Preferred Plus
Nontobacco Tobacco
Use: None in the last 5 years
Aviation or Hazardous Avovation: No
Cholesterol:
If HDL <4.5, 205 If HDL <4.0, 240
Blood Pressure: 0 - 60:140/85 61+:150/85 and no Blood
Pressure Treatment
MVR:
1 violation in 3 years No DUI, Reckless driving or
Revocation/Suspension in last 5 years.
Family History: No Cardiovascular disease prior to age 60
(Parents Only).
Personal History: No cancer or ratable impairment.
Preferred Nontobacco Tobacco Use: None in the last 3
years
Aviation or Hazardous Avocation: No
Cholesterol:
If HDL <5.5,235 If HDL <5.0, 260
Blood Pressure: 0 - 60: 145/88 61+: 155/88 Or
Pref. Plus BP w/ Treatment
MVR:
2 violations in 3 years No DUI, Reckless driving or
Revocation/Suspension in last 5 years.
Family History: No Cardiovascular death prior to age
60.(Parents Only)
Personal History: No cancer or ratable impairment.
Standard Plus Nontobacco Tobacco Use: None in the last 2
years
Aviation or Hazardous Avocation: With flat extra
Cholesterol:
If HDL <6.5,250 If HDL <6.0, 280
Blood Pressure: 0 - 60: 150/92 61+: 160/92 Or
Pref. Plus BP w/ Treatment
MVR:
2 violations in 3 years No DUI, Reckless driving or
Revocation/Suspension in last 5 years.
Family History: No Cardiovascular death prior to age
60.(Parents Only)
Personal History: No cancer or ratable impairment.
Standard Nontobacco Tobacco Use: None in the last
year
Aviation or Hazardous Avocation: With flat extra
Cholesterol:
If HDL > 6.5, 250 If HDL > 6.0, 280
Blood Pressure: 0 - 60: 150/92 61+: 160/92 Or
Pref. NT BP w/ Treatment
MVR:
3 violations in 3 years No DUI, Reckless driving or
Revocation/Suspension in last 2 years.
Preferred Tobacco Aviation or Hazardous Avocation:
No
Cholesterol:
If HDL <5.5, 235 If HDL <5.0, 260
Blood Pressure: 0-60:145/88 61+:155/88 or Pref. Plus BP
reading with Treatment
MVR:
2 violations in 3 years. No DUI, Reckless driving or
Revocation/Suspension in last 5 years.
Family History: No cardiovascular death prior to age 60.
(Parents only)
Personal History: No cancer or ratable impairment
Standard Tobacco Aviation or Hazardous Avocation:
With flat extra
Cholesterol:
If HDL > 5.5, 235 If HDL > 5.0, 260
Blood Pressure: 0-60: 145/88 61+: 155/88 or Pref. NT BP
reading with Treatment
MVR:
3 violations in 3 years. No DUI, Reckless driving or
Revocation/Suspension in last 2 years. |