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HSA Value Rates

HSA Value - $2,800 Deductible
Age Insured
Only
Insured &
Spouse
Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective July 1, 2007 through June 30, 2008
Monthly family rates are based on the age of primary applicant

0 - 19 $41 $82 $114 $71
20 - 24 60 119 166 103
25 - 29 66 139 195 121
30 - 34 76 162 223 139
35 - 39 83 176 233 150
40 - 44 103 204 273 170
45 - 49 122 242 297 175
50 - 54 144 286 343 198
55 - 59 171 339 396 222
60 - 64 199 398 426 239