HSA Value 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 | $67 | $133 | $186 | $116 |
| 20 - 24 | $95 | $188 | $264 | $165 |
| 25 - 29 | $104 | $219 | $310 | $194 |
| 30 - 34 | $120 | $255 | $355 | $222 |
| 35 - 39 | $131 | $278 | $370 | $240 |
| 40 - 44 | $162 | $322 | $434 | $271 |
| 45 - 49 | $192 | $382 | $471 | $279 |
| 50 - 54 | $227 | $451 | $544 | $315 |
| 55 - 59 | $270 | $534 | $627 | $353 |
| 60 - 64 | $314 | $628 | $673 | $379 |
| 65+ | $361 | $724 | $776 | $438 |
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