Period of coverage

Premium for student only

Premium to add dependent spouse

Premium to add dependent child(ren)

Domestic students (not medical, dental, or nursing students)

8/22/08 - 8/21/09

$1,439

$3,216

$2,505

Domestic students (medical, dental, or nursing students only)

8/22/08 - 8/21/09

$1,605

$3,589

$2,795

International students

8/15/08 - 1/14/09

$396.25

$847.50

$456.25