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.

Rates shown below are valid for effective dates of January 1, 2009 to December 15, 2009 and are subject to change effective January 1, 2010.

To download and/or print the LifeWise rates shown below, click here.
 

• 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 LifeWise Health Plan of Washington's revenues; or,
• The basis on which LifeWise Health 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 LifeWise Health Plan.

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.