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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 November 1, 2008 through October 31, 2009
Monthly family rates are based on the age of primary applicant
0 - 19 $45 $89 $124 $77
20 - 24 65 130 181 112
25 - 29 72 151 212 132
30 - 34 83 176 243 151
35 - 39 90 192 254 163
40 - 44 112 222 297 185
45 - 49 133 264 323 191
50 - 54 157 311 374 216
55 - 59 186 369 431 242
60 - 64 217 433 464 260