MSA Washington: Health Savings Accounts in Washington

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The Healthy Investor HSA (with RX) Rates
Effective date : 5/1/2009
Valid thru : 4/30/2010
Counties : Clallam, Clark, Cowlitz, Grays Harbor, Island, Jefferson, King, Kitsap, Lewis, Mason, Pacific, Pierce, San Juan, Skagit, Skamania, Snohomish, Thurston, Wahkiakum, Whatcom

Family Status :	Applicant Non-Smoker	Applicant Smoker	Family Non-Smoker	Family Smoker
Age	Deductible : 2000
0-24	153.00	182.00	N/A	N/A
25-29	189.00	221.00	N/A	N/A
30-34	200.00	235.00	N/A	N/A
35-39	202.00	240.00	N/A	N/A
40-44	212.00	252.00	N/A	N/A
45-49	226.00	267.00	N/A	N/A
50-54	283.00	335.00	N/A	N/A
55-59	376.00	443.00	N/A	N/A
60-64	476.00	562.00	N/A	N/A
65+	476.00	562.00	N/A	N/A
Child	N/A	N/A	N/A	N/A
Age	Deductible : 3000
0-24	137.00	161.00	N/A	N/A
25-29	167.00	197.00	N/A	N/A
30-34	178.00	209.00	N/A	N/A
35-39	180.00	213.00	N/A	N/A
40-44	189.00	223.00	N/A	N/A
45-49	202.00	238.00	N/A	N/A
50-54	252.00	298.00	N/A	N/A
55-59	334.00	393.00	N/A	N/A
60-64	423.00	499.00	N/A	N/A
65+	423.00	499.00	N/A	N/A
Child	N/A	N/A	N/A	N/A
Age	Deductible : 4000
0-24	N/A	N/A	152.00	180.00
25-29	N/A	N/A	187.00	219.00
30-34	N/A	N/A	198.00	232.00
35-39	N/A	N/A	200.00	236.00
40-44	N/A	N/A	210.00	249.00
45-49	N/A	N/A	224.00	265.00
50-54	N/A	N/A	281.00	332.00
55-59	N/A	N/A	371.00	437.00
60-64	N/A	N/A	472.00	556.00
65+	N/A	N/A	472.00	556.00
Child	N/A	N/A	105.00	105.00
Age	Deductible : 6000
0-24	N/A	N/A	135.00	160.00
25-29	N/A	N/A	165.00	195.00
30-34	N/A	N/A	177.00	207.00
35-39	N/A	N/A	178.00	211.00
40-44	N/A	N/A	187.00	221.00
45-49	N/A	N/A	200.00	235.00
50-54	N/A	N/A	250.00	295.00
55-59	N/A	N/A	330.00	390.00
60-64	N/A	N/A	419.00	494.00
65+	N/A	N/A	419.00	494.00
Child	N/A	N/A	93.00	93.00

Counties : Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima

Family Status :	Applicant Non-Smoker	Applicant Smoker	Family Non-Smoker	Family Smoker
Age	Deductible : 2000
0-24	162.00	193.00	N/A	N/A
25-29	200.00	234.00	N/A	N/A
30-34	212.00	249.00	N/A	N/A
35-39	214.00	254.00	N/A	N/A
40-44	225.00	267.00	N/A	N/A
45-49	240.00	283.00	N/A	N/A
50-54	300.00	355.00	N/A	N/A
55-59	399.00	470.00	N/A	N/A
60-64	505.00	596.00	N/A	N/A
65+	505.00	596.00	N/A	N/A
Child	N/A	N/A	N/A	N/A
Age	Deductible : 3000
0-24	145.00	171.00	N/A	N/A
25-29	177.00	209.00	N/A	N/A
30-34	189.00	222.00	N/A	N/A
35-39	191.00	226.00	N/A	N/A
40-44	200.00	236.00	N/A	N/A
45-49	214.00	252.00	N/A	N/A
50-54	267.00	316.00	N/A	N/A
55-59	354.00	417.00	N/A	N/A
60-64	448.00	529.00	N/A	N/A
65+	448.00	529.00	N/A	N/A
Child	N/A	N/A	N/A	N/A
Age	Deductible : 4000
0-24	N/A	N/A	161.00	191.00
25-29	N/A	N/A	198.00	232.00
30-34	N/A	N/A	210.00	246.00
35-39	N/A	N/A	212.00	250.00
40-44	N/A	N/A	223.00	264.00
45-49	N/A	N/A	237.00	281.00
50-54	N/A	N/A	298.00	352.00
55-59	N/A	N/A	393.00	463.00
60-64	N/A	N/A	500.00	589.00
65+	N/A	N/A	500.00	589.00
Child	N/A	N/A	111.00	111.00
Age	Deductible : 6000
0-24	N/A	N/A	143.00	170.00
25-29	N/A	N/A	175.00	207.00
30-34	N/A	N/A	188.00	219.00
35-39	N/A	N/A	189.00	224.00
40-44	N/A	N/A	198.00	234.00
45-49	N/A	N/A	212.00	249.00
50-54	N/A	N/A	265.00	313.00
55-59	N/A	N/A	350.00	413.00
60-64	N/A	N/A	444.00	524.00
65+	N/A	N/A	444.00	524.00
Child	N/A	N/A	99.00	99.00