High Deductible Health Plan (HDHP) PPO Monthly Rates - Effective 1/01/2010

Scroll down to find the area for the county you live in

RATES - AREA 1 - Use these rates if you live in Bartow, Butts, Cherokee, Clayton, Cobb, Coweta,
Dekalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, Newton, Paulding, Rockdale, Spalding, or Walton County

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

HDHP
$1,800 / $3,500 Deductible
80% Coverage

HDHP
$2,600 / $5,150 Deductible
80% Coverage

HDHP
$1,800 / $3,500 Deductible
100% Coverage

 HDHP
$2,600 / $5,150 Deductible
100% Coverage

Age
 Male Female Family

Male

Female

Family

Male

Female

Family

 Male Female Family

Age

0-19

 $97.38

 $97.38

$448.46

$78.40

$78.40

$361.03

$128.28

$128.28

$590.74

$99.66

 $99.66

$458.96

0-19

20-24

105.05

131.84

516.01

84.57

106.14

415.41

138.38

173.67

679.72

107.51

134.93

528.09

20-24

25-29

125.95

159.26

586.28

101.40

128.21

471.99

165.92

209.78

772.30

128.90

162.99

600.01

25-29

30-34

133.62

204.64

677.68

107.57

164.74

545.56

176.02

269.56

892.69

136.75

209.43

693.55

30-34

35-39

170.50

241.51

599.10

137.26

194.43

482.30

224.59

318.14

789.18

174.49

247.17

613.13

35-39

40-44

199.17

263.57

566.22

160.34

212.19

455.83

262.37

347.20

745.87

203.84

269.74

579.48

40-44

45-49

256.85

323.24

655.51

206.77

260.22

527.72

338.34

425.80

863.49

262.86

330.81

670.86

45-49

50-54

314.62

354.54

717.39

253.29

285.42

577.53

414.45

467.03

945.00

321.99

362.85

734.19

50-54

55-59

391.84

401.74

803.11

315.45

323.40

646.54

516.16

529.17

1057.92

401.01

411.12

821.91

55-59

60-64

547.00

480.81

967.72

440.36

387.08

779.06

720.54

633.37

1274.76

559.80

492.07

990.38

60-64

65+*

665.07

586.18

1112.90

535.41

471.90

895.93

876.08

772.16

1466.00

680.65

599.91

1138.96

65+*

RATES - AREA 2 - Use these rates if you live in Baker, Banks, Carroll, Dawson, Floyd, Gordon, Hall,
Haralson, Heard, Lumpkin, Mitchell, Murray, Pickens, Polk, Sumter, Union, White or Whitfield County.

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

HDHP
$1,800 / $3,500 Deductible
80% Coverage

HDHP
$2,600 / $5,150 Deductible
80% Coverage

HDHP
$1,800 / $3,500 Deductible
100% Coverage

 HDHP
$2,600 / $5,150 Deductible
100% Coverage

Age
 Male Female Family

Male

Female

Family

Male

Female

Family

 Male Female Family

Age

0-19

 $93.37

 $93.37

$429.88

$75.17

$75.17

$346.15

$122.99

$122.99

$566.41

$95.56

 $95.56

$440.05

0-19

20-24

100.72

126.41

494.75

81.09

101.76

398.29

132.68

166.51

651.72

103.08

129.37

506.33

20-24

25-29

120.77

152.69

562.13

97.22

122.93

452.54

159.08

201.14

740.48

123.59

156.27

575.29

25-29

30-34

128.12

196.21

649.76

103.14

157.95

523.08

168.77

258.46

855.91

131.12

200.80

664.97

30-34

35-39

163.47

231.56

574.42

131.60

186.42

462.43

215.34

305.03

756.67

167.30

236.98

587.87

35-39

40-44

190.97

252.71

542.89

153.74

203.44

437.05

251.56

332.89

715.14

195.44

258.63

555.60

40-44

45-49

246.27

309.92

628.50

198.25

249.50

505.97

324.40

408.25

827.92

252.03

317.18

643.22

45-49

50-54

301.66

339.94

687.83

242.85

273.66

553.73

397.37

447.79

906.06

308.73

347.90

703.94

50-54

55-59

375.69

385.16

770.02

302.45

310.07

619.90

494.89

507.36

1014.33

384.49

394.18

788.05

55-59

60-64

524.46

461.00

927.85

422.21

371.13

746.96

690.86

607.27

1222.24

536.74

471.80

949.58

60-64

65+*

637.67

562.03

1067.05

513.35

452.46

859.02

839.99

740.35

1405.60

652.60

575.19

1092.04

65+*


RATES - AREA 3 - Use these rates if you live in Baldwin, Barrow, Berrien, Bibb, Bleckley, Brooks, Burke,
Clarke, Columbia, Crawford, Dodge, Elbert, Emanuel, Glascock, Grady Greene, Hancock, Houston, Jackson,
asper, Jefferson, Jenkins, Johnson, Jones, Lanier, Laurens, Lincoln, Lowndes, Madison, McDuffie, Monroe,
Montgomery, Morgan, Oconee, Oglethorpe, Peach, Pulaski, Putnam, Randolph, Richmond, Screven, Taliaferro,
Telfair, Thomas, Treutlen, Twiggs, Warren, Washington, Wheeler, Wilcox, Wilkes, or Wilkinson County

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

HDHP
$1,800 / $3,500 Deductible
80% Coverage

HDHP
$2,600 / $5,150 Deductible
80% Coverage

HDHP
$1,800 / $3,500 Deductible
100% Coverage

 HDHP
$2,600 / $5,150 Deductible
100% Coverage

Age
 Male Female Family

Male

Female

Family

Male

Female

Family

 Male Female Family

Age

0-19

 $91.83

 $91.83

$422.90

$73.93

$73.93

$340.45

$120.97

$120.97

$557.07

$93.98

 $93.98

$432.80

0-19

20-24

99.06

124.32

486.59

79.75

100.09

391.73

130.49

163.77

640.98

101.38

127.23

497.99

20-24

25-29

118.78

150.18

552.87

95.62

120.90

445.08

156.46

197.83

728.28

121.56

153.70

565.81

25-29

30-34

126.01

192.97

639.05

101.44

155.35

514.46

165.99

254.20

841.81

128.96

197.49

654.01

30-34

35-39

160.78

227.74

564.95

129.43

183.34

454.81

211.79

300.00

744.20

164.54

233.08

578.18

35-39

40-44

187.82

248.55

533.94

151.21

200.09

429.85

247.41

327.41

703.35

192.22

254.37

546.45

40-44

45-49

242.21

304.81

618.15

194.99

245.39

497.64

319.05

401.52

814.27

247.88

311.95

632.62

45-49

50-54

296.69

334.33

676.50

238.85

269.15

544.61

390.82

440.41

891.13

303.64

342.16

692.34

50-54

55-59

369.50

378.81

757.33

297.47

304.96

609.69

486.74

499.00

997.61

378.15

387.68

775.06

55-59

60-64

515.82

453.41

912.56

415.26

365.01

734.65

679.47

597.26

1202.10

527.90

464.03

933.93

60-64

65+*

627.16

552.77

1049.46

504.89

445.0

844.87

826.15

728.15

1382.44

641.85

565.71

1074.04

65+*

RATES - AREA 4 - Use these rates if you live in Appling, Atkinson, Bacon, Brantley, Bryan, Bulloch, Camden,
Candler, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Clay, Clinch, Coffee, Dade, Decatur, Dooly,
Early, Echols, Effingham, Evans, Fannin, Franklin, Gilmer, Glynn, Habersham, Harris, Hart, Jeff Davis, Lamar, Liberty,
Long, Macon, Marion, McIntosh, Meriwether, Miller, Muscogee, Pierce, Pike, Quitman, Rabun, Schley, Seminole, Stephens,
Stewart, Talbot, Tattnall, Taylor, Toombs, Towns, Troup, Upson, Walker, Ware, Wayne or Webster County.

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

HDHP
$1,800 / $3,500 Deductible
80% Coverage

HDHP
$2,600 / $5,150 Deductible
80% Coverage

HDHP
$1,800 / $3,500 Deductible
100% Coverage

 HDHP
$2,600 / $5,150 Deductible
100% Coverage

Age
 Male Female Family

Male

Female

Family

Male

Female

Family

 Male Female Family

Age

0-19

 $88.49

 $88.49

$407.51

$71.24

$71.24

$328.07

$116.57

$116.57

$536.81

$90.56

 $90.56

$417.06

0-19

20-24

95.46

119.80

468.89

76.85

96.45

377.48

125.75

157.81

617.66

97.69

122.61

479.87

20-24

25-29

114.46

144.72

532.76

92.14

116.50

428.89

150.77

190.63

701.79

117.14

148.10

545.23

25-29

30-34

121.42

185.95

615.81

97.75

149.70

495.75

159.95

244.95

811.19

124.27

190.31

630.23

30-34

35-39

154.93

219.46

544.40

124.73

176.68

438.27

204.09

289.09

717.13

158.56

224.60

557.15

35-39

40-44

180.99

239.51

514.52

145.71

192.81

414.21

238.41

315.50

677.77

185.23

245.12

526.57

40-44

45-49

233.40

293.73

595.66

187.90

236.46

479.54

307.45

386.92

784.65

238.86

330.61

609.61

45-49

50-54

285.90

322.17

651.89

230.16

259.36

524.80

376.61

424.39

858.72

292.59

329.72

667.15

50-54

55-59

356.06

365.03

729.78

286.65

293.87

587.51

469.03

480.85

961.33

364.40

373.58

746.87

55-59

60-64

497.05

436.92

879.37

400.15

351.74

707.93

654.76

575.54

1158.37

508.69

447.15

899.96

60-64

65+*

604.35

532.66

1011.29

486.53

428.82

814.14

796.10

701.66

1332.15

618.50

545.13

1034.97

65+*

RATES - AREA 5 - Use these rates if you live in Ben Hill, Calhoun, Colquitt, Cook, Crisp, Dougherty,
Irwin, Lee, Terrell, Tift, Turner, or Worth County

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

HDHP
$1,800 / $3,500 Deductible
80% Coverage

HDHP
$2,600 / $5,150 Deductible
80% Coverage

HDHP
$1,800 / $3,500 Deductible
100% Coverage

 HDHP
$2,600 / $5,150 Deductible
100% Coverage

Age
 Male Female Family

Male

Female

Family

Male

Female

Family

 Male Female Family

Age

0-19

 $101.49

 $101.49

$467.38

$81.70

$81.70

$376.26

$133.69

$133.69

$615.67

$103.87

 $103.87

$478.33

0-19

20-24

109.48

137.40

537.78

88.14

110.61

432.94

144.22

181.00

708.41

112.05

140.62

550.37

20-24

25-29

131.27

165.98

611.03

105.68

133.62

491.90

172.92

218.64

804.89

134.34

169.86

625.33

25-29

30-34

139.26

213.27

706.28

112.11

171.69

568.58

183.45

280.94

930.36

142.52

218.27

722.81

30-34

35-39

177.69

251.70

624.38

143.05

202.63

502.66

234.07

331.56

822.48

181.85

257.60

639.00

35-39

40-44

207.58

274.69

590.11

167.11

221.14

475.07

273.44

361.85

777.34

212.44

281.13

603.93

40-44

45-49

267.69

336.88

683.17

215.50

271.20

549.99

352.62

443.76

899.93

273.95

344.77

699.17

45-49

50-54

327.90

369.51

747.66

263.98

297.47

601.90

431.94

486.74

984.88

355.58

378.16

765.17

50-54

55-59

408.37

418.66

837.00

328.76

337.04

673.82

537.94

551.50

1102.56

417.94

428.47

856.60

55-59

60-64

570.08

501.10

1008.56

458.94

403.41

811.94

750.95

660.09

1328.55

583.43

512.84

1032.18

60-64

65+*

693.14

610.92

1159.86

558.01

491.81

933.74

91305

804.75

1527.86

709.37

625.22

1187.03

65+*

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