GROUP MONTHLY PARTICIPANT FEES

Participant Only…………………………………………$3.90

Participant & One Dependent……………………………………..........…$7.80

Participant & Two or more Dependents…………………………………............…$9.90

Flat Monthly Administrative Fee Per Group Contract……………………………………….…..........$10.00


INDIVIDUAL ANNUAL PARTICIPANT FEES

Participant Only…………………………………………$49.95

Participant & One Dependent……………………………………..........…$98.95

Participant & Two or more Dependents…………………………………............…$127.95

*Fees current as of January, 2005. Fees are subject to change. Please contact Administrative Office at 520-297-1266 for verification.