Page 5 - APPENDICES for Hans Burkhardt

9/13/21, 11:40 AM 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.
Individual policies do
not require
Policy Type Individual
membership in a
Age 66
specific group.;
ZIP Code 94544
Location (County): ALAMEDA
Reset

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 $1,362 - - - $2,436 - $1,630 - - - - $1,752

Restrictions Effective Date: 03/01/2021
CALIFORNIA PHYSICIANS SERVICE - (800) 248- Methodology: AA
2341
0 $1,368 - $2,280 $1,944 $1,992 $600 $1,572 - $1,020 - - $1,488

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

180 $1,559 - - - $2,063 $555 $1,680 - - - - $1,300
Restrictions Effective Date: 07/01/2020
COLONIAL PENN LIFE INSURANCE COMPANY - Methodology: AA
(800)523-9100

0 $1,737 $2,247 - $1,877 $2,493 $503 $2,297 $466 $777 $1,650 $2,030 $1,543
Restrictions Effective Date: 01/01/2021

https://interactive.web.insurance.ca.gov/apex_extprd/f?p=111:31:2694919103471::NO::P31_SUBMIT:Y 1/5