Premium of Global Elite II are not guaranteed. AXA China Region Insurance Company (Bermuda) Limited (Incorporated in Bermuda with limited liability) (

Transcription

1 Global Elite II Health Plan 寰宇特選 II 醫療計劃 Premium Table 保費表 A

2 Premium of Global Elite II are not guaranteed. AXA China Region Insurance Company (Bermuda) Limited (Incorporated in Bermuda with limited liability) ( the Company ) reserves the right to change all or any part of this policy including the Benefits Schedule and/or any of the terms and conditions, but only for the reasons shown in the policy at each policy anniversary. Premium of Global Elite II will be adjusted based on the attained age of the insured on each policy anniversary and according to the prevailing premium at the time of renewal. You may refer to your financial consultant or the Company for more information on renewal premium. The information furnished herein by the Company is only to be used for reference purposes. 寰宇特選 II 的保費並非保證, 安盛保險 ( 百慕達 ) 有限公司 ( 於百慕達註冊成立的有限公司 )( 本公司 ) 保留於每個保單週年重新檢討及調整全部或部份保單內容包括保險賠償表及 / 或任何條款及條件之權利, 但只限於保單內所列明之原因 寰宇特選 II 保費會於每個保單週年續保時, 根據被保人的已屆及當時適用之保費作出調整 請聯絡您的理財顧問或本公司以取得更多續保保費詳情 此處由本公司提供的資料只可用於參考之用

3 List of Principal Country of Residence The country where the insured lives or intends to live for most of the Policy Year being 185 days or more and which will be shown as the insured s address and place of residence in our records. Name Zone Country/Territory Code Afghanistan 6 AFG Albania 6 ALB Alderney 4 GBA Algeria 6 ALG American Samoa 4 ASA Andorra 5 AND Angola 6 ANG Anguilla 4 AGU Antarctica 5 ANT Antigua & Barduda 4 ANB Argentina 4 ARG Armenia 5 ARM Aruba 4 ARU Australia 5 AUS Austria 5 AUT Azerbaijan 6 AZR Azores 5 AZO Bahamas 4 BHS Bahrain 2 BRN Bangladesh 4 BDH Barbados 4 BDS Belgium 5 BEL Belize 4 BLZ Benin 6 BEN Bermuda 4 BER Bhutan 5 BHU Bolivia 4 BOL Bosnia & Herzegovir 6 BOS Botswana 6 BTW Bouvet Island 6 BOV Brazil 4 BRZ British Indian Ocean Territory 6 BIO Brunei Darussalam 6 BRU Bulgaria 5 BUL Burkina Faso 5 BKF Burundi 5 BRD Cambodia 6 CAM Cameroon 6 CMR Canada 6 CDN Canary Islands 4 CYI Cape Verde 6 CVI Cayman Islands 4 CAY Central African Republic 5 CAR Chad 6 CHD Chile 4 CHL China 7 CHN Christmas Island 5 CHR Cocos (Keeling) Islands 5 COC Colombia 4 COL Comoros 6 COM Cook Islands 5 COK Costa Rica 4 CRC Cote d lvoire 6 COT Croatia 6 CRO Cyprus 5 CYP Czech Republic 6 CZH Denmark 6 DMK Djibouti 6 DJB Dominica 4 DOM Dominican Republic 4 DOM Ecuador 4 ECU Egypt 6 EGP El Salvador 4 ELS Equatorial Guinea 5 EGU Eritrea 6 ERI Estonia 5 EST Ethiopia 6 ETH Falkland Islands (Malvinas) 4 FAK Faroe Islands 6 FIS Fiji 5 FIJ Finland 5 FIN France 5 FRA French Guiana 5 FGU French Polynesia 5 FPO French Southern Territories 5 FST Gabon 5 GAB Gambia 6 GAM Georgia 5 GEO Germany 4 GER Name Zone Country/Territory Code Ghana 6 GHA Gibraltar 4 GBZ Greece 2 GCE Greenland 6 GRE Grenada 4 GND Guadeloupe 4 GUD Guam 5 GUA Guatemala 2 GTM Guernsey 4 GBG Guinea 6 GUI Guinea-Bissau 6 GUB Guyana 4 GUY Haiti 4 HAI Heard and McDonald Islands 5 HMI Herm 5 HRM Holy See (Vatican City State) 4 VAT Honduras 2 HON Hong Kong 2 HGK Hungary 6 HUN Iceland 6 ICL India 6 IND Indonesia 5 IDS Iraq 4 IRQ Ireland 4 IRL Isle of Man 4 GBM Israel 2 ISL Italy 4 ITL Jamaica 4 JAM Japan 6 JAP Jersey 3 GBJ Jordan 5 JOR Kazakhstan 6 KAZ Kenya 4 KEN Kiribati 5 KIR Kuwait 4 KWT Kyrgyzstan 5 KYR Lao People s Democratic Rep 5 LAO Latvia 5 LAT Lebanon 4 LEB Lesotho 5 LSO Liberia 5 LIB Libyan Arab Jamahiriya 5 LBY Liechtenstein 4 LCH Lithuania 5 LIT Luxembourg 6 LUX Macau 2 MCA Madagascar 6 MAD Madeira 4 MAE Malawi 5 MLW Malaysia 6 MAL Maldives 5 MDS Mali 6 MAI Malta 6 MLT Marshall Islands 5 MIS Martinique 4 MAR Mauritania 6 MRT Mauritius 5 MAU Mayotte 5 MAY Mexico 2 MEX Micronesia Federated States 5 MIC Moldova (Republic of) 5 MOL Monaco 4 MNC Mongolia 4 MNG Montenegro 5 MTG Montserrat 4 MON Morocco 6 MOR Mozambique 6 MOZ Namibia 5 NMB Nauru 5 NAU Nepal 5 NEP Netherlands 6 HOL Netherlands Antilles 4 NEA New Caledonia 5 NCL New Zealand 6 NZL Nicaragua 4 NCA Niger 5 NGR Nigeria 5 NIG Niue 5 NIU Norfolk Island 5 NOF Name Zone Country/Territory Code Northern Mariana Islands 5 NMI Norway 6 NOR Oman 5 UAO Pakistan 6 PAK Palau 5 PAL Panama 4 PAN Papua New Guinea 6 PNG Paraguay 4 PGY Peru 4 PER Philippines 6 PHI Pitcairn 5 PIT Poland 6 POL Portugal 4 POR Puerto Rico 4 PRC Qatar 5 UAQ Republic of Macedonia 6 MAC Reunion 5 RUN Romania 6 ROM Russian Federation 3 RUS Rwanda 5 RWA Saint Helena 4 SHL Saint Kitts and Nevis 4 STK Saint Lucia 4 STL Saint Pierre and Miquelon 4 SPM Samoa 5 SAU San Marino 5 SMA Sao Tome and Principe 5 SAO Sark 4 GBS Saudi Arabia 4 SDA Senegal 5 SGL Serbia 5 SER Seychelles 5 SEY Sierra Leone 5 SLN Singapore 3 SGP Slovakia 6 SLV Slovenia 6 SLO Solomon Islands 5 SOI South Africa 5 RSA South Korea (Republic of) 6 KOR Spain 3 ESP Sri Lanka 6 SRL St Vincent and the Grenadines 4 STV Sth Georgia and Sth Sandwich Is 4 SGS Suriname 4 SME Svalbard and Jan Mayen 5 SVA Swaziland 5 SWZ Sweden 6 SWE Switzerland 3 SWI Taiwan 4 TWN Tajikistan 5 TAJ Tanzania (United Republic of) 5 TNZ Thailand 5 THI Timor-Leste 5 TIM Togo 6 TOG Tokelau 5 TOK Tonga 5 TNG Trinidad and Tobago 4 TAT Tunisia 5 TUN Turkey 5 TRK Turkmenistan 5 TUR Turks and Caicos Islands 4 TUK Tuvalu 5 TUV UAE 4 UAE Uganda 5 EAU Ukraine 5 UKR United Kingdom 3 GBR Uruguay 4 UGY Uzbekistan 5 UZB Vanuatu 5 VAN Venezuela 4 VNZ Vietnam 5 VIT Virgin Islands (British) 4 VIK Virgin Islands (US) 4 VIU Wallis and Futuna Islands 5 WAL Western Sahara 5 SAH Yemen 4 YEM Zambia 5 ZAM We define as Afghanistan, Bangladesh, Bhutan, Brunei, Cambodia, China, Hong Kong, India, Indonesia, Japan, Kazakhstan, Kyrgyzstan, Laos, Macau, Malaysia, Maldives, Mongolia, Myanmar, Nepal, North Korea, Pakistan, Philippines, Singapore, South Korea, Sri Lanka, Taiwan, Tajikistan, Thailand, Timor-Leste, Turkmenistan, Uzbekistan, Vietnam We define excluding USA as excluding USA We define as Note: No country in the List of Principal Country of Residence currently belongs to Zone 1. Hong Kong, Macau and Taiwan are respectively considered as country for the purposes of this policy. 1

4 主要居留地列表 被保人於保單年度內大部分時間 ( 即 185 日或以上 ) 生活或擬定生活, 並於本公司紀錄列為被保人地址及居留地的國家 名稱區國家 / 地區碼名稱區國家 / 地區碼名稱區國家 / 地區碼 阿富汗 6 AFG 阿爾巴尼亞 6 ALB 奧爾德尼 4 GBA 阿爾及利亞 6 ALG 美屬薩摩亞 4 ASA 安道爾共和國 5 AND 安哥拉 6 ANG 安圭拉島 4 AGU 南極洲 5 ANT 安堤瓜及巴爾布達 4 ANB 阿根廷 4 ARG 亞美利亞 5 ARM 阿魯巴 4 ARU 澳洲 5 AUS 奧地利 5 AUT 阿塞拜疆 6 AZR 亞速爾群島 5 AZO 巴哈馬 4 BHS 巴林 2 BRN 孟加拉 4 BDH 巴巴多斯 4 BDS 比利時 5 BEL 伯利茲 4 BLZ 貝寧 6 BEN 百慕達 4 BER 不丹 5 BHU 玻利維亞 4 BOL 波斯尼亞和黑塞哥維那 6 BOS 博茨瓦納 6 BTW 布維島 6 BOV 巴西 4 BRZ 英屬印度洋地區 6 BIO 汶萊達魯薩蘭國 6 BRU 保加利亞 5 BUL 布基納法索 5 BKF 布隆迪 5 BRD 柬埔寨 6 CAM 喀麥隆 6 CMR 加拿大 6 CDN 加納利群島 4 CYI 佛得角 6 CVI 開曼群島 4 CAY 中非共和國 5 CAR 乍得 6 CHD 智利 4 CHL 中國 7 CHN 聖誕島 5 CHR 科科斯群島 5 COC 哥倫比亞 4 COL 科摩羅 6 COM 庫克群島 5 COK 哥斯達黎加 4 CRC 科特迪瓦 6 COT 克羅地亞 6 CRO 塞浦路斯 5 CYP 捷克 6 CZH 丹麥 6 DMK 吉布提 6 DJB 多米尼加 4 DOM 多明尼加共和國 4 DOM 厄瓜多爾 4 ECU 埃及 6 EGP 薩爾瓦多 4 ELS 赤道幾內亞 5 EGU 厄立特里亞 6 ERI 愛沙尼亞 5 EST 埃塞俄比亞 6 ETH 福克蘭群島 ( 馬爾維納斯群島 ) 4 FAK 法羅群島 6 FIS 斐濟 5 FIJ 芬蘭 5 FIN 法國 5 FRA 法屬圭亞那 5 FGU 法屬波利尼西亞 5 FPO 法國南部地區 5 FST 加蓬 5 GAB 岡比亞 6 GAM 格魯吉亞 5 GEO 德國 4 GER 加納 6 GHA 直布羅陀 4 GBZ 希臘 2 GCE 格陵蘭 6 GRE 格林納達 4 GND 瓜德羅普 4 GUD 關島 5 GUA 危地馬拉 2 GTM 格恩西島 4 GBG 幾內亞 6 GUI 幾內亞比紹 6 GUB 圭亞那 4 GUY 海地 4 HAI 赫德島及麥克唐納島 5 HMI 赫姆 5 HRM 教廷 ( 梵蒂岡城國 ) 4 VAT 洪都拉斯 2 HON 香港 2 HGK 匈牙利 6 HUN 冰島 6 ICL 印度 6 IND 印尼 5 IDS 伊拉克 4 IRQ 愛爾蘭 4 IRL 馬恩島 4 GBM 以色列 2 ISL 意大利 4 ITL 牙買加 4 JAM 日本 6 JAP 澤西 3 GBJ 約旦 5 JOR 哈薩克 6 KAZ 肯尼亞 4 KEN 基里巴斯 5 KIR 科威特 4 KWT 吉爾吉斯 5 KYR 老撾人民民主共和國 5 LAO 拉脫維亞 5 LAT 黎巴嫩 4 LEB 萊索托 5 LSO 利比里亞 5 LIB 阿拉伯利比亞民眾國 5 LBY 列支敦士登 4 LCH 立陶宛 5 LIT 盧森堡 6 LUX 澳門 2 MCA 馬達加斯加 6 MAD 馬德拉群島 4 MAE 馬拉維 5 MLW 馬來西亞 6 MAL 馬爾代夫 5 MDS 馬里 6 MAI 馬耳他 6 MLT 馬紹爾群島 5 MIS 馬提尼克島 4 MAR 毛里塔尼亞 6 MRT 毛里求斯 5 MAU 馬約特 5 MAY 墨西哥 2 MEX 密克羅尼西亞聯邦 5 MIC 摩爾多瓦共和國 5 MOL 摩納哥 4 MNC 蒙古 4 MNG 黑山 5 MTG 蒙特塞拉特島 4 MON 摩洛哥 6 MOR 莫桑比克 6 MOZ 納米比亞 5 NMB 瑙魯 5 NAU 尼泊爾 5 NEP 荷蘭 6 HOL 荷屬安的列斯 4 NEA 新喀里多尼亞 5 NCL 新西蘭 6 NZL 尼加拉瓜 4 NCA 尼日爾 5 NGR 尼日利亞 5 NIG 紐埃島 5 NIU 諾褔克島 5 NOF 北馬里亞納群島 5 NMI 挪威 6 NOR 阿曼 5 UAO 巴基斯坦 6 PAK 帕勞 5 PAL 巴拿馬 4 PAN 巴布亞新幾內亞 6 PNG 巴拉圭 4 PGY 秘魯 4 PER 菲律賓 6 PHI 皮特凱恩 5 PIT 波蘭 6 POL 葡萄牙 4 POR 波多黎各 4 PRC 卡塔爾 5 UAQ 馬其頓共和國 6 MAC 留尼汪島 5 RUN 羅馬尼亞 6 ROM 俄羅斯聯邦 3 RUS 盧旺達 5 RWA 聖赫勒拿島 4 SHL 聖基茨及尼維斯 4 STK 聖盧西亞 4 STL 聖皮埃爾島及密克隆島 4 SPM 薩摩亞 5 SAU 聖馬力諾 5 SMA 聖多美和普林西比 5 SAO 薩克島 4 GBS 沙特阿拉伯 4 SDA 塞內加爾 5 SGL 塞爾維亞 5 SER 塞舌爾 5 SEY 塞拉利昂 5 SLN 新加坡 3 SGP 斯洛伐克 6 SLV 斯洛文尼亞 6 SLO 所羅門群島 5 SOI 南非 5 RSA 南韓 ( 大韓民國 ) 6 KOR 西班牙 3 ESP 斯里蘭卡 6 SRL 聖文森特和格林內丁斯 4 STV 南喬治亞島及南桑威奇群島 4 SGS 蘇里南 4 SME 斯瓦爾巴特群島及揚馬延島 5 SVA 斯威士蘭 5 SWZ 瑞典 6 SWE 瑞士 3 SWI 台灣 4 TWN 塔吉克斯坦 5 TAJ 坦桑尼亞 ( 聯合共和國 ) 5 TNZ 泰國 5 THI 東帝汶 5 TIM 多哥 6 TOG 托克勞群島 5 TOK 湯加 5 TNG 特立尼達和多巴哥 4 TAT 突尼斯 5 TUN 土耳其 5 TRK 土庫曼斯坦 5 TUR 特克斯和凱科斯群島 4 TUK 圖瓦盧 5 TUV 阿拉伯聯合酋長國 4 UAE 烏干達 5 EAU 烏克蘭 5 UKR 英國 3 GBR 烏拉圭 4 UGY 烏茲別克斯坦 5 UZB 瓦努阿圖 5 VAN 委內瑞拉 4 VNZ 越南 5 VIT 英屬維爾京群島 4 VIK 美屬維爾京群島 4 VIU 瓦利斯群島和富圖納群島 5 WAL 西撒哈拉 5 SAH 也門 4 YEM 贊比亞 5 ZAM 指 阿富汗 孟加拉 不丹 汶萊 柬埔寨 中國 香港 印度 印尼 日本 哈薩克 吉爾吉斯 老撾 澳門 馬來西亞 馬爾代夫 蒙古 緬甸 尼泊爾 北韓 巴基斯坦 菲律賓 新加坡 南韓 斯里蘭卡 台灣 塔吉克 泰國 東帝汶 土庫曼 烏茲別克 越南 ( 不包括美國 ) 指 各地, 但不包括美國 指 2 附註 : 現時主要居留地列表中並無任何國家屬於第 1 區 就有關本保單而言, 香港 澳門及台灣均分別地被視為國家

5 Annual Deductible Option: NIL 每年自付額選擇 : 無 PRESTIGE 特級 COMPREHENSIVE 全面 STANDARD 標準 ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) 0 20,343 2,625 20,864 2,692 44,733 5, ,343 2,625 20,864 2,692 44,733 5, ,343 2,625 20,864 2,692 44,733 5, ,343 2,625 20,864 2,692 44,733 5, ,343 2,625 20,864 2,692 44,733 5, ,343 2,625 20,864 2,692 44,733 5, ,343 2,625 20,864 2,692 44,733 5, ,343 2,625 20,864 2,692 44,733 5, ,343 2,625 20,864 2,692 44,733 5, ,343 2,625 20,864 2,692 44,733 5, ,634 2,921 23,229 2,997 44,733 5, ,956 3,220 25,595 3,303 45,492 5, ,703 3,446 27,386 3,534 48,677 6, ,735 3,450 27,418 3,538 49,950 6, ,670 3,570 28,378 3,662 50,046 6, ,777 3,713 29,513 3,808 52,047 6, ,928 3,862 30,694 3,961 54,129 6, ,125 4,016 32,075 4,139 56,294 7, ,732 4,223 33,564 4,331 58,546 7, ,665 4,344 35,027 4,520 60,888 7, ,012 4,518 36,603 4,723 63,324 8, ,237 4,676 38,250 4,935 66,173 8, ,506 4,839 39,971 5,158 69,151 8, ,818 5,009 41,770 5,390 72,608 9, ,983 5,159 43,650 5,632 76,239 9, ,982 5,288 45,614 5,886 80,813 10, ,602 5,368 46,034 5,940 82,861 10, ,451 5,478 46,954 6,059 84,518 10, ,434 5,604 48,171 6,216 86,708 11, ,539 5,876 50,599 6,529 91,078 11, ,816 6,170 53,129 6,855 95,632 12, ,201 6,219 53,557 6,911 96,402 12, ,564 6,395 55,071 7,106 99,127 12, ,948 6,574 56,608 7, ,895 13, ,134 6,856 59,038 7, ,268 13, ,745 6,935 59,717 7, ,491 13, ,893 7,083 60,993 7, ,787 14, ,458 7,156 61,620 7, ,916 14, ,751 7,194 61,946 7, ,503 14, ,122 7,242 62,357 8, ,243 14, ,267 7,389 63,630 8, ,534 14, ,412 7,537 64,902 8, ,824 15, ,725 7,706 66,358 8, ,161 15, ,159 7,891 67,953 8, ,508 15, ,924 8,119 69,920 9, ,154 16, ,716 8,350 71,906 9, ,908 16, ,214 8,544 73,571 9, ,486 16, ,719 8,738 75,245 9, ,116 17, ,248 8,935 76,944 9, ,798 17, ,786 9,134 78,647 10, ,881 18, ,337 9,334 80,371 10, ,359 18, ,896 9,535 82,111 10, ,855 18, ,476 9,739 83,866 10, ,389 19, ,462 10,124 87,177 11, ,449 20, ,864 10,563 90,960 11, ,338 21, ,326 11,010 94,800 12, ,355 22, ,847 11,464 98,721 12, ,493 23, ,647 11, ,943 13, ,192 24, ,021 12, ,916 14, ,246 25, ,242 13, ,827 14, ,001 27, ,441 14, ,703 15, ,681 29, ,960 15, ,950 16, ,072 30, ,875 15, ,640 17, ,285 32, ,215 16, ,797 18, ,374 34, ,009 17, ,450 19, ,470 36, ,830 19, ,257 21, ,785 39, ,391 20, ,772 22, ,412 42, ,197 21, ,662 23, ,458 44, ,439 22, ,144 25, ,014 48, ,493 24, ,537 27, ,182 51, ,356 25, ,378 28, ,679 53, ,093 26, ,222 29, ,008 56, ,315 28, ,574 31, ,316 59, ,010 29, ,454 32, ,627 61, ,235 30, ,913 34, ,021 64, ,977 32, ,969 36, ,290 67, ,297 34, ,649 37, ,331 69, ,193 35, ,985 39, ,167 72, ,710 37, ,001 41, ,831 75, ,687 39, ,419 43, ,350 78, ,384 40, ,428 45, ,767 81,389 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,136 4,405 17,068 2,202 18,958 2,446 34,733 4,482 17,068 2,202 18,958 2,446 35,343 4,560 18,564 2,395 20,627 2,662 37,128 4,791 18,750 2,419 20,833 2,688 37,500 4,839 18,937 2,443 21,041 2,715 37,875 4,887 19,127 2,468 21,252 2,742 38,253 4,936 19,318 2,493 21,464 2,770 38,636 4,985 19,511 2,518 21,679 2,797 39,022 5,035 19,706 2,543 21,896 2,825 39,413 5,086 19,903 2,568 22,115 2,854 39,807 5,136 20,699 2,671 22,999 2,968 41,399 5,342 21,527 2,778 23,919 3,086 43,055 5,555 22,389 2,889 24,876 3,210 44,777 5,778 23,284 3,004 25,871 3,338 46,568 6,009 24,215 3,125 26,906 3,472 48,431 6,249 25,184 3,250 27,982 3,611 50,368 6,499 26,191 3,379 29,102 3,755 52,383 6,759 27,239 3,515 30,266 3,905 54,478 7,029 28,329 3,655 31,476 4,061 56,657 7,311 29,462 3,802 32,735 4,224 58,924 7,603 30,640 3,954 34,045 4,393 61,281 7,907 31,866 4,112 35,407 4,569 63,732 8,223 33,141 4,276 36,823 4,751 66,281 8,552 34,466 4,447 38,296 4,941 68,932 8,894 35,845 4,625 39,828 5,139 71,690 9,250 37,279 4,810 41,421 5,345 74,557 9,620 38,770 5,003 43,077 5,558 77,539 10,005 40,320 5,203 44,801 5,781 80,641 10,405 41,933 5,411 46,593 6,012 83,867 10,822 46,451 5,994 51,613 6,660 92,903 11,987 48,548 6,264 53,942 6,960 97,096 12,529 50,085 6,463 55,651 7, ,171 12,925 51,961 6,705 57,734 7, ,922 13,409 53,618 6,918 59,576 7, ,237 13,837 55,273 7,132 61,414 7, ,546 14,264 56,655 7,310 62,950 8, ,311 14,621 58,074 7,493 64,527 8, ,148 14,987 59,489 7,676 66,094 8, ,898 15,342 61,242 7,902 68,037 8, ,733 15,707 62,882 8,114 69,866 9, ,988 15,998 65,002 8,387 72,224 9, ,383 16,437 67,505 8,710 75,012 9, ,093 17,044 70,131 9,049 77,919 10, ,063 17,686 72,990 9,418 81,100 10, ,775 18,423 75,979 9,804 84,420 10, ,754 19,194 79,059 10,201 87,844 11, ,862 19,982 82,314 10,621 91,463 11, ,438 20,831 86,887 11,211 96,545 12, ,659 21,891 92,238 11, ,485 13, ,398 23,277 96,335 12, ,042 13, ,468 23, ,474 13, ,858 14, ,025 25, ,078 14, ,204 15, ,742 27, ,401 14, ,220 16, ,551 28, ,357 15, ,065 17, ,083 31, ,384 16, ,872 18, ,057 32, ,830 17, ,144 19, ,568 34, ,936 18, ,145 20, ,857 36, ,958 19, ,173 22, ,136 39, ,078 21, ,199 23, ,775 41, ,837 21, ,710 24, ,930 43, ,783 22, ,425 25, ,572 45, ,911 23, ,235 26, ,823 47, ,528 24, ,584 27, ,060 48, ,603 25, ,557 28, ,201 50, ,684 26, ,536 29, ,368 53, ,906 27, ,562 30, ,816 54, ,993 28, ,553 31, ,997 57, ,526 29, ,134 33, ,046 59, ,825 30, ,362 34, ,650 61, ,976 32, ,970 36, ,947 65,025 8,190 1,057 9,100 1,174 16,379 2,113 8,435 1,088 9,373 1,209 16,871 2,177 8,688 1,121 9,654 1,246 17,377 2,242 8,862 1,143 9,847 1,271 17,725 2,287 9,128 1,178 10,044 1,296 18,079 2,333 9,399 1,213 10,345 1,335 18,441 2,379 9,591 1,238 10,604 1,368 18,809 2,427 9,784 1,262 10,832 1,398 19,186 2,476 10,076 1,300 11,045 1,425 19,628 2,533 10,378 1,339 11,271 1,454 20,216 2,609 10,631 1,372 11,568 1,493 20,823 2,687 10,832 1,398 11,915 1,537 21,448 2,767 11,032 1,423 12,273 1,584 22,091 2,850 11,234 1,450 12,641 1,631 22,754 2,936 11,497 1,483 12,957 1,672 23,323 3,009 11,784 1,521 13,281 1,714 23,906 3,085 12,020 1,551 13,547 1,748 24,384 3,146 12,383 1,598 13,956 1,801 25,120 3,241 12,631 1,630 14,235 1,837 25,623 3,306 12,883 1,662 14,519 1,873 26,135 3,372 13,109 1,691 14,774 1,906 26,592 3,431 13,338 1,721 15,032 1,940 27,058 3,491 13,572 1,751 15,295 1,974 27,531 3,552 13,809 1,782 15,563 2,008 28,013 3,615 14,051 1,813 15,835 2,043 28,503 3,678 14,338 1,850 16,112 2,079 29,002 3,742 14,660 1,892 16,394 2,115 29,510 3,808 15,105 1,949 17,005 2,194 30,608 3,949 15,586 2,011 18,200 2,348 32,759 4,227 16,061 2,072 18,978 2,449 34,161 4,408 16,560 2,137 19,821 2,558 35,677 4,603 17,024 2,197 20,487 2,643 36,877 4,758 17,760 2,292 21,453 2,768 38,615 4,983 18,242 2,354 22,088 2,850 39,758 5,130 18,829 2,430 22,742 2,934 40,935 5,282 19,395 2,503 23,457 3,027 42,223 5,448 20,084 2,591 24,200 3,123 43,560 5,621 20,276 2,616 24,357 3,143 43,843 5,657 21,512 2,776 25,663 3,311 46,194 5,961 22,332 2,882 26,980 3,481 48,565 6,266 23,522 3,035 28,164 3,634 50,695 6,541 24,702 3,187 29,376 3,790 52,876 6,823 26,025 3,358 30,650 3,955 55,170 7,119 27,209 3,511 31,935 4,121 57,483 7,417 28,671 3,699 33,226 4,287 59,807 7,717 30,708 3,962 35,210 4,543 63,379 8,178 32,707 4,220 37,531 4,843 67,556 8,717 35,008 4,517 39,481 5,094 71,066 9,170 37,314 4,815 41,460 5,350 74,627 9,629 39,877 5,145 44,307 5,717 79,753 10,291 41,965 5,415 46,628 6,017 83,930 10,830 44,863 5,789 49,848 6,432 89,726 11,578 50,844 6,561 56,493 7, ,688 13,121 54,323 7,009 60,359 7, ,646 14,019 58,355 7,530 64,839 8, ,711 15,059 63,298 8,167 70,331 9, ,595 16,335 66,516 8,583 73,907 9, ,032 17,165 69,760 9,001 77,511 10, ,520 18,003 73,022 9,422 81,136 10, ,045 18,845 74,866 9,660 83,185 10, ,733 19,320 77,163 9,957 85,736 11, ,325 19,913 81,265 10,486 90,295 11, ,530 20,972 85,106 10,981 94,562 12, ,212 21,963 87,434 11,282 97,149 12, ,869 22,564 90,704 11, ,783 13, ,409 23,408 95,716 12, ,351 13, ,432 24,701 99,298 12, ,626 14, ,327 25, ,189 13, ,210 15, ,377 27,920 ZONE 2 第 2 區 3

6 Annual Deductible Option: 12,000 or 1,500 每年自付額選擇 :12,000 或 1,500 ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) 第 2 區 ZONE ,206 1,575 12,518 1,615 26,840 3, ,206 1,575 12,518 1,615 26,840 3, ,206 1,575 12,518 1,615 26,840 3, ,206 1,575 12,518 1,615 26,840 3, ,206 1,575 12,518 1,615 26,840 3, ,206 1,575 12,518 1,615 26,840 3, ,206 1,575 12,518 1,615 26,840 3, ,206 1,575 12,518 1,615 26,840 3, ,206 1,575 12,518 1,615 26,840 3, ,206 1,575 12,518 1,615 26,840 3, ,580 1,753 13,937 1,798 26,840 3, ,974 1,932 15,357 1,982 27,295 3, ,022 2,068 16,432 2,120 29,206 3, ,041 2,070 16,451 2,123 29,970 3, ,602 2,142 17,027 2,197 30,028 3, ,266 2,228 17,708 2,285 31,228 4, ,957 2,317 18,416 2,377 32,477 4, ,675 2,410 19,245 2,483 33,776 4, ,639 2,534 20,138 2,599 35,128 4, ,199 2,606 21,016 2,712 36,533 4, ,007 2,711 21,962 2,834 37,994 4, ,742 2,806 22,950 2,961 39,704 5, ,504 2,903 23,983 3,095 41,491 5, ,291 3,005 25,062 3,234 43,565 5, ,990 3,095 26,190 3,379 45,743 5, ,589 3,173 27,368 3,532 48,488 6, ,961 3,221 27,620 3,564 49,717 6, ,471 3,287 28,172 3,635 50,711 6, ,060 3,362 28,903 3,730 52,025 6, ,323 3,526 30,359 3,917 54,647 7, ,690 3,702 31,877 4,113 57,379 7, ,921 3,731 32,134 4,147 57,841 7, ,738 3,837 33,043 4,264 59,476 7, ,569 3,944 33,965 4,382 61,137 7, ,880 4,114 35,423 4,571 63,761 8, ,247 4,161 35,830 4,623 64,495 8, ,936 4,250 36,596 4,722 65,872 8, ,275 4,294 36,972 4,771 66,550 8, ,451 4,316 37,168 4,796 66,902 8, ,673 4,345 37,414 4,828 67,346 8, ,360 4,433 38,178 4,926 68,720 8, ,047 4,522 38,941 5,024 70,094 9, ,835 4,624 39,815 5,137 71,497 9, ,695 4,735 40,772 5,261 72,905 9, ,754 4,871 41,952 5,413 75,092 9, ,830 5,010 43,144 5,567 77,345 9, ,728 5,126 44,143 5,696 78,892 10, ,631 5,243 45,147 5,825 80,470 10, ,549 5,361 46,166 5,957 82,079 10, ,472 5,480 47,188 6,089 83,929 10, ,402 5,600 48,223 6,222 86,015 11, ,338 5,721 49,267 6,357 88,113 11, ,286 5,843 50,320 6,493 90,233 11, ,077 6,074 52,306 6,749 94,469 12, ,118 6,338 54,576 7,042 99,203 12, ,196 6,606 56,880 7, ,013 13, ,308 6,878 59,233 7, ,896 14, ,588 7,172 61,766 7, ,115 14, ,813 7,589 65,350 8, ,748 15, ,545 8,071 69,496 8, ,401 16, ,265 8,550 73,622 9, ,009 17, ,176 9,055 77,970 10, ,043 18, ,325 9,590 82,584 10, ,571 19, ,729 10,159 87,478 11, ,624 20, ,405 10,762 92,670 11, ,882 22, ,698 11,445 98,554 12, ,471 23, ,835 12, ,263 13, ,847 25, ,718 12, ,797 14, ,075 26, ,463 13, ,286 15, ,208 28, ,696 14, ,322 16, ,309 30, ,014 15, ,227 17, ,407 32, ,856 16, ,733 17, ,605 33, ,989 16, ,544 18, ,390 35, ,406 17, ,672 19, ,776 37, ,141 18, ,148 20, ,813 38, ,186 19, ,981 21, ,374 40, ,578 20, ,189 22, ,399 41, ,316 21, ,791 23, ,900 43, ,426 22, ,801 25, ,899 45, ,212 23, ,451 26, ,410 47, ,230 24, ,257 27, ,460 48,833 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,482 2,643 10,241 1,321 11,375 1,468 20,840 2,689 10,241 1,321 11,375 1,468 21,206 2,736 11,138 1,437 12,376 1,597 22,277 2,875 11,250 1,451 12,500 1,613 22,500 2,903 11,362 1,466 12,625 1,629 22,725 2,932 11,476 1,481 12,751 1,645 22,952 2,962 11,591 1,496 12,878 1,662 23,182 2,991 11,707 1,511 13,007 1,678 23,413 3,021 11,824 1,526 13,138 1,695 23,648 3,052 11,942 1,541 13,269 1,712 23,884 3,082 12,419 1,603 13,799 1,781 24,839 3,205 12,916 1,667 14,351 1,852 25,833 3,333 13,433 1,733 14,926 1,926 26,866 3,467 13,970 1,802 15,523 2,003 27,941 3,605 14,529 1,875 16,144 2,083 29,059 3,749 15,110 1,950 16,789 2,167 30,221 3,899 15,715 2,027 17,461 2,253 31,430 4,055 16,343 2,109 18,160 2,343 32,687 4,217 16,997 2,193 18,886 2,437 33,994 4,387 17,677 2,281 19,641 2,534 35,354 4,562 18,384 2,372 20,427 2,636 36,769 4,744 19,120 2,467 21,244 2,741 38,239 4,934 19,885 2,566 22,094 2,851 39,769 5,131 20,680 2,668 22,978 2,965 41,359 5,336 21,507 2,775 23,897 3,083 43,014 5,550 22,367 2,886 24,853 3,207 44,734 5,772 23,262 3,002 25,846 3,335 46,523 6,003 24,192 3,122 26,881 3,469 48,385 6,243 25,160 3,247 27,956 3,607 50,320 6,493 27,871 3,596 30,968 3,996 55,742 7,192 29,129 3,758 32,365 4,176 58,258 7,517 30,051 3,878 33,391 4,309 60,103 7,755 31,177 4,023 34,640 4,470 62,353 8,045 32,171 4,151 35,746 4,612 64,342 8,302 33,164 4,279 36,848 4,754 66,328 8,558 33,993 4,386 37,770 4,874 67,987 8,773 34,844 4,496 38,716 4,996 69,689 8,992 35,693 4,606 39,656 5,117 71,339 9,205 36,745 4,741 40,822 5,267 73,040 9,424 37,729 4,868 41,920 5,409 74,393 9,599 39,001 5,032 43,334 5,591 76,430 9,862 40,503 5,226 45,007 5,807 79,256 10,226 42,079 5,429 46,751 6,032 82,238 10,612 43,794 5,651 48,660 6,279 85,665 11,054 45,587 5,882 50,652 6,536 89,252 11,516 47,435 6,121 52,706 6,801 92,917 11,989 49,388 6,373 54,878 7,081 96,863 12,499 52,132 6,727 57,927 7, ,795 13,135 55,343 7,141 61,491 7, ,239 13,966 57,801 7,458 64,225 8, ,281 14,359 61,484 7,933 68,315 8, ,815 15,331 65,447 8,445 72,722 9, ,045 16,393 69,241 8,934 76,932 9, ,131 17,307 74,014 9,550 82,239 10, ,650 18,664 78,230 10,094 86,923 11, ,434 19,669 82,698 10,671 91,886 11, ,141 20,792 87,562 11,298 97,287 12, ,514 22,131 92,975 11, ,304 13, ,082 23,623 97,847 12, ,719 14, ,665 24, ,902 13, ,226 14, ,758 26, ,070 13, ,855 15, ,143 27, ,747 14, ,941 15, ,494 28, ,717 14, ,350 16, ,436 29, ,562 15, ,734 16, ,121 30, ,410 15, ,122 17, ,821 31, ,744 16, ,937 18, ,490 32, ,596 17, ,332 19, ,198 34, ,316 17, ,680 19, ,628 35, ,295 18, ,217 20, ,590 36, ,186 19, ,982 21, ,368 39,015 4, , ,827 1,268 5, , ,123 1,306 5, , ,426 1,345 5, , ,635 1,372 5, , ,847 1,400 5, , ,065 1,427 5, , ,285 1,456 5, , ,512 1,486 6, , ,777 1,520 6, , ,130 1,565 6, , ,494 1,612 6, , ,869 1,660 6, , ,255 1,710 6, , ,652 1,762 6, ,774 1,003 13,994 1,805 7, ,969 1,028 14,344 1,851 7, ,128 1,049 14,630 1,888 7, ,374 1,081 15,072 1,945 7, ,541 1,102 15,374 1,984 7, ,711 1,124 15,681 2,023 7,865 1,015 8,864 1,144 15,955 2,059 8,003 1,033 9,019 1,164 16,235 2,095 8,143 1,051 9,177 1,184 16,519 2,131 8,285 1,069 9,338 1,205 16,808 2,169 8,431 1,088 9,501 1,226 17,102 2,207 8,603 1,110 9,667 1,247 17,401 2,245 8,796 1,135 9,836 1,269 17,706 2,285 9,063 1,169 10,203 1,316 18,365 2,369 9,352 1,207 10,920 1,409 19,655 2,536 9,637 1,243 11,387 1,469 20,497 2,645 9,936 1,282 11,893 1,535 21,406 2,762 10,214 1,318 12,292 1,586 22,126 2,855 10,656 1,375 12,872 1,661 23,169 2,990 10,945 1,412 13,253 1,710 23,855 3,078 11,297 1,458 13,645 1,760 24,561 3,169 11,637 1,502 14,074 1,816 25,334 3,269 12,050 1,555 14,520 1,874 26,136 3,373 12,166 1,570 14,614 1,886 26,306 3,394 12,907 1,666 15,398 1,987 27,716 3,577 13,399 1,729 16,188 2,089 29,139 3,760 14,113 1,821 16,898 2,180 30,417 3,925 14,821 1,912 17,626 2,274 31,726 4,094 15,615 2,015 18,390 2,373 33,102 4,271 16,325 2,107 19,161 2,473 34,490 4,450 17,203 2,219 19,936 2,572 35,884 4,630 18,425 2,377 21,126 2,726 38,027 4,907 19,624 2,532 22,519 2,906 40,534 5,230 21,005 2,710 23,689 3,056 42,640 5,502 22,388 2,889 24,876 3,210 44,776 5,777 23,926 3,087 26,584 3,430 47,852 6,175 25,179 3,249 27,977 3,610 50,358 6,498 26,918 3,473 29,909 3,859 53,836 6,947 30,506 3,937 33,896 4,373 61,013 7,873 32,594 4,205 36,215 4,673 65,188 8,411 35,013 4,518 38,903 5,020 70,027 9,035 37,979 4,900 42,199 5,445 75,957 9,801 39,910 5,150 44,344 5,722 79,819 10,299 41,856 5,401 46,507 6,001 83,712 10,802 43,813 5,653 48,682 6,281 87,627 11,307 44,920 5,796 49,911 6,440 89,840 11,592 46,298 5,974 51,442 6,638 92,595 11,948 48,759 6,292 54,177 6,991 97,518 12,583 51,064 6,589 56,737 7, ,127 13,178 52,460 6,769 58,289 7, ,921 13,538 54,422 7,022 60,470 7, ,845 14,045 57,430 7,410 63,811 8, ,859 14,821 59,579 7,688 65,776 8, ,396 15,277 64,913 8,376 72,126 9, ,826 16,752 4

7 Annual Deductible Option: 40,000 or 5,000 每年自付額選擇 :40,000 或 5,000 ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) 0 10,172 1,313 10,432 1,346 22,367 2, ,172 1,313 10,432 1,346 22,367 2, ,172 1,313 10,432 1,346 22,367 2, ,172 1,313 10,432 1,346 22,367 2, ,172 1,313 10,432 1,346 22,367 2, ,172 1,313 10,432 1,346 22,367 2, ,172 1,313 10,432 1,346 22,367 2, ,172 1,313 10,432 1,346 22,367 2, ,172 1,313 10,432 1,346 22,367 2, ,172 1,313 10,432 1,346 22,367 2, ,317 1,461 11,615 1,499 22,367 2, ,478 1,610 12,798 1,652 22,746 2, ,352 1,723 13,693 1,767 24,339 3, ,368 1,725 13,709 1,769 24,975 3, ,835 1,785 14,189 1,831 25,023 3, ,389 1,857 14,757 1,904 26,024 3, ,964 1,931 15,347 1,981 27,065 3, ,563 2,008 16,038 2,070 28,147 3, ,366 2,112 16,782 2,166 29,273 3, ,833 2,172 17,514 2,260 30,444 3, ,506 2,259 18,302 2,362 31,662 4, ,119 2,338 19,125 2,468 33,087 4, ,753 2,420 19,986 2,579 34,576 4, ,409 2,505 20,885 2,695 36,304 4, ,992 2,580 21,825 2,816 38,120 4, ,491 2,644 22,807 2,943 40,407 5, ,801 2,684 23,017 2,970 41,431 5, ,226 2,739 23,477 3,030 42,259 5, ,717 2,802 24,086 3,108 43,354 5, ,770 2,938 25,300 3,265 45,539 5, ,908 3,085 26,565 3,428 47,816 6, ,101 3,110 26,779 3,456 48,201 6, ,782 3,198 27,536 3,553 49,564 6, ,474 3,287 28,304 3,652 50,948 6, ,567 3,428 29,519 3,809 53,134 6, ,873 3,468 29,859 3,853 53,746 6, ,447 3,542 30,497 3,935 54,894 7, ,729 3,578 30,810 3,976 55,458 7, ,876 3,597 30,973 3,997 55,752 7, ,061 3,621 31,179 4,023 56,122 7, ,634 3,695 31,815 4,105 57,267 7, ,206 3,769 32,451 4,187 58,412 7, ,863 3,853 33,179 4,281 59,581 7, ,580 3,946 33,977 4,384 60,754 7, ,462 4,060 34,960 4,511 62,577 8, ,358 4,175 35,953 4,639 64,454 8, ,107 4,272 36,786 4,747 65,743 8, ,860 4,369 37,623 4,855 67,058 8, ,624 4,468 38,472 4,964 68,399 8, ,393 4,567 39,324 5,074 69,941 9, ,169 4,667 40,186 5,185 71,680 9, ,948 4,768 41,056 5,298 73,428 9, ,738 4,870 41,933 5,411 75,195 9, ,231 5,062 43,589 5,625 78,725 10, ,932 5,282 45,480 5,869 82,669 10, ,663 5,505 47,400 6,116 86,678 11, ,424 5,732 49,361 6,369 90,747 11, ,324 5,977 51,472 6,642 95,096 12, ,011 6,324 54,458 7, ,623 12, ,121 6,726 57,914 7, ,001 13, ,221 7,125 61,352 7, ,341 14, ,480 7,546 64,975 8, ,036 15, ,938 7,992 68,820 8, ,143 16, ,608 8,466 72,899 9, ,687 17, ,505 8,969 77,225 9, ,235 18, ,915 9,538 82,129 10, ,893 19, ,196 10,090 86,886 11, ,206 21, ,099 10,723 92,331 11, ,229 22, ,720 11,448 98,572 12, ,007 24, ,747 12, ,269 13, ,591 25, ,178 12, ,189 14, ,840 26, ,047 13, ,611 14, ,004 28, ,158 14, ,287 15, ,658 29, ,505 14, ,227 16, ,814 30, ,118 15, ,457 17, ,511 32, ,989 16, ,985 18, ,145 33, ,149 17, ,825 18, ,166 34, ,597 17, ,993 19, ,584 36, ,355 18, ,501 20, ,416 37, ,844 19, ,710 21, ,675 39, ,692 20, ,214 22, ,384 40,695 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,068 2,203 8,534 1,101 9,479 1,223 17,367 2,241 8,534 1,101 9,479 1,223 17,672 2,280 9,282 1,198 10,314 1,331 18,564 2,396 9,375 1,210 10,417 1,344 18,750 2,420 9,469 1,222 10,521 1,358 18,938 2,444 9,564 1,234 10,626 1,371 19,127 2,468 9,659 1,247 10,732 1,385 19,318 2,493 9,756 1,259 10,840 1,399 19,511 2,518 9,853 1,272 10,948 1,413 19,707 2,543 9,952 1,284 11,058 1,427 19,904 2,568 10,350 1,336 11,500 1,484 20,700 2,671 10,764 1,389 11,960 1,543 21,528 2,778 11,195 1,445 12,438 1,605 22,389 2,889 11,642 1,502 12,936 1,669 23,284 3,005 12,108 1,563 13,453 1,736 24,216 3,125 12,592 1,625 13,991 1,806 25,184 3,250 13,096 1,690 14,551 1,878 26,192 3,380 13,620 1,758 15,133 1,953 27,239 3,515 14,165 1,828 15,738 2,031 28,329 3,656 14,731 1,901 16,368 2,112 29,462 3,802 15,320 1,977 17,023 2,197 30,641 3,954 15,933 2,056 17,704 2,285 31,866 4,112 16,571 2,138 18,412 2,376 33,141 4,276 17,233 2,224 19,148 2,471 34,466 4,447 17,923 2,313 19,914 2,570 35,845 4,625 18,640 2,405 20,711 2,673 37,279 4,810 19,385 2,502 21,539 2,779 38,770 5,003 20,160 2,602 22,401 2,891 40,321 5,203 20,967 2,706 23,297 3,006 41,934 5,411 23,226 2,997 25,807 3,330 46,452 5,994 24,274 3,132 26,971 3,480 48,548 6,265 25,043 3,232 27,826 3,591 50,086 6,463 25,981 3,353 28,867 3,725 51,961 6,705 26,809 3,459 29,788 3,844 53,619 6,919 27,637 3,566 30,707 3,962 55,273 7,132 28,328 3,655 31,475 4,062 56,656 7,311 29,037 3,747 32,264 4,163 58,074 7,494 29,745 3,838 33,047 4,264 59,449 7,671 30,621 3,951 34,019 4,390 60,867 7,854 31,441 4,057 34,933 4,508 61,994 7,999 32,501 4,194 36,112 4,660 63,692 8,219 33,753 4,355 37,506 4,840 66,047 8,522 35,066 4,525 38,960 5,027 68,532 8,843 36,495 4,709 40,550 5,233 71,388 9,212 37,990 4,902 42,210 5,447 74,377 9,597 39,530 5,101 43,922 5,668 77,431 9,991 41,157 5,311 45,732 5,901 80,719 10,416 43,444 5,606 48,273 6,229 84,830 10,946 46,119 5,951 51,243 6,612 90,199 11,639 48,168 6,215 53,521 6,906 92,734 11,966 51,237 6,611 56,929 7,346 99,013 12,776 54,539 7,038 60,602 7, ,871 13,661 57,701 7,445 64,110 8, ,776 14,423 61,679 7,959 68,533 8, ,542 15,554 65,192 8,412 72,436 9, ,029 16,391 68,915 8,893 76,572 9, ,284 17,327 72,968 9,415 81,073 10, ,929 18,443 77,479 9,998 86,087 11, ,568 19,686 81,539 10,521 90,600 11, ,388 20,824 84,919 10,957 94,355 12, ,965 21,802 88,392 11,406 98,213 12, ,786 22,811 91,456 11, ,618 13, ,912 23,602 94,764 12, ,292 13, ,530 24,456 98,802 12, ,779 14, ,601 25, ,842 13, ,268 14, ,684 26, ,453 13, ,281 15, ,908 27, ,497 14, ,777 15, ,999 28, ,263 14, ,067 16, ,523 29, ,413 15, ,681 17, ,825 30, ,988 16, ,985 18, ,974 32,513 4, , ,190 1,057 4, , ,436 1,089 4, , ,689 1,121 4, , ,863 1,144 4, , ,040 1,167 4, , ,221 1,190 4, , ,405 1,214 4, , ,593 1,238 5, , ,814 1,267 5, , ,108 1,305 5, , ,412 1,344 5, , ,724 1,384 5, , ,046 1,425 5, , ,377 1,468 5, , ,662 1,505 5, , ,953 1,543 6, , ,192 1,573 6, , ,560 1,621 6, , ,812 1,653 6, , ,068 1,686 6, , ,296 1,716 6, , ,529 1,746 6, , ,766 1,776 6, ,782 1,004 14,007 1,808 7, ,918 1,022 14,252 1,839 7, ,056 1,040 14,501 1,871 7, ,197 1,058 14,755 1,904 7, ,503 1,097 15,304 1,975 7,793 1,006 9,100 1,174 16,380 2,114 8,031 1,036 9,489 1,225 17,081 2,204 8,280 1,069 9,911 1,279 17,839 2,302 8,512 1,099 10,244 1,322 18,439 2,379 8,880 1,146 10,727 1,384 19,308 2,492 9,121 1,177 11,044 1,425 19,879 2,565 9,415 1,215 11,371 1,467 20,468 2,641 9,698 1,252 11,729 1,514 21,112 2,724 10,042 1,296 12,100 1,562 21,780 2,811 10,138 1,308 12,179 1,572 21,922 2,829 10,756 1,388 12,832 1,656 23,097 2,981 11,166 1,441 13,490 1,741 24,283 3,133 11,761 1,518 14,082 1,817 25,348 3,271 12,351 1,594 14,688 1,895 26,438 3,412 13,013 1,679 15,325 1,978 27,585 3,560 13,605 1,756 15,968 2,061 28,742 3,709 14,336 1,850 16,613 2,144 29,904 3,859 15,354 1,981 17,605 2,272 31,690 4,089 16,354 2,110 18,766 2,422 33,778 4,359 17,504 2,259 19,741 2,547 35,533 4,585 18,657 2,408 20,730 2,675 37,314 4,815 19,939 2,573 22,154 2,859 39,877 5,146 20,983 2,708 23,314 3,009 41,965 5,415 22,432 2,895 24,924 3,216 44,863 5,789 25,422 3,281 28,247 3,645 50,844 6,561 27,162 3,505 30,180 3,894 54,323 7,010 29,178 3,765 32,420 4,183 58,356 7,530 31,649 4,084 35,166 4,538 63,298 8,168 33,258 4,292 36,954 4,768 66,516 8,583 34,880 4,501 38,756 5,001 69,760 9,002 36,511 4,711 40,568 5,235 73,023 9,423 37,433 4,830 41,593 5,367 74,867 9,660 38,582 4,979 42,868 5,532 77,163 9,957 40,633 5,243 45,148 5,826 81,265 10,486 42,553 5,491 47,281 6,101 85,106 10,982 43,717 5,641 48,575 6,268 87,435 11,282 45,352 5,852 50,392 6,502 90,705 11,704 47,858 6,175 53,176 6,862 95,716 12,351 49,649 6,407 54,813 7,073 98,664 12,731 54,095 6,980 60,105 7, ,189 13,960 ZONE 2 第 2 區 5

8 Annual Deductible Option: NIL 每年自付額選擇 : 無 ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) 第 3 區 ZONE ,692 2,541 19,187 2,476 41,138 5, ,692 2,541 19,187 2,476 41,138 5, ,692 2,541 19,187 2,476 41,138 5, ,692 2,541 19,187 2,476 41,138 5, ,692 2,541 19,187 2,476 41,138 5, ,692 2,541 19,187 2,476 41,138 5, ,692 2,541 19,187 2,476 41,138 5, ,692 2,541 19,187 2,476 41,138 5, ,692 2,541 19,187 2,476 41,138 5, ,692 2,541 19,187 2,476 41,138 5, ,911 2,827 21,363 2,757 41,138 5, ,158 3,117 23,538 3,037 41,836 5, ,849 3,335 25,185 3,250 44,764 5, ,735 3,450 26,047 3,361 45,936 5, ,671 3,570 26,960 3,479 47,543 6, ,777 3,713 28,038 3,618 49,446 6, ,930 3,862 29,160 3,763 51,423 6, ,125 4,016 30,471 3,932 53,479 6, ,370 4,177 31,842 4,109 55,619 7, ,665 4,344 33,275 4,294 57,844 7, ,012 4,518 34,773 4,487 60,157 7, ,238 4,676 36,338 4,689 62,864 8, ,505 4,839 37,973 4,900 65,694 8, ,818 5,009 39,682 5,120 68,978 8, ,982 5,159 41,467 5,351 72,427 9, ,983 5,288 43,332 5,591 76,773 9, ,603 5,368 43,733 5,643 78,718 10, ,451 5,478 44,607 5,756 80,292 10, ,435 5,606 45,763 5,905 82,373 10, ,540 5,876 48,068 6,202 86,524 11, ,816 6,170 50,472 6,513 90,851 11, ,202 6,220 50,879 6,565 91,583 11, ,563 6,395 52,317 6,751 94,171 12, ,947 6,574 53,778 6,939 96,800 12, ,134 6,856 56,087 7, ,955 13, ,746 6,935 56,731 7, ,116 13, ,893 7,083 57,944 7, ,297 13, ,458 7,156 58,539 7, ,371 13, ,751 7,194 58,849 7, ,927 13, ,122 7,242 59,239 7, ,631 13, ,268 7,389 60,449 7, ,808 14, ,412 7,537 61,657 7, ,983 14, ,724 7,706 63,040 8, ,203 14, ,160 7,892 64,556 8, ,433 14, ,925 8,119 66,424 8, ,896 15, ,715 8,350 68,310 8, ,463 15, ,214 8,544 69,893 9, ,912 16, ,719 8,738 71,483 9, ,410 16, ,249 8,935 73,096 9, ,959 16, ,786 9,134 74,715 9, ,886 17, ,336 9,334 76,352 9, ,191 17, ,897 9,535 78,005 10, ,512 18, ,475 9,739 79,673 10, ,870 18, ,463 10,124 82,819 10, ,576 19, ,864 10,563 86,412 11, ,071 20, ,327 11,010 90,060 11, ,688 21, ,847 11,464 93,786 12, ,419 22, ,647 11,954 97,796 12, ,682 23, ,021 12, ,470 13, ,184 24, ,243 13, ,035 14, ,302 26, ,441 14, ,568 15, ,348 27, ,960 15, ,453 15, ,068 29, ,875 15, ,758 16, ,571 31, ,216 16, ,507 17, ,905 33, ,010 17, ,728 18, ,146 35, ,831 19, ,044 20, ,496 37, ,390 20, ,084 21, ,092 40, ,197 21, ,428 22, ,035 42, ,439 22, ,287 24, ,413 45, ,493 24, ,010 25, ,323 48, ,356 25, ,359 27, ,896 50, ,093 26, ,661 28, ,208 53, ,315 28, ,446 29, ,450 56, ,010 29, ,732 31, ,647 58, ,236 30, ,567 32, ,870 61, ,977 32, ,971 34, ,175 64, ,297 34, ,967 35, ,214 66, ,193 35, ,586 37, ,009 69, ,710 37, ,851 39, ,590 71, ,687 39, ,547 41, ,982 74, ,384 40, ,907 42, ,229 77,320 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,393 4,051 15,697 2,025 17,435 2,250 31,942 4,122 15,697 2,025 17,435 2,250 32,502 4,194 17,636 2,276 19,595 2,528 35,271 4,551 17,812 2,298 19,792 2,554 35,625 4,597 17,991 2,321 19,990 2,579 35,981 4,643 18,171 2,345 20,189 2,605 36,341 4,689 18,351 2,368 20,392 2,631 36,704 4,736 18,536 2,392 20,595 2,657 37,071 4,783 18,721 2,416 20,801 2,684 37,442 4,831 18,909 2,440 21,009 2,711 37,816 4,879 19,664 2,537 21,850 2,819 39,328 5,075 20,452 2,639 22,724 2,932 40,902 5,278 21,269 2,744 23,633 3,049 42,539 5,489 22,119 2,854 24,578 3,171 44,240 5,708 23,005 2,968 25,560 3,298 46,009 5,937 23,925 3,087 26,583 3,430 47,850 6,174 24,881 3,210 27,646 3,567 49,764 6,421 25,877 3,339 28,752 3,710 51,754 6,678 26,913 3,473 29,902 3,858 53,824 6,945 27,989 3,611 31,099 4,013 55,977 7,223 29,108 3,756 32,342 4,173 58,216 7,512 30,273 3,906 33,636 4,340 60,546 7,812 31,483 4,062 34,981 4,514 62,967 8,125 32,743 4,225 36,382 4,694 65,485 8,450 34,053 4,394 37,837 4,882 68,105 8,788 35,415 4,570 39,350 5,077 70,829 9,139 36,832 4,753 40,924 5,281 73,662 9,505 38,304 4,942 42,561 5,492 76,609 9,885 39,837 5,140 44,262 5,711 79,673 10,280 44,129 5,694 49,032 6,327 88,258 11,388 46,121 5,951 51,245 6,612 92,241 11,902 47,581 6,139 52,867 6,822 95,163 12,279 49,363 6,369 54,847 7,077 98,725 12,739 50,937 6,573 56,597 7, ,874 13,145 52,510 6,775 58,344 7, ,019 13,551 53,822 6,945 59,803 7, ,644 13,890 55,170 7,119 61,300 7, ,340 14,237 56,515 7,292 62,790 8, ,952 14,574 58,180 7,507 64,635 8, ,647 14,922 59,737 7,708 66,373 8, ,788 15,198 61,753 7,968 68,612 8, ,013 15,615 64,130 8,275 71,261 9, ,488 16,192 66,624 8,597 74,023 9, ,210 16,801 69,340 8,947 77,046 9, ,637 17,502 72,180 9,314 80,199 10, ,316 18,234 75,106 9,691 83,453 10, ,118 18,983 78,199 10,090 86,889 11, ,366 19,789 82,543 10,651 91,718 11, ,176 20,797 87,625 11,306 97,361 12, ,379 22,113 91,518 11, ,690 13, ,194 22,735 97,351 12, ,165 13, ,124 24, ,624 13, ,144 14, ,156 25, ,632 14, ,810 15, ,373 27, ,188 15, ,213 16, ,029 29, ,865 15, ,628 17, ,354 31, ,939 16, ,487 18, ,139 32, ,639 17, ,038 19, ,564 35, ,210 18, ,564 21, ,880 37, ,924 19, ,138 22, ,637 39, ,345 20, ,274 23, ,034 41, ,944 21, ,603 24, ,893 43, ,767 22, ,074 24, ,532 44, ,051 23, ,054 25, ,107 46, ,724 24, ,579 26, ,441 48, ,400 25, ,109 28, ,799 50, ,260 26, ,733 28, ,525 52, ,944 27, ,275 30, ,897 54, ,000 28, ,326 31, ,994 56, ,883 29, ,094 32, ,768 58, ,377 30, ,971 34, ,750 61,774 7,781 1,004 8,645 1,115 15,560 2,008 8,014 1,034 8,904 1,149 16,027 2,068 8,255 1,065 9,171 1,183 16,508 2,130 8,419 1,086 9,355 1,207 16,838 2,173 8,630 1,114 9,588 1,237 17,259 2,227 8,846 1,141 9,828 1,268 17,691 2,283 9,067 1,170 10,073 1,300 18,133 2,340 9,293 1,199 10,326 1,332 18,586 2,398 9,572 1,235 10,635 1,372 19,143 2,470 9,859 1,272 10,955 1,414 19,718 2,544 10,155 1,310 11,283 1,456 20,309 2,621 10,459 1,350 11,622 1,500 20,920 2,699 10,773 1,390 11,970 1,545 21,547 2,780 11,097 1,432 12,329 1,591 22,193 2,864 11,374 1,468 12,637 1,631 22,749 2,935 11,659 1,504 12,954 1,671 23,316 3,009 11,892 1,534 13,212 1,705 23,783 3,069 12,284 1,585 13,649 1,761 24,567 3,170 12,530 1,617 13,922 1,796 25,059 3,233 12,779 1,649 14,201 1,832 25,560 3,298 13,004 1,678 14,449 1,864 26,008 3,356 13,231 1,707 14,701 1,897 26,462 3,414 13,463 1,737 14,959 1,930 26,926 3,474 13,699 1,768 15,220 1,964 27,397 3,535 13,938 1,798 15,487 1,998 27,876 3,597 14,182 1,830 15,758 2,033 28,365 3,660 14,431 1,862 16,034 2,069 28,860 3,724 14,538 1,876 16,154 2,084 29,077 3,752 15,411 1,989 17,124 2,210 30,823 3,977 16,181 2,088 17,980 2,320 32,364 4,176 16,910 2,182 18,789 2,424 33,821 4,364 17,671 2,280 19,635 2,534 35,342 4,560 18,466 2,383 20,518 2,647 36,932 4,765 19,111 2,466 21,236 2,740 38,225 4,932 19,685 2,540 21,873 2,822 39,372 5,080 20,177 2,603 22,420 2,893 40,356 5,207 20,581 2,656 22,869 2,951 41,163 5,311 21,096 2,722 23,439 3,024 42,193 5,444 21,622 2,790 24,026 3,100 43,247 5,580 22,163 2,860 24,627 3,178 44,328 5,720 22,606 2,917 25,119 3,241 45,214 5,834 23,736 3,063 26,374 3,403 47,474 6,126 24,805 3,201 27,561 3,556 49,611 6,401 25,921 3,345 28,802 3,716 51,844 6,690 27,087 3,495 30,098 3,884 54,176 6,990 28,712 3,705 31,904 4,117 57,427 7,410 30,722 3,964 34,138 4,405 61,446 7,929 32,873 4,242 36,527 4,713 65,748 8,484 35,447 4,574 39,387 5,082 70,896 9,148 37,884 4,888 42,092 5,431 75,766 9,776 39,867 5,144 44,296 5,716 79,733 10,288 42,620 5,499 47,356 6,110 85,239 10,999 46,002 5,936 51,113 6,595 92,004 11,871 49,149 6,342 54,610 7,046 98,299 12,684 52,798 6,813 58,664 7, ,595 13,625 57,269 7,390 63,633 8, ,538 14,779 60,182 7,765 66,869 8, ,362 15,531 63,117 8,144 70,129 9, ,232 16,288 66,068 8,525 73,409 9, ,136 17,050 68,599 8,851 75,263 9, ,472 17,480 71,476 9,223 78,416 10, ,627 18,016 75,267 9,712 82,586 10, ,052 18,974 79,033 10,198 86,726 11, ,001 19,871 82,216 10,609 90,219 11, ,352 20,562 85,927 11,087 94,302 12, ,578 21,494 90,540 11,683 99,380 12, ,588 22,657 94,333 12, ,546 13, ,955 23, ,226 13, ,154 14, ,511 25,356 6

9 Annual Deductible Option: 12,000 or 1,500 每年自付額選擇 :12,000 或 1,500 ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) ex USA ( 不包括美國 ) 0 11,815 1,525 11,512 1,486 24,683 3, ,815 1,525 11,512 1,486 24,683 3, ,815 1,525 11,512 1,486 24,683 3, ,815 1,525 11,512 1,486 24,683 3, ,815 1,525 11,512 1,486 24,683 3, ,815 1,525 11,512 1,486 24,683 3, ,815 1,525 11,512 1,486 24,683 3, ,815 1,525 11,512 1,486 24,683 3, ,815 1,525 11,512 1,486 24,683 3, ,815 1,525 11,512 1,486 24,683 3, ,147 1,696 12,818 1,654 24,683 3, ,495 1,870 14,123 1,822 25,102 3, ,509 2,001 15,111 1,950 26,858 3, ,041 2,070 15,628 2,017 27,562 3, ,603 2,142 16,176 2,087 28,526 3, ,266 2,228 16,823 2,171 29,668 3, ,958 2,317 17,496 2,258 30,854 3, ,675 2,410 18,283 2,359 32,087 4, ,422 2,506 19,105 2,465 33,371 4, ,199 2,606 19,965 2,576 34,706 4, ,007 2,711 20,864 2,692 36,094 4, ,743 2,806 21,803 2,813 37,718 4, ,503 2,903 22,784 2,940 39,416 5, ,291 3,005 23,809 3,072 41,387 5, ,989 3,095 24,880 3,211 43,456 5, ,590 3,173 25,999 3,355 46,064 5, ,962 3,221 26,240 3,386 47,231 6, ,471 3,287 26,764 3,454 48,175 6, ,061 3,365 27,458 3,543 49,424 6, ,324 3,526 28,841 3,721 51,914 6, ,690 3,702 30,283 3,908 54,511 7, ,921 3,732 30,527 3,939 54,950 7, ,738 3,837 31,390 4,051 56,503 7, ,568 3,944 32,267 4,163 58,080 7, ,880 4,114 33,652 4,342 60,573 7, ,248 4,161 34,039 4,392 61,270 7, ,936 4,250 34,766 4,486 62,578 8, ,275 4,294 35,123 4,532 63,223 8, ,451 4,316 35,309 4,556 63,556 8, ,673 4,345 35,543 4,586 63,979 8, ,361 4,433 36,269 4,680 65,285 8, ,047 4,522 36,994 4,774 66,590 8, ,834 4,624 37,824 4,880 67,922 8, ,696 4,735 38,734 4,998 69,260 8, ,755 4,871 39,854 5,143 71,338 9, ,829 5,010 40,986 5,288 73,478 9, ,728 5,126 41,936 5,411 74,947 9, ,631 5,243 42,890 5,534 76,446 9, ,549 5,361 43,858 5,659 77,975 10, ,472 5,480 44,829 5,785 79,732 10, ,402 5,600 45,811 5,911 81,715 10, ,338 5,721 46,803 6,039 83,707 10, ,285 5,843 47,804 6,168 85,722 11, ,078 6,074 49,691 6,412 89,746 11, ,118 6,338 51,847 6,690 94,243 12, ,196 6,606 54,036 6,973 98,813 12, ,308 6,878 56,272 7, ,451 13, ,588 7,172 58,678 7, ,409 13, ,813 7,589 62,082 8, ,710 14, ,546 8,071 66,021 8, ,981 15, ,265 8,550 69,941 9, ,209 16, ,176 9,055 74,072 9, ,841 17, ,325 9,590 78,455 10, ,943 18, ,730 10,159 83,104 10, ,543 19, ,406 10,762 88,037 11, ,288 21, ,699 11,445 93,626 12, ,298 22, ,834 12,107 99,050 12, ,055 24, ,718 12, ,257 13, ,621 25, ,463 13, ,372 14, ,048 27, ,696 14, ,006 15, ,394 29, ,014 15, ,615 16, ,938 30, ,856 16, ,797 17, ,525 32, ,989 16, ,268 17, ,670 33, ,406 17, ,039 18, ,388 35, ,142 18, ,140 19, ,722 36, ,186 19, ,583 20, ,705 38, ,578 20, ,380 21, ,128 39, ,316 21, ,552 22, ,005 41, ,426 22, ,111 23, ,354 43, ,212 23, ,328 24, ,189 44, ,230 24, ,744 25, ,537 46,392 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 18,836 2,431 9,418 1,215 10,461 1,350 19,165 2,473 9,418 1,215 10,461 1,350 19,501 2,516 10,582 1,366 11,757 1,517 21,163 2,731 10,687 1,379 11,875 1,532 21,375 2,758 10,795 1,393 11,994 1,547 21,589 2,786 10,903 1,407 12,113 1,563 21,805 2,813 11,011 1,421 12,235 1,579 22,022 2,842 11,122 1,435 12,357 1,594 22,243 2,870 11,233 1,450 12,481 1,610 22,465 2,899 11,345 1,464 12,605 1,627 22,690 2,927 11,798 1,522 13,110 1,691 23,597 3,045 12,271 1,583 13,634 1,759 24,541 3,167 12,761 1,646 14,180 1,829 25,523 3,293 13,271 1,712 14,747 1,903 26,544 3,425 13,803 1,781 15,336 1,979 27,605 3,562 14,355 1,852 15,950 2,058 28,710 3,704 14,929 1,926 16,588 2,140 29,858 3,853 15,526 2,003 17,251 2,226 31,052 4,007 16,148 2,084 17,941 2,315 32,294 4,167 16,793 2,167 18,659 2,408 33,586 4,334 17,465 2,254 19,405 2,504 34,930 4,507 18,164 2,344 20,182 2,604 36,328 4,687 18,890 2,437 20,989 2,708 37,780 4,875 19,646 2,535 21,829 2,816 39,291 5,070 20,432 2,636 22,702 2,929 40,863 5,273 21,249 2,742 23,610 3,046 42,497 5,483 22,099 2,852 24,554 3,169 44,197 5,703 22,982 2,965 25,537 3,295 45,965 5,931 23,902 3,084 26,557 3,427 47,804 6,168 26,477 3,416 29,419 3,796 52,955 6,833 27,673 3,571 30,747 3,967 55,345 7,141 28,549 3,683 31,720 4,093 57,098 7,367 29,618 3,821 32,908 4,246 59,235 7,643 30,562 3,944 33,958 4,382 61,124 7,887 31,506 4,065 35,006 4,517 63,011 8,131 32,293 4,167 35,882 4,630 64,586 8,334 33,102 4,271 36,780 4,746 66,204 8,542 33,909 4,375 37,674 4,861 67,771 8,744 34,908 4,504 38,781 5,004 69,388 8,953 35,842 4,625 39,824 5,138 70,673 9,119 37,052 4,781 41,167 5,312 72,608 9,369 38,478 4,965 42,757 5,517 75,293 9,715 39,974 5,158 44,414 5,731 78,126 10,081 41,604 5,368 46,228 5,965 81,382 10,501 43,308 5,588 48,119 6,209 84,790 10,940 45,064 5,815 50,072 6,461 88,271 11,390 46,919 6,054 52,133 6,727 92,020 11,873 49,526 6,391 55,031 7,101 96,706 12,478 52,575 6,784 58,417 7, ,827 13,268 54,911 7,085 61,014 7, ,716 13,641 58,411 7,537 64,899 8, ,874 14,564 62,174 8,023 69,086 8, ,694 15,574 65,779 8,488 73,086 9, ,424 16,442 70,313 9,073 78,128 10, ,417 17,731 74,319 9,590 82,577 10, ,812 18,685 78,563 10,137 87,292 11, ,083 19,753 83,183 10,733 92,423 11, ,938 21,025 88,326 11,397 98,138 12, ,928 22,442 92,954 11, ,283 13, ,982 23,740 96,807 12, ,564 13, ,620 24, ,766 13, ,962 14, ,536 26, ,260 13, ,844 14, ,519 26, ,031 13, ,032 15, ,064 27, ,634 14, ,147 16, ,265 29, ,240 15, ,265 16, ,479 30, ,356 15, ,840 17, ,715 31, ,966 16, ,965 18, ,938 32, ,400 16, ,996 18, ,796 33, ,130 17, ,256 19, ,261 35, ,626 18, ,583 20, ,250 37,064 4, , ,336 1,205 4, , ,616 1,241 4, , ,905 1,278 5, , ,103 1,304 5, , ,355 1,336 5, , ,615 1,370 5, , ,880 1,404 5, , ,152 1,439 5, , ,486 1,482 5, , ,831 1,526 6, , ,185 1,573 6, , ,552 1,619 6, , ,928 1,668 6, , ,316 1,718 6, , ,649 1,761 6, ,772 1,003 13,990 1,805 7, ,927 1,023 14,270 1,841 7, ,189 1,057 14,740 1,902 7, ,353 1,078 15,035 1,940 7, ,521 1,099 15,336 1,979 7,802 1,007 8,669 1,118 15,605 2,014 7,939 1,024 8,821 1,138 15,877 2,048 8,078 1,042 8,975 1,158 16,156 2,084 8,219 1,061 9,132 1,178 16,438 2,121 8,363 1,079 9,292 1,199 16,726 2,158 8,509 1,098 9,455 1,220 17,019 2,196 8,659 1,117 9,620 1,241 17,316 2,234 8,723 1,126 9,692 1,250 17,446 2,251 9,247 1,193 10,274 1,326 18,494 2,386 9,709 1,253 10,788 1,392 19,418 2,506 10,146 1,309 11,273 1,454 20,293 2,618 10,603 1,368 11,781 1,520 21,205 2,736 11,080 1,430 12,311 1,588 22,159 2,859 11,467 1,480 12,742 1,644 22,935 2,959 11,811 1,524 13,124 1,693 23,623 3,048 12,106 1,562 13,452 1,736 24,214 3,124 12,349 1,594 13,721 1,771 24,698 3,187 12,658 1,633 14,063 1,814 25,316 3,266 12,973 1,674 14,416 1,860 25,948 3,348 13,298 1,716 14,776 1,907 26,597 3,432 13,564 1,750 15,071 1,945 27,128 3,500 14,242 1,838 15,824 2,042 28,484 3,676 14,883 1,921 16,537 2,134 29,767 3,841 15,553 2,007 17,281 2,230 31,106 4,014 16,252 2,097 18,059 2,330 32,506 4,194 17,227 2,223 19,142 2,470 34,456 4,446 18,433 2,378 20,483 2,643 36,868 4,757 19,724 2,545 21,916 2,828 39,449 5,090 21,268 2,744 23,632 3,049 42,538 5,489 22,730 2,933 25,255 3,259 45,460 5,866 23,920 3,086 26,578 3,430 47,840 6,173 25,572 3,299 28,414 3,666 51,143 6,599 27,601 3,562 30,668 3,957 55,202 7,123 29,489 3,805 32,766 4,228 58,979 7,610 31,679 4,088 35,198 4,542 63,357 8,175 34,361 4,434 38,180 4,927 68,723 8,867 36,109 4,659 40,121 5,177 72,217 9,319 37,870 4,886 42,077 5,429 75,739 9,773 39,641 5,115 44,045 5,683 79,282 10,230 41,159 5,311 45,158 5,827 81,283 10,488 42,886 5,534 47,050 6,071 83,776 10,810 45,160 5,827 49,552 6,394 88,231 11,384 47,420 6,119 52,036 6,714 92,401 11,923 49,330 6,365 54,131 6,985 95,611 12,337 51,556 6,652 56,581 7,301 99,947 12,896 54,324 7,010 59,628 7, ,353 13,594 56,600 7,303 62,128 8, ,773 14,164 60,736 7,837 66,692 8, ,907 15,214 ZONE 3 第 3 區 7