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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
Sound Harbor Enterprise 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 : 3000 |
| 0-24 |
99.00 |
118.00 |
| 25-29 |
112.00 |
132.00 |
| 30-34 |
118.00 |
139.00 |
| 35-39 |
129.00 |
153.00 |
| 40-44 |
155.00 |
183.00 |
| 45-49 |
177.00 |
206.00 |
| 50-54 |
221.00 |
261.00 |
| 55-59 |
287.00 |
340.00 |
| 60-64 |
364.00 |
429.00 |
| 65+ |
364.00 |
429.00 |
| Child |
79.00 |
79.00 |
| Age |
Deductible : 5000 |
| 0-24 |
82.00 |
97.00 |
| 25-29 |
91.00 |
109.00 |
| 30-34 |
97.00 |
115.00 |
| 35-39 |
107.00 |
126.00 |
| 40-44 |
129.00 |
151.00 |
| 45-49 |
145.00 |
170.00 |
| 50-54 |
183.00 |
215.00 |
| 55-59 |
238.00 |
280.00 |
| 60-64 |
300.00 |
354.00 |
| 65+ |
300.00 |
354.00 |
| Child |
65.00 |
65.00 |
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 : 3000 |
| 0-24 |
105.00 |
125.00 |
| 25-29 |
119.00 |
140.00 |
| 30-34 |
125.00 |
147.00 |
| 35-39 |
137.00 |
162.00 |
| 40-44 |
164.00 |
194.00 |
| 45-49 |
188.00 |
218.00 |
| 50-54 |
234.00 |
277.00 |
| 55-59 |
304.00 |
360.00 |
| 60-64 |
386.00 |
455.00 |
| 65+ |
386.00 |
455.00 |
| Child |
84.00 |
84.00 |
| Age |
Deductible : 5000 |
| 0-24 |
87.00 |
103.00 |
| 25-29 |
96.00 |
116.00 |
| 30-34 |
103.00 |
122.00 |
| 35-39 |
113.00 |
134.00 |
| 40-44 |
137.00 |
160.00 |
| 45-49 |
154.00 |
180.00 |
| 50-54 |
194.00 |
228.00 |
| 55-59 |
252.00 |
297.00 |
| 60-64 |
318.00 |
375.00 |
| 65+ |
318.00 |
375.00 |
| Child |
69.00 |
69.00 |
* - not all of the zip codes are eligible in this county
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