HEALTHCARE INSURANCE ALBERTA. Just like having your own personal group insurance policy... A great way to top-up your provincial healthcare plan

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1 HEALTHCARE INSURANCE ALBERTA Just like having your own personal group insurance policy... A great way to top-up your provincial healthcare plan January 2016

2 Tailor a plan to fit your needs and budget. Coverage choices Atlantic, Ontario and Western Provinces (BASIC PLAN) Medical and Paramedical Services Vision Care Travel Insurance (Enhanced, maximum $25,000) (ENHANCED PLAN) Same coverages as the Basic Higher reimbursement amounts Mandatory option OR (Enhanced, maximum $25,000) OPTIONAL EXTRAS: Hospitalization Hospitalization

3 Monthly premium per adult SINGLE PERSON COUPLE (premium per person) (BASIC PLAN) $30.20 $31.70 $36.80 $47.10 $26.00 $27.40 $32.70 $ A $50.20 $56.90 $67.40 $78.00 $41.80 $48.70 $58.60 $ B (Enhanced, $65.50 $70.20 $79.00 $90.80 $57.30 $62.30 $70.40 $ C $79.20 $97.90 $ $ $69.20 $86.80 $93.30 $ D (Enhanced, $ $ $ $ $ $ $ $ Monthly premium per adult SINGLE PERSON COUPLE (premium per person) (ENHANCED PLAN) A 2-B 2-C 2-D (Enhanced, (Enhanced, $59.10 $65.40 $76.60 $87.70 $49.90 $57.30 $67.30 $77.70 $74.40 $78.70 $88.20 $ $65.40 $70.90 $79.10 $90.70 $88.10 $ $ $ $77.30 $95.40 $ $ $ $ $ $ $ $ $ $ Monthly premium per adult SINGLE PERSON COUPLE (premium per person) OPTIONAL EXTRAS Hospitalization $3.80 $3.80 $4.50 $5.50 $3.70 $3.70 $4.00 $5.30 Hospitalization $5.80 $6.40 $7.00 $8.70 $5.70 $6.00 $6.80 $7.00 Note to the advisor: Each application regarding SOLO Healthcare must be accompanied with the head office illustration page, no matter which application has been filled.

4 Monthly premium per child FAMILY WITH 1 OR 2 CHILDREN (premium per child) FAMILY WITH 3 OR MORE CHILDREN (premium per child) (BASIC PLAN) 1 $7.50 $8.90 $8.90 $7.00 $8.20 $ A $21.80 $18.10 $18.10 $19.80 $16.20 $ B (Enhanced, $30.60 $27.10 $29.90 $28.60 $25.20 $ C $29.10 $40.10 $40.10 $26.40 $35.70 $ D (Enhanced, $38.00 $70.10 $72.90 $35.30 $64.00 $66.90 Monthly premium per child FAMILY WITH 1 OR 2 CHILDREN (premium per child) FAMILY WITH 3 OR MORE CHILDREN (premium per child) (ENHANCED PLAN) 2-A 2-B 2-C 2-D (Enhanced, (Enhanced, $27.00 $24.60 $24.60 $24.30 $22.00 $22.00 $35.80 $33.60 $36.40 $33.10 $31.00 $33.90 $34.30 $46.60 $46.60 $30.90 $41.50 $41.50 $43.20 $76.60 $79.40 $39.80 $69.80 $72.70 Monthly premium per child FAMILY WITH 1 OR 2 CHILDREN (premium per child) FAMILY WITH 3 OR MORE CHILDREN (premium per child) OPTIONAL EXTRAS Hospitalization $3.50 $3.20 $3.20 $3.20 $2.90 $2.90 Hospitalization $3.90 $3.60 $3.60 $3.70 $3.20 $3.20 Although all the figures are verified, if there is disparity between the premiums indicated in this document and those on the illustration, the latter will have precedence.

5 Calculate your monthly premium example PLAN NUMBER: 1-D PRICING: Single person, Couple, Child (Family with 1 or 2 children), Child (Family with 3 or more children) Mary Taylor Couple $ Peter Taylor Couple $ Emily Taylor Child (family with 3 or more children) $64.00 Anthony Taylor Child (family with 3 or more children) $64.00 Lucas Taylor Child (family with 3 or more children) $35.30 TOTAL A: $ ADD-ONS AND EXTRAS: Hospitalization Mary Taylor Couple $3.70 Peter Taylor Couple $3.70 Emily Taylor Child (family with 3 or more children) $2.90 Anthony Taylor Child (family with 3 or more children) $2.90 Lucas Taylor Child (family with 3 or more children) $3.20 TOTAL B: $16.40 TOTAL MONTHLY PREMIUM A B: $ Calculate your monthly premium PLAN NUMBER: TOTAL A: ADD-ONS AND EXTRAS: TOTAL B: TOTAL MONTHLY PREMIUM A B:

6 Desjardins Insurance Desjardins Insurance is a subsidiary of Desjardins Group, the sixth largest financial institution in Canada. Desjardins Insurance ranks fifth among life and health insurers in Canada and first in Quebec. Desjardins Insurance provides life insurance, health insurance and retirement savings products to its employees, clients and partners. The company employs nearly 4,100 people in offices across the country, including Vancouver, Calgary, Winnipeg, Toronto, Ottawa, Montreal, Quebec, Lévis, Halifax and St. John s. SOLO TM Desjardins Insurance refers to Desjardins Financial Security Life Assurance Company. TM Trademark owned by Desjardins Financial Security 10294E08 (16-01)