2012 HRA PLAN RATES
Special Non-Low Income - Individual Plan
Please note: When you or any covered family member has a birthday that moves you to the next age bracket, the rate will change the month after the birthday occurs.
How to figure out your cost of coverage
1. Go to the above rate chart and get a rate for your coverage based on your age and gender.
2. Get rates for other family members to be covered based on their ages and genders.
3. Add together all the rates for your family members. This your total monthly cost of coverage
Low Income Guidelines
Add $11,460 to the base for each additional family member.
**If you did not file a Federal Tax Return, please call the Treasury Dept. at 1-800-829-1040 and request letter #1722(ICP) or Form 4506T to verify income.
|Health Reinsurance Association (CT)||1 800 842 0004|