
|
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.
KPS Health Plans
offers different rates for persons living in western or eastern
Washington. Click below to jump to rates for the county
in which you live. |
-
Western
Washington:
Clallam,
Clark, Cowlitz, Grays Harbor, Island, Jefferson, King, Kitsap, Lewis, Mason,
Pacific, Pierce, San Juan,
Skagit, Skamania, Snohomish, Thurston, Wahkiakum and Whatcom counties
-
Eastern
Washington:
Adams, Asotin, Benton, Chelan,
Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas,
Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla
Walla, Whitman and Yakima counties
|
Rates
shown below are valid for effective dates of May
1, 2008 to April 1, 2008 and are subject to change
effective May 1, 2009.
To download
and/or print the KPS
rates shown below,
click here
for western
Washington; click here
for eastern Washington.
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Non-Smoker Rates:
Western
Washington |
|
Sound
Harbor Elite, Essential Plus & Sound Harbor Essential Five |
|
Sound Harbor Elite |
Essential Plus |
Sound Harbor Essential Five |
|
|
|
|
Option 1
|
Option 2
|
|
Deductible |
$1,000 |
$2,000 |
$2,500 |
$5,000 |
|
Age Range |
|
|
|
|
|
Under 25 |
$158 |
$92 |
$91 |
$62 |
|
25-29 |
$194 |
$103 |
$102 |
$68 |
|
30-34 |
$206 |
$109 |
$108 |
$73 |
|
35-39 |
$208 |
$120 |
$119 |
$80 |
|
40-44 |
$218 |
$144 |
$142 |
$96 |
|
45-49 |
$233 |
$163 |
$161 |
$108 |
|
50-54 |
$292 |
$205 |
$203 |
$138 |
|
55-59 |
$386 |
$266 |
$263 |
$179 |
|
60+ |
$490 |
$337 |
$333 |
$228 |
|
Each Child |
$109 |
$73 |
$72 |
$49 |
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Non-Smoker Rates:
Western
Washington |
|
The
Healthy Investor™
HSA Plans |
|
|
Individual (Single Person) |
Family (2+ Individuals) |
|
|
No Prescription
Drug Coverage |
With
Prescription Drug Coverage |
No Prescription
Drug Coverage |
With
Prescription Drug Coverage |
|
Deductible |
$1,750 |
$2,600 |
$1,750 |
$2,600 |
$3,500 |
$5,150 |
$3,500 |
$5,150 |
|
Age Range |
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|
|
|
|
|
|
|
|
Under 25 |
$108 |
$90 |
$132 |
$110 |
$106 |
$85 |
$128 |
$104 |
|
25-29 |
$120 |
$101 |
$145 |
$122 |
$116 |
$92 |
$142 |
$115 |
|
30-34 |
$126 |
$107 |
$156 |
$131 |
$124 |
$101 |
$151 |
$122 |
|
35-39 |
$137 |
$116 |
$170 |
$144 |
$133 |
$108 |
$166 |
$133 |
|
40-44 |
$164 |
$139 |
$208 |
$175 |
$162 |
$130 |
$204 |
$164 |
|
45-49 |
$185 |
$155 |
$240 |
$203 |
$180 |
$146 |
$234 |
$191 |
|
50-54 |
$234 |
$198 |
$308 |
$263 |
$229 |
$187 |
$302 |
$247 |
|
55-59 |
$305 |
$257 |
$390 |
$327 |
$297 |
$242 |
$379 |
$307 |
|
60+ |
$390 |
$327 |
$476 |
$399 |
$378 |
$308 |
$464 |
$377 |
|
Each Child |
N/A |
N/A |
N/A |
N/A |
$83 |
$70 |
$102 |
$86 |
|
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|
Smoker Rates:
Western
Washington |
|
Sound
Harbor Elite, Essential Plus & Sound Harbor Essential Five |
|
Sound Harbor Elite |
Essential Plus |
Sound Harbor Essential Five |
|
|
|
|
Option 1
|
Option 2
|
|
Deductible |
$1,000 |
$2,000 |
$2,500 |
$5,000 |
|
Age Range |
|
|
|
|
|
Under 25 |
$187 |
$109 |
$108 |
$76 |
|
25-29 |
$228 |
$122 |
$121 |
$83 |
|
30-34 |
$242 |
$128 |
$127 |
$86 |
|
35-39 |
$246 |
$141 |
$139 |
$92 |
|
40-44 |
$288 |
$169 |
$167 |
$113 |
|
45-49 |
$275 |
$190 |
$188 |
$128 |
|
50-54 |
$345 |
$242 |
$239 |
$163 |
|
55-59 |
$455 |
$314 |
$311 |
$211 |
|
60+ |
$578 |
$397 |
$393 |
$269 |
|
Each Child |
$109 |
$73 |
$72 |
$49 |
|
|
|
|
Smoker Rates:
Western
Washington |
|
The
Healthy Investor™
HSA Plans |
|
|
Individual (Single Person) |
Family (2+ Individuals) |
|
|
No Prescription
Drug Coverage |
With
Prescription Drug Coverage |
No Prescription
Drug Coverage |
With
Prescription Drug Coverage |
|
Deductible |
$1,750 |
$2,600 |
$1,750 |
$2,600 |
$3,500 |
$5,150 |
$3,500 |
$5,150 |
|
Age Range |
|
|
|
|
|
|
|
|
|
Under 25 |
$127 |
$107 |
$157 |
$131 |
$125 |
$101 |
$154 |
$124 |
|
25-29 |
$139 |
$119 |
$173 |
$145 |
$137 |
$112 |
$169 |
$136 |
|
30-34 |
$149 |
$126 |
$182 |
$155 |
$144 |
$119 |
$179 |
$146 |
|
35-39 |
$162 |
$137 |
$200 |
$169 |
$158 |
$127 |
$196 |
$158 |
|
40-44 |
$196 |
$166 |
$245 |
$206 |
$192 |
$154 |
$241 |
$193 |
|
45-49 |
$217 |
$184 |
$283 |
$239 |
$211 |
$173 |
$276 |
$224 |
|
50-54 |
$277 |
$234 |
$365 |
$308 |
$270 |
$221 |
$357 |
$290 |
|
55-59 |
$360 |
$305 |
$459 |
$386 |
$350 |
$286 |
$446 |
$362 |
|
60+ |
$459 |
$386 |
$563 |
$473 |
$447 |
$362 |
$547 |
$445 |
|
Each Child |
N/A |
N/A |
N/A |
N/A |
$83 |
$70 |
$102 |
$86 |
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Non-Smoker Rates:
Eastern
Washington |
|
Sound
Harbor Elite, Essential Plus & Sound Harbor Essential Five |
|
Sound Harbor Elite |
Essential Plus |
Sound Harbor Essential Five |
|
|
|
|
Option 1
|
Option 2
|
|
Deductible |
$1,000 |
$2,000 |
$2,500 |
$5,000 |
|
Age Range |
|
|
|
|
|
Under 25 |
$179 |
$104 |
$103 |
$70 |
|
25-29 |
$217 |
$115 |
$114 |
$79 |
|
30-34 |
$230 |
$122 |
$121 |
$83 |
|
35-39 |
$233 |
$133 |
$132 |
$89 |
|
40-44 |
$244 |
$162 |
$160 |
$107 |
|
45-49 |
$261 |
$180 |
$178 |
$122 |
|
50-54 |
$327 |
$229 |
$227 |
$154 |
|
55-59 |
$432 |
$297 |
$294 |
$202 |
|
60+ |
$549 |
$378 |
$374 |
$254 |
|
Each Child |
$121 |
$83 |
$82 |
$55 |
|
|
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|
Non-Smoker Rates:
Eastern
Washington |
|
The
Healthy Investor™
HSA Plans |
|
|
Individual (Single Person) |
Family (2+ Individuals) |
|
|
No Prescription
Drug Coverage |
With
Prescription Drug Coverage |
No Prescription
Drug Coverage |
With
Prescription Drug Coverage |
|
Deductible |
$1,750 |
$2,600 |
$1,750 |
$2,600 |
$3,500 |
$5,150 |
$3,500 |
$5,150 |
|
Age Range |
|
|
|
|
|
|
|
|
|
Under 25 |
$121 |
$102 |
$146 |
$125 |
$118 |
$97 |
$144 |
$118 |
|
25-29 |
$133 |
$113 |
$164 |
$137 |
$131 |
$106 |
$161 |
$127 |
|
30-34 |
$140 |
$120 |
$173 |
$148 |
$137 |
$113 |
$170 |
$138 |
|
35-39 |
$154 |
$130 |
$191 |
$162 |
$149 |
$121 |
$186 |
$150 |
|
40-44 |
$185 |
$155 |
$233 |
$196 |
$181 |
$146 |
$229 |
$184 |
|
45-49 |
$206 |
$174 |
$270 |
$227 |
$202 |
$166 |
$263 |
$212 |
|
50-54 |
$264 |
$222 |
$345 |
$293 |
$257 |
$209 |
$338 |
$276 |
|
55-59 |
$341 |
$288 |
$435 |
$367 |
$333 |
$271 |
$425 |
$345 |
|
60+ |
$435 |
$366 |
$533 |
$450 |
$425 |
$343 |
$519 |
$421 |
|
Each Child |
N/A |
N/A |
N/A |
N/A |
$94 |
$79 |
$114 |
$97 |
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Smoker Rates:
Eastern
Washington |
|
Sound
Harbor Elite, Essential Plus & Sound Harbor Essential Five |
|
Sound Harbor Elite |
Essential Plus |
Sound Harbor Essential Five |
|
|
|
|
Option 1
|
Option 2
|
|
Deductible |
$1,000 |
$2,000 |
$2,500 |
$5,000 |
|
Age Range |
|
|
|
|
|
Under 25 |
$209 |
$122 |
$121 |
$84 |
|
25-29 |
$257 |
$135 |
$134 |
$91 |
|
30-34 |
$275 |
$144 |
$142 |
$97 |
|
35-39 |
$276 |
$158 |
$156 |
$14 |
|
40-44 |
$288 |
$189 |
$187 |
$127 |
|
45-49 |
$308 |
$212 |
$210 |
$143 |
|
50-54 |
$386 |
$271 |
$268 |
$184 |
|
55-59 |
$510 |
$352 |
$348 |
$238 |
|
60+ |
$648 |
$446 |
$441 |
$299 |
|
Each Child |
$121 |
$83 |
$82 |
$55 |
|
|
|
|
Smoker Rates:
Eastern
Washington |
|
The
Healthy Investor™
HSA Plans |
|
|
Individual (Single Person) |
Family (2+ Individuals) |
|
|
No Prescription
Drug Coverage |
With
Prescription Drug Coverage |
No Prescription
Drug Coverage |
With
Prescription Drug Coverage |
|
Deductible |
$1,750 |
$2,600 |
$1,750 |
$2,600 |
$3,500 |
$5,150 |
$3,500 |
$5,150 |
|
Age Range |
|
|
|
|
|
|
|
|
|
Under 25 |
$143 |
$120 |
$174 |
$148 |
$138 |
$113 |
$170 |
$138 |
|
25-29 |
$156 |
$132 |
$193 |
$162 |
$154 |
$125 |
$190 |
$151 |
|
30-34 |
$167 |
$140 |
$204 |
$173 |
$162 |
$132 |
$200 |
$163 |
|
35-39 |
$181 |
$152 |
$226 |
$190 |
$178 |
$142 |
$220 |
$176 |
|
40-44 |
$217 |
$185 |
$275 |
$232 |
$214 |
$173 |
$271 |
$216 |
|
45-49 |
$244 |
$205 |
$317 |
$268 |
$236 |
$193 |
$308 |
$252 |
|
50-54 |
$311 |
$260 |
$408 |
$347 |
$302 |
$247 |
$399 |
$325 |
|
55-59 |
$403 |
$339 |
$513 |
$433 |
$395 |
$320 |
$501 |
$407 |
|
60+ |
$513 |
$433 |
$630 |
$529 |
$501 |
$405 |
$613 |
$498 |
|
Each Child |
N/A |
N/A |
N/A |
N/A |
$94 |
$79 |
$114 |
$97 |
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Important Information
About Rates |
Rates are valid for effective dates of May
1, 2008 to April 1, 2009 and are subject to change
effective May 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 KPS Heath Plan's
revenues; or,
-
The basis on which KPS Heath Plan 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 KPS
Health Plans.
To qualify for the non-smoker rate, you must not have
used
any tobacco products within the
past 12 months including cigarettes, cigars, pipes, chewing tobacco, smokeless tobacco
or any other form of tobacco.
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