Limited

1) GetMeCare

*Crum & Forster (underwriting company)

	App Fee	Select Care 100	Elite Basic 350	Elite Choice 600	Choice Plus 900
Member	$99.95	$150.95	$210.95	$260.95	$290.95
Member + Spouse	$99.95	$234.95	$300.95	$360.95	$440.95
Member + Child(ren)	$99.95	$234.95	$300.95	$360.95	$440.95
Family	$99.95	$270.95	$350.95	$450.95	$590.95

2) Federal Advantage Limited Medical (First Enroll Platform) –

Federal Advantage Limited Medical

	App Fee	Individual	Individual + Children	Individual + Spouse	Family
Fed Adv + 100	$125	$131	$171	$174	$223
Fed Adv + 200	$125	$154	$209	$215	$282
Fed Adv + 200+	$125	$189	$274	$282	$379
Fed Adv + 300	$125	$201	$301	$305	$449
Fed Adv + 500	$125	$227	$352	$364	$469
Fed Adv + 750	$125	$251	$396	$407	$559

3) Unified Life Limited Medical (First Enroll Platform) –

Unified Life Limited Medical

	App Fee	Individual	Individual + Spouse	Individual + Children	Family
Unified Signature A100	$125	$156.95	$205.95	$218.95	$266.95
Unified Signature A200	$125	$233.95	$323.95	$343.95	$403.95
Unified Signature A200+	$125	$260.95	$363.95	$388.95	$463.95
Unified Signature A300	$125	$290.95	$423.95	$453.95	$531.95
Unified Signature A500	$125	$310.95	$483.95	$507.00	$641.00
Unified Signature A750	$125	$353.00	$582.00	$562.00	$747.00

STM

1. Access Health STM
2. Corbel STM
3. AllState Health Solutions STM

ANCILLARY

1. UBA

	App Fee (Stand-Alone)	Individual	Individual & Children	Individual + Child or Spouse	Family
Gap Max+	$50	$90	$160	$135	$160
Super Gap+	$50	$100	$180	$160	$180
Gap+	$50	$70	$110	$90	$110

UBA Accidents & Critical Illnesses (Optimal Platform)

	App Fee (Stand-Alone)	Individual	Individual & Children	Individual + Child or Spouse	Family
Gap 10000	$50	$50	$70	$60	$70
Super 25000	$50	$60	$100	$85	$100
Gap+	$100	$70	$110	$90	$110

2) Aetna Dental-

Dental + Vision + Hearing (DVH)

Quote via carrier specific link – Can only use Routing & Account (EFT)

3) Fidelity ADB – 

Accidental Death Benefit

	Individual
100k	$17.75
150k	$24.23
200k	$30.71
250k	$37.19