Insured Prescription Card

Markel Insurance Company is pleased to partner with Companion Life Insurance Company to bring you an insured prescription card benefit**.  Groups may choose from one of three levels of coverage:

Retail Pharmacy Generic Co-payment: $5.00;  $2500 maximum benefit per covered person per year	Mail Order Generic Co-payment:  $25.00
Retail Pharmacy Generic Co-payment:  $10.00;  $2500 maximum benefit per covered person per year	Mail Order Generic Co-payment $30.00
Retail Pharmacy Generic Co-payment: $15.00; $2500 maximum benefit per covered person per year	Mail Order Generic Co-payment $45.00

INSURED PRESCRIPTION CARD PREMIUMS

Coverage Type	Plan Description	Monthly Premium**
Employee	$10 co-pay on generic prescriptions, $2500 calendar year max.	$18.04
Employee & Child	$10 co-pay on generic prescriptions, $2500 calendar year max.	$31.57
Employee & Spouse	$10 co-pay on generic prescriptions, $2500 calendar year max.	$35.53
Family	$10 co-pay on generic prescriptions, $2500 calendar year max.	$50.50
Employee	$5 co-pay on generic prescriptions, $2500 calendar year max.	$25.20
Employee & Child	$5 co-pay on generic prescriptions, $2500 calendar year max.	$43.34
Employee & Spouse	$5 co-pay on generic prescriptions, $2500 calendar year max.	$49.16
Family	$5 co-pay on generic prescriptions, $2500 calendar year max.	$70.57
Employee	$15 co-pay on generic prescriptions, $2500 calendar year max.	$15.93
Employee & Child	$15 co-pay on generic prescriptions, $2500 calendar year max.	$27.88
Employee & Spouse	$15 co-pay on generic prescriptions, $2500 calendar year max.	$31.13
Family	$15 co-pay on generic prescriptions, $2500 calendar year max.	$43.80

*The Insured Drug Card Program is provided through another party.  Markel Insurance Company is not responsible for any discounts, services or insurance provided through these programs.

**Premiums quoted contemplate 12% agent compensation.