<center><b><h2>2023 Contributions &amp Limits</h2></b></center>
<!-- Table --> <table> <thead> <center><i><h5><b>Traditional Sharing</b></h5> $1,000 Annual Member Responsibility (AMR)except those with Medicare A & B who have a $500 AMR<br> $2,000 Annual Family Responsibility<br> Annual Medical Sharing Limit $150,000 per person</i></center> <tr> <th><center>Age Bracket<br></center></th> <th><center>Ages<br></center></th> <th><center>Annual Share Amount<br></center></th> <th><center>Monthly Share Amount<br></center></th> </tr> </thead> <tbody> <tr> <td><center>1</center></td> <td><center>00-14</center></td> <td><center>$1008.00</center></td> <td><center>$84.00</center></td> </tr> <tr> <td><center>2</center></td> <td><center>15-19</center></td> <td><center>$1,488.00</center></td> <td><center>$124.00</center></td> </tr> <tr> <td><center>3</center></td> <td><center>20-24</center></td> <td><center>$1,956.00</center></td> <td><center>$163.00</center></td> </tr> <tr> <td><center>4</center></td> <td><center>25-29</center></td> <td><center>$2,256.00</center></td> <td><center>$188.00</center></td> </tr> <tr> <td><center>5</center></td> <td><center>30-34</center></td> <td><center>$2,568.00</center></td> <td><center>$214.00</center></td> </tr> <tr> <td><center>6</center></td> <td><center>35-39</center></td> <td><center>$2,832.00</center></td> <td><center>$236.00</center></td> </tr> <tr> <td><center>7</center></td> <td><center>40-44</center></td> <td><center>$3,108.00</center></td> <td><center>$259.00</center></td> </tr> <tr> <td><center>8</center></td> <td><center>45-49</center></td> <td><center>$3,432.00</center></td> <td><center>$286.00</center></td> </tr> <tr> <td><center>9</center></td> <td><center>50-54</center></td> <td><center>$3,696.00</center></td> <td><center>$308.00</center></td> </tr> <tr> <td><center>A</center></td> <td><center>55-59</center></td> <td><center>$3,984.00</center></td> <td><center>$332.00</center></td> </tr> <tr> <td><center>B</center></td> <td><center>60-64</center></td> <td><center>$4,284.00</center></td> <td><center>$357.00</center></td> </tr> <tr> <td><center>C</center></td> <td><center>65+</center></td> <td><center>$2,148.00</center></td> <td><center>$179.00</center></td> </tr> </tbody> </table> <hr class="style-two"> <table> <thead> <center><i><h5><b>Dental Program (available only with the Traditional Sharing)</b></h5> $150 Dental Annual Member Responsibility (AMR)<br> Annual Dental Sharing Limit $8,000</i></center> <tr> <th><center>Age Bracket<br></center></th> <th><center>Ages<br></center></th> <th><center>Annual Share Amount<br></center></th> <th><center>Monthly Share Amount<br></center></th> </tr> </thead> <tbody> <tr> <td><center>All</center></td> <td><center>All</center></td> <td><center>$336.00</center></td> <td><center>$28.00</center></td> </tr> </tbody> </table> <hr class="style-two"> <table> <thead> <center><i><h5><b>Vision Program (available only with the Traditional Sharing)</b></h5> $150 Vision Annual Member Responsibility (AMR)<br> Annual Vision Sharing Limit $1,000</i></center> <tr> <th><center>Age Bracket<br></center></th> <th><center>Ages<br></center></th> <th><center>Annual Share Amount<br></center></th> <th><center>Monthly Share Amount<br></center></th> </tr> </thead> <tbody> <tr> <td><center>All</center></td> <td><center>All</center></td> <td><center>$168.00</center></td> <td><center>$14.00</center></td> </tr> </tbody> </table> <hr class="style-two"> <table> <thead> <center><i><h5><b>Diabetic Supply Program (available only with the Traditional Sharing)</b></h5> No additional shares required to enroll ‐ ‐ ‐ Not subject to the Annual Member Responsibility (AMR)<br> Type 1 Diabetic Monthly Supply Sharing Limit $300<br> Type 2 Diabetic Monthly Supply Sharing Limit $150</i></center> </thead> </table> <hr class="style-two"> <table> <thead> <center><i><h5><b>Emerald Care Sharing</b></h5> $5,000 Incident Member Responsibility (IMR)<br> Annual Sharing Limit $100,000 per person *<br> Illness Sharing Limit $125,000 per illness *</i></center> <tr> <th><center>Age Bracket<br></center></th> <th><center>Ages<br></center></th> <th><center>Annual Share Amount<br></center></th> <th><center>Monthly Share Amount<br></center></th> </tr> </thead> <tbody> <tr> <td><center>All</center></td> <td><center>0-64</center></td> <td><center>$756.00 per Unit</center></td> <td><center>$63.00 per Unit</center></td> </tr> </tbody> </table> <hr class="style-two"> <table> <thead> <center><i><h5><b>Diamond Care Sharing</b></h5> $1,000 Annual Member Responsibility (AMR)<br> Annual Sharing Limit $200,000 per person *<br> Illness Sharing Limit $125,000 per illness *</i></center> <tr> <th><center>Age Bracket<br></center></th> <th><center>Ages<br></center></th> <th><center>Annual Share Amount<br></center></th> <th><center>Monthly Share Amount<br></center></th> </tr> </thead> <tbody> <tr> <td><center>All</center></td> <td><center>Al0-64</center></td> <td><center>$2,628.00 per Unit</center></td> <td><center>$219.00 per Unit</center></td> </tr> </tbody> </table> <hr class="style-two"> <table> <thead> <center><i><h5><b>ExtenCare (available only with Emerald Care Sharing & Diamond Care Sharing)</b></h5> * This plan extends sharing limits for Emerald Care and Diamond Care by $100,000 per person per year</i></center> <tr> <th><center>Age Bracket<br></center></th> <th><center>Ages<br></center></th> <th><center>Annual Share Amount<br></center></th> <th><center>Monthly Share Amount<br></center></th> </tr> </thead> <tbody> <tr> <td><center>All</center></td> <td><center>0-64</center></td> <td><center>$336.00 per Unit</center></td> <td><center>$28.00 per Unit</center></td> </tr> </tbody> </table>