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HRA Rates


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Individual
  PPO
  SHCP

Conversion

Portability

TAA


2012 HRA PLAN RATES
Monthly Premium Rates per Individual
PPO Individual Plan

Attained Age

Male

Female

Child(ren)

<30 
$478.23
$930.72
$699.62
30-34
$578.54
$978.38
 
35-39
$636.39
$963.56
 
40-44
$763.63
$1008.72
 
45-49
$943.85
$1098.33
 
50-54
$1243.76
$1261.75
 
55-59
$1627.73
$1474.15
 
60-64
$2077.18
$1759.61
 
65+ Medicare Primary
$1433.25
$1214.13
 

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 you age and gender.
  2. Get rates for other family members to be covered based on their ages and genders. (The rate shown for "child(ren)" is a flat rate for all your children, no matter how many are covered.)
  3. Add together all the rates for your family members.  This is your monthly cost of coverage.



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