Association Levels

	A	B	C	D	E	F
1	INTERNAL USE ONLY - DO NOT SHARE WITH CLIENTS
2	Effective 01/17/2025
3	Level	Ruby	Sapphire	Emerald	Diamond	Executive Diamond
4	Price Per Month	$32.95	$42.95	$52.95	$62.95	$89.95
5	Excess Accident/Injury Benefit	$5000 $250 deductible	$7500 $250 deductible	$10,000 $250 deductible	$12,500 $250 deductible	$20,000 $250 deductible
6	Hos. Confinement Cash 1 day elimination	$300/day	$500/day	$600/day	$800/day	$1200/day
7	MD Live Unlimited FREE 800-985-7690	Yes	Yes	Yes	Yes	Yes
8	Nurse Hotline unlimited Free	Yes	Yes	Yes	Yes	Yes
9	Accidental Death & Dismemberment	Primary $10,000 Spouse $5000 Child $2500	Primary $20,000 Spouse $10,000 Child $5000	Primary $30,000 Spouse $20,000 Child $10,000	Primary $40,000 Spouse $20,000 Child $10,000	Primary $60,000 Spouse $30,000 Child $15,000
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12	Level Secure Advantage Iowa Only	Ruby Plus	Sapphie Plus	Emerald Plus	Diamond Plus	Executive Diamond Plus
13	Price Per Month	$76.95	$86.95	$98.95	$106.95	$133.95
14	Office Visit Benefit (not included in Base Plan)	2 OV Per Member up to $75 Per Visit	2 OV Per Member up to $75 Per Visit	2 OV Per Member up to $75 Per Visit	2 OV Per Member up to $75 Per Visit	2 OV Per Member up to $75 Per Visit
15	Rx Benefit up to $300 annually	$10 Generic/ $20 Brand	$10 Generic/ $20 Brand	$10 Generic/ $20 Brand	$10 Generic/ $20 Brand	$10 Generic/ $20 Brand
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17	See other tab for Guaranteed Issue Association Levels
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