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Medicare Supplement Insurance Rate Plan C

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The following Table (Plan C) shows the Regions across the Top Row, the first three digits of the Zip Code across the Second Row and the insurers' names down the first Column. The Monthly Premiums for February 1, 2010 are contained in the body of the Table.

P L A N   CALBANYBUFFALOLONG ISLANDMID-HUDSONNYC PROPERROCHESTERSYRACUSEUTICAWATERTOWNWESTCHESTER
FIRST THREE DIGITS OF ZIP CODE:120-23
128-29
140-43
147
110,115-19124-27100-04
111-14
144-46130-32
137-39
148-49
133-35136105-109
American Progressive$295.37*$265.94*$333.18*$295.37*$333.18*$265.94*$265.94*$265.94*$265.94*$333.18*
Bankers Conseco$237.25$204.23$295.04$237.25$295.04$204.23$204.23
$237.25
$204.23$204.23$237.25
$295.04
Empire HealthChoice Assurance, Inc.
(d/b/a Empire BC/BS)
$201.83** $269.09**$231.43**$269.09**    $269.09**
Excellus Health Plan, Inc.
     (d/b/a Excellus BlueCross BlueShield)
***  *** $214.97$218.80$218.80
$206.96
$218.80
$206.96
 
Excellus Health Plan, Inc.
     (d/b/a Univera Healthcare)
 $249.43        
First United American$248.00$248.00$303.00$248.00$303.00$248.00$248.00$248.00$248.00$303.00
Group Health Incorporated
   (a/k/a GHI)
$266.31$252.11$277.50$266.31$277.50$252.11$260.44$252.11$252.11$277.50
HealthNow New York Inc.
   (d/b/a BC/BS of Western New York)
 $218.98        
HealthNow New York Inc.
   (d/b/a BS of Northeastern New York)
$229.48  $229.48
$251.00
      
Humana$198.00$198.00$290.00$198.00
$241.00
$290.00$198.00$198.00$198.00$198.00$290.00
State Farm Mutual Auto$355.15$355.15$383.29$369.26
$383.29
$383.29$355.15$355.15$355.15$355.15$383.29
United HealthCare Insurance
   (AARP Program)
$165.25
$192.00
$165.25$239.00$192.00$239.00$165.25$165.25
$192.00
$165.25
$192.00
$165.25$192.00
$239.00

*    There is a one-time $25 policy fee charged at issue.
**   Empire HealthChoice Assurance, Inc. does not offer a monthly premium plan.  Plan C (Albany) - $605.49/quarter; Plan C (Mid-Hudson) - $694.29/quarter; Plan C (LI, NYC, Westchester) - $807.27/quarter
*** Excellus offers this plan in Clinton, Delaware, Essex, Fulton, and Montgomery counties at $206.96/month.

NOTE: If two premiums are shown within a region, one of the premiums applies to a part of the region and the other applies to the rest of the region.

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