|
Elect FlexPerks Rates
Effective date : 1/1/2010
Valid thru : 12/31/2010
Counties :
Available in all counties
| Family Status : |
Applicant |
Applicant and Spouse |
Applicant and Family |
Applicant and Child(ren) |
| Age |
Deductible : 1500 |
| 0-17 |
107.00 |
N/A |
N/A |
N/A |
| 18-20 |
135.00 |
N/A |
N/A |
N/A |
| 21-24 |
140.00 |
N/A |
N/A |
N/A |
| 25-29 |
162.00 |
N/A |
N/A |
N/A |
| 30-34 |
184.00 |
N/A |
N/A |
N/A |
| 35-39 |
203.00 |
N/A |
N/A |
N/A |
| 40-44 |
256.00 |
N/A |
N/A |
N/A |
| 45-49 |
300.00 |
N/A |
N/A |
N/A |
| 50-54 |
402.00 |
N/A |
N/A |
N/A |
| 55-59 |
492.00 |
N/A |
N/A |
N/A |
| 60-64 |
572.00 |
N/A |
N/A |
N/A |
| 65+ |
572.00 |
N/A |
N/A |
N/A |
| Age |
Deductible : 2000 |
| 0-17 |
96.00 |
N/A |
N/A |
N/A |
| 18-20 |
121.00 |
N/A |
N/A |
N/A |
| 21-24 |
125.00 |
N/A |
N/A |
N/A |
| 25-29 |
145.00 |
N/A |
N/A |
N/A |
| 30-34 |
164.00 |
N/A |
N/A |
N/A |
| 35-39 |
181.00 |
N/A |
N/A |
N/A |
| 40-44 |
229.00 |
N/A |
N/A |
N/A |
| 45-49 |
268.00 |
N/A |
N/A |
N/A |
| 50-54 |
359.00 |
N/A |
N/A |
N/A |
| 55-59 |
440.00 |
N/A |
N/A |
N/A |
| 60-64 |
511.00 |
N/A |
N/A |
N/A |
| 65+ |
511.00 |
N/A |
N/A |
N/A |
| Age |
Deductible : 3000 |
| 0-17 |
88.00 |
N/A |
N/A |
N/A |
| 18-20 |
111.00 |
271.00 |
393.00 |
244.00 |
| 21-24 |
114.00 |
280.00 |
406.00 |
252.00 |
| 25-29 |
133.00 |
325.00 |
487.00 |
292.00 |
| 30-34 |
151.00 |
368.00 |
552.00 |
331.00 |
| 35-39 |
166.00 |
405.00 |
608.00 |
365.00 |
| 40-44 |
209.00 |
512.00 |
717.00 |
461.00 |
| 45-49 |
245.00 |
599.00 |
839.00 |
539.00 |
| 50-54 |
329.00 |
804.00 |
1005.00 |
724.00 |
| 55-59 |
402.00 |
985.00 |
1132.00 |
886.00 |
| 60-64 |
467.00 |
1143.00 |
1258.00 |
1029.00 |
| 65+ |
467.00 |
1143.00 |
1258.00 |
1029.00 |
| Age |
Deductible : 4000 |
| 0-17 |
N/A |
N/A |
N/A |
N/A |
| 18-20 |
N/A |
242.00 |
351.00 |
218.00 |
| 21-24 |
N/A |
250.00 |
362.00 |
225.00 |
| 25-29 |
N/A |
290.00 |
435.00 |
261.00 |
| 30-34 |
N/A |
329.00 |
493.00 |
296.00 |
| 35-39 |
N/A |
362.00 |
543.00 |
326.00 |
| 40-44 |
N/A |
457.00 |
640.00 |
411.00 |
| 45-49 |
N/A |
535.00 |
749.00 |
482.00 |
| 50-54 |
N/A |
718.00 |
898.00 |
646.00 |
| 55-59 |
N/A |
879.00 |
1011.00 |
791.00 |
| 60-64 |
N/A |
1021.00 |
1123.00 |
919.00 |
| 65+ |
N/A |
1021.00 |
1123.00 |
919.00 |
| Age |
Deductible : 5000 |
| 0-17 |
82.00 |
N/A |
N/A |
N/A |
| 18-20 |
104.00 |
N/A |
N/A |
N/A |
| 21-24 |
107.00 |
N/A |
N/A |
N/A |
| 25-29 |
125.00 |
N/A |
N/A |
N/A |
| 30-34 |
141.00 |
N/A |
N/A |
N/A |
| 35-39 |
155.00 |
N/A |
N/A |
N/A |
| 40-44 |
196.00 |
N/A |
N/A |
N/A |
| 45-49 |
230.00 |
N/A |
N/A |
N/A |
| 50-54 |
308.00 |
N/A |
N/A |
N/A |
| 55-59 |
378.00 |
N/A |
N/A |
N/A |
| 60-64 |
439.00 |
N/A |
N/A |
N/A |
| 65+ |
439.00 |
N/A |
N/A |
N/A |
| Age |
Deductible : 6000 |
| 0-17 |
N/A |
N/A |
N/A |
N/A |
| 18-20 |
N/A |
221.00 |
321.00 |
199.00 |
| 21-24 |
N/A |
229.00 |
332.00 |
206.00 |
| 25-29 |
N/A |
266.00 |
398.00 |
239.00 |
| 30-34 |
N/A |
301.00 |
452.00 |
271.00 |
| 35-39 |
N/A |
331.00 |
497.00 |
298.00 |
| 40-44 |
N/A |
419.00 |
586.00 |
377.00 |
| 45-49 |
N/A |
490.00 |
686.00 |
441.00 |
| 50-54 |
N/A |
657.00 |
822.00 |
592.00 |
| 55-59 |
N/A |
805.00 |
926.00 |
724.00 |
| 60-64 |
N/A |
935.00 |
1028.00 |
841.00 |
| 65+ |
N/A |
935.00 |
1028.00 |
841.00 |
| Age |
Deductible : 10000 |
| 0-17 |
N/A |
N/A |
N/A |
N/A |
| 18-20 |
N/A |
208.00 |
301.00 |
187.00 |
| 21-24 |
N/A |
215.00 |
311.00 |
193.00 |
| 25-29 |
N/A |
249.00 |
374.00 |
224.00 |
| 30-34 |
N/A |
283.00 |
424.00 |
254.00 |
| 35-39 |
N/A |
311.00 |
466.00 |
280.00 |
| 40-44 |
N/A |
393.00 |
550.00 |
354.00 |
| 45-49 |
N/A |
460.00 |
644.00 |
414.00 |
| 50-54 |
N/A |
617.00 |
771.00 |
555.00 |
| 55-59 |
N/A |
755.00 |
869.00 |
680.00 |
| 60-64 |
N/A |
877.00 |
965.00 |
790.00 |
| 65+ |
N/A |
877.00 |
965.00 |
790.00 |
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