RATES_Anniversary Rates T3 5-1-2017

RATE SHEET SEATTLE PACIFIC UNIVERSITY

Base Plan

Facility Monthly Benefit

Home Monthly Benefit

Facility Benefit Duration

Home Benefit

Lifetime Maximum

Elimination Period

Home Care Level

$1,000

$1,000

3 Years 100%

$36,000

90 Days 100% Professional

Options

This rate sheet shows the cost per $1,000 of coverage Calculate your Premium:

X _ ÷ $1,000 = Rate for Plan Chosen Facility Monthly Benefit Amount Your Premium

Monthly Rates

Plan 1 Plan 2

Base Plan With

Insurance Compound Inflation

Age Base Plan Option

18-30 5.90 17.20

31 5.90 17.50

32 5.90 17.90

33 6.00 18.20

34 6.40 19.00

35 6.50 19.30

36 6.60 20.00

37 6.90 20.50

38 7.10 21.00

39 7.50 21.90

40 7.80 22.30

41 8.20 22.90

42 8.40 23.60

43 9.00 24.40

44 9.20 25.00

45 9.90 26.20

46 10.30 26.60

47 10.80 27.20

48 11.10 27.90

49 11.50 28.60

50 11.80 29.20

51 12.80 30.30

52 13.40 31.10

53 14.00 31.80

54 14.60 32.60

55 15.40 33.70

56 16.30 35.10

57 17.20 36.50

58 18.30 38.00

59 19.50 39.20

Home Monthly Benefit

Facility Benefit Duration

Home Benefit

Lifetime Maximum

Elimination Period

Home Care Level

$1,000

3 Years 100%

$36,000

90 Days 100% Professional

This rate sheet shows the cost per $1,000 of coverage Calculate your Premium:

X _ ÷ $1,000 =

Rate for Plan Chosen Facility Monthly Benefit Amount Your Premium

Monthly Rates

Plan 1 Plan 2

Base Plan With

Insurance Compound Inflation

Age Base Plan Option

60 20.80 41.10

61 22.30 43.70

62 24.50 47.00

63 26.70 49.60

64 29.00 53.10

65 32.60 58.40

66 35.70 62.90

67 39.60 68.40

68 43.60 73.60

69 48.20 79.70

70 53.00 85.30

71 59.00 93.50

72 64.90 101.00

73 71.80 109.30

74 78.80 117.80

75 95.10 139.40

76 103.90 150.60

77 113.70 161.70

78 124.50 174.70

79 136.30 187.60

80 149.10 202.40

RATE SHEET SEATTLE PACIFIC UNIVERSITY

Base Plan

Facility Monthly Benefit

Home Monthly Benefit

Facility Benefit Duration

Home Benefit

Lifetime Maximum

Elimination Period

Home Care Level

$1,000

$1,000

6 Years 100%

$72,000

90 Days 100% Professional

Options

This rate sheet shows the cost per $1,000 of coverage Calculate your Premium:

X _ ÷ $1,000 =

Rate for Plan Chosen Facility Monthly Benefit Amount Your Premium

Monthly Rates

Plan 1 Plan 2

Base Plan With

Insurance Compound Inflation

Age Base Plan Option

18-30 7.70 23.00

31 7.80 23.50

32 8.10 24.10

33 8.40 25.10

34 8.50 25.40

35 8.90 26.30

36 9.00 26.60

37 9.60 27.70

38 9.80 28.40

39 10.10 29.00

40 10.80 30.10

41 11.00 30.50

42 11.50 31.90

43 12.10 32.90

44 12.40 33.60

45 13.30 34.90

46 13.90 35.90

47 14.30 36.40

48 15.20 37.40

49 15.60 38.40

50 16.20 39.00

51 17.00 40.30

52 18.00 41.60

53 18.80 42.60

54 19.80 43.80

55 20.90 45.10

56 22.00 46.70

57 23.40 48.50

58 24.60 50.40

59 26.10 52.50

Home Monthly Benefit

Facility Benefit Duration

Home Benefit

Lifetime Maximum

Elimination Period

Home Care Level

$1,000

6 Years 100%

$72,000

90 Days 100% Professional

This rate sheet shows the cost per $1,000 of coverage Calculate your Premium:

X _ ÷ $1,000 =

Rate for Plan Chosen Facility Monthly Benefit Amount Your Premium

Monthly Rates

Plan 1 Plan 2

Base Plan With

Insurance Compound Inflation

Age Base Plan Option

60 27.50 54.20

61 30.20 58.10

62 32.70 62.00

63 35.30 65.30

64 38.20 69.60

65 43.00 76.60

66 47.20 82.40

67 52.40 89.70

68 57.60 96.30

69 63.30 103.70

70 69.70 111.50

71 77.00 121.40

72 84.80 131.60

73 93.80 142.10

74 103.30 153.70

75 123.90 180.80

76 135.70 195.50

77 148.60 210.10

78 162.20 226.30

79 177.40 242.90

80 194.20 262.30

RATE SHEET SEATTLE PACIFIC UNIVERSITY

Base Plan

Facility Monthly Benefit

Home Monthly Benefit

Facility Benefit Duration

Home Benefit

Lifetime Maximum

Elimination Period

Home Care Level

$1,000

$1,000 Unlimited 100%

Unlimited

90 Days 100% Professional

Options

This rate sheet shows the cost per $1,000 of coverage Calculate your Premium:

X _ ÷ $1,000 =

Rate for Plan Chosen Facility Monthly Benefit Amount Your Premium

Monthly Rates

Plan 1 Plan 2

Base Plan With

Insurance Compound Inflation

Age Base Plan Option

18-30 11.10 31.70

31 11.10 32.30

32 11.40 33.40

33 11.60 34.10

34 11.90 34.70

35 12.20 35.60

36 12.40 36.40

37 13.20 37.80

38 13.50 38.60

39 14.00 39.60

40 14.60 40.60

41 15.30 42.10

42 15.80 43.10

43 16.50 44.20

44 17.30 45.80

45 18.40 47.50

46 19.10 48.30

47 19.60 48.90

48 20.50 50.50

49 21.20 51.50

50 22.60 53.00

51 23.40 54.30

52 24.60 55.60

53 25.70 57.30

54 26.80 58.60

55 28.10 60.10

56 29.70 61.90

57 31.30 64.30

58 33.30 66.90

59 35.00 69.20

Home Monthly Benefit

Facility Benefit Duration

Home Benefit

Lifetime Maximum

Elimination Period

Home Care Level

$1,000 Unlimited 100%

Unlimited

90 Days 100% Professional

This rate sheet shows the cost per $1,000 of coverage Calculate your Premium:

X _ ÷ $1,000 =

Rate for Plan Chosen Facility Monthly Benefit Amount Your Premium

Monthly Rates

Plan 1 Plan 2

Base Plan With

Insurance Compound Inflation

Age Base Plan Option

60 37.20 71.60

61 40.30 76.10

62 43.20 80.70

63 46.90 85.30

64 50.30 90.10

65 56.20 98.80

66 62.00 106.90

67 68.40 115.70

68 75.30 124.40

69 82.80 134.10

70 91.00 144.10

71 100.30 156.30

72 110.30 169.20

73 121.00 182.00

74 133.00 196.10

75 159.20 230.30

76 174.30 249.50

77 190.50 267.70

78 207.60 287.50

79 226.80 308.50

80 247.60 332.50