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HSA Choice Rates

HSA Choice - $1,500 Deductible
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective July 1, 2007 through September 30, 2008
Monthly family rates are based on the age of primary applicant
0 - 19 $64 $127 $177 $110
20 - 24 93 185 258 160
25 - 29 102 215 302 188
30 - 34 118 251 346 216
35 - 39 129 272 360 232
40 - 44 159 317 422 263
45 - 49 189 375 460 271
50 - 54 223 444 531 306
55 - 59 264 525 614 344
60 - 64 309 616 660 370