DURATION OF STAY AFTER 65-31 DAYS; $56.25 TO $187.50 MISC. EXTRAS: $75 TO $250 MAXIMUM SURGICAL SCHEDULE

GUARANTEED RENEWABLE TO ANNIVERSARY NEAREST 65TH BIRTHDAY WITH RIGHT OF CONVERSION WITHOUT EVIDENCE
OF INSURABILITY TO COMPANY'S SENIOR CITIZEN LIFETIME PLAN.

**With Optional $50-$100 Deductible

Optional Benefits-In-hospital medical; Private duty nursing; Supplementary accident and medical.

Optional Benefits Supplementary Accident Expense; Maternity

*See Senior Citizen Lifetime Guaranteed Renewable Hospital-Surgical Expense Plans

DURATION OF STAY AFTER 65-60 DAYS; $50 TO $200 MISC. EXTRAS 6 OR MORE DAYS

2) In-hospital medical 3) Diagnostic expense 4) Private duty

nursing

1) Maternity

1) Maternity
2) In-hospital
medical
3) Out-patient
accident

Optional $50-$100 Deductible

Optional Benefits-Catastrophy and Poliomyletis expense

DURATION OF STAY AFTER 65-35 DAYS; $80 TO $250 MISC. EXTRAS

*See Senior Citizen Lifetime Guaranteed Renewable Hospital-Surgical Expense Plans

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