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Assurant Health Health Insurance
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Assurant Health Health Insurance


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Index | Exclusions & Limitations | Provider Directory

Benefit Schedules:
Catastrophic | Comprehensive | HSA
Rate Schedules:
Catastrophic | Comprehensive | HSA

HSA 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		 Family
Non-Smoker		 Family
Smoker
Age Deductible : 2700
0-25 119.99 143.99 N/A N/A
26-29 134.99 161.99 N/A N/A
30-34 155.99 187.19 N/A N/A
35-39 185.99 223.19 N/A N/A
40-44 221.99 266.38 N/A N/A
45-49 275.98 331.18 N/A N/A
50-54 335.98 403.17 N/A N/A
55-59 395.98 475.17 N/A N/A
60-64 449.98 539.97 N/A N/A
Child 83.99 83.99 N/A N/A
Age Deductible : 5400
0-25 N/A N/A 105.61 126.73
26-29 N/A N/A 118.82 142.58
30-34 N/A N/A 137.30 164.76
35-39 N/A N/A 163.70 196.45
40-44 N/A N/A 195.38 234.46
45-49 N/A N/A 242.91 291.49
50-54 N/A N/A 295.72 354.87
55-59 N/A N/A 348.53 418.23
60-64 N/A N/A 396.05 475.26
Child N/A N/A 73.93 73.93



Counties : 986, 988, 989, 990, 991, 992, 993, 994
Family Status : Applicant
Non-Smoker		 Applicant
Smoker		 Family
Non-Smoker		 Family
Smoker
Age Deductible : 2700
0-25 114.43 137.32 N/A N/A
26-29 128.74 154.48 N/A N/A
30-34 148.76 178.52 N/A N/A
35-39 177.37 212.84 N/A N/A
40-44 211.70 254.04 N/A N/A
45-49 263.20 315.84 N/A N/A
50-54 320.41 384.49 N/A N/A
55-59 377.63 453.16 N/A N/A
60-64 429.13 514.95 N/A N/A
Child 80.10 80.10 N/A N/A
Age Deductible : 5400
0-25 N/A N/A 100.72 120.86
26-29 N/A N/A 113.31 135.97
30-34 N/A N/A 130.94 157.12
35-39 N/A N/A 156.12 187.34
40-44 N/A N/A 186.33 223.60
45-49 N/A N/A 231.65 277.98
50-54 N/A N/A 282.02 338.42
55-59 N/A N/A 332.38 398.85
60-64 N/A N/A 377.70 453.24
Child N/A N/A 70.50 70.50



* - not all of the zip codes are eligible in this county

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