Monthly Premiums (Guard Members)

Coverage Premium
$5,000 $2.00
$10,000 $3.66
$15,000 $5.33
$20,000 $7.00
$25,000 $8.67
$30,000 $10.34
$35,000 $12.00
$40,000 $13.67
$45,000 $15.34
$50,000 $17.00

 

Monthly Premiums for Dependents

Spouse Coverage Premium
$5,000 $2.00
$10,000 $3.66
$15,000 $5.33
$20,000 $7.00
$25,000 $8.67

*Spouse Coverage may not exceed Member’s Coverage 

*Dependent Coverage may not exceed 50% of Member’s Coverage

Dependent(s) Children Coverage Premium
$2,000 $1.33
$5,000 $3.33
$10,000 $6.66