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? <br />a <br /> <br />Commt;.rLi`Y Mutual Instsa-nce Com-o?ny <br />R2T1@i,YZl 1;OL_Cn <br />)jLkY? ? ET.: ZTILr kG!=. <br />C.I.D.. S6?305901 <br />E?=ective Date: March 1, 199,1 <br />CL?R?NT 2ATES <br />rP=ITIONAL P ACKAGE <br />He4Ith <br />Drug <br />Tot-al <br />TRADITIONA-T1 P?1CKAC-E <br />$145.89 $453_47 <br />$ 13.6$ S 32_77 <br />$160.54 $486.24 <br />R=WAIL ?U,^FS <br />$152_42 $476_52 <br />$'?9.37 S 43_76 <br />?171.79 $520.2$ <br />`?ON!-J-?Y aP.?til ? u?? ?I_ != E.t-'?iCE <br />Rates $ 160.5? $ 486_24 $ 171.79 $ 520.28 <br />Fn rollme-r2t 8 29 8 ,29 <br />Premium $1,285.32 $14,100_96 $1,374.32 S15,088_22 <br />TOtGl ?Y'em?um 515,385.23 ? ?a <br />$16, _52 . _ _ <br />P%'emiurt Adj us traer_t : 7 0 <br />EX'n Ma ff A