UNIVERSAL SOMPO GENERAL INSURANCE CO LTD

Complete Healthcare Insurance

UIN: UNIHLIP14003V011314

Premium Chart:

Without GST

Individual
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
days - 1,215 1,935 3,133 3,856 4,699 4,820 5,462 5,874 6,828 8,911
17
18-35 1,429 2,277 3,686 4,536 5,528 5,670 6,426 6,911 8,033 10,484
36-45 2,349 2,484 3,969 5,292 6,484 6,804 7,938 8,073 9,754 11,671
10,20 12,47 12,59 15,30
46-50 3,393 4,158 5,670 6,993 8,883 18,781
6 4 9 0
10,35 12,33 12,40 14,38 15,03 17,57
51-55 4,046 5,049 7,740 21,243
0 0 2 9 0 7
12,15 14,40 14,58 16,80 17,55 21,76
56-60 4,735 6,518 9,810 24,371
0 0 0 6 0 0
11,01 15,18 19,92 21,89 23,66 25,70 29,58 31,62
61-65 7,894 39,039
5 1 9 9 3 1 8 6
12,63 17,89 23,09 25,83 26,48 28,94 34,08 38,15 40,45
66-70 47,742
0 5 6 6 6 5 8 4 1
18,94 22,40 30,08 32,76 34,54 35,68 39,92 45,03 48,60
71-75 50,400
6 5 3 0 6 1 5 1 0
25,57 26,56 36,96 42,48 43,20 44,28 45,36 46,80 49,74
> 75 51,546
6 1 5 0 0 0 0 0 2

Premium Chart - Complete Healthcare Insurance Page 1

1Adult + 1Child
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
days - 1,774 2,825 3,738 4,338 5,847 6,193 7,304 7,808 9,131 10,340
17
10,74
18-35 2,086 3,324 4,398 5,103 6,878 7,814 8,594 9,598 12,165
3
11,68
36-45 3,573 3,779 5,103 5,481 7,589 7,959 9,345 9,785 13,467
1
10,35 10,39 12,85 12,94 15,60
46-50 4,521 5,540 7,144 8,241 19,018
6 4 1 4 6
10,55 12,65 13,57 14,67 15,33 19,50
51-55 4,965 6,196 8,013 23,289
7 0 7 7 1 7
10,02 12,39 14,68 14,87 17,14 17,90 25,46
56-60 5,070 6,979 30,598
4 3 8 2 2 1 4
11,68 16,12 21,59 25,60 27,30 31,48 32,55 34,58
61-65 8,376 42,716
7 9 9 8 2 9 6 6
13,40 18,98 24,53 28,00 28,66 32,12 36,27 42,39 44,23
66-70 52,239
1 7 9 1 4 1 8 2 7
20,10 23,77 31,96 37,44 38,45 39,35 42,49 50,03 53,14
71-75 55,148
3 3 2 1 0 5 0 3 8
27,13 28,18 39,27 46,04 46,75 50,33 51,12 51,99 55,21
> 75 56,402
7 2 4 0 2 7 5 8 0

1Adult +2Child
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,40
days - 2,272 3,618 4,723 5,623 6,767 7,551 8,320 8,457 11,588
0
17
12,23
18-35 2,672 4,257 5,556 6,614 7,960 8,883 9,788 9,950 13,634
6
10,64 10,92 13,30
36-45 4,442 4,698 6,169 7,088 8,741 9,449 15,035
1 5 0
10,26 14,16 15,83 17,49 17,70 21,87
46-50 5,658 6,934 7,839 25,501
5 6 1 6 7 0
11,71 14,91 16,13 17,75 18,64 23,30
51-55 5,787 6,973 9,592 27,506
8 3 6 5 2 4
10,84 13,22 17,14 17,63 18,64 21,42 26,78
56-60 5,807 7,994 31,871
2 9 3 1 3 9 7
13,26 18,32 24,90 29,46 30,47 35,78 36,45 40,05
61-65 9,505 49,401
4 9 4 7 5 1 2 3
15,20 21,54 27,88 32,28 32,98 37,63 41,22 49,66 51,22
66-70 60,414
8 8 6 6 3 7 3 1 9
22,81 26,97 36,32 40,17 41,94 42,59 48,28 58,61 61,55
71-75 63,778
4 9 2 1 2 8 2 2 0
30,79 31,98 44,63 53,08 53,79 58,98 59,54 60,91 62,46
> 75 65,228
7 3 1 5 6 2 9 5 3

Premium Chart - Complete Healthcare Insurance Page 2

1Adult +3Child
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
11,73 12,04 14,67
days - 2,875 4,578 5,872 6,828 9,635 9,838 16,186
6 3 1
17
11,33 12,86 13,80 14,16 17,26
18-35 3,381 5,388 6,909 8,033 19,043
4 7 7 9 0
12,40 13,33 14,99 15,50 18,74
36-45 5,622 5,945 7,670 8,600 20,932
5 9 5 5 3
12,70 17,05 18,88 20,97 21,32 26,21
46-50 7,161 8,775 9,747 30,223
5 7 1 0 1 3
11,22 13,31 19,55 20,57 24,39 24,44 30,49
51-55 7,272 8,825 35,678
7 4 8 6 5 8 4
10,11 12,39 15,36 22,01 22,20 27,64 28,51 34,55
56-60 7,349 40,810
7 2 2 4 3 3 7 3
10,43 14,56 20,15 27,69 32,68 35,03 39,29 40,59 44,60
61-65 54,878
7 3 3 1 6 2 6 2 5
16,69 23,65 30,66 35,89 36,58 42,33 45,27 55,80 58,05
66-70 67,112
8 9 0 9 6 9 2 7 2
25,04 29,62 39,93 45,00 46,52 47,91 53,02 65,86 68,54
71-75 70,848
9 2 6 1 4 9 4 5 6
33,81 35,11 49,07 59,02 59,67 66,34 67,80 68,45 69,33
> 75 72,459
5 7 2 5 3 9 8 3 6

2 ADULT
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
days - 1,385 2,206 3,860 4,762 5,998 6,190 6,838 7,499 8,548 10,942
17
10,05
18-35 1,629 2,596 4,541 5,601 7,057 7,247 8,044 8,823 12,874
7
10,68
36-45 2,805 2,967 4,610 6,403 7,672 8,232 9,255 9,553 13,323
3
10,72 11,22 13,18 13,60 16,01
46-50 3,822 4,684 6,464 7,973 19,365
4 8 5 7 1
11,77 13,54 14,02 15,73 16,41 19,21
51-55 4,613 5,756 8,803 22,980
1 6 4 4 6 9
10,79 13,36 15,18 16,03 17,77 18,51 23,00
56-60 5,213 7,176 25,530
1 4 7 8 0 0 8
13,08 18,01 24,50 29,08 30,27 35,42 36,34 39,02
61-65 9,378 47,509
5 3 2 1 5 9 9 4
15,00 21,25 27,40 31,76 32,55 36,05 40,81 48,02 49,91
66-70 58,100
4 9 5 5 0 1 7 3 4
22,50 26,61 35,69 42,47 43,39 45,80 47,80 56,67 59,96
71-75 61,335
7 6 5 3 3 2 6 8 9
30,38 31,55 43,86 52,22 53,09 56,49 57,02 58,90 60,91
> 75 62,729
3 3 1 8 1 5 1 5 1

Premium Chart - Complete Healthcare Insurance Page 3

2ADULT + 1 CHILD
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,38
days - 1,960 3,122 4,255 5,302 6,440 6,949 8,309 8,505 12,143
6
17
12,21
18-35 2,306 3,674 5,006 6,237 7,577 8,174 9,775 9,971 14,287
9
11,62 12,47 15,46
36-45 4,289 4,536 6,248 7,186 9,184 9,982 17,301
1 9 3
13,04 16,97 17,29 21,23 22,21 26,54
46-50 6,709 8,222 9,922 32,072
0 2 9 3 4 1
11,50 14,33 17,90 18,91 22,36 23,38 27,96
51-55 7,139 8,909 33,935
2 3 9 6 9 6 2
10,79 14,09 17,66 21,63 22,07 27,02 28,04 33,78
56-60 7,839 41,180
1 5 0 9 4 9 8 7
10,81 15,09 20,81 27,36 32,48 33,72 40,60 41,96 44,08
61-65 54,249
5 1 5 0 0 9 2 6 6
17,30 24,51 31,66 35,47 36,35 40,61 46,77 53,38 56,38
66-70 66,342
4 7 8 0 5 6 7 9 7
25,95 30,69 41,24 47,42 48,23 50,96 54,78 63,01 67,74
71-75 70,036
7 6 8 8 1 9 7 2 7
35,04 36,38 50,68 58,32 59,29 63,65 64,76 65,48 68,55
> 75 71,629
0 9 4 1 6 0 3 8 1

2ADULT+ 2 CHILD
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,57
days - 2,208 3,516 4,831 5,978 7,057 7,895 8,336 8,985 12,939
7
17
11,22 12,32
18-35 2,597 4,137 5,684 7,032 8,549 8,561 9,865 15,319
6 0
10,21 11,09 12,87 13,15 17,18
36-45 4,773 5,047 6,989 7,987 19,078
4 9 8 8 2
10,67 13,97 18,20 19,59 22,71 23,56 28,43
46-50 7,187 8,808 34,140
4 1 2 6 0 2 9
12,31 15,24 19,08 19,99 23,77 24,96 29,76
51-55 7,641 9,536 35,886
6 9 7 3 1 4 4
11,42 14,94 18,61 22,84 23,40 28,46 29,66 35,62
56-60 8,301 43,167
6 1 7 5 8 2 4 8
11,26 15,71 21,52 28,24 33,53 34,92 41,90 43,33 45,69
61-65 55,977
1 4 7 1 8 9 5 3 3
18,01 25,52 32,75 36,61 37,53 42,20 48,27 55,42 58,44
66-70 68,456
7 8 0 2 9 2 8 2 3
27,02 31,96 42,65 48,95 49,93 52,76 56,54 65,41 70,21
71-75 72,267
8 2 8 5 6 5 5 2 7
36,48 37,89 52,41 60,19 61,22 66,13 67,31 68,98 71,97
> 75 73,911
6 1 7 9 7 6 3 1 7

Premium Chart - Complete Healthcare Insurance Page 4

2ADULT+3 CHILD
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
11,75
days - 2,455 3,910 5,407 6,653 7,860 8,840 9,245 9,674 13,641
8
17
10,94 12,58 13,69
18-35 2,888 4,601 6,362 7,827 9,520 9,587 16,935
0 3 6
11,24 13,21 14,13 15,23 18,90
36-45 5,256 5,558 7,729 8,788 20,856
4 5 5 8 2
11,42 14,90 19,43 21,89 24,18 25,50 30,33
46-50 7,666 9,394 36,208
6 1 2 2 7 9 7
10,16 13,13 16,16 20,26 23,46 25,17 26,54 31,56
51-55 8,144 37,836
3 0 5 5 9 3 2 6
12,06 15,78 19,57 24,05 24,74 29,89 31,28 37,46
56-60 8,762 45,153
2 7 4 2 1 4 1 9
11,70 16,33 22,23 29,12 34,59 36,12 43,20 45,70 47,30
61-65 57,706
7 6 9 3 5 9 8 3 0
18,73 26,54 33,83 37,75 38,72 43,78 49,77 57,45 60,49
66-70 70,570
1 0 3 5 2 9 9 6 9
28,09 33,22 44,06 50,48 51,25 55,56 58,30 67,81 72,68
71-75 74,499
8 8 8 3 2 0 3 1 6
37,93 39,39 54,15 62,07 63,15 68,62 69,66 71,47 73,40
> 75 76,193
1 2 0 7 8 2 2 5 3

2ADULT+ 4CHILD
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,11 10,45 10,50 13,33
days - 2,785 4,436 6,181 7,556 8,932 15,367
1 4 4 4
17
10,81 10,96 12,37 14,40 15,53
18-35 3,276 5,220 7,272 8,888 19,079
9 5 1 8 2
12,60 14,70 15,79 16,07 21,17
36-45 5,895 6,234 8,712 9,846 23,187
4 2 1 1 2
10,14 12,39 16,09 21,00 22,56 26,07 26,62 32,76
46-50 8,278 38,840
4 3 2 7 2 4 9 7
10,96 14,17 17,33 21,76 24,10 26,95 27,56 33,85
51-55 8,786 40,303
4 1 0 6 2 5 1 9
12,86 16,85 20,78 25,57 26,43 31,69 32,33 39,79
56-60 9,347 47,647
7 9 2 7 2 9 0 2
12,26 17,11 23,12 30,21 35,90 38,62 44,81 46,40 49,29
61-65 59,844
4 3 1 3 4 4 9 6 7
19,62 27,80 35,17 39,16 40,18 45,76 51,63 59,98 63,05
66-70 73,185
2 2 6 8 8 4 6 5 2
29,43 34,80 45,81 52,37 53,10 56,79 60,47 70,79 75,75
71-75 77,259
5 8 7 3 5 6 8 7 5
39,73 41,26 56,29 64,40 65,54 71,71 73,07 74,57 76,41
> 75 79,016
5 5 8 1 8 7 5 8 7

Premium Chart - Complete Healthcare Insurance Page 5

With GST

Individual
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
days - 1,434 2,283 3,697 4,550 5,545 5,688 6,445 6,931 8,057 10,515
17
18-35 1,686 2,687 4,349 5,352 6,523 6,691 7,583 8,155 9,479 12,371
11,51
36-45 2,772 2,931 4,683 6,245 7,651 8,029 9,367 9,526 13,772
0
10,48 12,04 14,71 14,86 18,05
46-50 4,004 4,906 6,691 8,252 22,162
2 3 9 7 4
12,21 14,54 14,63 16,97 17,73 20,74
51-55 4,774 5,958 9,133 25,067
3 9 4 9 5 1
11,57 14,33 16,99 17,20 19,83 20,70 25,67
56-60 5,587 7,691 28,758
6 7 2 4 1 9 7
12,99 17,91 23,51 25,84 27,92 30,32 34,91 37,31
61-65 9,315 46,066
8 4 6 1 2 7 4 9
14,90 21,11 27,25 30,48 31,25 34,15 40,22 45,02 47,73
66-70 56,336
3 6 3 6 3 5 4 2 2
22,35 26,43 35,49 38,65 40,76 42,10 47,11 53,13 57,34
71-75 59,472
6 8 8 7 4 4 2 7 8
30,18 31,34 43,61 50,12 50,97 52,25 53,52 55,22 58,69
> 75 60,824
0 2 9 6 6 0 5 4 6

1Adult + 1Child
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,77
days - 2,093 3,334 4,411 5,119 6,899 7,308 8,619 9,213 12,201
5
17
10,14 11,32 12,67
18-35 2,461 3,922 5,190 6,022 8,116 9,221 14,355
1 6 7
11,02 11,54 13,78
36-45 4,216 4,459 6,022 6,468 8,955 9,392 15,891
7 6 4
12,22 12,26 15,16 15,27 18,41
46-50 5,335 6,537 8,430 9,724 22,441
0 5 4 4 5
12,45 14,92 16,02 17,31 18,09 23,01
51-55 5,859 7,311 9,455 27,481
7 7 1 9 1 8
11,82 14,62 17,33 17,54 20,22 21,12 30,04
56-60 5,983 8,235 36,106
8 4 2 9 8 3 8
13,79 19,03 25,48 30,21 32,21 37,15 38,41 40,81
61-65 9,884 50,405
1 2 7 7 6 7 6 1
15,81 22,40 28,95 33,04 33,82 37,90 42,80 50,02 52,20
66-70 61,642
3 5 6 1 4 3 8 3 0
23,72 28,05 37,71 44,18 45,37 46,43 50,13 59,03 62,71
71-75 65,075
2 2 5 0 1 9 8 9 5
32,02 33,25 46,34 54,32 55,16 59,39 60,32 61,35 65,14
> 75 66,554
2 5 3 7 7 8 8 8 8

Premium Chart - Complete Healthcare Insurance Page 6

1Adult +2Child
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
12,27
days - 2,681 4,269 5,573 6,635 7,985 8,910 9,818 9,979 13,674
2
17
10,48 11,55 11,74 14,43
18-35 3,153 5,023 6,556 7,805 9,393 16,088
2 0 1 8
10,31 11,15 12,55 12,89 15,69
36-45 5,242 5,544 7,279 8,364 17,741
4 0 6 2 4
12,11 16,71 18,68 20,64 20,89 25,80
46-50 6,676 8,182 9,250 30,091
3 6 1 5 4 7
11,31 13,82 17,59 19,04 20,95 21,99 27,49
51-55 6,829 8,228 32,457
9 7 7 0 1 8 9
12,79 15,61 20,22 20,80 21,99 25,28 31,60
56-60 6,852 9,433 37,608
4 0 9 5 9 6 9
11,21 15,65 21,62 29,38 34,77 35,96 42,22 43,01 47,26
61-65 58,293
6 2 8 7 1 1 2 3 3
17,94 25,42 32,90 38,09 38,92 44,41 48,64 58,60 60,45
66-70 71,289
5 7 5 7 0 2 3 0 0
26,92 31,83 42,86 47,40 49,49 50,26 56,97 69,16 72,62
71-75 75,258
1 5 0 2 2 6 3 2 9
36,34 37,74 52,66 62,64 63,47 69,59 70,26 71,88 73,70
> 75 76,969
0 0 5 0 9 9 8 0 6

1Adult +3Child
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
11,73 12,04 14,67
days - 2,875 4,578 5,872 6,828 9,635 9,838 16,186
6 3 1
17
11,33 12,86 13,80 14,16 17,26
18-35 3,381 5,388 6,909 8,033 19,043
4 7 7 9 0
12,40 13,33 14,99 15,50 18,74
36-45 5,622 5,945 7,670 8,600 20,932
5 9 5 5 3
12,70 17,05 18,88 20,97 21,32 26,21
46-50 7,161 8,775 9,747 30,223
5 7 1 0 1 3
11,22 13,31 19,55 20,57 24,39 24,44 30,49
51-55 7,272 8,825 35,678
7 4 8 6 5 8 4
10,11 12,39 15,36 22,01 22,20 27,64 28,51 34,55
56-60 7,349 40,810
7 2 2 4 3 3 7 3
10,43 14,56 20,15 27,69 32,68 35,03 39,29 40,59 44,60
61-65 54,878
7 3 3 1 6 2 6 2 5
16,69 23,65 30,66 35,89 36,58 42,33 45,27 55,80 58,05
66-70 67,112
8 9 0 9 6 9 2 7 2
25,04 29,62 39,93 45,00 46,52 47,91 53,02 65,86 68,54
71-75 70,848
9 2 6 1 4 9 4 5 6
33,81 35,11 49,07 59,02 59,67 66,34 67,80 68,45 69,33
> 75 72,459
5 7 2 5 3 9 8 3 6

Premium Chart - Complete Healthcare Insurance Page 7

2 ADULT
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,08
days - 1,634 2,603 4,555 5,619 7,078 7,304 8,069 8,849 12,912
7
17
10,41 11,86
18-35 1,922 3,063 5,358 6,609 8,327 8,551 9,492 15,191
1 7
10,92 11,27 12,60
36-45 3,310 3,501 5,440 7,556 9,053 9,714 15,721
1 3 6
12,65 13,24 15,55 16,05 18,89
46-50 4,510 5,527 7,628 9,408 22,851
4 9 8 6 3
10,38 13,89 15,98 16,54 18,56 19,37 22,67
51-55 5,443 6,792 27,116
8 0 4 8 6 1 8
12,73 15,77 17,92 18,92 20,96 21,84 27,14
56-60 6,151 8,468 30,125
3 0 1 5 9 2 9
11,06 15,44 21,25 28,91 34,31 35,72 41,80 42,89 46,04
61-65 56,061
6 0 5 2 6 5 6 2 8
17,70 25,08 32,33 37,48 38,40 42,54 48,16 56,66 58,89
66-70 68,558
5 6 8 3 9 0 4 7 9
26,55 31,40 42,12 50,11 51,20 54,04 56,41 66,88 70,76
71-75 72,375
8 7 0 8 4 6 1 0 3
35,85 37,23 51,75 61,62 62,64 66,66 67,28 69,50 71,87
> 75 74,020
2 3 6 9 7 4 5 8 5

2ADULT + 1 CHILD
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,03 12,25
days - 2,313 3,684 5,021 6,256 7,599 8,200 9,805 14,329
6 5
17
11,53 11,76 14,41
18-35 2,721 4,335 5,907 7,360 8,941 9,645 16,859
5 6 8
10,83 11,77 13,71 14,72 18,24
36-45 5,061 5,352 7,373 8,479 20,415
7 9 3 5 6
11,70 15,38 20,02 20,41 25,05 26,21 31,31
46-50 7,917 9,702 37,845
8 7 7 3 5 3 8
10,51 13,57 16,91 21,13 22,32 26,39 27,59 32,99
51-55 8,424 40,043
3 2 3 3 1 5 5 5
12,73 16,63 20,83 25,53 26,04 31,89 33,09 39,86
56-60 9,250 48,592
3 2 9 4 7 4 7 9
12,76 17,80 24,56 32,28 38,32 39,80 47,91 49,52 52,02
61-65 64,014
2 7 2 5 6 0 0 0 1
20,41 28,93 37,36 41,85 42,89 47,92 55,19 62,99 66,53
66-70 78,284
9 0 8 5 9 7 7 9 7
30,62 36,22 48,67 55,96 56,91 60,14 64,64 74,35 79,94
71-75 82,642
9 1 3 5 3 3 9 4 1
41,34 42,93 59,80 68,81 69,96 75,10 76,42 77,27 80,89
> 75 84,522
7 9 7 9 9 7 0 6 0

Premium Chart - Complete Healthcare Insurance Page 8

2ADULT+ 2 CHILD
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,60 12,48
days - 2,605 4,149 5,701 7,054 8,327 9,316 9,836 15,268
2 1
17
10,08 10,10 11,64 13,24 14,53
18-35 3,064 4,882 6,707 8,298 18,076
8 2 1 7 8
12,05 13,09 15,19 15,52 20,27
36-45 5,632 5,955 8,247 9,425 22,512
3 7 6 6 5
10,39 12,59 16,48 21,47 23,12 26,79 27,80 33,55
46-50 8,481 40,285
3 5 6 8 3 8 3 8
11,25 14,53 17,99 22,52 23,59 28,05 29,45 35,12
51-55 9,016 42,345
2 3 4 3 2 0 8 2
13,48 17,63 21,96 26,95 27,62 33,58 35,00 42,04
56-60 9,795 50,937
3 0 8 7 1 5 4 1
13,28 18,54 25,40 33,32 39,57 41,21 49,44 51,13 53,91
61-65 66,053
8 3 2 4 5 6 8 3 8
21,26 30,12 38,64 43,20 44,29 49,79 56,96 65,39 68,96
66-70 80,778
0 3 5 2 6 8 8 8 3
31,89 37,71 50,33 57,76 58,92 62,26 66,72 77,18 82,85
71-75 85,275
3 5 6 7 4 3 3 6 6
43,05 44,71 61,85 71,03 72,24 78,04 79,42 81,39 84,93
> 75 87,215
3 1 2 5 8 0 9 8 3

2ADULT+3 CHILD
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,43 10,90 11,41 13,87
days - 2,897 4,614 6,380 7,851 9,275 16,096
1 9 5 4
17
11,23 11,31 12,90 14,84 16,16
18-35 3,408 5,429 7,507 9,236 19,983
4 3 9 8 1
10,37 13,26 15,59 16,67 17,98 22,30
36-45 6,202 6,558 9,120 24,610
0 8 4 9 1 4
11,08 13,48 17,58 22,93 25,83 28,54 30,10 35,79
46-50 9,046 42,725
5 3 3 0 3 1 1 8
11,99 15,49 19,07 23,91 27,69 29,70 31,32 37,24
51-55 9,610 44,646
2 3 5 3 3 4 0 8
10,33 14,23 18,62 23,09 28,38 29,19 35,27 36,91 44,21
56-60 53,281
9 3 9 7 1 4 5 2 3
13,81 19,27 26,24 34,36 40,82 42,63 50,98 53,93 55,81
61-65 68,093
4 6 2 5 2 2 5 0 4
22,10 31,31 39,92 44,55 45,69 51,67 58,73 67,79 71,38
66-70 83,273
3 7 3 1 2 1 9 8 9
33,15 39,20 52,00 59,57 60,47 65,56 68,79 80,01 85,76
71-75 87,909
6 9 0 0 7 1 8 7 9
44,75 46,48 63,89 73,25 74,52 80,97 82,20 84,34 86,61
> 75 89,908
9 3 7 1 6 4 1 1 6

Premium Chart - Complete Healthcare Insurance Page 9

2ADULT+ 4CHILD
Basic Essential Privilege
Age
Band 1,00,0 2,00,0 3,00,0 4,00,0 5,00,0 6,00,0 7,00,0 8,00,0 9,00,0 10,00,
00 00 00 00 00 00 00 00 00 000
91-
10,54 11,93 12,33 12,39 15,73
days - 3,286 5,234 7,294 8,916 18,133
0 1 6 5 4
17
10,48 12,76 12,93 14,59 17,00 18,32
18-35 3,866 6,160 8,581 22,513
8 6 9 8 1 8
10,28 11,61 14,87 17,34 18,63 18,96 24,98
36-45 6,956 7,356 27,361
0 8 3 8 3 4 3
11,97 14,62 18,98 24,78 26,62 30,76 31,42 38,66
46-50 9,768 45,831
0 4 9 8 3 7 2 5
10,36 12,93 16,72 20,44 25,68 28,44 31,80 32,52 39,95
51-55 47,558
7 8 2 9 4 0 7 2 4
11,02 15,18 19,89 24,52 30,18 31,19 37,40 38,14 46,95
56-60 56,223
9 3 4 3 1 0 5 9 5
14,47 20,19 27,28 35,65 42,36 45,57 52,88 54,75 58,17
61-65 70,616
2 3 3 1 7 6 6 9 0
23,15 32,80 41,50 46,21 47,42 54,00 60,93 70,78 74,40
66-70 86,358
4 6 8 8 2 2 0 2 1
34,73 41,07 54,06 61,80 62,66 67,01 71,36 83,54 89,39
71-75 91,166
3 3 4 0 4 9 4 0 1
46,88 48,69 66,43 75,99 77,34 84,62 86,22 88,00 90,17
> 75 93,239
7 3 2 3 7 6 9 2 2

Premium Chart - Complete Healthcare Insurance Page 10