| Insured | Insured | |||||
| Amount | Rate | Amount | Rate | |||
| $30,000 | $106.00 | $115,000 | $467.00 | |||
| $35,000 | $123.00 | $120,000 | $479.00 | |||
| $40,000 | $149.00 | $125,000 | $497.00 | |||
| $45,000 | $188.00 | $130,000 | $509.00 | |||
| $50,000 | $215.00 | $135,000 | $527.00 | |||
| $55,000 | $230.00 | $140,000 | $539.00 | |||
| $60,000 | $239.00 | $145,000 | $557.00 | |||
| $65,000 | $266.00 | $150,000 | $569.00 | |||
| $70,000 | $284.00 | $155,000 | $581.00 | |||
| $75,000 | $311.00 | $160,000 | $589.00 | |||
| $80,000 | $329.00 | $165,000 | $601.00 | |||
| $85,000 | $356.00 | $170,000 | $609.00 | |||
| $90,000 | $374.00 | $175,000 | $621.00 | |||
| $95,000 | $401.00 | $180,000 | $629.00 | |||
| $100,000 | $419.00 | $185,000 | $641.00 | |||
| $105,000 | $437.00 | $190,000 | $649.00 | |||
| $110,000 | $449.00 | $195,000 | $661.00 | |||
| $200,000 | $669.00 | |||||
| Policies over $200,000.00, add $2.00 per thousand | ||||||
| Simultaneous issue fee, add $100.00 | ||||||