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Emergency Accident & Health Benefit Plan for Visitors from Abroad
Monthly Fees
| MONTHLY PAYMENTS FOR 2012 |
| Age |
Benefit Plan A |
Benefit Plan B |
| 18 - 29 |
$44.00 |
$58.00 |
| 30 - 39 |
$54.00 |
$73.00 |
| 40 - 49 |
$64.00 |
$88.00 |
| 50 - 59 |
$84.00 |
$118.00 |
| 60 - 64 |
$124.00 |
$178.00 |
| 65 - 69 |
$154.00 |
$223.00 |
| 70 - 79 |
$194.00 |
$287.00 |
| 80+ |
$254.00 |
$373.00 |
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Dependent child under 18 years of age: |
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$24.00 |
$29.00 |
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Dependent child under 18 years of age traveling alone: |
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$44.00 |
$52.00 |
To Enroll:
Please complete the application form LRFA, Inc. Emergency Accident & Health Benefit Plan For Visitors From Abroad  and return it with your payment for coverage to LRFA.
These pages are designed to provide general descriptions of our benefit plans and further restrictions may apply or may have changed. For further information, please contact the LRFA office or refer to specific plan Regulations.
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