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Monthly Rates
Non-smoker rates are available to individuals who have
not used any tobacco products
during the past 12 months.
If
enrolling a child or children only (without an adult), each of them
must be covered under their own plan using the rate for an adult under
age 25.
Families with one child pay only the "1 Child" rate. Families with two or more
children pay only the "2+ Children" rate.
Rates
shown below are valid for effective dates of
August 1, 2008 to July 1, 2009
and are subject to change effective August 1, 2009.
To download
and/or print the
Asuris rates shown below,
click
here.
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Non-Smoker Rates:
Clarity & Core Plans |
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Clarity 70 |
Clarity 50 |
Core |
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Deductible |
$1,000 |
$3,000 |
$2,500 |
$5,000 |
$2,500 |
$5,000 |
$7,500 |
$10,000 |
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Age Range |
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Under 25 |
$149 |
$97 |
$54 |
$40 |
$71 |
$59 |
$53 |
$49 |
|
25-29 |
$172 |
$112 |
$60 |
$45 |
$79 |
$65 |
$59 |
$54 |
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30-34 |
$200 |
$131 |
$71 |
$53 |
$93 |
$77 |
$70 |
$64 |
|
35-39 |
$236 |
$153 |
$84 |
$61 |
$110 |
$92 |
$83 |
$76 |
|
40-44 |
$279 |
$183 |
$99 |
$74 |
$130 |
$108 |
$97 |
$90 |
|
45-49 |
$339 |
$223 |
$120 |
$91 |
$157 |
$131 |
$118 |
$109 |
|
50-54 |
$402 |
$260 |
$143 |
$106 |
$187 |
$156 |
$141 |
$129 |
|
55-59 |
$472 |
$309 |
$168 |
$126 |
$220 |
$183 |
$165 |
$152 |
|
60+ |
$557 |
$360 |
$198 |
$148 |
$260 |
$216 |
$195 |
$179 |
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1
Child |
$139 |
$92 |
$48 |
$37 |
$63 |
$52 |
$47 |
$43 |
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2+ Children |
$263 |
$173 |
$93 |
$70 |
$122 |
$101 |
$91 |
$84 |
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Non-Smoker Rates:
HSA Healthplan Comprehensive & Healthplan |
|
Individual Plan
(Single Persons) |
Family Plan
(2+ Individuals) |
|
Deductible |
$1,500* |
$2,500** |
$3,500** |
$3,000* |
$5,000** |
$7,000** |
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Age Range |
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Under 25 |
$124 |
$87 |
$79 |
$97 |
$68 |
$62 |
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25-29 |
$124 |
$87 |
$79 |
$97 |
$68 |
$62 |
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30-34 |
$152 |
$106 |
$97 |
$119 |
$84 |
$77 |
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35-39 |
$180 |
$126 |
$115 |
$141 |
$99 |
$91 |
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40-44 |
$230 |
$161 |
$146 |
$183 |
$127 |
$117 |
|
45-49 |
$264 |
$185 |
$168 |
$210 |
$147 |
$133 |
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50-54 |
$304 |
$213 |
$194 |
$245 |
$172 |
$157 |
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55-59 |
$364 |
$256 |
$232 |
$289 |
$203 |
$185 |
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60+ |
$426 |
$299 |
$272 |
$335 |
$236 |
$214 |
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1
Child |
N/A |
N/A |
N/A |
$93 |
$66 |
$60 |
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2+ Children |
N/A |
N/A |
N/A |
$185 |
$131 |
$119 |
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*HSA Healthplan Comprehensive **HSA
Healthplan |
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Smoker
Rates:
Clarity & Core Plans |
|
Clarity 70 |
Clarity 50 |
Core |
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Deductible |
$1,000 |
$3,000 |
$2,500 |
$5,000 |
$2,500 |
$5,000 |
$7,500 |
$10,000 |
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Age Range |
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Under 25 |
$173 |
$113 |
$62 |
$47 |
$81 |
$68 |
$61 |
$56 |
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25-29 |
$197 |
$128 |
$70 |
$53 |
$92 |
$76 |
$69 |
$63 |
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30-34 |
$230 |
$151 |
$80 |
$61 |
$105 |
$87 |
$79 |
$72 |
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35-39 |
$271 |
$177 |
$95 |
$72 |
$125 |
$104 |
$94 |
$86 |
|
40-44 |
$325 |
$212 |
$114 |
$85 |
$149 |
$124 |
$112 |
$103 |
|
45-49 |
$391 |
$256 |
$138 |
$104 |
$181 |
$150 |
$136 |
$125 |
|
50-54 |
$462 |
$303 |
$164 |
$124 |
$215 |
$179 |
$161 |
$148 |
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55-59 |
$544 |
$356 |
$193 |
$145 |
$253 |
$210 |
$190 |
$175 |
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60+ |
$648 |
$423 |
$229 |
$173 |
$300 |
$250 |
$225 |
$207 |
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1
Child |
$139 |
$92 |
$48 |
$37 |
$63 |
$52 |
$47 |
$43 |
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2+ Children |
$263 |
$173 |
$93 |
$70 |
$122 |
$101 |
$91 |
$84 |
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Smoker
Rates:
HSA Healthplan Comprehensive & Healthplan |
|
Individual Plan
(Single Persons) |
Family Plan (2+
Individuals) |
|
Deductible |
$1,500* |
$2,500** |
$3,500** |
$3,000* |
$5,000** |
$7,000** |
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Age Range |
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Under 25 |
$137 |
$95 |
$87 |
$108 |
$77 |
$70 |
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25-29 |
$137 |
$95 |
$87 |
$108 |
$77 |
$70 |
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30-34 |
$172 |
$120 |
$110 |
$137 |
$95 |
$87 |
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35-39 |
$218 |
$153 |
$139 |
$172 |
$120 |
$110 |
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40-44 |
$264 |
$185 |
$168 |
$210 |
$147 |
$133 |
|
45-49 |
$304 |
$213 |
$194 |
$245 |
$172 |
$157 |
|
50-54 |
$349 |
$245 |
$223 |
$279 |
$196 |
$178 |
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55-59 |
$421 |
$295 |
$269 |
$333 |
$234 |
$213 |
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60+ |
$505 |
$355 |
$323 |
$402 |
$282 |
$257 |
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1
Child |
N/A |
N/A |
N/A |
$93 |
$66 |
$60 |
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2+ Children |
N/A |
N/A |
N/A |
$185 |
$131 |
$119 |
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*HSA Healthplan Comprehensive **HSA
Healthplan |
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Important Information
About Rates |
Rates are valid for effective dates of
August 1, 2008 to July 1, 2009
and are subject to change effective August 1, 2009.
Rates will not
change in the interim, with the following exceptions: |
-
A change in the number of enrolled dependents;
-
If
any federal, state or local authority mandates a change in benefits, or
other provisions, or imposes a tax on Asuris Northwest Health's
revenues; or,
-
The basis on which Asuris Northwest Health assumed the risk changes.
Rates for you (and your spouse if applicable) are based on the age of each
applicant. An increase in age to the next (higher) age range will increase
your rate at the next anniversary date without any further notice from
Asuris
Northwest Health.
To qualify for the non-smoker rate, you must not have
smoked cigarettes, cigars, pipes or used chewing tobacco, smokeless tobacco
or any other form of tobacco or illegal drug substances within the past 12
months. |

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