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Apply Online Now - Electronic Application
Index | Exclusions | Provider
Directory | Download Application
Benefit Schedules:
Centric | Centric Enhanced | Healthy Investor HSA
Rate Schedules:
Centric | Centric Enhanced | Healthy Investor HSA
Essential Plus Rates
Effective date : 5/1/2009
Valid thru : 4/30/2010
Counties :
Clallam,
Clark,
Cowlitz,
Grays Harbor,
Island,
Jefferson,
King,
Kitsap,
Lewis,
Mason,
Pacific,
Pierce,
San Juan,
Skagit,
Skamania,
Snohomish,
Thurston,
Wahkiakum,
Whatcom
| Family Status : |
Applicant Non-Smoker |
Applicant Smoker |
| Age |
Deductible : 2000 |
| 0-24 |
107.00 |
127.00 |
| 25-29 |
120.00 |
142.00 |
| 30-34 |
127.00 |
149.00 |
| 35-39 |
139.00 |
164.00 |
| 40-44 |
167.00 |
197.00 |
| 45-49 |
190.00 |
221.00 |
| 50-54 |
239.00 |
281.00 |
| 55-59 |
310.00 |
365.00 |
| 60-64 |
392.00 |
462.00 |
| 65+ |
392.00 |
462.00 |
| Child |
85.00 |
85.00 |
Counties :
Adams,
Asotin,
Benton,
Chelan,
Columbia,
Douglas,
Ferry,
Franklin,
Garfield,
Grant,
Kittitas,
Klickitat,
Lincoln,
Okanogan,
Pend Oreille,
Spokane,
Stevens,
Walla Walla,
Whitman,
Yakima
| Family Status : |
Applicant Non-Smoker |
Applicant Smoker |
| Age |
Deductible : 2000 |
| 0-24 |
113.00 |
135.00 |
| 25-29 |
127.00 |
151.00 |
| 30-34 |
135.00 |
158.00 |
| 35-39 |
147.00 |
174.00 |
| 40-44 |
177.00 |
209.00 |
| 45-49 |
201.00 |
234.00 |
| 50-54 |
253.00 |
298.00 |
| 55-59 |
329.00 |
387.00 |
| 60-64 |
416.00 |
490.00 |
| 65+ |
416.00 |
490.00 |
| Child |
90.00 |
90.00 |
* - not all of the zip codes are eligible in this county
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