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WiseSavings HSA Premiums | WiseSavings HSA Benefits 


WiseSavings Rates
Effective date : 1/1/2010
Valid thru : 12/31/2010
Counties : Available in all counties
Family Status : Applicant
Non-Smoker		 Applicant
Smoker		 Family
Non-Smoker		 Family
Smoker
Age Deductible : 1820
0-24 123.00 144.00 N/A N/A
25-29 140.00 162.00 N/A N/A
30-34 161.00 186.00 N/A N/A
35-39 192.00 224.00 N/A N/A
40-44 226.00 265.00 N/A N/A
45-49 284.00 328.00 N/A N/A
50-54 347.00 404.00 N/A N/A
55-59 404.00 469.00 N/A N/A
60-64 460.00 538.00 N/A N/A
65+ 460.00 538.00 N/A N/A
Child N/A N/A N/A N/A
Age Deductible : 3000
0-24 97.00 114.00 N/A N/A
25-29 109.00 128.00 N/A N/A
30-34 128.00 149.00 N/A N/A
35-39 153.00 176.00 N/A N/A
40-44 181.00 210.00 N/A N/A
45-49 225.00 262.00 N/A N/A
50-54 275.00 320.00 N/A N/A
55-59 323.00 373.00 N/A N/A
60-64 362.00 427.00 N/A N/A
65+ 362.00 427.00 N/A N/A
Child N/A N/A N/A N/A
Age Deductible : 3640
0-24 N/A N/A 91.00 107.00
25-29 N/A N/A 103.00 120.00
30-34 N/A N/A 119.00 138.00
35-39 N/A N/A 142.00 165.00
40-44 N/A N/A 167.00 195.00
45-49 N/A N/A 210.00 242.00
50-54 N/A N/A 257.00 299.00
55-59 N/A N/A 299.00 347.00
60-64 N/A N/A 340.00 398.00
65+ N/A N/A 340.00 398.00
Child N/A N/A 77.00 77.00
Age Deductible : 6000
0-24 N/A N/A 75.00 87.00
25-29 N/A N/A 83.00 97.00
30-34 N/A N/A 97.00 113.00
35-39 N/A N/A 115.00 135.00
40-44 N/A N/A 136.00 160.00
45-49 N/A N/A 171.00 198.00
50-54 N/A N/A 210.00 245.00
55-59 N/A N/A 245.00 284.00
60-64 N/A N/A 277.00 324.00
65+ N/A N/A 277.00 324.00
Child N/A N/A 62.00 62.00



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