00 132.50 250.00 132.50 250.00 132.50 250.00 132.50(a)Deductible Plan 1 (US$0/US$1,000) is only available for renewals as of January 1, 2013.TRINIDAD & TOBAGO9

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