2
3
Single Applicant
$150,000
Single Applicant
$50,000
Main Applicant and Spouse
$200,000
Main Applicant and Spouse
$50,000
Family of 4
$200,000
Family of 4
$500,000
Additional Dependent (except siblings and parents/ grandparents under the age of 55) Dependent Parents / Grandparents under the age of 55 Dependent Siblings
$25,000 per applicant $50,000 per applicant $75,000 per applicant
Additional Dependent (except siblings and parents/ grandparents under the age of 55) Dependent Parents / Grandparents under the age of 55 Dependent Siblings
$25,000 per applicant $50,000 per applicant $75,000 per applicant
4
5
6
7
8
9