|
Individual
Conversion
Portability
TAA
|
|
 |
|
2009 HRA PLAN RATES
Monthly Premium Rates per Individual
PPO Conversion Plan
|
Attained Age |
Male |
Female |
Child(ren) |
<30 |
$324.61 |
$631.74 |
$474.87 |
30-34 |
$392.69 |
$664.09 |
|
35-39 |
$431.95 |
$654.03 |
|
40-44 |
$518.32 |
$684.68 |
|
45-49 |
$640.64 |
$745.50 |
|
50-54 |
$844.21 |
$856.42 |
|
55-59 |
$1,104.84 |
$1,000.59 |
|
60-64 |
$1,409.90 |
$1,194.35 |
|
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
- Go to the above rate chart and get
a rate for your coverage based on you age and gender.
- 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.)
- Add together all the rates for your
family members. This is your monthly cost of coverage.
|
