Effective Date
8/1/2006 12:00:00 AM
8/15/2006 12:00:00 AM
9/1/2006 12:00:00 AM
9/15/2006 12:00:00 AM
10/1/2006 12:00:00 AM
10/15/2006 12:00:00 AM
Birthdate
Gender
Tier
Medical Condition
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Select
Male
Female
Select
Single
Couple
Parent/Child(ren)
Family
None
ACNE
Acoustic Neuroma
Adrenal Disorders
AIDS/ARCLymphotropicVirus
AMENORRHEA
ANEMIA
ANXIETY/DEPRESSION
ARTHRITIS
BACK PROBLEMS
CANCER-BILIARYTRACT
CANCER-BLOOD
CANCER-BRAIN
CANCER-BREAST
CANCER-FEMALEGENITALSYSTEM
CANCER-INTESTINES
CANCER-LYMPHSYSTEM
CANCER-PROSTATE
CANCER-RESPIRATORYSYSTEM
CANCER-SKIN
CARDIOMEGALY
CENTRAL NERVOUS SYSTEM DISORDERS
CHRONIC BRONCHITIS
CHRONIC LIVER DISORDERS
CHRONICFATIGUE SYNDROME
CONGENITAL HEART DIOSRDERS
CONNECTIVE TISSUEDISEASE
DIABETES MELLITUS
DIABETES-Type I
DIABETES-Type II
DIGESTIVE DISORDERS
EPILEPSY
FIBROMYALGIA
Glaucoma
HEMORRHAGE
HYPER KINETIC SYNDROME
Hypercholesterolemia
HYPERTENSION
INFLAMMATORY BOWEL DISORDERS
KNEE DISORDERS
PERIPHERAL VASCULAR DISEASE
PREGNANCY
PSORIASIS
RETINAL DISORDERS
SUBSTANCE ABUSE
Underwriting Results
Risk Points (expected):
0.0
Risk Points (actual):
0
Medical Underwriting Rate-Up Percentage:
#DIV/0!