PREPAIRED FOR: Alan Jones
ONLINE ACCESS CONSECO HEALTH QUOTES

QUOTE GOOD FOR: 20 Days		POLICY TERM: 12 Months
Preparation Date: 12/27/2000 State/Zip: FL/32218

NAMES AGE GENDER SMOKER 1. Alan Jones 46 MALE NO 1. Pamela Jones 42 FEMALE NO

..Prescription Drug Card and mail Order Benfits
If your Plan Deductible is................		Your Rx Deductible is
$500 or $750 ..................................		$ 100
$1,000, $1,500 or $2,500 ..................		$ 250
$5,000 or $10,000 ...........................		$ 1,000
..Includes initial 12 month rate guarantee.

Premium Summary for Conseco Medical Insurance Company's Classic Choice ****** PPO (Beach Street Network) Quote ****** PLAN -A- PPO 80/20 of $5,000 COPAY $15 Deduct. $1,000 Basic Premium $410.99 Optional Benefits $0.0 SUBTOTAL: $410.99 Fees: $9.16 TOTAL MONTHLY PREMIUM: (EFT) $420.15 TOTAL QUARTERLY PREMIUM: $1,260.45

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

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customer service:954.927.0255

These quotes, dated 12/26/2000, was calculated by Classic Choice 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 ]