2
3
Single Applicant
$150,000
Single Applicant
$35,000
Main Applicant and Spouse
$175,000
Spouse
$20,000
Family of 4
$195,000
Additional Dependent (except siblings)
$10,000 per applicant
Additional Dependent (except siblings)
$10,000 per applicant
Dependent Siblings
$20,000 per applicant
Dependent Siblings
$40,000 per applicant
Family up to 4
starting $150,000
4
5
6
7
8
9