PREPAIRED FOR: Scott Beskin
ONLINE ACCESS CONSECO HEALTH QUOTES

QUOTE GOOD FOR: 20 Days		POLICY TERM: 12 Months
Preparation Date: 10/26/2000 State/Zip: FL/33043

NAMES AGE GENDER SMOKER 1. Scott Beskin 63 MALE NO 5. Patricia Beskin 60 FEMALE NO

RX card included with $250, $500, and $750 deductible plans ONLY.

Include initial 12 month rate guarantee.

Premium Summary for Conseco Medical Insurance Company's Med IV Personal Major Medical Insurance ****** PPO Quote ****** PLAN -A- PPO 50% of $2,000 DEDUCTIBLE(S) $5,000 Basic Premium $605.24 Administrative Fee $7.50 MONTHLY COST: $612.74 QUARTERLY COST: $1,838.22

PLAN -A- = WE SUGEST THIS PLAN FOR SAVINGS

There is a one time $10.00 non-refundable application fee.

Make sure to print this page before you continue

DID YOU LIKE OUR QUOTE?

customer service:954.927.0255

These quotes, dated 10/26/2000, was calculated by MED IV Personal Major Medical Proposal System for Windows version 2.01.00 Actual rates will be the rates in effect on the date the application is signed. All quotes are subject to verification by Conseco Medical Insurance Co., Schaumburg, IL. [A1.551 Tr1.3216 Cpy1 SRU1 RAdj1 APMF1 PMF1 Lf0 Mat0 D5000/0.515 ]