A-Life Medik Famili

PERSON COVERED

MALE FEMALE
AGE
A S Q M A S Q M

0-2 1650.00 849.75 424.88 143.55 1650.00 849.75 424.88 143.55

3-5 1392.00 716.88 358.44 121.10 1392.00 716.88 358.44 121.10

6 - 10 1068.00 550.02 275.01 92.92 972.00 500.58 250.29 84.56

11 -15 924.00 475.86 237.93 80.39 852.00 438.78 219.39 74.12

16 - 20 984.00 506.76 253.38 85.61 804.00 414.06 207.03 69.95

21 -25 1080.00 556.20 278.10 93.96 876.00 451.14 225.57 76.21

26 -30 1164.00 599.46 299.73 101.27 948.00 488.22 244.11 82.48

31 -35 1188.00 611.82 305.91 103.36 996.00 512.94 256.47 86.65

36 - 40 1188.00 611.82 305.91 103.36 1152.00 593.28 296.64 100.22

41 - 45 1428.00 735.42 367.71 124.24 1428.00 735.42 367.71 124.24

46 - 50 1728.00 889.92 444.96 150.34 1884.00 970.26 485.13 163.91

51 - 55 2088.00 1075.32 537.66 181.66 2232.00 1149.48 574.74 194.18

56 - 60 3312.00 1705.68 852.84 288.14 3420.00 1761.30 880.65 297.54

61 - 65 5316.00 2737.74 1368.87 462.49 5280.00 2719.20 1359.60 459.36

67 -70 8808.00 4536.12 2268.06 766.30 8436.00 4344.54 2172.27 733.93

PERSON COVERED & CHILDREN

MALE FEMALE
AGE
A S Q M A S Q M

16 - 20 4848.00 2496.72 1248.36 421.78 4668.00 2404.02 1202.01 406.12

21 -25 4944.00 2546.16 1273.08 430.13 4740.00 2441.10 1220.55 412.38

26 -30 5028.00 2589.42 1294.71 437.44 4812.00 2478.18 1239.09 418.64

31 -35 5052.00 2601.78 1300.89 439.52 4860.00 2502.90 1251.45 422.82

36 - 40 5052.00 2601.78 1300.89 439.52 5016.00 2583.24 1291.62 436.39

41 - 45 5292.00 2725.38 1362.69 460.40 5292.00 2725.38 1362.69 460.40

46 - 50 5292.00 2725.38 1362.69 460.40 5748.00 2960.22 1480.11 500.08

51 - 55 5952.00 3065.28 1532.64 517.82 6096.00 3139.44 1569.72 530.35

56 - 60 7176.00 3695.64 1847.82 624.31 7284.00 3751.26 1875.63 633.71

61 - 65 9180.00 4727.70 2363.85 798.66 9144.00 4709.16 2354.58 795.53

67 -70 12672.00 6526.08 3263.04 1102.46 12300.00 6334.50 3167.25 1070.10

PERSON COVERED & PERSON COVERED &

AGE
SPOUSE FAMILY
A S Q M A S Q M

16 - 20 1812.00 933.18 466.59 157.64 5652.00 2910.78 1455.39 491.72

21 -25 1992.00 1025.88 512.94 173.30 5820.00 2997.30 1498.65 506.34

26 -30 2112.00 1087.68 543.84 183.74 5976.00 3077.64 1538.82 519.91

31 -35 2184.00 1124.76 562.38 190.01 6048.00 3114.72 1557.36 526.18

36 - 40 2352.00 1211.28 605.64 204.62 6204.00 3195.06 1597.53 539.75

41 - 45 2940.00 1514.10 757.05 255.78 6720.00 3460.80 1730.40 584.64

46 - 50 3840.00 1977.60 988.80 334.08 7476.00 3850.14 1925.07 650.41

51 - 55 4716.00 2428.74 1214.37 410.29 8184.00 4214.76 2107.38 712.01

56 - 60 7440.00 3831.60 1915.80 647.28 10596.00 5456.94 2728.47 921.85

61 - 65 11760.00 6056.40 3028.20 1023.12 14460.00 7446.90 3723.45 1258.02

67 -70 18648.00 9603.72 4801.86 1622.38 21108.00 10870.62 5435.31 1836.40