HSA 3000 Rates
| Age | Insured only |
Insured & spouse |
Insured & spouse & child(ren) | Insured & child(ren) |
|---|---|---|---|---|
|
Monthly rates effective November 1, 2011 through October 31, 2012 |
||||
| 0 - 19 | $112 | $222 | $309 | $192 |
| 20 - 24 | $157 | $313 | $441 | $274 |
| 25 - 29 | $173 | $364 | $516 | $323 |
| 30 - 34 | $200 | $425 | $591 | $371 |
| 35 - 39 | $218 | $460 | $614 | $398 |
| 40 - 44 | $269 | $536 | $720 | $451 |
| 45 - 49 | $320 | $635 | $783 | $463 |
| 50 - 54 | $377 | $751 | $904 | $522 |
| 55 - 59 | $447 | $888 | $1,044 | $587 |
| 60 - 64 | $523 | $1,043 | $1,120 | $630 |
| 65+ | $601 | $1,202 | $1,291 | $727 |
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