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Assurant Health - Online
Application
Index | Exclusions
& Limitations | Provider
Directory
Benefit Schedules:
Catastrophic | Comprehensive | HSA
Rate Schedules:
Catastrophic | Comprehensive | HSA
Catastrophic plan Rates
Effective date : 1/1/2010
Valid thru : 12/31/2010
Counties :
980,
981,
982,
983,
984,
985
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 2000 |
| 0-25 |
82.71 |
99.25 |
| 26-29 |
93.05 |
111.66 |
| 30-34 |
107.52 |
129.03 |
| 35-39 |
128.20 |
153.84 |
| 40-44 |
153.01 |
183.62 |
| 45-49 |
190.23 |
228.28 |
| 50-54 |
231.59 |
277.90 |
| 55-59 |
272.94 |
327.53 |
| 60-64 |
310.16 |
372.19 |
| Child |
57.90 |
57.90 |
| Age |
Deductible : 3000 |
| 0-25 |
74.73 |
89.68 |
| 26-29 |
84.08 |
100.90 |
| 30-34 |
97.16 |
116.59 |
| 35-39 |
115.84 |
139.01 |
| 40-44 |
138.26 |
165.91 |
| 45-49 |
171.89 |
206.27 |
| 50-54 |
209.26 |
251.11 |
| 55-59 |
246.63 |
295.95 |
| 60-64 |
280.26 |
336.31 |
| Child |
52.32 |
52.32 |
| Age |
Deductible : 5000 |
| 0-25 |
63.40 |
76.08 |
| 26-29 |
71.32 |
85.59 |
| 30-34 |
82.42 |
98.90 |
| 35-39 |
98.27 |
117.92 |
| 40-44 |
117.29 |
140.74 |
| 45-49 |
145.82 |
174.98 |
| 50-54 |
177.51 |
213.01 |
| 55-59 |
209.21 |
251.06 |
| 60-64 |
237.75 |
285.29 |
| Child |
44.38 |
44.38 |
| Age |
Deductible : 10000 |
| 0-25 |
48.43 |
58.12 |
| 26-29 |
54.48 |
65.38 |
| 30-34 |
62.96 |
75.55 |
| 35-39 |
75.07 |
90.08 |
| 40-44 |
89.60 |
107.52 |
| 45-49 |
111.39 |
133.67 |
| 50-54 |
135.61 |
162.73 |
| 55-59 |
159.83 |
191.79 |
| 60-64 |
181.63 |
217.95 |
| Child |
33.90 |
33.90 |
Counties :
986,
988,
989,
990,
991,
992,
993,
994
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 2000 |
| 0-25 |
78.88 |
94.65 |
| 26-29 |
88.74 |
106.48 |
| 30-34 |
102.54 |
123.05 |
| 35-39 |
122.26 |
146.71 |
| 40-44 |
145.92 |
175.11 |
| 45-49 |
181.42 |
217.70 |
| 50-54 |
220.86 |
265.03 |
| 55-59 |
260.30 |
312.35 |
| 60-64 |
295.79 |
354.95 |
| Child |
55.21 |
55.21 |
| Age |
Deductible : 3000 |
| 0-25 |
71.27 |
85.52 |
| 26-29 |
80.18 |
96.22 |
| 30-34 |
92.65 |
111.19 |
| 35-39 |
110.47 |
132.57 |
| 40-44 |
131.85 |
158.23 |
| 45-49 |
163.93 |
196.71 |
| 50-54 |
199.56 |
239.48 |
| 55-59 |
235.20 |
282.24 |
| 60-64 |
267.27 |
320.73 |
| Child |
49.89 |
49.89 |
| Age |
Deductible : 5000 |
| 0-25 |
60.46 |
72.55 |
| 26-29 |
68.02 |
81.62 |
| 30-34 |
78.60 |
94.32 |
| 35-39 |
93.71 |
112.46 |
| 40-44 |
111.85 |
134.22 |
| 45-49 |
139.06 |
166.87 |
| 50-54 |
169.29 |
203.15 |
| 55-59 |
199.52 |
239.42 |
| 60-64 |
226.73 |
272.08 |
| Child |
42.32 |
42.32 |
| Age |
Deductible : 10000 |
| 0-25 |
46.19 |
55.43 |
| 26-29 |
51.96 |
62.35 |
| 30-34 |
60.04 |
72.05 |
| 35-39 |
71.59 |
85.91 |
| 40-44 |
85.45 |
102.54 |
| 45-49 |
106.23 |
127.48 |
| 50-54 |
129.33 |
155.20 |
| 55-59 |
152.42 |
182.90 |
| 60-64 |
173.21 |
207.85 |
| Child |
32.33 |
32.33 |
* - not all of the zip codes are eligible in this county
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