Rates

• All rates quoted below are based on a $250 deductible.
  

• Rates will increase/decrease based on deductible chosen.
  

• Run your own personalized quote for detailed rate calculation

  Patriot International
  Patriot America

Patriot International provides coverage for US citizens traveling abroad for a minimum of 10 days up to a maximum of one year. Although the Patriot International Plan is not renewable, it can be rewritten for succeeding or subsequent coverage periods. New Deductible, Coinsurance, Eligibility, Conditions of Coverage and Pre-Existing Condition Exclusions apply to any succeeding or subsequent Period of Coverage. A new application also must be completed.

Patriot International MONTHLY Premiums (US Citizens)
	50,000 MAX	100,000 MAX	500,000 MAX	1,000,000 MAX	2,000,000 MAX
	option 5	option 6	option 7	option 8	option 9
AGE	One Month	One Month	One Month	One Month	One Month
18-29	$32.00	$37.00	$43.00	$48.00	$54.00
30-39	$37.00	$43.00	$57.00	$63.00	$72.00
40-49	$59.00	$66.00	$73.00	$81.00	$99.00
50-59	$95.00	$109.00	$122.00	$136.00	$153.00
60-64	$109.00	$129.00	$153.00	$180.00	$201.00
65-69	$129.00	$138.00	$158.00	$189.00	$243.00
70-79	$189.00	N/A	N/A	N/A	N/A
80 PLUS*	$378.00	N/A	N/A	N/A	N/A
DEP CHILD	$18.00	$23.00	$27.00	$28.00	$34.00
CHILD ALONE	$32.00	$36.00	$41.00	$45.00	$52.00
*US$10,000 Maximum

NOTE: Daily rate available if 15 day minimum is satisfied. All members must have same deductible.

Patriot America provides coverage for non-US citizens traveling outside their country of citizenship for a minimum of 10 days up to a maximum of one year. Although the Patriot America plan is not renewable, it can be rewritten for succeeding or subsequent coverage periods. New Deductible, Coinsurance, Eligibility, Conditions of Coverage and Pre-Existing Condition Exclusions apply to any succeeding or subsequent Period of Coverage. A new application also must be completed. If you or other family members applying for coverage are age 65 or older, please see the Eligibility section of the Patriot brochure for additional information.

NOTE: Daily rate available if 15 day minimum is satisfied. All members must have same deductible.

All premium rates are in US dollars and are effective through 12/31/2003. Rates include 2.5% surplus lines tax. A dependent child is your child shown on the Enrollment Form over 14 days and under 18 years of age, traveling with you, and for whom premium has been paid.

*See specific policy for age limit.

Benefit Period

The Benefit Period is the period of time specified in the Policy Limits. It begins once an eligible incident occurs to the insured. While coverage is in effect under this policy, the Benefit Period does not apply. When coverage under this policy terminates, as defined, Patriot Travel Medical Insurance^SM will pay eligible expenses for covered Injuries or Illnesses which commenced during the period of coverage for up to, but not exceeding the Benefit Period, subject to the Policy Limits.

Patriot Group Travel Medical Insurance

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At-a-Glance

Benefits

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