LIST OF COUNTRIES. (Assistance zones in brackets)

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Transcription:

LIST OF COUNTRIES (Assistance zones in brackets) Afghanistan 7 (1) Dominican Republic 5 (2) Lebanon 6 (2) Rwanda 6 (2) Albania 7 (2) East Timor 6 (2) Lesotho 6 (2) Saint Helena 5 (2) Alderney 5 (2) Ecuador 5 (2) Liberia 6 (1) Saint Kitts and Nevis 5 (2) Algeria 8 (2) Egypt 9 (2) Libya 6 (2) Saint Lucia 5 (2) American Samoa 5 (2) El Salvador 5 (2) Liechtenstein 5 (2) Saint Pierre and Miquelon 5 (2) Andorra 6 (2) Equatorial Guinea 6 (1) Lithuania 6 (2) Samoa 6 (2) Angola 8 (1) Eritrea 8 (1) Luxembourg 7 (2) San Marino 6 (2) Anguilla 5 (2) Estonia 6 (2) Macau 6 (2) Sao Tome and Principe 6 (2) Antarctica 6 (2) Ethiopia 8 (1) Madagascar 7 (1) Sark 5 (2) Antigua and Barbuda 5 (2) Falkland Islands (Malvinas) 5 (2) Madeira 5 (2) Saudi Arabia 6 (2) Argentina 5 (2) Faroe Islands 7 (2) Malawi 6 (1) Senegal 6 (1) Armenia 6 (2) Fiji 6 (2) Malaysia 7 (2) Serbia 6 (1) Aruba 5 (2) Finland 6 (2) Maldives 6 (2) Seychelles 6 (2) Australia 6 (2) France 7 (2) Mali 8 (1) Sierra Leone 5 (1) Austria 6 (2) French Guiana 6 (2) Malta 7 (2) Singapore 4 (2) Azerbaijan 7 (1) French Polynesia 6 (2) Marshall Islands 6 (2) Slovakia 7 (2) Azores 6 (2) French Southern Territories 6 (2) Martinique 5 (2) Slovenia 7 (2) Bahamas 5 (2) Gabon 6 (1) Mauritania 7 (1) Solomon Islands 6 (2) Bahrain 5 (2) Gambia 7 (1) Mauritius 6 (2) Somalia 6 (1) Bangladesh 5 (1) Georgia 6 (1) Mayotte 6 (2) South Africa 6 (2) Barbados 5 (2) Germany 5 (2) Mexico 4 (2) South Sudan 5 (1) Belarus 6 (2) Ghana 8 (1) Micronesia Federated States 6 (2) Spain 4 (2) Belgium 6 (2) Gibraltar 5 (2) Moldova Republic of 6 (2) Sri Lanka 8 (2) Belize 5 (2) Greece 3 (2) Monaco 5 (2) St Vincent and the Grenadines 5 (2) Benin 7 (1) Greenland 7 (2) Mongolia 5 (2) Sth Georgia & Sth Sandwich Is 5 (2) Bermuda 5 (2) Grenada 5 (2) Montenegro 6 (1) Sudan 5 (1) Bhutan 6 (2) Guadeloupe 5 (2) Montserrat 5 (2) Suriname 5 (2) Bolivia 5 (2) Guam 6 (2) Morocco 7 (2) Svalbard and Jan Mayen 6 (2) Bosnia and Herzegovina 7 (2) Guatemala 4 (2) Mozambique 8 (1) Swaziland 6 (2) Botswana 7 (2) Guernsey 5 (2) Myanmar 6 (2) Sweden 8 (2) Bouvet Island 7 (2) Guinea 7 (1) Namibia 6 (2) Switzerland 4 (2) Brazil 5 (2) Guinea-Bissau 7 (1) Nauru 6 (2) Syrian Arab Republic 5 (1) British Indian Ocean Territory 7 (2) Guyana 5 (2) Nepal 6 (2) Taiwan 8 (2) Brunei Darussalam 7 (2) Haiti 5 (2) Netherlands 8 (2) Tajikistan 6 (2) Bulgaria 7 (2) Heard and McDonald Islands 6 (2) Netherlands Antilles 5 (2) Tanzania United Republic of 6 (1) Burkina Faso 6 (1) Herm 6 (2) New Caledonia 6 (2) Thailand 6 (2) Burundi 6 (2) Holy See (Vatican City State) 5 (2) New Zealand 7 (2) Togo 7 (2) Cambodia 7 (2) Honduras 4 (2) Nicaragua 5 (2) Tokelau 6 (2) Cameroon 7 (1) Hong Kong 2 (2) Niger 6 (1) Tonga 6 (2) Canada 7 (2) Hungary 8 (2) Nigeria 7 (1) Trinidad and Tobago 5 (2) Canary Islands 5 (2) Iceland 7 (2) Niue 6 (2) Tunisia 6 (2) Cape Verde 7 (2) India 8 (2) Norfolk Island 6 (2) Turkey 6 (2) Cayman Islands 5 (2) Indonesia 4 (1) Northern Mariana Islands 6 (2) Turkmenistan 6 (2) Central African Republic 6 (1) Iran (Islamic Republic) 5 (2) Norway 8 (2) Turks and Caicos Islands 5 (2) Chad 7 (1) Iraq 5 (1) Oman 6 (2) Tuvalu 6 (2) Chile 5 (2) Ireland 5 (2) Pakistan 7 (2) UAE 5 (2) China 4 (2) Isle of Man 5 (2) Palau 6 (2) Uganda 7 (1) Christmas Island 6 (2) Israel 2 (2) Panama 5 (2) Ukraine 6 (1) Cocos (Keeling) Islands 6 (2) Italy 5 (2) Papua New Guinea 7 (2) United Kingdom 4 (2) Colombia 5 (2) Jamaica 5 (2) Paraguay 5 (2) Uruguay 5 (2) Comoros 8 (2) Japan 7 (2) Peru 5 (2) US Minor Outlying Islands 1 (2) Congo 6 (1) Jersey 4 (2) Philippines 7 (2) USA 1 (2) Congo DR 6 (1) Jordan 7 (2) Pitcairn 6 (2) Uzbekistan 6 (2) Cook Islands 6 (2) Kazakhstan 7 (1) Poland 7 (2) Vanuatu 6 (2) Costa Rica 5 (2) Kenya 7 (2) Portugal 5 (2) Venezuela 5 (2) Cote D'Ivoire 7 (1) Kiribati 6 (2) Puerto Rico 5 (2) Vietnam 6 (2) Croatia 7 (2) Korea (Republic) 7 (2) Qatar 7 (2) Virgin Islands (British) 5 (2) Cuba 5 (2) Korea(Democratic People's Rep) 6 (2) Rep of Macedonia 7 (2) Virgin Islands (U.S.) 5 (2) Cyprus 8 (2) Kosovo 6 (2) Republic of South Sudan 5 (1) Wallis and Futuna Islands 6 (2) Czech Republic 7 (2) Kuwait 5 (1) Republic of Sudan 5 (1) Western Sahara 6 (2) Denmark 7 (2) Kyrgyzstan 6 (2) Reunion 6 (2) Yemen 5 (2) Djibouti 7 (2) Laos People's Democratic Rep 6 (1) Romania 8 (2) Zambia 6 (1) Dominica 5 (2) Latvia 6 (1) Russian Federation 4 (1) Zimbabwe 6 (1) Subscriptions rate will be based on the country of residence* at the first day of the membership year. * Country of residence, for this purpose, is the country where the customer lives or spends most of their time. 1

A QUICK VISUAL GUIDE FINDING THE RIGHT QUOTATION Once you have chosen the customer s preferred zone, simply find their age, choose monthly or annual payment, choose a deductible (if any) and find their quotation for Worldwide Medical Insurance. If your customer has opted for a deductible then you must choose the EUR 125 deductible column for Worldwide Medical Plus and the EUR 60 deductible column for Worldwide Medicines and Equipment. If they have not chosen a deductible on Worldwide Medical Insurance they will have no deductible on their options. If they have chosen Worldwide Wellbeing, add this. And if they have opted for Worldwide Evacuation you will need to specify whether they fall into zone area 1 or zone area 2. You will find the zone areas in the Worldwide Evacuation zone area column on the List of Countries page overleaf. Valid from Currency Zone 1 with USA EUR MEDICAL INSURANCE 0 EUR 300 EUR 625 EUR 1250 EUR 2500 EUR 6250 0-15 381.61 4,579.38 349.99 4,199.93 329.49 3,953.91 313.22 3,758.67 292.35 3,508.24 255.60 3,067.23 16 400.47 4,805.66 367.35 4,408.23 345.73 4,148.77 328.85 3,946.20 306.71 3,680.56 268.21 3,218.53 17 418.95 5,027.46 384.44 4,613.30 361.69 4,340.26 344.07 4,128.87 321.07 3,852.86 280.57 3,366.81 Your zone Zone 1 with USA - Additional cover options Medical cover options MEDICAL PLUS MEDICINES AND EQUIPMENT WELLBEING Deductibles 0 EUR 125 0 EUR 60 0 Monthly Annually Monthly Annually Monthly Annually Monthly Annually Monthly Annually 0-15 241.78 2,901.32 226.15 2,713.75 149.55 1,794.56 141.92 1,703.05 192.30 2,307.61 Payment frequency 16 253.17 3,037.98 237.54 2,850.53 156.08 1,872.97 148.33 1,779.98 205.18 2,462.20 17 265.86 3,190.33 250.24 3,002.87 164.11 1,969.31 156.36 1,876.28 213.40 2,560.78 2

Zone 1 with USA EUR EUR MEDICAL INSURANCE 0 EUR 300 EUR 625 EUR 1250 EUR 2500 EUR 6250 0-15 381.61 4,579.38 349.99 4,199.93 329.49 3,953.91 313.22 3,758.67 292.35 3,508.24 255.60 3,067.23 16 400.47 4,805.66 367.35 4,408.23 345.73 4,148.77 328.85 3,946.20 306.71 3,680.56 268.21 3,218.53 17 418.95 5,027.46 384.44 4,613.30 361.69 4,340.26 344.07 4,128.87 321.07 3,852.86 280.57 3,366.81 18 444.35 5,332.15 407.60 4,891.19 383.58 4,603.02 364.85 4,378.25 340.60 4,087.22 297.60 3,571.14 19 469.74 5,636.85 430.87 5,170.38 405.63 4,867.55 385.75 4,629.04 359.86 4,318.36 314.63 3,775.51 20 497.74 5,972.91 456.63 5,479.59 429.63 5,155.51 408.62 4,903.41 381.37 4,576.46 333.38 4,000.60 21 527.61 6,331.37 485.99 5,831.85 455.38 5,464.58 433.11 5,197.35 404.26 4,851.11 353.50 4,242.05 22 556.93 6,683.11 515.28 6,183.40 480.80 5,769.60 457.29 5,487.53 426.78 5,121.33 373.02 4,476.29 23 585.30 7,023.65 543.67 6,524.06 505.17 6,062.09 480.56 5,766.77 448.31 5,379.66 392.19 4,706.26 24 612.38 7,348.51 570.75 6,849.03 529.00 6,347.98 502.76 6,033.10 469.14 5,629.66 410.26 4,923.15 25 640.19 7,682.33 598.57 7,182.79 556.80 6,681.61 525.56 6,306.75 490.45 5,885.40 428.80 5,145.56 26 666.52 7,998.23 624.89 7,498.71 583.16 6,997.91 547.28 6,567.37 510.76 6,129.12 446.39 5,356.71 27 688.74 8,264.84 647.12 7,765.49 605.36 7,264.38 565.49 6,785.84 527.71 6,332.54 461.24 5,534.83 28 715.06 8,580.73 673.43 8,081.15 631.68 7,580.18 587.06 7,044.75 547.92 6,575.04 478.94 5,747.30 29 745.49 8,945.92 703.85 8,446.15 662.12 7,945.43 612.09 7,345.04 571.08 6,852.95 499.32 5,991.90 30 758.19 9,098.26 716.56 8,598.76 674.82 8,097.80 622.59 7,471.10 580.97 6,971.60 507.83 6,093.94 31 771.63 9,259.57 730.01 8,760.14 688.23 8,258.73 633.51 7,602.07 591.23 7,094.71 516.83 6,201.98 32 783.02 9,396.24 741.37 8,896.48 699.64 8,395.72 642.90 7,714.78 599.99 7,199.92 524.50 6,294.02 33 798.14 9,577.71 756.50 9,078.05 714.78 8,577.36 655.27 7,863.26 611.62 7,339.49 534.63 6,415.58 34 811.77 9,741.26 770.16 9,241.93 728.38 8,740.52 666.50 7,998.06 621.98 7,463.78 543.76 6,525.13 35 826.15 9,913.77 784.51 9,414.10 742.78 8,913.37 687.16 8,245.90 640.52 7,686.23 558.52 6,702.28 36 841.64 10,099.72 800.03 9,600.42 758.25 9,098.95 709.38 8,512.55 660.38 7,924.52 574.36 6,892.37 37 856.95 10,283.44 815.32 9,783.86 773.60 9,283.18 727.70 8,732.38 680.70 8,168.36 590.32 7,083.84 38 879.36 10,552.28 837.72 10,052.65 795.99 9,551.88 746.86 8,962.38 707.11 8,485.35 611.73 7,340.82 39 901.76 10,821.13 860.13 10,321.52 818.40 9,820.74 765.75 9,188.98 726.24 8,714.87 633.50 7,602.03 40 925.85 11,110.14 884.24 10,610.87 842.48 10,109.81 786.20 9,434.40 745.59 8,947.03 656.32 7,875.88 41 949.93 11,399.16 908.31 10,899.72 866.54 10,398.45 806.65 9,679.82 765.03 9,180.38 673.55 8,082.59 42 974.76 11,697.13 933.15 11,197.79 891.38 10,696.58 827.79 9,933.47 785.13 9,421.61 691.16 8,293.87 43 1,003.51 12,042.15 961.91 11,542.92 920.15 11,041.76 852.15 10,225.83 808.13 9,697.58 711.49 8,537.87 44 1,034.13 12,409.58 992.48 11,909.74 950.77 11,409.23 878.26 10,539.17 832.90 9,994.79 733.14 8,797.70 45 1,064.75 12,777.00 1,023.12 12,277.42 981.37 11,776.47 904.21 10,850.53 857.62 10,291.41 754.96 9,059.56 46 1,095.18 13,142.19 1,053.53 12,642.40 1,011.83 12,141.92 930.05 11,160.65 882.07 10,584.85 776.31 9,315.68 47 1,125.61 13,507.37 1,084.01 13,008.17 1,042.23 12,506.80 958.97 11,507.67 906.58 10,878.97 798.00 9,575.98 48 1,156.42 13,877.04 1,114.80 13,377.55 1,073.05 12,876.58 989.80 11,877.61 931.39 11,176.70 819.90 9,838.80 49 1,187.41 14,248.94 1,145.82 13,749.81 1,104.03 13,248.39 1,020.78 12,249.36 956.42 11,477.00 841.94 10,103.24 50 1,223.45 14,681.34 1,181.83 14,182.00 1,140.09 13,681.09 1,056.80 12,681.63 997.83 11,973.90 876.27 10,515.21 51 1,266.01 15,192.15 1,224.38 14,692.53 1,182.67 14,192.09 1,099.40 13,192.84 1,046.04 12,552.44 916.38 10,996.61 52 1,314.55 15,774.66 1,272.94 15,275.31 1,231.19 14,774.27 1,147.96 13,775.58 1,087.90 13,054.86 961.66 11,539.92 53 1,364.40 16,372.84 1,322.75 15,872.98 1,281.02 15,372.23 1,197.78 14,373.37 1,129.16 13,549.91 1,009.16 12,109.94 54 1,420.79 17,049.44 1,379.16 16,549.92 1,337.38 16,048.58 1,254.13 15,049.54 1,175.82 14,109.85 1,061.67 12,740.05 55 1,480.53 17,766.37 1,438.90 17,266.78 1,397.19 16,766.24 1,313.92 15,767.06 1,225.19 14,702.22 1,106.31 13,275.77 56 1,552.60 18,631.17 1,510.93 18,131.21 1,469.19 17,630.25 1,385.94 16,631.33 1,284.82 15,417.86 1,160.08 13,920.98 57 1,636.61 19,639.35 1,594.97 19,139.68 1,553.25 18,638.97 1,469.97 17,639.65 1,365.74 16,388.91 1,223.03 14,676.39 58 1,734.07 20,808.84 1,692.46 20,309.51 1,650.66 19,807.96 1,567.44 18,809.31 1,463.14 17,557.66 1,295.77 15,549.23 59 1,831.71 21,980.56 1,790.12 21,481.38 1,748.32 20,979.84 1,665.12 19,981.48 1,560.83 18,729.98 1,368.73 16,424.79 60 1,936.83 23,241.91 1,895.23 22,742.71 1,853.42 22,241.03 1,770.22 21,242.63 1,665.96 19,991.53 1,447.17 17,366.08 61 2,050.15 24,601.83 2,008.53 24,102.42 1,966.81 23,601.68 1,883.57 22,602.85 1,779.25 21,351.02 1,531.96 18,383.51 62 2,174.87 26,098.42 2,133.28 25,599.38 2,091.46 25,097.54 2,008.29 24,099.45 1,904.03 22,848.35 1,625.04 19,500.43 63 2,299.96 27,599.49 2,258.32 27,099.83 2,216.56 26,598.69 2,133.28 25,599.37 2,029.06 24,348.75 1,718.75 20,624.96 64 2,434.75 29,217.06 2,393.15 28,717.85 2,351.42 28,217.07 2,268.09 27,217.09 2,163.89 25,966.72 1,819.35 21,832.20 65 2,575.53 30,906.32 2,533.87 30,406.39 2,492.20 29,906.46 2,408.88 28,906.59 2,304.59 27,655.11 1,946.34 23,356.04 66 2,725.45 32,705.36 2,683.84 32,206.11 2,642.09 31,705.10 2,558.88 30,706.60 2,454.51 29,454.09 2,083.57 25,002.87 67 2,889.00 34,667.95 2,847.37 34,168.45 2,805.59 33,667.09 2,722.34 32,668.09 2,618.05 31,416.55 2,234.60 26,815.20 68 3,063.37 36,760.48 3,021.70 36,260.37 2,980.02 35,760.25 2,896.67 34,760.02 2,792.48 33,509.73 2,397.87 28,774.38 69 3,239.25 38,870.94 3,197.61 38,371.26 3,155.79 37,869.50 3,072.69 36,872.22 2,968.41 35,620.94 2,562.07 30,744.89 70 3,404.10 40,849.21 3,362.53 40,350.36 3,320.78 39,849.32 3,237.45 38,849.42 3,133.16 37,597.90 2,726.93 32,723.13 71 3,574.00 42,887.98 3,532.46 42,389.49 3,490.53 41,886.42 3,407.45 40,889.45 3,303.12 39,637.50 2,896.91 34,762.92 72 3,736.80 44,841.61 3,695.17 44,342.03 3,653.34 43,840.06 3,570.08 42,840.91 3,466.00 41,591.97 3,059.69 36,716.32 73 3,896.43 46,757.15 3,854.90 46,258.77 3,813.16 45,757.89 3,729.89 44,758.64 3,625.54 43,506.44 3,219.41 38,632.87 74 4,037.20 48,446.41 3,995.68 47,948.19 3,953.73 47,444.79 3,870.48 46,445.76 3,766.25 45,195.02 3,360.15 40,321.84 75 4,176.11 50,113.27 4,134.50 49,614.01 4,092.67 49,112.08 4,009.46 48,113.57 3,905.23 46,862.75 3,499.03 41,988.31 76 4,312.02 51,744.28 4,270.45 51,245.40 4,228.65 50,743.76 4,145.50 49,746.01 4,041.11 48,493.29 3,634.85 43,618.18 77 4,443.09 53,317.04 4,401.44 52,817.28 4,359.79 52,317.52 4,276.50 51,318.01 4,172.27 50,067.18 3,766.03 45,192.40 78 4,573.22 54,878.60 4,531.58 54,378.90 4,489.93 53,879.20 4,406.65 52,879.81 4,302.30 51,627.62 3,896.17 46,754.10 79 4,685.05 56,220.60 4,643.39 55,720.73 4,601.74 55,220.85 4,518.43 54,221.11 4,414.29 52,971.43 4,008.01 48,096.16 80 4,795.95 57,551.40 4,754.34 57,052.02 4,712.46 56,549.56 4,629.23 55,550.81 4,524.94 54,299.29 4,118.81 49,425.77 81 4,922.91 59,074.87 4,881.24 58,574.93 4,839.58 58,074.99 4,756.26 57,075.12 4,652.11 55,825.27 4,245.78 50,949.30 82+ 5,014.02 60,168.18 4,972.39 59,668.66 4,930.76 59,169.14 4,847.51 58,170.10 4,743.04 56,916.46 4,336.98 52,043.71 3

Zone 1 with USA - Additional cover options EUR EUR MEDICAL PLUS MEDICINES AND EQUIPMENT WELLBEING EVACUATION ZONE 1 0 EUR 125 0 EUR 60 0 Under 21 0-15 241.78 2,901.32 226.15 2,713.75 149.55 1,794.56 141.92 1,703.05 192.30 2,307.61 13.40 160.80 16 253.17 3,037.98 237.54 2,850.53 156.08 1,872.97 148.33 1,779.98 205.18 2,462.20 Over 21 17 265.86 3,190.33 250.24 3,002.87 164.11 1,969.31 156.36 1,876.28 213.40 2,560.78 Monthly Annually 18 281.17 3,374.04 265.55 3,186.64 173.44 2,081.33 165.70 1,988.36 223.67 2,684.00 39.90 478.80 19 297.79 3,573.44 282.16 3,385.87 183.90 2,206.79 176.15 2,113.77 225.16 2,701.92 20 314.78 3,777.31 299.15 3,589.76 195.10 2,341.22 187.35 2,248.17 227.96 2,735.53 21 334.01 4,008.08 318.37 3,820.45 206.30 2,475.64 198.56 2,382.69 232.44 2,789.30 EVACUATION 22 352.86 4,234.36 337.23 4,046.79 218.07 2,616.79 210.31 2,523.72 236.74 2,840.83 ZONE 2 23 369.48 4,433.75 353.85 4,246.14 228.52 2,742.25 220.77 2,649.27 234.50 2,813.94 Under 21 24 387.59 4,651.07 371.96 4,463.48 239.72 2,876.67 231.97 2,783.61 240.47 2,885.64 Monthly Annually 25 405.14 4,861.67 389.52 4,674.18 250.74 3,008.86 242.99 2,915.87 246.26 2,955.09 8.90 106.80 26 421.94 5,063.30 406.33 4,875.90 261.01 3,132.08 253.25 3,038.97 252.23 3,026.78 Over 21 27 435.94 5,231.33 420.32 5,043.88 269.59 3,235.14 261.84 3,142.09 257.83 3,093.99 Monthly Annually 28 452.75 5,432.97 437.13 5,245.57 279.86 3,358.36 272.11 3,265.36 269.59 3,235.14 26.30 315.60 29 471.98 5,663.73 456.35 5,476.25 291.25 3,495.02 283.50 3,401.99 283.41 3,400.93 30 479.63 5,755.59 464.01 5,568.15 296.85 3,562.24 289.11 3,469.32 291.44 3,497.26 31 488.03 5,856.41 472.40 5,668.82 301.33 3,616.01 293.59 3,523.04 299.47 3,593.60 32 495.69 5,948.26 480.05 5,760.61 306.37 3,676.50 298.63 3,583.55 308.06 3,696.66 33 505.02 6,060.28 489.39 5,872.66 311.98 3,743.71 304.22 3,650.67 316.64 3,799.72 34 513.43 6,161.10 497.81 5,973.66 317.39 3,808.68 309.64 3,715.66 325.60 3,907.26 35 522.57 6,270.88 506.95 6,083.46 322.99 3,875.89 315.24 3,782.89 334.75 4,017.04 36 532.66 6,391.86 517.02 6,204.25 329.15 3,949.83 321.39 3,856.74 344.46 4,133.54 37 542.18 6,506.12 526.55 6,318.64 335.87 4,030.48 328.12 3,937.44 353.80 4,245.56 38 556.55 6,678.63 540.93 6,491.19 344.09 4,129.06 336.33 4,035.95 363.69 4,364.30 39 570.37 6,844.42 554.76 6,657.09 353.05 4,236.60 345.30 4,143.56 374.33 4,492.00 40 586.05 7,032.62 570.42 6,845.03 361.82 4,341.90 354.07 4,248.87 384.42 4,612.98 41 600.99 7,211.85 585.38 7,024.50 371.53 4,458.40 363.79 4,365.50 393.00 4,716.04 42 617.23 7,406.76 601.59 7,219.11 381.61 4,579.38 373.87 4,486.42 401.97 4,823.58 43 634.97 7,619.60 619.36 7,432.27 392.26 4,707.08 384.50 4,614.05 410.55 4,926.64 44 654.20 7,850.36 638.57 7,662.83 404.77 4,857.19 397.00 4,764.05 419.33 5,031.94 45 673.24 8,078.88 657.63 7,891.51 416.34 4,996.09 408.58 4,902.97 428.66 5,143.96 46 693.22 8,318.61 677.59 8,131.02 429.04 5,148.44 421.29 5,055.51 438.56 5,262.70 47 712.45 8,549.37 696.84 8,362.08 440.43 5,285.10 432.66 5,191.97 448.08 5,376.96 48 731.68 8,780.13 716.04 8,592.49 452.37 5,428.49 444.62 5,335.45 458.16 5,497.94 49 751.09 9,013.13 735.48 8,825.82 464.70 5,576.36 456.96 5,483.47 468.24 5,618.92 50 773.87 9,286.46 758.24 9,098.94 478.89 5,746.63 471.14 5,653.67 480.38 5,764.55 51 801.88 9,622.52 786.24 9,434.91 495.32 5,943.78 487.57 5,850.82 494.38 5,932.58 52 831.75 9,980.98 816.11 9,793.34 514.36 6,172.30 506.62 6,079.40 509.69 6,116.29 53 863.11 10,357.37 847.49 10,169.86 534.15 6,409.78 526.40 6,316.74 519.03 6,228.31 54 899.15 10,789.77 883.54 10,602.52 555.99 6,671.91 548.25 6,579.00 520.89 6,250.72 55 936.86 11,242.33 921.25 11,055.06 579.33 6,951.96 571.57 6,858.87 520.89 6,250.72 56 982.23 11,786.74 966.60 11,599.24 606.78 7,281.30 599.04 7,188.48 520.89 6,250.72 57 1,035.25 12,423.02 1,019.61 12,235.38 640.19 7,682.33 632.44 7,589.34 520.89 6,250.72 58 1,097.80 13,173.55 1,082.16 12,985.86 678.65 8,143.85 670.91 8,050.94 520.89 6,250.72 59 1,159.03 13,908.40 1,143.39 13,720.67 716.74 8,600.90 708.99 8,507.84 520.89 6,250.72 60 1,225.50 14,705.99 1,209.88 14,518.52 758.00 9,096.02 750.25 9,002.97 520.89 6,250.72 61 1,297.19 15,566.30 1,281.56 15,378.70 802.44 9,629.24 794.70 9,536.40 520.89 6,250.72 62 1,375.98 16,511.75 1,360.35 16,324.26 850.98 10,211.74 843.23 10,118.76 520.89 6,250.72 63 1,455.51 17,466.16 1,439.92 17,279.05 900.08 10,800.97 892.32 10,707.83 520.89 6,250.72 64 1,541.02 18,492.26 1,525.42 18,305.06 952.73 11,432.76 944.97 11,339.68 520.89 6,250.72 65 1,629.70 19,556.45 1,614.08 19,368.95 1,007.81 12,093.68 1,000.03 12,000.40 520.89 6,250.72 66 1,725.67 20,708.02 1,710.05 20,520.57 1,066.62 12,799.41 1,058.85 12,706.17 520.89 6,250.72 67 1,828.35 21,940.24 1,812.68 21,752.21 1,130.47 13,565.62 1,122.72 13,472.62 520.89 6,250.72 68 1,938.88 23,266.55 1,923.30 23,079.62 1,198.80 14,385.61 1,191.03 14,292.38 520.89 6,250.72 69 2,050.15 24,601.83 2,034.56 24,414.72 1,267.51 15,210.08 1,259.77 15,117.20 520.89 6,250.72 70 2,154.14 25,849.74 2,138.57 25,662.82 1,331.92 15,983.01 1,324.14 15,889.70 520.89 6,250.72 71 2,261.87 27,142.45 2,246.24 26,954.91 1,398.38 16,780.60 1,390.67 16,688.02 520.89 6,250.72 72 2,364.56 28,374.67 2,348.98 28,187.73 1,462.42 17,549.05 1,454.67 17,456.00 520.89 6,250.72 73 2,465.37 29,584.48 2,449.79 29,397.50 1,524.22 18,290.63 1,516.46 18,197.56 520.89 6,250.72 74 2,554.62 30,655.39 2,539.02 30,468.21 1,579.48 18,953.78 1,571.70 18,860.39 520.89 6,250.72 75 2,643.30 31,719.58 2,627.72 31,532.70 1,634.19 19,610.22 1,626.39 19,516.74 520.89 6,250.72 76 2,728.81 32,745.69 2,713.17 32,558.02 1,687.58 20,250.98 1,679.81 20,157.69 520.89 6,250.72 77 2,811.52 33,738.18 2,795.85 33,550.25 1,738.18 20,858.12 1,730.45 20,765.40 520.89 6,250.72 78 2,894.60 34,735.16 2,878.94 34,547.25 1,789.33 21,471.99 1,781.57 21,378.84 520.89 6,250.72 79 2,965.36 35,584.27 2,949.79 35,397.49 1,833.21 21,998.49 1,825.45 21,905.40 520.89 6,250.72 80 3,034.81 36,417.70 3,019.20 36,230.44 1,876.34 22,516.02 1,868.60 22,423.16 520.89 6,250.72 81 3,115.28 37,383.31 3,099.59 37,195.10 1,926.37 23,116.45 1,918.63 23,023.59 520.89 6,250.72 82+ 3,172.78 38,073.36 3,157.15 37,885.74 1,961.47 23,537.64 1,953.70 23,444.35 520.89 6,250.72 4

Zone 2 EUR EUR MEDICAL INSURANCE 0 EUR 300 EUR 625 EUR 1250 EUR 2500 EUR 6250 0-15 185.50 2,226.00 143.87 1,726.49 115.88 1,390.58 90.12 1,081.39 67.63 811.60 34.24 410.92 16 194.90 2,338.80 153.27 1,839.23 121.77 1,461.28 94.51 1,134.08 71.14 853.66 36.13 433.61 17 204.40 2,452.80 162.76 1,953.16 127.53 1,530.30 99.26 1,191.08 74.50 894.05 37.75 453.03 18 216.10 2,593.20 174.48 2,093.75 134.98 1,619.71 104.87 1,258.48 78.75 944.96 40.00 480.00 19 228.80 2,745.60 187.16 2,245.90 145.40 1,744.83 111.01 1,332.17 83.40 1,000.77 42.26 507.11 20 242.30 2,907.60 200.67 2,408.07 158.90 1,906.80 117.66 1,411.93 88.51 1,062.15 44.87 538.49 21 256.90 3,082.80 215.28 2,583.39 173.51 2,082.12 124.75 1,497.01 93.77 1,125.22 47.63 571.55 22 271.00 3,252.00 229.37 2,752.49 187.61 2,251.36 131.62 1,579.50 98.75 1,185.03 50.00 599.99 23 284.90 3,418.80 243.28 2,919.31 201.51 2,418.12 138.26 1,659.14 104.02 1,248.20 52.62 631.45 24 298.30 3,579.60 256.66 3,079.89 214.93 2,579.10 144.76 1,737.18 108.88 1,306.55 55.13 661.51 25 311.40 3,736.80 269.77 3,237.19 228.01 2,736.08 151.25 1,814.96 113.51 1,362.06 57.52 690.19 26 324.60 3,895.20 282.99 3,395.84 241.24 2,894.91 157.98 1,895.79 118.38 1,420.58 59.99 719.83 27 335.30 4,023.60 293.66 3,523.87 251.91 3,022.93 168.66 2,023.87 122.38 1,468.61 62.00 743.96 28 348.10 4,177.20 306.47 3,677.61 264.73 3,176.76 181.50 2,177.99 126.99 1,523.84 64.26 771.11 29 362.90 4,354.80 321.28 3,855.30 279.51 3,354.07 196.26 2,355.08 132.28 1,587.32 67.14 805.64 30 368.90 4,426.80 327.29 3,927.46 285.53 3,426.34 202.27 2,427.21 134.65 1,615.78 68.25 818.96 31 375.50 4,506.00 333.86 4,006.28 292.14 3,505.67 208.89 2,506.69 136.98 1,643.79 69.39 832.71 32 381.40 4,576.80 339.79 4,077.47 298.03 3,576.31 214.77 2,577.20 139.13 1,669.62 70.52 846.25 33 388.60 4,663.20 346.98 4,163.77 305.25 3,662.94 221.97 2,663.62 141.72 1,700.67 71.85 862.23 34 395.30 4,743.60 353.67 4,244.10 311.93 3,743.17 228.64 2,743.70 144.28 1,731.41 73.01 876.14 35 402.00 4,824.00 360.39 4,324.72 318.63 3,823.50 235.37 2,824.45 151.11 1,813.34 76.50 918.01 36 410.00 4,920.00 368.39 4,420.62 326.61 3,919.27 243.38 2,920.51 158.63 1,903.55 80.36 964.32 37 417.30 5,007.60 375.65 4,507.84 333.92 4,007.08 250.67 3,008.07 166.38 1,996.53 84.25 1,011.03 38 428.40 5,140.80 386.76 4,641.11 345.03 4,140.40 261.75 3,141.03 175.90 2,110.81 89.15 1,069.80 39 438.90 5,266.80 397.29 4,767.51 355.51 4,266.11 272.25 3,267.00 185.65 2,227.86 94.01 1,128.15 40 450.80 5,409.60 409.19 4,910.29 367.40 4,408.82 284.14 3,409.67 196.41 2,356.96 99.40 1,192.82 41 462.30 5,547.60 420.69 5,048.32 378.90 4,546.81 295.64 3,547.69 207.39 2,488.65 105.13 1,261.52 42 474.50 5,694.00 432.89 5,194.64 391.13 4,693.56 307.86 3,694.27 219.27 2,631.20 111.13 1,333.53 43 488.80 5,865.60 447.15 5,365.85 405.41 4,864.93 322.17 3,866.02 228.66 2,743.93 117.90 1,414.78 44 503.50 6,042.00 461.86 5,542.33 420.12 5,041.44 336.89 4,042.70 235.64 2,827.66 125.12 1,501.44 45 518.30 6,219.60 476.68 5,720.17 434.91 5,218.87 351.67 4,220.00 247.38 2,968.62 132.63 1,591.60 46 533.40 6,400.80 491.79 5,901.54 450.03 5,400.35 366.77 4,401.19 262.49 3,149.83 140.39 1,684.69 47 547.90 6,574.80 506.26 6,075.12 464.51 5,574.12 381.28 4,575.40 277.02 3,324.22 148.75 1,785.06 48 563.10 6,757.20 521.49 6,257.84 479.70 5,756.46 396.48 4,757.74 292.25 3,506.99 157.39 1,888.64 49 578.40 6,940.80 536.76 6,441.06 494.99 5,939.94 411.76 4,941.16 307.54 3,690.42 166.52 1,998.26 50 595.40 7,144.80 553.78 6,645.38 512.04 6,144.53 428.75 5,144.97 324.49 3,893.92 176.36 2,116.29 51 616.60 7,399.20 574.98 6,899.75 533.24 6,398.83 449.99 5,399.94 345.73 4,148.73 188.25 2,258.98 52 639.80 7,677.60 598.15 7,177.79 556.43 6,677.21 473.13 5,677.59 368.91 4,426.90 201.15 2,413.84 53 664.00 7,968.00 622.37 7,468.41 580.60 6,967.22 497.40 5,968.83 393.15 4,717.85 215.14 2,581.63 54 691.90 8,302.80 650.25 7,802.97 608.53 7,302.31 525.29 6,303.49 421.02 5,052.25 231.03 2,772.30 55 720.50 8,646.00 678.86 8,146.26 637.14 7,645.66 553.85 6,646.18 449.59 5,395.10 247.64 2,971.63 56 756.00 9,072.00 714.34 8,572.13 672.61 8,071.36 589.38 7,072.53 485.13 5,821.50 267.47 3,209.67 57 796.90 9,562.80 755.30 9,063.62 713.54 8,562.53 630.27 7,563.22 526.03 6,312.40 290.47 3,485.64 58 844.80 10,137.60 803.15 9,637.82 761.42 9,137.02 678.21 8,138.47 573.87 6,886.47 317.31 3,807.68 59 891.60 10,699.20 849.96 10,199.55 808.24 9,698.82 724.96 8,699.52 620.73 7,448.78 344.78 4,137.38 60 942.80 11,313.60 901.13 10,813.54 859.46 10,313.48 776.21 9,314.49 671.93 8,063.20 367.31 4,407.78 61 998.50 11,982.00 956.86 11,482.35 915.13 10,981.50 831.85 9,982.20 727.61 8,731.28 389.12 4,669.39 62 1,058.80 12,705.60 1,017.19 12,206.27 975.47 11,705.67 892.14 10,705.74 787.96 9,455.51 412.51 4,950.10 63 1,119.90 13,438.80 1,078.24 12,938.88 1,036.47 12,437.61 953.26 11,439.11 849.00 10,187.95 442.81 5,313.70 64 1,185.50 14,226.00 1,143.89 13,726.67 1,102.16 13,225.91 1,018.82 12,225.82 914.61 10,975.36 508.34 6,100.11 65 1,254.00 15,048.00 1,212.37 14,548.41 1,170.61 14,047.31 1,087.34 13,048.12 983.14 11,797.63 576.84 6,922.08 66 1,326.90 15,922.80 1,285.24 15,422.82 1,243.57 14,922.85 1,160.24 13,922.90 1,056.08 12,672.96 649.78 7,797.40 67 1,406.40 16,876.80 1,364.77 16,377.25 1,323.00 15,876.01 1,239.74 14,876.90 1,135.53 13,626.33 729.22 8,750.62 68 1,491.40 17,896.80 1,449.79 17,397.48 1,408.03 16,896.37 1,324.81 15,897.73 1,220.56 14,646.74 814.30 9,771.65 69 1,576.80 18,921.60 1,535.17 18,422.07 1,493.39 17,920.65 1,410.13 16,921.59 1,305.91 15,670.87 899.72 10,796.66 70 1,657.10 19,885.20 1,615.51 19,386.08 1,573.75 18,884.97 1,490.40 17,884.75 1,386.16 16,633.97 980.01 11,760.11 71 1,740.00 20,880.00 1,698.41 20,380.97 1,656.65 19,879.85 1,573.31 18,879.70 1,469.08 17,628.98 1,062.79 12,753.50 72 1,819.30 21,831.60 1,777.64 21,331.66 1,735.98 20,831.71 1,652.65 19,831.83 1,548.41 18,580.87 1,142.16 13,705.88 73 1,896.60 22,759.20 1,855.06 22,260.77 1,813.15 21,757.80 1,729.89 20,758.67 1,625.77 19,509.19 1,219.51 14,634.17 74 1,965.40 23,584.80 1,923.73 23,084.80 1,882.07 22,584.80 1,798.73 21,584.81 1,694.57 20,334.81 1,288.32 15,459.84 75 2,033.30 24,399.60 1,991.62 23,899.41 1,949.93 23,399.22 1,866.57 22,398.83 1,762.46 21,149.57 1,356.21 16,274.53 76 2,099.40 25,192.80 2,057.83 24,693.98 2,016.05 24,192.65 1,932.71 23,192.49 1,828.58 21,942.93 1,422.34 17,068.12 77 2,163.10 25,957.20 2,121.57 25,458.82 2,079.82 24,957.85 1,996.54 23,958.50 1,892.28 22,707.36 1,486.05 17,832.60 78 2,226.40 26,716.80 2,184.77 26,217.20 2,143.13 25,717.59 2,059.87 24,718.38 1,955.45 23,465.37 1,549.35 18,592.22 79 2,281.00 27,372.00 2,239.49 26,873.83 2,197.52 26,370.18 2,114.49 25,373.84 2,010.02 24,120.21 1,603.77 19,245.25 80 2,334.80 28,017.60 2,293.24 27,518.89 2,251.45 27,017.37 2,168.10 26,017.14 2,063.96 24,767.56 1,657.71 19,892.50 81 2,396.50 28,758.00 2,354.80 28,257.61 2,313.10 27,757.22 2,229.94 26,759.32 2,125.70 25,508.35 1,719.49 20,633.87 82+ 2,441.10 29,293.20 2,399.36 28,792.29 2,357.61 28,291.37 2,274.37 27,292.47 2,170.14 26,041.65 1,763.94 21,167.27 5

Zone 2 - Additional cover options EUR EUR MEDICAL PLUS MEDICINES AND EQUIPMENT WELLBEING EVACUATION ZONE 1 0 EUR 125 0 EUR 60 0 Under 21 0-15 117.60 1,411.20 101.98 1,223.79 72.60 871.20 64.85 778.24 93.60 1,123.20 13.40 160.80 16 123.30 1,479.60 107.67 1,291.99 76.30 915.60 68.55 822.58 99.90 1,198.80 Over 21 17 129.30 1,551.60 113.67 1,364.01 79.80 957.60 72.04 864.52 103.80 1,245.60 Monthly Annually 18 136.80 1,641.60 121.16 1,453.97 84.50 1,014.00 76.75 921.02 109.00 1,308.00 39.90 478.80 19 144.60 1,735.20 128.98 1,547.80 89.50 1,074.00 81.75 980.99 109.90 1,318.80 20 153.30 1,839.60 137.66 1,651.96 94.80 1,137.60 87.05 1,044.54 111.00 1,332.00 21 162.90 1,954.80 147.28 1,767.33 100.60 1,207.20 92.85 1,114.25 113.40 1,360.80 EVACUATION 22 171.50 2,058.00 155.88 1,870.52 106.10 1,273.20 98.35 1,180.26 115.30 1,383.60 ZONE 2 23 180.10 2,161.20 164.49 1,973.82 111.10 1,333.20 103.36 1,240.28 114.30 1,371.60 Under 21 24 188.80 2,265.60 173.17 2,078.01 116.80 1,401.60 109.04 1,308.53 117.00 1,404.00 Monthly Annually 25 197.30 2,367.60 181.67 2,180.09 122.00 1,464.00 114.25 1,371.04 119.80 1,437.60 8.90 106.80 26 205.50 2,466.00 189.88 2,278.58 127.10 1,525.20 119.35 1,432.16 122.80 1,473.60 Over 21 27 212.40 2,548.80 196.77 2,361.21 131.30 1,575.60 123.55 1,482.64 125.60 1,507.20 Monthly Annually 28 220.40 2,644.80 204.77 2,457.28 136.10 1,633.20 128.36 1,540.27 131.40 1,576.80 26.30 315.60 29 229.80 2,757.60 214.17 2,570.08 142.00 1,704.00 134.25 1,610.96 138.10 1,657.20 30 233.80 2,805.60 218.18 2,618.19 144.50 1,734.00 136.75 1,641.06 141.90 1,702.80 31 237.90 2,854.80 222.27 2,667.24 146.80 1,761.60 139.05 1,668.59 146.00 1,752.00 32 241.30 2,895.60 225.66 2,707.97 149.50 1,794.00 141.76 1,701.07 150.00 1,800.00 33 246.00 2,952.00 230.38 2,764.55 152.00 1,824.00 144.25 1,730.98 154.40 1,852.80 34 250.10 3,001.20 234.47 2,813.63 154.90 1,858.80 147.16 1,765.86 158.50 1,902.00 35 254.60 3,055.20 238.97 2,867.61 157.00 1,884.00 149.24 1,790.93 163.00 1,956.00 36 259.30 3,111.60 243.66 2,923.97 160.30 1,923.60 152.54 1,830.50 167.50 2,010.00 37 263.90 3,166.80 248.28 2,979.33 163.30 1,959.60 155.54 1,866.52 172.30 2,067.60 38 270.80 3,249.60 255.17 3,062.10 167.60 2,011.20 159.86 1,918.28 177.30 2,127.60 39 277.90 3,334.80 262.28 3,147.38 171.90 2,062.80 164.15 1,969.77 182.10 2,185.20 40 285.30 3,423.60 269.67 3,235.99 176.30 2,115.60 168.54 2,022.51 187.30 2,247.60 41 292.50 3,510.00 276.88 3,322.57 181.00 2,172.00 173.25 2,079.04 191.50 2,298.00 42 300.30 3,603.60 284.68 3,416.21 185.60 2,227.20 177.84 2,134.10 195.80 2,349.60 43 309.40 3,712.80 293.78 3,525.30 191.10 2,293.20 183.36 2,200.33 199.80 2,397.60 44 318.80 3,825.60 303.18 3,638.15 196.90 2,362.80 189.14 2,269.71 204.10 2,449.20 45 328.10 3,937.20 312.48 3,749.79 203.00 2,436.00 195.25 2,342.94 208.80 2,505.60 46 337.10 4,045.20 321.49 3,857.91 208.80 2,505.60 201.05 2,412.64 213.30 2,559.60 47 346.90 4,162.80 331.29 3,975.47 214.50 2,574.00 206.76 2,481.08 217.90 2,614.80 48 356.40 4,276.80 340.79 4,089.48 220.30 2,643.60 212.55 2,550.55 222.80 2,673.60 49 365.80 4,389.60 350.18 4,202.16 226.30 2,715.60 218.54 2,622.45 227.90 2,734.80 50 376.80 4,521.60 361.16 4,333.95 233.00 2,796.00 225.24 2,702.89 233.80 2,805.60 51 390.10 4,681.20 374.46 4,493.48 241.10 2,893.20 233.36 2,800.33 240.60 2,887.20 52 405.00 4,860.00 389.37 4,672.40 250.30 3,003.60 242.54 2,910.49 248.10 2,977.20 53 420.40 5,044.80 404.76 4,857.13 259.80 3,117.60 252.06 3,024.70 252.90 3,034.80 54 437.60 5,251.20 421.98 5,063.73 270.50 3,246.00 262.74 3,152.84 258.40 3,100.80 55 455.90 5,470.80 440.26 5,283.15 281.90 3,382.80 274.15 3,289.77 264.00 3,168.00 56 478.50 5,742.00 462.85 5,554.24 295.60 3,547.20 287.86 3,454.26 266.70 3,200.40 57 504.30 6,051.60 488.67 5,864.00 311.50 3,738.00 303.74 3,644.92 266.70 3,200.40 58 534.50 6,414.00 518.89 6,226.71 330.60 3,967.20 322.86 3,874.37 266.70 3,200.40 59 564.10 6,769.20 548.47 6,581.69 348.90 4,186.80 341.15 4,093.85 266.70 3,200.40 60 596.80 7,161.60 581.16 6,973.97 368.90 4,426.80 361.15 4,333.84 266.70 3,200.40 61 631.40 7,576.80 615.80 7,389.65 390.50 4,686.00 382.77 4,593.22 266.70 3,200.40 62 669.90 8,038.80 654.29 7,851.50 414.30 4,971.60 406.55 4,878.63 266.70 3,200.40 63 708.80 8,505.60 693.21 8,318.48 438.10 5,257.20 430.35 5,164.15 266.70 3,200.40 64 750.30 9,003.60 734.69 8,816.33 464.00 5,568.00 456.25 5,475.01 266.70 3,200.40 65 793.40 9,520.80 777.77 9,333.24 490.90 5,890.80 483.14 5,797.73 266.70 3,200.40 66 839.80 10,077.60 824.18 9,890.16 519.40 6,232.80 511.66 6,139.93 266.70 3,200.40 67 890.00 10,680.00 874.34 10,492.03 550.30 6,603.60 542.54 6,510.49 266.70 3,200.40 68 944.10 11,329.20 928.52 11,142.27 583.80 7,005.60 576.04 6,912.43 266.70 3,200.40 69 998.40 11,980.80 982.73 11,792.70 617.00 7,404.00 609.23 7,310.71 266.70 3,200.40 70 1,048.80 12,585.60 1,033.17 12,398.07 648.40 7,780.80 640.62 7,687.43 266.70 3,200.40 71 1,101.30 13,215.60 1,085.66 13,027.94 680.90 8,170.80 673.14 8,077.65 266.70 3,200.40 72 1,151.40 13,816.80 1,135.74 13,628.89 711.90 8,542.80 704.14 8,449.68 266.70 3,200.40 73 1,200.50 14,406.00 1,184.89 14,218.72 742.10 8,905.20 734.38 8,812.59 266.70 3,200.40 74 1,244.00 14,928.00 1,228.33 14,739.91 769.00 9,228.00 761.23 9,134.80 266.70 3,200.40 75 1,286.50 15,438.00 1,270.93 15,251.20 795.30 9,543.60 787.59 9,451.03 266.70 3,200.40 76 1,328.80 15,945.60 1,313.12 15,757.44 821.30 9,855.60 813.58 9,762.96 266.70 3,200.40 77 1,368.90 16,426.80 1,353.29 16,239.53 846.30 10,155.60 838.51 10,062.17 266.70 3,200.40 78 1,409.00 16,908.00 1,393.36 16,720.32 871.00 10,452.00 863.25 10,358.98 266.70 3,200.40 79 1,443.80 17,325.60 1,428.21 17,138.48 892.50 10,710.00 884.74 10,616.82 266.70 3,200.40 80 1,477.60 17,731.20 1,461.94 17,543.25 913.40 10,960.80 905.64 10,867.63 266.70 3,200.40 81 1,516.80 18,201.60 1,501.18 18,014.12 937.60 11,251.20 929.82 11,157.82 266.70 3,200.40 82+ 1,544.90 18,538.80 1,529.30 18,351.56 954.90 11,458.80 947.17 11,365.98 266.70 3,200.40 6

Zone 2 with USA EUR EUR MEDICAL INSURANCE 0 EUR 300 EUR 625 EUR 1250 EUR 2500 EUR 6250 0-15 362.28 4,347.38 320.66 3,847.86 292.66 3,511.96 266.90 3,202.77 244.41 2,932.98 211.02 2,532.30 16 380.64 4,567.68 339.01 4,068.11 307.51 3,690.16 280.25 3,362.96 256.88 3,082.54 221.87 2,662.49 17 399.19 4,790.32 357.56 4,290.68 322.32 3,867.82 294.05 3,528.60 269.30 3,231.56 232.55 2,790.55 18 422.04 5,064.52 380.42 4,565.07 340.92 4,091.03 310.82 3,729.80 284.69 3,416.28 245.94 2,951.32 19 446.85 5,362.16 405.20 4,862.46 363.45 4,361.39 329.06 3,948.72 301.44 3,617.33 260.31 3,123.67 20 473.21 5,678.54 431.58 5,179.02 389.81 4,677.75 348.57 4,182.87 319.42 3,833.09 275.79 3,309.43 21 501.73 6,020.71 460.11 5,521.29 418.34 5,020.03 369.58 4,434.92 338.59 4,063.13 292.45 3,509.46 22 529.26 6,351.16 487.64 5,851.65 445.88 5,350.52 389.89 4,678.65 357.02 4,284.18 308.26 3,699.15 23 556.41 6,676.92 514.79 6,177.43 473.02 5,676.23 409.77 4,917.26 375.53 4,506.32 324.13 3,889.57 24 582.58 6,990.96 540.94 6,491.25 499.21 5,990.46 429.04 5,148.54 393.16 4,717.91 339.41 4,072.87 25 608.16 7,297.97 566.53 6,798.36 524.77 6,297.26 448.01 5,376.13 410.27 4,923.23 354.28 4,251.36 26 633.94 7,607.33 592.33 7,107.96 550.59 6,607.04 467.33 5,607.92 427.73 5,132.71 369.33 4,431.96 27 654.84 7,858.09 613.20 7,358.36 571.45 6,857.42 488.20 5,858.36 441.93 5,303.10 381.54 4,578.45 28 679.84 8,158.07 638.21 7,658.48 596.47 7,157.63 513.24 6,158.86 458.73 5,504.71 396.00 4,751.98 29 708.74 8,504.92 667.12 8,005.43 625.35 7,504.19 542.10 6,505.20 478.12 5,737.45 412.98 4,955.76 30 720.46 8,645.54 678.85 8,146.20 637.09 7,645.08 553.83 6,645.95 486.21 5,834.52 419.81 5,037.70 31 733.35 8,800.22 691.71 8,300.50 649.99 7,799.89 566.74 6,800.91 494.83 5,938.01 427.24 5,126.93 32 744.87 8,938.49 703.26 8,439.16 661.50 7,938.00 578.24 6,938.89 502.61 6,031.31 434.00 5,207.94 33 758.94 9,107.23 717.32 8,607.80 675.58 8,106.97 592.30 7,107.65 512.06 6,144.70 442.19 5,306.26 34 772.02 9,264.25 730.40 8,764.75 688.65 8,263.83 605.36 7,264.35 521.01 6,252.06 449.73 5,396.79 35 785.11 9,421.27 743.50 8,921.99 701.73 8,420.77 618.48 7,421.72 534.22 6,410.61 459.61 5,515.28 36 800.73 9,608.76 759.12 9,109.38 717.34 8,608.03 634.11 7,609.27 549.36 6,592.31 471.09 5,653.08 37 814.99 9,779.84 773.34 9,280.08 731.61 8,779.32 648.36 7,780.31 564.06 6,768.77 481.94 5,783.28 38 836.67 10,039.98 795.02 9,540.30 753.30 9,039.58 670.02 8,040.21 584.17 7,009.99 497.42 5,968.98 39 857.17 10,286.06 815.56 9,786.77 773.78 9,285.37 690.52 8,286.26 603.93 7,247.12 512.28 6,147.41 40 880.41 10,564.95 838.80 10,065.64 797.01 9,564.17 713.75 8,565.02 626.03 7,512.31 529.01 6,348.17 41 902.87 10,834.46 861.26 10,335.18 819.47 9,833.68 736.21 8,834.55 647.96 7,775.52 545.70 6,548.39 42 926.70 11,120.38 885.08 10,621.02 843.33 10,119.95 760.05 9,120.65 671.46 8,057.58 563.33 6,759.92 43 954.63 11,455.52 912.98 10,955.77 871.24 10,454.85 787.99 9,455.93 694.49 8,333.84 583.72 7,004.70 44 983.34 11,800.03 941.70 11,300.35 899.96 10,799.47 816.73 9,800.73 715.47 8,585.68 604.96 7,259.46 45 1,012.24 12,146.88 970.62 11,647.44 928.85 11,146.15 845.61 10,147.28 741.32 8,895.89 626.57 7,518.87 46 1,041.73 12,500.76 1,000.13 12,001.50 958.36 11,500.32 875.10 10,501.15 770.82 9,249.80 648.72 7,784.65 47 1,070.05 12,840.58 1,028.41 12,340.90 986.66 11,839.90 903.43 10,841.19 799.17 9,590.00 670.90 8,050.84 48 1,099.73 13,196.81 1,058.12 12,697.45 1,016.34 12,196.07 933.11 11,197.36 828.88 9,946.60 694.02 8,328.25 49 1,129.62 13,555.38 1,087.97 13,055.64 1,046.21 12,554.52 962.98 11,555.74 858.75 10,305.01 717.74 8,612.84 50 1,162.82 13,953.79 1,121.20 13,454.37 1,079.46 12,953.52 996.16 11,953.96 891.91 10,702.91 743.77 8,925.28 51 1,204.22 14,450.64 1,162.60 13,951.19 1,120.86 13,450.27 1,037.61 12,451.37 933.35 11,200.17 775.87 9,310.41 52 1,249.53 14,994.35 1,207.88 14,494.54 1,166.16 13,993.96 1,082.86 12,994.34 978.64 11,743.66 810.88 9,730.59 53 1,296.79 15,561.50 1,255.16 15,061.91 1,213.39 14,560.72 1,130.19 13,562.33 1,025.95 12,311.36 847.93 10,175.14 54 1,351.28 16,215.37 1,309.63 15,715.54 1,267.91 15,214.88 1,184.67 14,216.05 1,080.40 12,964.82 890.41 10,684.87 55 1,407.14 16,885.64 1,365.49 16,385.90 1,323.77 15,885.30 1,240.48 14,885.82 1,136.23 13,634.74 934.27 11,211.27 56 1,476.47 17,717.62 1,434.81 17,217.75 1,393.08 16,716.97 1,309.85 15,718.15 1,205.59 14,467.12 987.94 11,855.29 57 1,556.35 18,676.15 1,514.75 18,176.97 1,472.99 17,675.88 1,389.71 16,676.57 1,285.48 15,425.75 1,049.92 12,598.99 58 1,649.89 19,798.73 1,608.25 19,298.95 1,566.51 18,798.15 1,483.30 17,799.60 1,378.97 16,547.60 1,122.40 13,468.82 59 1,741.29 20,895.54 1,699.66 20,395.88 1,657.93 19,895.16 1,574.65 18,895.86 1,470.43 17,645.12 1,194.48 14,333.72 60 1,841.29 22,095.46 1,799.62 21,595.40 1,757.94 21,095.34 1,674.70 20,096.35 1,570.42 18,845.06 1,265.80 15,189.64 61 1,950.07 23,400.85 1,908.43 22,901.20 1,866.70 22,400.35 1,783.42 21,401.05 1,679.18 20,150.13 1,340.69 16,088.23 62 2,067.84 24,814.04 2,026.23 24,314.71 1,984.51 23,814.11 1,901.18 22,814.18 1,797.00 21,563.94 1,421.54 17,058.54 63 2,187.16 26,245.98 2,145.50 25,746.05 2,103.73 25,244.79 2,020.52 24,246.28 1,916.26 22,995.13 1,510.07 18,120.88 64 2,315.28 27,783.38 2,273.67 27,284.05 2,231.94 26,783.29 2,148.60 25,783.20 2,044.39 24,532.74 1,638.12 19,657.49 65 2,449.06 29,388.74 2,407.43 28,889.15 2,365.67 28,388.05 2,282.41 27,388.86 2,178.20 26,138.38 1,771.90 21,262.82 66 2,591.44 31,097.23 2,549.77 30,597.25 2,508.11 30,097.28 2,424.78 29,097.32 2,320.62 27,847.38 1,914.32 22,971.82 67 2,746.70 32,960.39 2,705.07 32,460.84 2,663.30 31,959.60 2,580.04 30,960.49 2,475.83 29,709.92 2,069.52 24,834.21 68 2,912.70 34,952.45 2,871.09 34,453.13 2,829.33 33,952.02 2,746.11 32,953.38 2,641.87 31,702.39 2,235.61 26,827.30 69 3,079.49 36,953.88 3,037.86 36,454.35 2,996.08 35,952.93 2,912.82 34,953.87 2,808.60 33,703.15 2,402.41 28,828.95 70 3,236.32 38,835.80 3,194.72 38,336.68 3,152.96 37,835.57 3,069.61 36,835.34 2,965.38 35,584.57 2,559.23 30,710.70 71 3,398.22 40,778.64 3,356.63 40,279.61 3,314.87 39,778.49 3,231.53 38,778.34 3,127.30 37,527.62 2,721.01 32,652.14 72 3,553.09 42,637.11 3,511.43 42,137.17 3,469.77 41,637.23 3,386.45 40,637.34 3,282.20 39,386.39 2,875.95 34,511.39 73 3,704.06 44,448.72 3,662.52 43,950.29 3,620.61 43,447.31 3,537.35 42,448.18 3,433.23 41,198.70 3,026.97 36,323.68 74 3,838.43 46,061.11 3,796.76 45,561.12 3,755.09 45,061.12 3,671.76 44,061.12 3,567.59 42,811.13 3,161.35 37,936.15 75 3,971.03 47,652.42 3,929.35 47,152.23 3,887.67 46,652.04 3,804.30 45,651.65 3,700.20 44,402.39 3,293.95 39,527.35 76 4,100.13 49,201.54 4,058.56 48,702.72 4,016.78 48,201.38 3,933.44 47,201.23 3,829.31 45,951.67 3,423.07 41,076.86 77 4,224.53 50,694.41 4,183.00 50,196.03 4,141.25 49,695.06 4,057.98 48,695.71 3,953.71 47,444.57 3,547.48 42,569.81 78 4,348.16 52,177.91 4,306.53 51,678.31 4,264.89 51,178.70 4,181.62 50,179.49 4,077.21 48,926.48 3,671.11 44,053.33 79 4,454.79 53,457.52 4,413.28 52,959.35 4,371.31 52,455.70 4,288.28 51,459.36 4,183.81 50,205.72 3,777.56 45,330.77 80 4,559.86 54,718.37 4,518.30 54,219.66 4,476.51 53,718.14 4,393.16 52,717.92 4,289.03 51,468.33 3,882.77 46,593.27 81 4,680.36 56,164.37 4,638.67 55,663.98 4,596.97 55,163.60 4,513.81 54,165.69 4,409.56 52,914.72 4,003.35 48,040.24 82+ 4,767.47 57,209.62 4,725.73 56,708.71 4,683.98 56,207.79 4,600.74 55,208.89 4,496.51 53,958.07 4,090.31 49,083.69 7

Zone 2 with USA - Additional cover options EUR EUR MEDICAL PLUS MEDICINES AND EQUIPMENT WELLBEING EVACUATION ZONE 1 0 EUR 125 0 EUR 60 0 Under 21 0-15 229.67 2,756.07 214.06 2,568.67 141.79 1,701.45 134.04 1,608.50 182.80 2,193.61 13.40 160.80 16 240.80 2,889.66 225.17 2,702.05 149.01 1,788.17 141.26 1,695.14 195.10 2,341.26 Over 21 17 252.52 3,030.27 236.89 2,842.69 155.85 1,870.19 148.09 1,777.11 202.72 2,432.66 Monthly Annually 18 267.17 3,206.04 251.53 3,018.41 165.03 1,980.34 157.28 1,887.36 212.88 2,554.52 39.90 478.80 19 282.40 3,388.85 266.79 3,201.44 174.79 2,097.52 167.04 2,004.51 214.63 2,575.62 20 299.39 3,592.74 283.76 3,405.10 185.14 2,221.73 177.39 2,128.68 216.78 2,601.40 21 318.14 3,817.72 302.52 3,630.26 196.47 2,357.66 188.73 2,264.71 221.47 2,657.64 EVACUATION 22 334.94 4,019.27 319.32 3,831.79 207.21 2,486.56 199.47 2,393.62 225.18 2,702.17 ZONE 2 23 351.74 4,220.82 336.12 4,033.45 216.98 2,603.74 209.23 2,510.82 223.23 2,678.73 Under 21 24 368.73 4,424.72 353.09 4,237.13 228.11 2,737.32 220.35 2,644.26 228.50 2,742.01 Monthly Annually 25 385.33 4,623.92 369.70 4,436.41 238.27 2,859.19 230.52 2,766.23 233.97 2,807.63 8.90 106.80 26 401.34 4,816.10 385.72 4,628.68 248.23 2,978.72 240.47 2,885.68 239.83 2,877.94 Over 21 27 414.82 4,977.81 399.18 4,790.21 256.43 3,077.15 248.68 2,984.19 245.30 2,943.56 Monthly Annually 28 430.44 5,165.29 414.81 4,977.78 265.80 3,189.64 258.06 3,096.71 256.62 3,079.49 26.30 315.60 29 448.80 5,385.59 433.17 5,198.08 277.33 3,327.91 269.57 3,234.87 269.71 3,236.51 30 456.61 5,479.34 440.99 5,291.92 282.21 3,386.50 274.46 3,293.56 277.13 3,325.57 31 464.62 5,575.42 448.99 5,387.86 286.70 3,440.40 278.95 3,347.39 285.14 3,421.66 32 471.26 5,655.11 455.62 5,467.47 291.97 3,503.68 284.23 3,410.75 292.95 3,515.40 33 480.44 5,765.26 464.82 5,577.80 296.86 3,562.27 289.10 3,469.25 301.54 3,618.52 34 488.45 5,861.34 472.81 5,673.77 302.52 3,630.24 294.77 3,537.30 309.55 3,714.61 35 497.23 5,966.81 481.60 5,779.22 306.62 3,679.45 298.87 3,586.38 318.34 3,820.07 36 506.41 6,076.95 490.78 5,889.33 313.07 3,756.79 305.31 3,663.69 327.13 3,925.53 37 515.40 6,184.76 499.77 5,997.29 318.92 3,827.10 311.17 3,734.02 336.50 4,038.02 38 528.87 6,346.47 513.25 6,158.97 327.32 3,927.87 319.58 3,834.96 346.27 4,155.20 39 542.74 6,512.86 527.12 6,325.45 335.72 4,028.65 327.97 3,935.62 355.64 4,267.70 40 557.19 6,686.29 541.56 6,498.68 344.31 4,131.77 336.56 4,038.68 365.80 4,389.56 41 571.25 6,855.03 555.63 6,667.60 353.49 4,241.92 345.75 4,148.95 374.00 4,487.99 42 586.49 7,037.83 570.87 6,850.44 362.48 4,349.72 354.72 4,256.62 382.40 4,588.77 43 604.26 7,251.10 588.63 7,063.60 373.22 4,478.62 365.48 4,385.75 390.21 4,682.51 44 622.62 7,471.40 607.00 7,283.94 384.55 4,614.55 376.79 4,521.45 398.61 4,783.29 45 640.78 7,689.35 625.16 7,501.94 396.46 4,757.51 388.70 4,664.45 407.79 4,893.44 46 658.36 7,900.28 642.75 7,712.98 407.79 4,893.44 400.04 4,800.48 416.57 4,998.90 47 677.50 8,129.95 661.89 7,942.62 418.92 5,027.02 411.18 4,934.10 425.56 5,106.70 48 696.05 8,352.59 680.44 8,165.27 430.25 5,162.95 422.49 5,069.90 435.13 5,221.54 49 714.41 8,572.89 698.79 8,385.45 441.96 5,303.57 434.20 5,210.42 445.09 5,341.06 50 735.89 8,830.68 720.25 8,643.04 455.05 5,460.59 447.29 5,367.48 456.61 5,479.34 51 761.87 9,142.38 746.22 8,954.67 470.87 5,650.42 463.13 5,557.55 469.89 5,638.70 52 790.97 9,491.58 775.33 9,303.98 488.84 5,866.03 481.08 5,772.92 484.54 5,814.47 53 821.04 9,852.49 805.40 9,664.83 507.39 6,088.67 499.65 5,995.77 493.91 5,926.96 54 854.63 10,255.59 839.01 10,068.13 528.29 6,339.44 520.52 6,246.28 504.66 6,055.86 55 890.37 10,684.47 874.74 10,496.82 550.55 6,606.61 542.80 6,513.58 515.59 6,187.10 56 934.51 11,214.13 918.86 11,026.36 577.31 6,927.68 569.56 6,834.74 520.87 6,250.38 57 984.90 11,818.77 969.26 11,631.18 608.36 7,300.31 600.60 7,207.24 520.87 6,250.38 58 1,043.88 12,526.54 1,028.27 12,339.25 645.66 7,747.94 637.93 7,655.11 520.87 6,250.38 59 1,101.69 13,220.25 1,086.06 13,032.74 681.40 8,176.82 673.66 8,083.87 520.87 6,250.38 60 1,165.55 13,986.60 1,149.91 13,798.97 720.46 8,645.54 712.71 8,552.58 520.87 6,250.38 61 1,233.12 14,797.49 1,217.53 14,610.34 762.65 9,151.76 754.91 9,058.98 520.87 6,250.38 62 1,308.31 15,699.78 1,292.71 15,512.47 809.13 9,709.53 801.38 9,616.57 520.87 6,250.38 63 1,384.29 16,611.44 1,368.69 16,424.31 855.61 10,267.31 847.85 10,174.26 520.87 6,250.38 64 1,465.34 17,584.03 1,449.73 17,396.76 906.19 10,874.30 898.44 10,781.32 520.87 6,250.38 65 1,549.51 18,594.12 1,533.88 18,406.56 958.73 11,504.73 950.97 11,411.66 520.87 6,250.38 66 1,640.13 19,681.55 1,624.51 19,494.11 1,014.39 12,172.66 1,006.65 12,079.79 520.87 6,250.38 67 1,738.17 20,858.04 1,722.51 20,670.07 1,074.74 12,896.83 1,066.98 12,803.72 520.87 6,250.38 68 1,843.83 22,125.93 1,828.25 21,939.00 1,140.16 13,681.94 1,132.40 13,588.76 520.87 6,250.38 69 1,949.88 23,398.50 1,934.20 23,210.40 1,205.00 14,460.01 1,197.23 14,366.72 520.87 6,250.38 70 2,048.31 24,579.68 2,032.68 24,392.15 1,266.33 15,195.90 1,258.54 15,102.53 520.87 6,250.38 71 2,150.84 25,810.07 2,135.20 25,622.41 1,329.80 15,957.57 1,322.04 15,864.43 520.87 6,250.38 72 2,248.68 26,984.21 2,233.03 26,796.30 1,390.34 16,684.09 1,382.58 16,590.97 520.87 6,250.38 73 2,344.58 28,134.92 2,328.97 27,947.64 1,449.32 17,391.86 1,441.60 17,299.24 520.87 6,250.38 74 2,429.53 29,154.38 2,413.86 28,966.29 1,501.86 18,022.28 1,494.09 17,929.08 520.87 6,250.38 75 2,512.53 30,150.41 2,496.97 29,963.61 1,553.22 18,638.65 1,545.51 18,546.08 520.87 6,250.38 76 2,595.15 31,141.76 2,579.47 30,953.60 1,604.00 19,247.99 1,596.28 19,155.34 520.87 6,250.38 77 2,673.46 32,081.54 2,657.86 31,894.27 1,652.82 19,833.89 1,645.04 19,740.46 520.87 6,250.38 78 2,751.78 33,021.32 2,736.14 32,833.65 1,701.06 20,412.76 1,693.31 20,319.73 520.87 6,250.38 79 2,819.74 33,836.90 2,804.15 33,649.78 1,743.05 20,916.63 1,735.29 20,823.45 520.87 6,250.38 80 2,885.75 34,629.03 2,870.09 34,441.08 1,783.87 21,406.44 1,776.11 21,313.28 520.87 6,250.38 81 2,962.31 35,547.72 2,946.69 35,360.25 1,831.13 21,973.59 1,823.35 21,880.21 520.87 6,250.38 82+ 3,017.19 36,206.28 3,001.59 36,019.03 1,864.92 22,379.04 1,857.19 22,286.22 520.87 6,250.38 8

Zone 3 EUR EUR MEDICAL INSURANCE 0 EUR 300 EUR 625 EUR 1250 EUR 2500 EUR 6250 0-15 167.60 2,011.20 125.98 1,511.82 102.10 1,225.22 83.98 1,007.81 61.12 733.48 30.99 371.87 16 175.50 2,106.00 133.87 1,606.46 106.88 1,282.55 88.00 1,055.95 64.00 768.06 32.38 388.56 17 184.10 2,209.20 142.47 1,709.70 112.12 1,345.40 92.23 1,106.81 67.12 805.47 34.00 408.04 18 194.90 2,338.80 153.27 1,839.23 118.64 1,423.63 97.51 1,170.10 71.14 853.66 36.13 433.61 19 205.90 2,470.80 164.27 1,971.20 125.52 1,506.20 103.01 1,236.14 75.01 900.11 38.01 456.11 20 218.50 2,622.00 176.88 2,122.51 135.12 1,621.44 109.38 1,312.57 79.62 955.46 40.38 484.55 21 231.60 2,779.20 189.98 2,279.78 148.22 1,778.69 115.99 1,391.82 84.63 1,015.52 42.87 514.43 22 244.40 2,932.80 202.78 2,433.34 161.01 1,932.13 122.40 1,468.75 89.13 1,069.59 45.14 541.69 23 256.60 3,079.20 214.98 2,579.75 173.23 2,078.77 128.48 1,541.76 93.48 1,121.75 47.37 568.42 24 268.80 3,225.60 227.16 2,725.95 185.42 2,225.02 134.53 1,614.41 98.03 1,176.38 49.65 595.77 25 281.00 3,372.00 239.38 2,872.61 197.63 2,371.53 140.50 1,686.00 102.51 1,230.11 51.87 622.47 26 292.50 3,510.00 250.88 3,010.53 209.14 2,509.65 146.37 1,756.40 106.62 1,279.40 54.00 647.95 27 302.10 3,625.20 260.47 3,125.65 218.72 2,624.64 151.11 1,813.33 110.12 1,321.39 55.74 668.85 28 314.10 3,769.20 272.48 3,269.78 230.74 2,768.85 157.24 1,886.86 114.62 1,375.38 57.98 695.79 29 327.10 3,925.20 285.49 3,425.91 243.72 2,924.67 163.75 1,964.96 119.36 1,432.31 60.48 725.77 30 332.80 3,993.60 291.17 3,494.00 249.40 2,992.80 166.67 1,999.99 121.41 1,456.87 61.50 738.02 31 338.50 4,062.00 296.86 3,562.37 255.13 3,061.53 171.89 2,062.68 123.38 1,480.60 62.49 749.85 32 343.90 4,126.80 302.29 3,627.46 260.50 3,126.05 177.25 2,126.95 125.52 1,506.28 63.52 762.22 33 350.10 4,201.20 308.47 3,701.68 266.74 3,200.89 183.49 2,201.85 127.61 1,531.34 64.73 776.80 34 356.30 4,275.60 314.68 3,776.21 272.93 3,275.11 189.66 2,275.90 129.91 1,558.88 65.77 789.28 35 362.50 4,350.00 320.89 3,850.62 279.13 3,349.50 195.86 2,350.31 136.26 1,635.17 68.98 827.81 36 369.50 4,434.00 327.86 3,934.29 286.14 3,433.69 202.89 2,434.71 143.00 1,715.96 72.39 868.62 37 375.90 4,510.80 334.29 4,011.45 292.53 3,510.30 209.26 2,511.16 149.76 1,797.10 76.01 912.08 38 385.80 4,629.60 344.17 4,130.07 302.43 3,629.14 219.13 2,629.61 158.41 1,900.91 80.25 962.96 39 395.60 4,747.20 353.98 4,247.79 312.25 3,746.96 229.49 2,753.85 167.38 2,008.54 84.74 1,016.85 40 406.30 4,875.60 364.65 4,375.85 322.93 3,875.13 239.64 2,875.63 176.90 2,122.84 89.63 1,075.56 41 416.90 5,002.80 375.25 4,503.02 333.52 4,002.24 250.27 3,003.18 187.02 2,244.26 94.76 1,137.14 42 428.00 5,136.00 386.36 4,636.27 344.63 4,135.51 261.38 3,136.56 197.86 2,374.37 100.24 1,202.85 43 440.60 5,287.20 398.96 4,787.56 357.24 4,286.86 273.97 3,287.58 206.24 2,474.94 106.23 1,274.74 44 453.90 5,446.80 412.28 4,947.33 370.52 4,446.22 287.27 3,447.28 212.38 2,548.56 112.61 1,351.35 45 467.10 5,605.20 425.48 5,105.78 383.72 4,604.67 300.49 3,605.83 218.51 2,622.11 119.48 1,433.81 46 480.30 5,763.60 438.66 5,263.90 396.92 4,763.04 313.64 3,763.63 224.78 2,697.36 126.51 1,518.13 47 494.00 5,928.00 452.36 5,428.27 410.61 4,927.35 327.37 3,928.49 231.24 2,774.90 134.02 1,608.27 48 507.80 6,093.60 466.16 5,593.92 424.42 5,093.03 341.14 4,093.68 237.65 2,851.80 141.88 1,702.55 49 521.10 6,253.20 479.46 5,753.57 437.72 5,252.69 354.50 4,254.05 250.23 3,002.79 149.87 1,798.42 50 536.80 6,441.60 495.14 5,941.73 453.43 5,441.22 370.18 4,442.13 265.88 3,190.52 159.16 1,909.93 51 555.80 6,669.60 514.17 6,170.05 472.43 5,669.16 389.17 4,670.05 284.90 3,418.84 169.63 2,035.56 52 576.90 6,922.80 535.25 6,422.97 493.54 5,922.46 410.29 4,923.50 305.99 3,671.85 181.38 2,176.53 53 598.50 7,182.00 556.90 6,682.85 515.13 6,181.55 431.88 5,182.53 327.62 3,931.43 193.85 2,326.25 54 623.40 7,480.80 581.76 6,981.08 540.05 6,480.62 456.77 5,481.18 352.53 4,230.39 208.03 2,496.34 55 649.60 7,795.20 607.96 7,295.53 566.26 6,795.08 482.98 5,795.73 378.72 4,544.60 223.27 2,679.21 56 681.10 8,173.20 639.48 7,673.82 597.73 7,172.80 514.50 6,174.04 410.23 4,922.72 241.11 2,893.31 57 718.50 8,622.00 676.90 8,122.79 635.15 7,621.85 551.88 6,622.56 447.63 5,371.51 261.89 3,142.72 58 761.10 9,133.20 719.47 8,633.61 677.76 8,133.11 594.50 7,133.94 490.22 5,882.69 281.99 3,383.85 59 803.60 9,643.20 761.97 9,143.68 720.27 8,643.20 637.01 7,644.16 532.71 6,392.48 297.89 3,574.73 60 849.90 10,198.80 808.25 9,699.06 766.52 9,198.30 683.23 8,198.82 579.04 6,948.44 314.97 3,779.68 61 899.80 10,797.60 858.14 10,297.67 816.39 9,796.66 733.16 8,797.88 628.87 7,546.44 333.56 4,002.67 62 954.10 11,449.20 912.50 10,950.01 870.71 10,448.54 787.51 9,450.17 683.23 8,198.77 353.49 4,241.93 63 1,009.80 12,117.60 968.20 11,618.35 926.39 11,116.69 843.18 10,118.20 738.87 8,866.45 374.23 4,490.78 64 1,068.60 12,823.20 1,026.92 12,323.10 985.25 11,822.99 902.01 10,824.06 797.71 9,572.52 396.13 4,753.56 65 1,130.40 13,564.80 1,088.80 13,065.62 1,046.98 12,563.72 963.78 11,565.35 859.56 10,314.67 453.29 5,439.48 66 1,196.00 14,352.00 1,154.38 13,852.55 1,112.64 13,351.67 1,029.40 12,352.77 925.11 11,101.27 518.82 6,225.90 67 1,267.80 15,213.60 1,226.22 14,714.59 1,184.38 14,212.55 1,101.21 13,214.53 996.87 11,962.45 590.67 7,088.02 68 1,344.80 16,137.60 1,303.11 15,637.33 1,261.42 15,137.07 1,178.18 14,138.15 1,073.96 12,887.49 667.69 8,012.32 69 1,421.10 17,053.20 1,379.46 16,553.54 1,337.68 16,052.18 1,254.55 15,054.56 1,150.24 13,802.86 743.95 8,927.35 70 1,493.80 17,925.60 1,452.12 17,425.48 1,410.45 16,925.35 1,327.24 15,926.90 1,222.97 14,675.69 816.66 9,799.93 71 1,568.50 18,822.00 1,526.93 18,323.22 1,485.06 17,820.67 1,401.93 16,823.10 1,297.62 15,571.44 891.38 10,696.54 72 1,640.10 19,681.20 1,598.44 19,181.30 1,556.78 18,681.40 1,473.47 17,681.59 1,369.16 16,429.87 963.07 11,556.80 73 1,709.80 20,517.60 1,668.25 20,019.02 1,626.36 19,516.34 1,543.09 18,517.13 1,438.97 17,267.61 1,032.72 12,392.63 74 1,771.60 21,259.20 1,729.97 20,759.61 1,688.16 20,257.89 1,604.89 19,258.71 1,500.72 18,008.67 1,094.49 13,133.93 75 1,832.80 21,993.60 1,791.20 21,494.35 1,749.41 20,992.89 1,666.20 19,994.38 1,561.91 18,742.95 1,155.58 13,866.96 76 1,892.40 22,708.80 1,850.77 22,209.21 1,808.95 21,707.34 1,725.68 20,708.15 1,621.60 19,459.17 1,215.30 14,583.59 77 1,949.60 23,395.20 1,907.88 22,894.54 1,866.16 22,393.89 1,782.91 21,394.91 1,678.80 20,145.61 1,272.50 15,270.05 78 2,007.10 24,085.20 1,965.55 23,586.64 1,923.81 23,085.66 1,840.51 22,086.13 1,736.14 20,833.70 1,329.90 15,958.85 79 2,056.10 24,673.20 2,014.57 24,174.80 1,972.83 23,673.94 1,889.56 22,674.67 1,785.31 21,423.74 1,379.03 16,548.32 80 2,104.60 25,255.20 2,062.93 24,755.15 2,021.26 24,255.09 1,937.92 23,254.99 1,833.74 22,004.86 1,427.55 17,130.60 81 2,160.30 25,923.60 2,118.61 25,423.27 2,076.91 24,922.95 1,993.74 23,924.89 1,889.40 22,672.78 1,483.26 17,799.14 82+ 2,200.40 26,404.80 2,158.81 25,905.75 2,117.00 25,404.06 2,033.83 24,405.96 1,929.53 23,154.37 1,523.34 18,280.04 9