Student Health Insurance Plan - Coverage Periods & Rates

Sidney Kimmel Medical College 2017-18 Academic Year

BASIC 07/27/17 - 07/31/18 DAILY (Pro-Rating)
Insured ID Code Insured (EAS)
Annual (A-) Daily (NX)
6
Student $4,932 $13.23
7 Spouse $4,932 $13.23
8 One Child $4,932 $13.23
9 Two or more Children $9,864 $26.46
10
Spouse + Two or more Children $14,726 $39.69
BASIC 08/01/17- 07/31/18
DAILY (Pro-Rating)
Insured ID Code Insured (MD2, MD3, MED)
Annual (A-) Daily (NX)
6
Student $4,830 $13.23
7 Spouse $4,830 $13.23
8 One Child $4,830 $13.23
9 Two or more Children $9,660 $26.46
10
Spouse + Two or more Children $14,490 $39.69
KEY for Sidney Kimmel Medical College Health Plans 2017
Insured Category Code: MD2, MD3, MED, EAS, CON EAS = 1st Year
MD2 = 2nd Year
MD3 = 3rd Year
MED = 4st Year
CON = Continuation
Insured Type Code: BAS
Location: 1
Campus Location Number: SKMC