You have indicated (Family) coverage.
A. These are only estimated monthly premiums and are subject to change based on underwriting review
B. Premium rates are based on the age of the oldest family member. The enrollment application must be written with the oldest family member as the applicant.
C. Premiums under these plans are subject to adjustment each January 1, if your original effective date is January 1 through June 30, or each July 1, if your original effective date is July 1 through December 31.
D. Premiums will increase on the first of the month following the birthday on which the subscriber (policyholder) moves from one age category to another.
E. Approval of your application is subject to IHC Health Plans underwriting requirements and is not guaranteed.