Español

HSA 3000 Rates

HSA 3000 - $3,000 (individual)/$6,000 (family)
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective December 1, 2009 through October 31, 2010
Monthly family rates are based on the age of primary applicant
0 - 19 $81 $161 $225 $140
20 - 24 118 235 327 203
25 - 29 129 273 383 239
30 - 34 150 319 439 274
35 - 39 164 345 457 294
40 - 44 202 402 536 334
45 - 49 240 476 584 344
50 - 54 283 564 674 388
55 - 59 335 666 779 437
60 - 64 392 782 838 470