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Expanded Core 10
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Expanded Core 10
First Name:
Middle Name:
Last Name:
Gender:
Male
Female
How old are you?
How much would you like to be covered?
A+, Max Per Year = 400,000, Max Room Rate = 4,000
A, Max Per Year = 240,000, Max Room Rate = 2,400
B, Max Per Year = 160,000, Max Room Rate = 1,600
C, Max Per Year = 120,000, Max Room Rate = 1,200
D, Max Per Year = 80,000, Max Room Rate = 800
E, Max Per Year = 56,000, Max Room Rate = 560
F, Max Per Year = 40,000, Max Room Rate = 400
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