Page 4 - APPENDICES for Hans Burkhardt

9/13/21, 11:39 AM MSRG_II

These premiums are from the
California Dept. of Insurance.
Some of these premiums
may be out of date.

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.
With group policies
Policy Type Group
you may need to
Age 66 belong to a certain
ZIP Code 94544 group. As an
Location (County): ALAMEDA example, to get a
UnitedHealthcare
Reset
policy you must be a
member of AARP.
Waiting A B C D F High G High K L M N
Period F G
(Days)
HEALTH NET LIFE INSURANCE COMPANY - (800) Methodology: AA
926-4178
0 $1,416 $1,740 $2,028 $1,848 $2,028 $852 $1,860 - $1,080 $1,464 $1,704 -

Restrictions Effective Date: 01/01/2021

TRANSAMERICA LIFE INSURANCE COMPANY - Methodology: IA
1-800-797-2643

180 $1,479 $1,930 $2,244 $2,087 $2,265 - $1,982 - $986 $1,468 $1,804 $1,699
Restrictions Effective Date: 05/01/2020

UNITEDHEALTHCARE INSURANCE COMPANY - Methodology: CR
(800) 523-5800

90 $1,190 $1,698 $2,012 - $2,020 - $1,608 - $639 $1,130 - $1,363

Restrictions Effective Date: 04/01/2020

Please note that on January 1, 2020 there will be changes in Medicare Supplement
(Medigap).

https://interactive.web.insurance.ca.gov/apex_extprd/f?p=111:31:2694919103471::NO::P31_SUBMIT:Y 1/2