Page 11 - Appendices for Barbara Pender

10/13/21, 4:23 PM MSRG_II

2021 GUIDE ON MEDICARE SUPPLEMENT
INSURANCE

Depending on the "search" criteria (i.e. policy type, age, ZIP code, and location / county) you
entered, the table below displays the annual rate(s) approved by the department's Health
Actuary Office (HAO) or DMHC and verified by the insurance company. Based on a
California resident and "non-tobacco" user profile, the rate's table is intended to provide a
comparison tool for the public to use in making informed decisions addressing their Medicare
Supplement (Medigap) needs.

For more information regarding Medicare Supplement (Medigap) Insurance and changes
effective January 1, 2020, please select Guide to Medicare Supplement

The Medicare Supplement (Medigap) rates displayed on the table below reflect effective
dates provided by the company.

Policy Type Individual

Age 65
ZIP Code 92603
Individual policies do
Location (County): ORANGE
not require that you
Reset belong to a group.

Waiting A B C D F High G High K L M N
Period F G
(Days)
BLUE CROSS OF CALIFORNIA - (800) 333-3883 Methodology: AA

60 $1,655 - - - $2,758 - $1,820 - - - - $2,034

Restrictions Effective Date: 03/01/2021
CALIFORNIA PHYSICIANS SERVICE - (800) 248- Methodology: AA
2341
0 $1,500 - $2,436 $2,064 $2,136 $732 $1,692 - $1,104 - - $1,632

Restrictions Effective Date: 04/01/2021
CIGNA HEALTH AND LIFE INSURANCE Methodology: AA
COMPANY - (866) 459-4272

180 $1,796 - - - $2,376 $639 $1,935 - - - - $1,498
Restrictions Effective Date: 07/01/2020
COLONIAL PENN LIFE INSURANCE COMPANY - Methodology: AA
(800)523-9100

0 $1,677 $2,163 - $1,787 $2,399 $484 $2,204 $448 $760 $1,603 $1,950 $1,467
Restrictions Effective Date: 01/01/2021

https://interactive.web.insurance.ca.gov/apex_extprd/f?p=111:31:17370409616237::NO::P31_SUBMIT:Y 1/5