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Supplement Plans

Illinois Medicare Supplement Plans

Illinois offers multiple types of Medicare insurance outside of the Government basic plans. Medicare supplement insurance fills the “gaps” between Medicare benefits and what you must pay out-of-pocket for deductibles, coinsurance, and copayments. Therefore, it is often called Medigap insurance. Medigap policies are sold by private insurance companies that are licensed and regulated by the Illinois Department of Insurance. The Department of Insurance determines what type of plans and benefits are available, and are often the best source of information when doing research on the next years’ plans. Some plans offer benefits that Medicare doesn’t, such as emergency care while in a foreign country. Depending on what you need, there is a plan with coverage for what’s most important to you.

Here is a list of Medicare supplement plans available in the state of Illinois.  This data was accurate at the time of publishing, but may no longer be current.  Please contact an advisor for more information.

In addition, below are some important links and contacts for Medicare plans in Illinois. If you need more detailed information, feel free to reach out to those below.

Illinois SHIP

Sandy Leith, SHIP Director
Illinois Department of Insurance
Department of Insurance
320 W. Washington Street
Springfield, IL 62767-0001
(217) 524-1631 or (800) 548-9034

Illinois Department of Human Services
1-800-252-8635
Medicare Savings Program eligibility information and applications.

Illinois Department on Aging
1-800-252-8966
Senior Help Line
Circuit Breaker/Pharmaceutical Assistance eligibility information and applications.

Centers for Medicare & Medicaid Services
800/633-4227 (800-MEDICARE)
www.medicare.gov
CMS is the federal agency that administers the Medicare program. 1-800-MEDICARE staff answer general questions on Medicare.

Wisconsin Physicians Service
Medicare Part B Carrier
800/642-6930
www.wpsic.com
For questions or problems with Medicare Part B claims or appeals

AdminaStar Federal
Medicare Part A Fiscal Intermediary
877/602-2430 TTY/TDD 866/737-6930
www.medicare.gov or www.adminastar.com
For questions or problems with Medicare Part A claims or appeals

AdminaStar Federal
Durable Medical Equipment Regional Carrier
800/270-2313 TTY/TDD 866/284-0881
www.adminastar.com
For questions or problems with Medicare Durable Medical Equipment claims or appeals

Illinois Foundation for Quality Health Care
Quality Improvement Organization
800/647-8089
www.ifqhc.org
Provides nursing home quality information, Medicare hospital rights and responds to inquiries regarding the quality of health care Medicare beneficiaries have received.

Senior Health Insurance Program
800/548-9034 TTY/TDD 217/524-4872
Provides free, confidential and objective insurance counseling to people on Medicare and their families regarding Medicare, Medicare supplement insurance, Medicare+Choice products and long term care insurance.

Illinois SMP Program Partner Agencies

Cook County

Catholic Charities - Northwest
1801 W. Central Rd., Arlington Heights, IL 60005
(847) 253-5500
http://www.catholiccharities.net

South Suburban Senior Services - Catholic Charities
15300 S. Lexington Ave., Harvey, IL 60426
(708) 596-2222
http://www.catholiccharities.net

Chicago Department of Senior Services
30 N. LaSalle, Suite 2320, Chicago, IL 60602
Voice: (312) 744-4016
TTY: (312) 744-6777
http://www.cityofchicago.org/Aging/

Coalition of Limited English Speaking Elderly (CLESE)
A number of CLESE agencies provide outreach on Medicare fraud. To find an agency that provides assistance in your language, contact CLESE at (312) 461-0812.
http://clese.org

Alivio Medical Center/Pilsen Senior Center
2021 S Morgan
Chicago, IL 60608
(312) 743-0496

 

Northeastern Illinois

Senior Services Associates - Kane, Kendall, & McHenry Counties
908 Game Farm Road, Yorkville, IL 60560
(630) 553-5777
http://www.seniorservicesassoc.org/

Catholic Charities - Lake County
116 North Lincoln, Roundlake, IL 60073
(847) 546-5733
http://www.catholiccharities.net

Illinois Area Agencies on Aging

Northwestern Illinois Area Agency on Aging - Boone, Carroll, DeKalb, JoDaviess, Lee, Ogle, Stephenson, Whiteside, & Winnebago Counties
2576 Charles St., Rockford, IL 61108
(815) 226-4901
http://www.nwilaaa.org/

Northeastern Illinois Area Agency on Aging - DuPage, Grundy, Kane, Kankakee, Kendall, Lake, McHenry, and Will Counties
Kankakee Community College
River Road, West Campus - Building 5
Kankakee, Illinois 60901
(800) 528-2000
http://www.ageguide.org/

Western Illinois Area Agency on Aging - Bureau, Henderson, Henry, Knox, LaSalle, McDonough, Mercer, Putnam, Rock Island, & Warren Counties
729 34th Ave., Rock Island, IL 61201
(309) 793-6800
http://www.wiaaa.org/

Central Illinois Area Agency on Aging - Fulton, Marshall, Peoria, Stark, Tazewell, and Woodford Counties
700 Hamilton Boulevard, Peoria, IL 61603
Voice: (309) 674-207, TTY: (309) 674-1831
http://www.ciaoa.com/

East Central Illinois Area Agency on Aging - Champaign, Clark, Coles, Cumberland, DeWitt, Douglas, Edgar, Ford, Iroquois, Livingston, McLean, Macon, Moultrie, Platt, Shelby, & Vermillion Counties
1003 Maple Hill Rd., Bloomington, IL 61704
(309) 829-2065
http://www.eciaaa.org/

West Central Illinois Area Agency on Aging - Adams, Brown, Calhoun, Hancock, PIke, & Schuyler Counties
639 York Street, Room 205, Quincy, Illinois 62301
Voice & TTY: (800) 252-9027
http://www.wciagingnetwork.org/

Area Agency on Aging for Lincolnland - Cass, Christian, Greene, Jersey, Logan, Macoupin, Mason, Menard, Montgomery, Morgan, Sangamon, & Scott Counties
3100 Montvale Dr., Springfield, IL 62704
Voice & TTY: (217) 787-9234
www.aginglinc.org

Area Agency on Aging of Southwestern Illinois - Bond, Clinton, Madison, Monroe, Randolph, St. Clair, & Washington Counties
2365 Country Rd., Belleville, IL 62221
(618) 222-2561
http://www.answersonaging.com/

Midland Area Agency on Aging - Clay, Effingham, Fayette, Jefferson, & Marion Counties
434 S. Poplar, Centralia, IL 62801
(618) 532-1853
http://www.midlandaaa.org/

Southeastern Illinois Area Agency on Aging - Crawford, Edwards, Hamilton, Jasper, Lawrence, Richland, Wabash, Wayne, & White Counties
516 Market St., Mt. Carmel, IL 62863
(618) 262-2306
http://www.seiaoa.com/

Egyptian Area Agency on Aging- Alexander, Franklin, Gallatin, Hardin, Jackson, Johnson, Massac, Perry, Pope, Pulaski, Saline, Union, & Williamson Counties
200 E. Plaza Dr., Carterville, IL 62918
(618) 985-8311
http://www.egyptianaaa.org/

Illinois Network of Centers for Independent Living (INCIL)
INCIL does not provide outreach or SMP presentations. For outreach events in the Springfield area, contact the Area Agency on Aging for Lincolnland. INCIL does provide assistance and referral for consumers dealing with healthcare fraud issues.
1 West Old State Capitol Plaza, Suite 501, Springfield, IL 62701
Voice & TTY: (217) 525-1308
http://www.incil.org/

Chicago Area

Standardized Medicare Supplement Plans Available - Annual Premium Estimates

AMERICAN REPUBLIC CORP INSURANCE COMPANY
www.americanenterprise.com
888/755-3065
Pre-Ex 0
Application Fee 0
Crossover yes

Age

A

B

C

D

F

FHD

G

K

L

M

N

64 & Under

$3,573.92

$4,861.91

$2,042.00

$2,511.55

$3,458.95

65

$1,876.90

$2,553.30

$1,072.33

$1,318.98

$1,816.46

70

$2,104.04

$2,862.19

$1,202.05

$1,478.52

$2,036.38

75

$2,549.42

$3,468.08

$1,456.64

$1,791.51

$2,467.38

80

$2,936.98

$3,995.50

$1,678.08

$2,063.95

$2,842.56

85

$3,311.41

$4,521.10

$1,898.89

$2,335.46

$3,216.53

ASSURED LIFE ASSOCIATION
www.denverwoodmen.com
800/777-9777
Pre-Ex 0
Application Fee 25
Crossover yes

64 & Under

$1,671.43

$2,117.48

$2,700.03

$2,308.24

$2,761.25

$2,315.79

$2,231.09

65

$1,043.58

$1,207.21

$1,465.57

$1,231.27

$1,499.66

$1,236.11

$1,165.68

70

$1,234.34

$1,425.93

$1,736.90

$1,459.55

$1,777.37

$1,465.21

$1,381.92

75

$1,369.18

$1,601.00

$1,960.22

$1,650.19

$2,005.64

$1,656.44

$1,566.79

80

$1,454.83

$1,727.70

$2,129.16

$1,796.60

$2,178.35

$1,803.32

$1,711.77

85

$1,517.47

$1,831.63

$2,274.97

$1,924.36

$2,327.23

$1,931.20

$1,840.13

BANKERS FIDELITY LIFE INSURANCE COMPANY
www.bflic.com
866/458-7500
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$1,968.00

$2,724.00

$960.00

$2,316.00

$1,368.00

65

$1,308.00

$1,824.00

$636.00

$1,272.00

$744.00

70

$1,464.00

$2,028.00

$708.00

$1,500.00

$876.00

75

$1,644.00

$2,292.00

$804.00

$1,788.00

$1,056.00

80

$1,776.00

$2,472.00

$864.00

$2,016.00

$1,188.00

85

$1,872.00

$2,604.00

$912.00

$2,184.00

$1,284.00

BLUE CROSS/BLUE SHIELD OF ILLINOIS
www.bcbsil.com
800/646-3000
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$1,800.00

$3,048.00

$3,432.00

$3,552.00

$1,152.00

$3,192.00

$2,484.00

65

$876.00

$1,428.00

$1,788.00

$1,800.00

$588.00

$1,620.00

$1,260.00

70

$1,224.00

$2,016.00

$2,484.00

$2,640.00

$840.00

$2,376.00

$1,848.00

75

$1,476.00

$2,484.00

$2,940.00

$3,132.00

$996.00

$2,820.00

$2,196.00

80

$1,704.00

$2,904.00

$3,252.00

$3,372.00

$1,080.00

$3,036.00

$2,364.00

85

$1,800.00

$3,048.00

$3,432.00

$3,552.00

$1,152.00

$3,192.00

$2,484.00

COLUMBIAN MUTUAL LIFE
www.cfglife.com
866/703-7223
Pre-Ex 0
Application Fee 25
Crossover yes

64 & Under

$2,275.56

$3,820.76

$3,099.24

65

$1,369.54

$2,006.35

$1,598.64

70

$1,573.16

$2,309.18

$1,840.13

75

$1,762.03

$2,630.07

$2,100.02

80

$1,917.75

$2,924.53

$2,340.80

85

$2,028.88

$3,166.84

$2,541.35

COMBINED INSURANCE COMPANY OF AMERICA
www.combinedinsurance.com
800/544-5531
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$3,475.40

$4,030.92

$4,657.65

65

$1,382.26

$1,603.20

$1,852.46

70

$1,806.56

$2,095.32

$2,421.10

75

$2,197.96

$2,549.28

$2,945.64

80

$2,486.78

$2,884.28

$3,332.72

85

$2,611.12

$3,028.49

$3,499.36

CONSECO INSURANCE COMPANY
www.conseco.com
800/888-4918
Pre-Ex 0
Application Fee 15
Crossover yes

64 & Under

$3,044.70

$4,008.70

65

$1,695.00

$2,433.90

70

$1,848.20

$2,606.10

75

$2,266.50

$3,070.60

80

$2,663.80

$3,509.60

85

$3,044.70

$4,008.70

CONSTITUTION LIFE INSURANCE
www.constitutionlife.com
800/789-6364
Pre-Ex 6
Application Fee 15
Crossover yes

64 & Under

$1,888.00

$2,358.00

$3,052.00

$2,747.00

$3,061.00

65

$1,345.00

$1,569.00

$1,770.00

$1,512.00

$1,775.00

70

$1,689.00

$1,987.00

$2,211.00

$1,937.00

$2,217.00

75

$1,862.00

$2,240.00

$2,568.00

$2,281.00

$2,574.00

80

$1,888.00

$2,346.00

$2,856.00

$2,558.00

$2,865.00

85

$1,888.00

$2,358.00

$3,052.00

$2,747.00

$3,061.00

CONTINENTAL GENERAL INSURANCE COMPANY
www.continentalgeneral.com
877/291-5434
Pre-Ex 0
Application Fee 25
Crossover yes

64 & Under

$1,929.40

$3,176.80

$2,875.40

$2,687.30

65

$1,475.10

$1,816.10

$1,575.20

$1,469.60

70

$1,518.00

$1,942.60

$1,712.70

$1,568.60

75

$1,747.90

$2,293.50

$2,044.90

$1,864.50

80

$1,929.40

$2,682.90

$2,416.70

$2,214.30

85

$1,929.40

$2,890.80

$2,614.70

$2,444.20

COUNTRY LIFE INSURANCE COMPANY
www.countryfinancial.com
866/856-4760
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$2,268.00

$4,313.00

$3,723.00

$4,399.00

$1,192.00

65

$1,043.00

$1,825.00

$1,565.00

$1,838.00

$488.00

70

$1,188.00

$2,355.00

$2,044.00

$2,402.00

$572.00

75

$1,393.00

$2,873.00

$2,473.00

$2,929.00

$698.00

80

$1,657.00

$3,296.00

$2,828.00

$3,361.00

$858.00

85

$1,961.00

$3,706.00

$3,190.00

$3,780.00

$1,025.00

CSA FRATERNAL LIFE INSURANCE COMPANY
www.csafraternallife.com
877/237-9130
Pre-Ex 0
Application Fee 25
Crossover yes

64 & Under

$2,380.34

$4,590.70

$4,598.96

$4,290.22

$3,442.94

65

$1,423.46

$1,859.09

$1,863.73

$1,682.58

$1,307.34

70

$1,636.26

$2,172.70

$2,178.12

$1,967.60

$1,530.18

75

$1,984.46

$3,018.26

$2,749.71

$2,491.06

$1,943.52

80

$2,209.55

$3,276.72

$3,284.36

$2,993.40

$2,349.97

85

$2,267.92

$3,800.51

$3,808.47

$3,508.42

$2,783.17

EQUITABLE LIFE AND CASUALTY
www.equiLife.com
800/352-5170
Pre-Ex 0
Application Fee 20
Crossover yes

64 & Under

$3,957.33

$5,950.59

$4,188.07

65

$2,880.08

$4,079.65

$2,870.35

70

$3,089.97

$4,395.18

$3,099.70

75

$3,376.31

$4,833.03

$3,402.72

80

$3,577.86

$5,148.56

$3,629.29

85

$3,737.71

$5,364.01

$3,780.80

FAMILY LIFE INSURANCE
www.familylifeins.com
800/877-7703
Pre-Ex 0
Application Fee 25
Crossover yes

64 & Under

$2,026.58

$2,465.28

$2,821.59

$2,584.05

$2,837.64

$2,599.03

$2,511.29

$2,164.61

65

$1,049.67

$1,276.51

$1,450.92

$1,338.57

$1,511.91

$1,344.99

$1,301.12

$1,153.46

70

$1,248.69

$1,518.33

$1,730.19

$1,592.16

$1,775.13

$1,600.72

$1,547.22

$1,354.62

75

$1,481.95

$1,802.95

$2,082.22

$1,890.69

$2,125.02

$1,900.32

$1,838.26

$1,621.05

80

$1,684.18

$2,049.05

$2,366.84

$2,148.56

$2,398.94

$2,160.33

$2,088.64

$1,830.77

85

$1,830.77

$2,227.74

$2,578.70

$2,334.74

$2,599.03

$2,347.58

$2,269.47

$1,982.71

FORETHOUGHT LIFE INSURANCE COMPANY
www.forethought.com
877/492-5870
Pre-Ex 0
Application Fee 25
Crossover yes

64 & Under

$2,097.07

$3,165.31

$3,239.98

$2,670.18

$2,411.11

65

$1,215.47

$1,607.96

$1,646.77

$1,333.79

$1,178.89

70

$1,437.72

$1,905.60

$1,951.61

$1,580.82

$1,397.61

75

$1,610.32

$2,169.03

$2,221.18

$1,802.61

$1,598.17

80

$1,761.09

$2,421.61

$2,479.65

$2,017.09

$1,794.71

85

$1,871.39

$2,632.07

$2,694.95

$2,197.70

$1,962.58

GERBER LIFE INSURANCE
www.gerber.com
914/272-4000
Pre-Ex 0
Application Fee 25
Crossover yes

64 & Under

$2,109.25

$3,078.35

$2,998.43

65

$1,320.42

$1,891.83

$1,594.76

70

$1,562.02

$2,242.08

$1,890.09

75

$1,732.00

$2,529.79

$2,138.11

80

$1,839.71

$2,746.94

$2,329.21

85

$1,917.89

$2,934.02

$2,496.11

GOVERNMENT PERSONNEL MUTUAL LIFE
www.gpmlife.com
866/242-7573
Pre-Ex 0
Application Fee 25
Crossover yes

64 & Under

$2,367.70

$3,689.93

$3,776.76

$2,943.40

$2,635.61

65

$1,479.96

$2,005.76

$2,054.01

$1,571.98

$1,372.96

70

$1,620.46

$2,206.67

$2,259.87

$1,730.30

$1,512.76

75

$1,815.35

$2,513.75

$2,574.27

$1,974.85

$1,732.18

80

$1,986.06

$2,809.74

$2,876.87

$2,212.45

$1,948.19

85

$2,110.99

$3,057.36

$3,130.27

$2,413.47

$2,134.35

HEALTH ALLIANCE MEDICAL PLANS
www.HealthAllianceMedicare.org
800/965-4022
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$2,581.92

$4,471.20

$4,569.84

$8,568.00

65

$1,400.16

$2,006.28

$2,050.44

$3,844.20

70

$1,787.04

$2,560.56

$2,616.96

$4,906.32

75

$2,280.72

$3,268.08

$3,339.96

$6,262.08

80

$2,533.68

$4,024.44

$4,113.12

$7,711.56

85

$2,581.92

$4,471.20

$4,569.84

$8,568.00

HEARTLAND NATIONAL LIFE INSURANCE COMPANY
www.heartlandnational.net
877/431-7371
Pre-Ex 0
Application Fee 25
Crossover yes

64 & Under

$2,008.00

$2,946.00

$3,207.00

$2,992.00

$2,726.00

$2,430.00

65

$1,196.00

$1,504.00

$1,742.00

$1,529.00

$1,407.00

$1,212.00

70

$1,458.00

$1,870.00

$2,109.00

$1,900.00

$1,747.00

$1,499.00

75

$1,665.00

$2,193.00

$2,435.00

$2,230.00

$2,046.00

$1,763.00

80

$1,793.00

$2,460.00

$2,708.00

$2,501.00

$2,283.00

$1,996.00

85

$1,870.00

$2,688.00

$2,934.00

$2,727.00

$2,488.00

$2,203.00

HUMANA INSURANCE COMPANY
www.humana.com
800/872-7294
Pre-Ex 3
Application Fee 0
Crossover yes

64 & Under

$3,024.00

$3,612.00

$4,164.00

$4,248.00

$1,596.00

$1,944.00

$2,772.00

65

$1,488.00

$1,788.00

$2,052.00

$2,100.00

$792.00

$960.00

$1,368.00

70

$1,812.00

$2,172.00

$2,496.00

$2,556.00

$960.00

$1,164.00

$1,656.00

75

$2,208.00

$2,640.00

$3,048.00

$3,108.00

$1,164.00

$1,416.00

$2,016.00

80

$2,604.00

$3,120.00

$3,600.00

$3,672.00

$1,380.00

$1,680.00

$2,388.00

85

$3,024.00

$3,612.00

$4,164.00

$4,248.00

$1,596.00

$1,944.00

$2,772.00

KSKJ LIFE INSURANCE COMPANY
www.KSKJLife.com
866/671-5755
Pre-Ex 0
Application Fee yes

64 & Under

$2,572.44

$3,129.36

$3,581.22

$3,017.16

$3,603.66

$3,032.46

$2,716.26

$2,408.22

65

$1,332.12

$1,619.76

$1,841.10

$1,562.64

$1,918.62

$1,569.78

$1,406.58

$1,282.14

70

$1,585.08

$1,927.80

$2,197.08

$1,858.44

$2,253.18

$1,868.64

$1,672.80

$1,505.52

75

$1,881.90

$2,287.86

$2,642.82

$2,206.26

$2,697.90

$2,217.48

$1,984.92

$1,802.34

80

$2,137.92

$2,599.98

$3,003.90

$2,507.16

$3,046.74

$2,521.44

$2,256.24

$2,035.92

85

$2,324.58

$2,826.42

$3,273.18

$2,726.46

$3,299.70

$2,740.74

$2,453.10

$2,204.22

LIBERTY NATIONAL LIFE
www.libnat.com
205/325-4200
Pre-Ex 2
Application Fee 0
Crossover yes

64 & Under

$2,203.58

$3,318.22

$4,231.63

$1,389.67

$3,540.71

65

$1,690.42

$2,358.98

$2,656.37

$605.96

$2,101.84

70

$2,072.77

$2,953.76

$3,359.59

$807.20

$2,720.09

75

$2,203.58

$3,248.91

$3,821.32

$1,092.29

$3,140.46

80

$2,203.58

$3,318.22

$4,231.63

$1,389.67

$3,540.71

85

$2,203.58

$3,318.22

$4,231.63

$1,389.67

$3,540.71

LOYAL AMERICAN LIFE INSURANCE
www.gafri.com
800/633-6752
Pre-Ex 6
Application Fee 25
Crossover yes

64 & Under

$2,891.82

$4,085.16

$3,628.88

$2,859.23

65

$1,570.64

$2,272.60

$1,970.50

$1,590.69

70

$1,781.22

$2,555.89

$2,234.99

$1,788.74

75

$2,114.65

$3,059.79

$2,653.66

$2,142.23

80

$2,402.96

$3,454.65

$3,015.92

$2,418.00

85

$2,612.29

$3,741.70

$3,277.90

$2,619.82

MEDICO INSURANCE
www.gomedico.com
800/228-6080
Pre-Ex 0 Application Fee 0
Crossover yes

64 & Under

$2,259.30

$3,401.14

$3,574.60

65

$1,334.48

$1,756.06

$1,919.52

70

$1,505.73

$2,004.88

$2,171.94

75

$1,757.00

$2,384.28

$2,553.36

80

$1,997.05

$2,772.80

$2,940.65

85

$2,123.18

$3,038.27

$3,208.46

PEKIN LIFE INSURANCE COMPANY
www.pekininsurance.com
800/322-0160
Pre-Ex 6
Application Fee 0
Crossover yes

64 & Under

$2,916.40

$3,744.40

65

$1,458.20

$1,639.90

70

$1,721.55

$2,159.70

75

$1,906.70

$2,801.40

80

$2,017.10

$3,207.35

85

$2,093.00

$3,507.50

PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY
www.philadelphiaamericanlife.com
877/368-4691
Pre-Ex 0
Application Fee 20
Crossover yes

64 & Under

$2,651.88

$3,792.12

$3,845.16

$3,341.40

$2,691.60

65

$1,015.56

$1,524.84

$1,546.20

$1,343.52

$1,030.80

70

$1,147.44

$1,640.88

$1,663.80

$1,445.76

$1,164.60

75

$1,380.24

$1,973.76

$2,001.36

$1,739.16

$1,401.00

80

$1,681.56

$2,404.68

$2,438.28

$2,118.72

$1,706.76

85

$2,153.76

$3,079.80

$3,122.88

$2,713.68

$2,186.04

PHYSICIANS MUTUAL INSURANCE
www.physiciansmutual.com
800/228-9100
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$2,892.78

$5,278.28

$4,877.27

$3,905.88

65

$1,637.20

$2,444.38

$2,202.55

$1,658.45

70

$1,938.29

$2,861.36

$2,575.98

$2,107.12

75

$2,162.56

$3,429.76

$3,089.99

$2,650.03

80

$2,360.95

$3,976.90

$3,582.35

$3,209.05

85

$2,535.06

$4,498.96

$4,052.66

$3,665.77

RESERVE NATIONAL INSURANCE COMPANY
www.reservenational.com
800/654-9106
Pre-Ex 6
Application Fee 15
Crossover yes

64 & Under

$2,452.54

$3,642.10

$3,347.88

$1,051.01

$2,457.50

65

$1,278.98

$1,932.55

$1,745.98

$548.14

$1,310.45

70

$1,519.10

$2,256.02

$2,073.86

$651.36

$1,556.09

75

$1,786.82

$2,653.46

$2,439.29

$765.62

$1,830.43

80

$2,071.66

$3,076.30

$2,827.90

$887.62

$2,121.89

85

$2,287.49

$3,396.46

$3,122.11

$980.35

$2,343.24

ROYAL NEIGHBORS OF AMERICA
www.royalneighbors.org
866/845-6665
Pre-Ex 0
Application Fee 20
Crossover yes

64 & Under

$4,173.61

$6,132.34

$4,915.90

65

$1,679.69

$2,467.76

$1,977.26

70

$1,920.58

$2,819.83

$2,260.66

75

$2,195.26

$3,224.22

$2,585.48

80

$2,510.27

$3,686.38

$2,956.08

85

$3,958.88

$4,215.03

$3,379.00

STANDARD LIFE AND ACCIDENT INSURANCE COMPANY
www.slaico.com
888/350-1488
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$5,804.02

$6,608.35

$7,513.19

$4,527.17

$6,178.43

$909.91

$4,561.73

$2,979.82

65

$2,889.11

$3,289.49

$3,739.89

$2,253.53

$3,075.49

$447.21

$2,270.72

$1,483.29

70

$3,342.43

$3,805.63

$4,326.70

$2,607.12

$3,558.04

$517.37

$2,627.01

$1,716.02

75

$3,841.68

$4,374.06

$4,972.97

$2,996.53

$4,089.49

$594.65

$3,019.41

$1,972.34

80

$4,613.43

$5,252.76

$5,972.00

$3,598.51

$4,911.04

$714.13

$3,625.96

$2,368.56

85

$5,804.02

$6,608.35

$7,513.19

$4,527.17

$6,178.43

$898.41

$4,561.73

$2,979.82

STATE FARM MUTUAL AUTOMOBILE
www.statefarm.com
866/855-1212
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$2,033.00

$3,066.00

$3,096.00

65

$1,189.00

$1,793.00

$1,811.00

70

$1,498.00

$2,259.00

$2,282.00

75

$1,735.00

$2,617.00

$2,644.00

80

$1,949.00

$2,940.00

$2,970.00

85

$2,033.00

$3,066.00

$3,096.00

STATE MUTUAL INSURANCE
www.statemutualinsurance.com
888/764-1936
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$2,334.74

$2,724.22

$3,278.48

$2,856.90

$3,298.81

$1,297.91

$2,871.88

$2,572.28

$2,310.13

65

$1,209.10

$1,411.33

$1,690.60

$1,479.81

$1,758.01

$691.22

$1,487.30

$1,332.15

$1,230.50

70

$1,437.01

$1,677.76

$2,010.53

$1,759.08

$2,062.96

$812.13

$1,768.71

$1,582.53

$1,443.43

75

$1,706.65

$1,992.34

$2,419.27

$2,088.64

$2,469.56

$971.56

$2,100.41

$1,879.99

$1,729.12

80

$1,939.91

$2,264.12

$2,747.76

$2,374.33

$2,789.49

$1,096.75

$2,387.17

$2,137.86

$1,952.75

85

$2,110.04

$2,462.07

$2,994.93

$2,580.84

$3,020.61

$1,187.70

$2,593.68

$2,321.90

$2,115.39

STERLING LIFE INSURANCE
www.sterlingplans.com
800/688-0010
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$2,286.50

$2,988.74

$3,449.40

$3,298.66

$3,071.48

$1,540.47

$2,612.51

65

$1,716.88

$2,031.32

$2,262.70

$2,165.41

$1,989.68

$979.01

$1,673.27

70

$1,967.57

$2,380.81

$2,687.89

$2,571.87

$2,370.64

$1,171.84

$1,999.09

75

$2,152.83

$2,677.97

$3,051.86

$2,919.52

$2,701.21

$1,342.51

$2,285.19

80

$2,286.50

$2,988.74

$3,449.40

$3,298.66

$3,071.48

$1,540.47

$2,612.51

85

$2,286.50

$2,988.74

$3,449.40

$3,298.66

$3,071.48

$1,540.47

$2,612.51

THRIVENT FINANCIAL FOR LUTHERANS
www.thrivent.com
800/595-6589
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$2,300.10

$2,718.10

$3,520.00

$3,026.10

$3,533.20

$1,155.00

$3,113.00

$2,172.50

$2,751.10

65

$1,365.10

$1,613.70

$2,090.00

$1,796.30

$2,097.70

$686.40

$1,849.10

$1,290.30

$1,633.50

70

$1,560.90

$1,846.90

$2,391.40

$2,055.90

$2,399.10

$784.30

$2,114.20

$1,475.10

$1,867.80

75

$1,779.80

$2,105.40

$2,725.80

$2,343.00

$2,734.60

$894.30

$2,409.00

$1,681.90

$2,128.50

80

$1,974.50

$2,335.30

$3,025.00

$2,600.40

$3,033.80

$992.20

$2,674.10

$1,864.50

$2,363.90

85

$2,136.20

$2,526.70

$3,273.60

$2,813.80

$3,284.60

$1,074.70

$2,894.10

$2,019.60

$2,557.50

UNITED AMERICAN INSURANCE COMPANY
www.unitedamerican.com
800/331-2512
Pre-Ex 2
Application Fee 0
Crossover yes

64 & Under

$1,992.73

$5,452.25

$3,163.47

$3,979.85

$3,810.52

$3,993.31

$3,821.73

$1,957.96

$2,750.79

$3,336.17

65

$1,532.95

$2,260.74

$2,515.30

$2,339.24

$2,528.76

$576.40

$2,350.45

$1,238.03

$1,739.29

$1,991.61

70

$1,877.22

$2,828.17

$3,179.17

$3,006.47

$3,192.63

$767.04

$3,017.69

$1,651.82

$2,321.30

$2,576.98

75

$1,992.73

$3,104.04

$3,607.54

$3,437.09

$3,621.00

$958.80

$3,448.31

$1,839.10

$2,587.07

$2,967.22

80

$1,992.73

$3,163.47

$3,979.85

$3,810.52

$3,993.31

$1,212.23

$3,821.73

$1,957.96

$2,750.79

$3,336.17

85

$1,992.73

$3,163.47

$3,979.85

$3,810.52

$3,993.31

$1,212.23

$3,821.73

$1,957.96

$2,750.79

$3,336.17

UNITED NATIONAL LIFE
www.unlinsurance.com
800/207-8050
Pre-Ex 0
Application Fee 20
Crossover yes

64 & Under

$2,044.10

$2,982.84

$3,134.21

$3,051.53

65

$917.11

$1,196.70

$1,299.09

$1,222.52

70

$1,460.68

$1,930.90

$2,074.63

$1,971.60

75

$1,851.14

$2,510.16

$2,666.88

$2,563.33

80

$1,985.46

$2,792.80

$2,946.72

$2,850.17

85

$2,073.61

$3,032.07

$3,183.18

$3,092.23

UNITED OF OMAHA LIFE INSURANCE COMPANY
www.mutualofomaha.com
877/778-0829
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$2,104.64

$3,049.90

$2,501.51

$2,382.12

65

$1,183.94

$1,715.86

$1,407.17

$1,340.20

70

$1,438.08

$2,084.04

$1,709.39

$1,627.78

75

$1,789.80

$2,594.04

$2,127.57

$2,026.06

80

$1,987.88

$2,880.91

$2,362.83

$2,250.10

85

$2,070.20

$3,000.30

$2,460.81

$2,343.33

UNITED TEACHER ASSOCIATES INSURANCE COMPANY
www.utainteractive.com
800/880-8824
Pre-Ex 6
Application Fee 25
Crossover yes

64 & Under

$2,387.40

$2,786.45

$3,352.25

$2,922.15

$3,374.10

$2,995.75

$2,362.10

65

$1,296.05

$1,513.40

$1,810.10

$1,587.00

$1,876.80

$1,627.25

$1,313.30

70

$1,470.85

$1,715.80

$2,056.20

$1,799.75

$2,110.25

$1,844.60

$1,477.75

75

$1,745.70

$2,037.80

$2,473.65

$2,135.55

$2,526.55

$2,190.75

$1,768.70

80

$1,983.75

$2,316.10

$2,810.60

$2,428.80

$2,852.00

$2,489.75

$1,996.40

85

$2,157.40

$2,518.50

$3,063.60

$2,639.25

$3,090.05

$2,707.10

$2,163.15

USAA LIFE INSURANCE COMPANY
www.usaa.com
800/531-8000
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$1,709.00

$2,783.00

65

$956.00

$1,557.00

70

$1,119.00

$1,820.00

75

$1,338.00

$2,175.00

80

$1,550.00

$2,519.00

85

$1,709.00

$2,783.00

WORLD CORP INSURANCE COMPANY
www.americanenterprise.com
800/822-9993
Pre-Ex 0
Application Fee 0
Crossover yes

64 & Under

$3,156.62

$4,209.72

$1,667.62

65

$1,657.68

$2,210.70

$875.79

70

$1,858.30

$2,478.26

$981.75

75

$2,251.60

$3,002.83

$1,189.52

80

$2,594.18

$3,459.47

$1,370.45

85

$2,935.36

$3,914.59

$1,550.81