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Managed Care Plan

Area 1 (Portland)

Prevailing Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $346 $727 $986 $571
25 - 29 376 790 1072 621
30 - 34 380 800 1086 629
35 - 39 407 855 1160 671
40 - 44 459 965 1310 758
45 - 49 556 1168 1585 918
50 - 54 635 1335 1811 1049
55 - 59 665 1397 1896 1097
60 - 64 681 1431 1941 1124
65 and older 688 1447 1963 1137
Low Cost Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $293 $616 $836 $483
25 - 29 319 670 910 526
30 - 34 323 678 921 533
35 - 39 345 725 983 569
40 - 44 389 819 1111 643
45 - 49 471 990 1344 778
50 - 54 539 1131 1536 888
55 - 59 564 1184 1607 931
60 - 64 577 1213 1646 952
65 and older 583 1226 1664 963

Area 2 (Eugene)

Prevailing Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $337 $708 $961 $556
25 - 29 366 770 1045 604
30 - 34 371 779 1058 613
35 - 39 396 833 1131 654
40 - 44 448 941 1277 739
45 - 49 542 1138 1545 894
50 - 54 619 1300 1765 1022
55 - 59 648 1361 1848 1069
60 - 64 663 1393 1891 1095
65 and older 671 1409 1912 1107
Low Cost Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $285 $600 $815 $471
25 - 29 311 653 886 513
30 - 34 315 661 897 519
35 - 39 336 707 958 555
40 - 44 379 797 1082 627
45 - 49 459 965 1309 758
50 - 54 525 1102 1496 866
55 - 59 549 1154 1566 906
60 - 64 562 1181 1603 928
65 and older 568 1194 1622 939

Area 3 (Salem)

Prevailing Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $322 $676 $918 $531
25 - 29 350 735 997 577
30 - 34 354 744 1011 584
35 - 39 378 795 1079 625
40 - 44 428 897 1219 705
45 - 49 517 1086 1474 853
50 - 54 590 1241 1684 975
55 - 59 619 1299 1764 1021
60 - 64 633 1330 1805 1045
65 and older 640 1345 1826 1057
Low Cost Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $272 $573 $777 $450
25 - 29 296 623 846 489
30 - 34 300 631 856 495
35 - 39 321 674 915 530
40 - 44 362 761 1033 597
45 - 49 438 921 1250 724
50 - 54 500 1052 1428 827
55 - 59 525 1101 1495 865
60 - 64 537 1128 1531 885
65 and older 543 1140 1548 895

Area 4 (Bend/Klamath Falls)

Prevailing Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $363 $763 $1,036 $599
25 - 29 394 830 1126 652
30 - 34 399 840 1141 660
35 - 39 427 897 1219 705
40 - 44 482 1014 1376 796
45 - 49 583 1227 1665 963
50 - 54 667 1401 1902 1100
55 - 59 698 1467 1991 1153
60 - 64 715 1501 2039 1180
65 and older 723 1519 2061 1193
Low Cost Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $308 $647 $878 $508
25 - 29 335 703 955 552
30 - 34 339 713 967 559
35 - 39 362 761 1033 597
40 - 44 409 859 1166 675
45 - 49 494 1040 1410 817
50 - 54 565 1187 1612 933
55 - 59 592 1244 1688 977
60 - 64 606 1273 1728 1000
65 and older 613 1287 1747 1012

Area 5 (Coastal Areas)

Prevailing Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $322 $676 $918 $531
25 - 29 350 735 997 577
30 - 34 354 744 1011 584
35 - 39 378 795 1079 625
40 - 44 428 897 1219 705
45 - 49 517 1086 1474 853
50 - 54 590 1241 1684 975
55 - 59 619 1299 1764 1021
60 - 64 633 1330 1805 1045
65 and older 640 1345 1826 1057
Low Cost Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $272 $573 $777 $450
25 - 29 296 623 846 489
30 - 34 300 631 856 495
35 - 39 321 674 915 530
40 - 44 362 761 1033 597
45 - 49 438 921 1250 724
50 - 54 500 1052 1428 827
55 - 59 525 1101 1495 865
60 - 64 537 1128 1531 885
65 and older 543 1140 1548 895

Area 6 (Eastern Oregon)

Prevailing Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $346 $727 $986 $571
25 - 29 376 790 1072 621
30 - 34 380 800 1086 629
35 - 39 407 855 1160 671
40 - 44 459 965 1310 758
45 - 49 556 1168 1585 918
50 - 54 635 1335 1811 1049
55 - 59 665 1397 1896 1097
60 - 64 681 1431 1941 1124
65 and older 688 1447 1963 1137
Low Cost Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $293 $616 $836 $483
25 - 29 319 670 910 526
30 - 34 323 678 921 533
35 - 39 345 725 983 569
40 - 44 389 819 1111 643
45 - 49 471 990 1344 778
50 - 54 539 1131 1536 888
55 - 59 564 1184 1607 931
60 - 64 577 1213 1646 952
65 and older 583 1226 1664 963

Area 7 (Medford)

Prevailing Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $380 $799 $1,085 $628
25 - 29 414 869 1180 683
30 - 34 419 880 1194 691
35 - 39 448 941 1276 739
40 - 44 506 1062 1442 835
45 - 49 612 1285 1744 1010
50 - 54 698 1468 1992 1153
55 - 59 732 1537 2086 1207
60 - 64 749 1573 2136 1236
65 and older 757 1591 2160 1250
Low Cost Benefits
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective January 1, 2010
Monthly family rates are based on the age of primary applicant
Under 25 $323 $677 $920 $532
25 - 29 351 737 1000 579
30 - 34 355 746 1013 586
35 - 39 379 797 1082 626
40 - 44 429 900 1222 708
45 - 49 519 1089 1478 856
50 - 54 592 1245 1689 977
55 - 59 620 1302 1768 1024
60 - 64 635 1334 1810 1048
65 and older 642 1349 1831 1060