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Accident Medical Insurance
For
Youth Sports Teams and Leagues

Rate Classification for Individual Sports
(Policy term in months is shown after name of sport)

Rate
Class
    Rate
Class
       Rate
Class
       Rate
Class
       Rate
Class
Archery (6)
Badminton (6)
Basketball (6)
Bowling (8)
Boxing (5)
Cheerleading (9)
    1
    1
    2
    1
    4
    2
        Cross Country (6)
Fencing (6)
Field Hockey (5)
Flag Football (6)
Golf (6)
Gymnastics (6)
    1
    1
    3
    3
    1
    3
    Handball (6)
Ice-Hockey (5)
In-Line Skating (6)
Lacrosse (5)
Polo (5)
Rifle (6)
    1
    4
    4
    4
    4
    1
       Rowing (6)
Rugby (6)
Skiing (4)
Soccer (5)
Swimming (9)
Tennis (8)
    1
    4
    4
    3
    1
    1
       Touch Footbal (6)
Track (9)
Volleyball (5)
Weightlifting (6)
Wrestling (6)
    3
    1
    2
    3
    3

Term Premium Rates Per Player

Minimum Premium: $150.00

Class 1 Class 2 Class 3 Class 4
Maximum
Medical
Expense
Benefit
AD&D
Benefit
(Principal
Sum)
Deductible
Amount
Age
12
and
Under
Ages
13-15
Ages
16-18
Age
12
and
Under
Ages
13-15
Ages
16-18
Age
12
and
Under
Ages
13-15
Ages
16-18
Age
12
and
Under
Ages
13-15
Ages
16-18
$5,000 $2,500 $  -0- 
25.00
50.00
100.00
1.90
1.65
1.45
1.25
2.15
1.90
1.65
1.50
2.75
2.40
2.15
1.90
2.60
2.20
1.95
1.75
2.90
2.50
2.20
1.95
4.75
4.10
3.60
3.30
*
2.45
2.20
1.95
*
2.75
2.45
2.20
*
4.55
4.05
3.60
*
*
4.45
4.10
*
*
7.25
6.55
*
*
11.35
10.20
$10,000 $10,000 $  -0- 
25.00
50.00
100.00
2.50
2.35
2.10
2.00
2.90
2.65
2.40
2.35
3.80
3.40
3.10
2.95
3.45
3.15
2.90
2.75
3.90
3.55
3.30
3.15
6.45
5.85
5.35
5.15
*
3.55
3.20
3.10
*
3.95
3.65
3.45
*
6.50
6.00
5.75
*
*
6.75
6.45
*
*
10.70
10.25
*
*
16.80
16.15
$15,000 $10,000 $  -0- 
25.00
50.00
100.00
2.65
2.45
2.36
2.20
3.00
2.85
2.65
2.50
3.90
3.65
3.40
3.03
3.65
3.40
3.20
3.00
4.10
3.80
3.60
3.40
6.75
6.25
5.85
5.60
*
3.80
3.55
3.40
*
4.20
3.95
3.85
*
6.95
6.55
6.25
*
*
7.35
7.05
*
*
11.80
11.30
*
*
1845
17.65
$25,000 $10,000 $  -0- 
25.00
50.00
100.00
250.00
2.90
2.70
2.60
2.40
2.00
3.30
3.15
2.90
2.75
2.30
4.30
4.00
3.75
3.60
3.00
4.00
3.75
3.50
3.30
2.80
4.50
4.15
3.95
3.75
3.15
7.40
6.85
6.40
6.15
5.15
*
4.15
3.90
3.75
3.15
*
4.60
4.35
4.20
3.55
*
7.60
7.20
6.85
5.75
*
*
8.05
7.70
6.45
*
*
12.95
12.40
10.40
*
*
20.20
19.35
16.25

Click here to apply for a policy now.

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