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HSA Rates
Effective date : 10/1/2009
Valid thru : 1/1/2011
Counties :
Columbia,
Multnomah,
Polk,
Washington,
Yamhill,
Benton*,
Clackamas*,
Hood River*,
Linn*,
Marion*
| Family Status : |
Applicant |
Applicant and Spouse |
Applicant and Child(ren) |
Applicant and Family |
| Age |
Deductible : 1500 |
| 0-19 |
108.00 |
N/A |
N/A |
N/A |
| 20-25 |
129.00 |
N/A |
N/A |
N/A |
| 26-29 |
157.00 |
N/A |
N/A |
N/A |
| 30-34 |
199.00 |
N/A |
N/A |
N/A |
| 35-39 |
218.00 |
N/A |
N/A |
N/A |
| 40-44 |
271.00 |
N/A |
N/A |
N/A |
| 45-49 |
291.00 |
N/A |
N/A |
N/A |
| 50-54 |
379.00 |
N/A |
N/A |
N/A |
| 55-59 |
469.00 |
N/A |
N/A |
N/A |
| 60-64 |
513.00 |
N/A |
N/A |
N/A |
| 65+ |
513.00 |
N/A |
N/A |
N/A |
| Age |
Deductible : 2600 |
| 0-19 |
102.00 |
N/A |
N/A |
N/A |
| 20-25 |
122.00 |
N/A |
N/A |
N/A |
| 26-29 |
148.00 |
N/A |
N/A |
N/A |
| 30-34 |
188.00 |
N/A |
N/A |
N/A |
| 35-39 |
206.00 |
N/A |
N/A |
N/A |
| 40-44 |
256.00 |
N/A |
N/A |
N/A |
| 45-49 |
275.00 |
N/A |
N/A |
N/A |
| 50-54 |
358.00 |
N/A |
N/A |
N/A |
| 55-59 |
443.00 |
N/A |
N/A |
N/A |
| 60-64 |
485.00 |
N/A |
N/A |
N/A |
| 65+ |
485.00 |
N/A |
N/A |
N/A |
| Age |
Deductible : 3000 |
| 0-19 |
N/A |
N/A |
N/A |
N/A |
| 20-25 |
N/A |
258.00 |
247.00 |
376.00 |
| 26-29 |
N/A |
314.00 |
300.00 |
457.00 |
| 30-34 |
N/A |
398.00 |
380.00 |
579.00 |
| 35-39 |
N/A |
436.00 |
417.00 |
635.00 |
| 40-44 |
N/A |
542.00 |
487.00 |
758.00 |
| 45-49 |
N/A |
582.00 |
507.00 |
798.00 |
| 50-54 |
N/A |
758.00 |
595.00 |
974.00 |
| 55-59 |
N/A |
938.00 |
685.00 |
1154.00 |
| 60-64 |
N/A |
1026.00 |
729.00 |
1242.00 |
| 65+ |
N/A |
N/A |
N/A |
N/A |
| Age |
Deductible : 5200 |
| 0-19 |
N/A |
N/A |
N/A |
N/A |
| 20-25 |
N/A |
244.00 |
233.00 |
355.00 |
| 26-29 |
N/A |
296.00 |
283.00 |
431.00 |
| 30-34 |
N/A |
376.00 |
359.00 |
547.00 |
| 35-39 |
N/A |
412.00 |
394.00 |
600.00 |
| 40-44 |
N/A |
512.00 |
460.00 |
716.00 |
| 45-49 |
N/A |
550.00 |
479.00 |
754.00 |
| 50-54 |
N/A |
716.00 |
562.00 |
920.00 |
| 55-59 |
N/A |
886.00 |
647.00 |
1090.00 |
| 60-64 |
N/A |
970.00 |
689.00 |
1174.00 |
| 65+ |
N/A |
N/A |
N/A |
N/A |
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