High Deductible Health Plan (HDHP) PPO Monthly Rates - Effective 04/01/08

RATES - AREA 1 - Use these rates if you live in Clayton, Cobb, Dekalb, Douglas, Fulton, Gwinnett, Henry or Rockdale County

These rates are available for applicants enrolling April 1, 2008 through June 30, 2008.

HDHP
$1,150 / $2,300 Deductible
100% Coverage

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

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

HDHP
$1,150 / $2,300 Deductible
80% Coverage

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

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

Age

Male

Female

Family

Male

Female

Family

 Male Female Family

Male

Female

Family

 Male Female Family

Male

Female

Family

Age

0-19

$112.89

$112.89

$606.46

$94.61

$94.61

$508.26

 $75.15

 $75.15

$403.73

$88.93

$88.93

$477.73

 $74.86

 $74.86

$402.18

$60.27

$60.27

$323.80

0-19

21-24

121.78

160.51

697.92

102.06

134.52

584.91

81.07

106.85

464.61

95.93

126.44

549.77

80.76

106.44

462.84

65.02

85.70

372.63

20-24

25-29

153.32

204.10

751.26

128.49

171.05

629.61

102.07

135.87

500.12

120.78

160.78

591.79

101.68

135.35

498.21

81.86

108.97

401.11

25-29

30-34

162.70

262.19

824.94

136.35

219.74

691.35

108.31

174.54

549.17

128.16

206.54

649.83

107.90

173.88

547.07

86.87

139.99

440.45

30-34

35-39

197.65

293.98

729.22

165.64

246.37

611.14

131.58

195.70

485.45

155.69

231.58

574.43

131.07

194.95

483.59

105.53

156.96

389.34

35-39

40-44

230.89

330.75

689.15

193.51

277.19

577.56

153.71

220.19

458.78

181.88

260.55

542.87

153.12

219.34

457.02

123.28

176.59

367.95

40-44

45-49

312.61

393.47

774.64

261.99

329.76

649.20

208.11

261.94

515.69

246.25

309.95

610.21

207.31

260.94

513.71

166.91

210.08

413.59

45-49

50-54

383.00

444.86

873.16

320.98

372.83

731.77

254.97

296.15

581.27

301.70

350.43

687.82

253.99

295.02

579.05

204.49

237.52

466.19

50-54

55-59

477.01

504.05

977.53

399.77

422.43

819.24

317.55

335.55

650.75

375.76

397.05

770.03

316.34

334.27

648.26

254.68

269.12

521.92

55-59

60-64

665.77

585.27

1177.98

557.96

490.50

987.23

443.21

389.62

784.19

524.45

461.04

927.93

441.51

388.13

781.19

355.46

312.49

628.94

60-64

65+*

809.59

713.51

1354.68

678.49

597.97

1135.32

538.95

474.99

901.82

637.74

562.05

1067.13

536.89

473.17

898.37

432.25

380.95

723.28

65+*

* For those not eligible for Medicare

RATES - AREA 2 - Use these rates if you live in Baldwin, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brooks, Burke, Butts, Calhoun, Cherokee, Clarke, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dodge, Dougherty, Elbert, Emanuel, Fayette, Forsyth, Glascock, Grady, Greene, Hancock, Houston, Irwin, Jackson, Jasper, Jefferson, Jenkins, Johnson, Jones, Laurens, Lanier, Lee, Lincoln, Lowndes, McDuffie, Madison, Montgomery, Monroe, Morgan, Newton, Oconee, Oglethorpe, Paulding, Peach, Pulaski, Putnam, Randolph, Richmond, Screven, Spalding, Taliaferro, Telfair, Terrell, Thomas, Tift, Treutlen, Turner, Twiggs, Walton, Warren, Washington, Wheeler, Wilcox, Wilkinson, Wilkes, and Worth Counties

These rates are available for applicants enrolling April 1, 2008 through June 30, 2008.

HDHP
$1,150 / $2,300 Deductible
100% Coverage

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

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

HDHP
$1,150 / $2,300 Deductible
80% Coverage

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

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

Age

Male

Female

Family

Male

Female

Family

 Male Female Family

Male

Female

Family

 Male Female Family

Male

Female

Family

Age

0-19

$112.89

$112.89

$606.46

$94.61

$94.61

$508.26

 $75.15

 $75.15

$403.73

$88.93

$88.93

$477.73

 $74.86

 $74.86

$402.18

$60.27

$60.27

$323.80

0-19

21-24

121.78

160.51

697.92

102.06

134.52

584.91

81.07

106.85

464.61

95.93

126.44

549.77

80.76

106.44

462.84

65.02

85.70

372.63

20-24

25-29

153.32

204.10

751.26

128.49

171.05

629.61

102.07

135.87

500.12

120.78

160.78

591.79

101.68

135.35

498.21

81.86

108.97

401.11

25-29

30-34

162.70

262.19

824.94

136.35

219.74

691.35

108.31

174.54

549.17

128.16

206.54

649.83

107.90

173.88

547.07

86.87

139.99

440.45

30-34

35-39

197.65

293.98

729.22

165.64

246.37

611.14

131.58

195.70

485.45

155.69

231.58

574.43

131.07

194.95

483.59

105.53

156.96

389.34

35-39

40-44

230.89

330.75

689.15

193.51

277.19

577.56

153.71

220.19

458.78

181.88

260.55

542.87

153.12

219.34

457.02

123.28

176.59

367.95

40-44

45-49

312.61

393.47

774.64

261.99

329.76

649.20

208.11

261.94

515.69

246.25

309.95

610.21

207.31

260.94

513.71

166.91

210.08

413.59

45-49

50-54

383.00

444.86

873.16

320.98

372.83

731.77

254.97

296.15

581.27

301.70

350.43

687.82

253.99

295.02

579.05

204.49

237.52

466.19

50-54

55-59

477.01

504.05

977.53

399.77

422.43

819.24

317.55

335.55

650.75

375.76

397.05

770.03

316.34

334.27

648.26

254.68

269.12

521.92

55-59

60-64

665.77

585.27

1177.98

557.96

490.50

987.23

443.21

389.62

784.19

524.45

461.04

927.93

441.51

388.13

781.19

355.46

312.49

628.94

60-64

65+*

809.59

713.51

1354.68

678.49

597.97

1135.32

538.95

474.99

901.82

637.74

562.05

1067.13

536.89

473.17

898.37

432.25

380.95

723.28

65+*

RATES - AREA 3 - Use these rates if you live in Appling, Atkinson, Bacon, Baker, Banks, Brantley, Bryan, Bulloch, Camden, Candler, Carroll, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Clay, Clinch, Coffee, Dade, Dawson, Decatur, Dooly, Early, Echols, Effingham, Evans, Fannin, Floyd, Franklin, Gilmer, Glynn, Gordon, Habersham, Hall, Haralson, Harris, Hart, Heard, Jeff Davis, Lamar, Liberty, Long, Lumpkin, McIntosh, Macon, Marion, Meriwether, Miller, Mitchell, Murray, Muscogee, Pickens, Pierce, Pike, Polk, Quitman, Rabun, Schley, Seminole, Stephens, Stewart, Sumter, Talbot, Tattnall, Taylor, Toombs, Towns, Troup, Union, Upson, Walker, Ware, Wayne, Webster, Whitfield or White County.

These rates are available for applicants enrolling April 1, 2008 through June 30, 2008.

HDHP
$1,150 / $2,300 Deductible
100% Coverage

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

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

HDHP
$1,150 / $2,300 Deductible
80% Coverage

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

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

Age

Male

Female

Family

Male

Female

Family

 Male Female Family

Male

Female

Family

 Male Female Family

Male

Female

Family

Age

0-19

$101.15

$101.15

$543.39

$84.77

$84.77

$455.40

 $67.34

 $67.34

$361.74

$79.68

$79.68

$428.05

 $67.08

 $67.08

$360.68

$54.01

$54.01

$290.12

0-19

21-24

109.11

143.81

625.34

91.45

120.53

524.08

72.64

95.74

416.29

85.95

113.29

492.60

72.36

95.37

414.70

58.26

76.78

333.88

20-24

25-29

137.38

182.88

673.13

115.13

153.26

564.13

91.45

121.74

448.11

108.22.

144.06

530.25

91.10

121.28

446.39

73.35

97.64

359.39

25-29

30-34

145.78

234.92

739.14

122.17

196.88

619.45

97.05

156.39

492.05

114.83

185.06

582.25

96.67

155.79

490.17

77.83

125.43

394.64

30-34

35-39

177.09

263.40

653.38

148.42

220.75

547.58

117.89

175.35

434.96

139.50

207.49

514.69

117.44

174.68

433.31

94.55

140.63

348.85

35-39

40-44

206.88

296.36

617.48

173.38

248.37

517.49

137.72

197.29

411.06

162.97

233.45

486.41

137.20

196.53

409.49

110.46

158.23

329.68

40-44

45-49

280.10

352.55

694.08

234.74

295.46

581.69

186.46

234.70

462.05

220.64

277.72

546.75

185.75

233.80

460.29

149.55

188.23

370.58

45-49

50-54

343.17

398.60

782.35

287.60

334.05

655.67

228.45

265.35

520.82

270.32

313.99

616.29

227.58

264.33

518.83

183.22

212.82

417.71

50-54

55-59

427.40

451.63

875.87

358.19

378.49

734.04

284.53

300.65

583.07

336.68

355.76

689.95

283.44

299.50

580.84

228.20

241.13

467.64

55-59

60-64

596.53

524.41

1055.47

499.93

439.49

884.55

397.12

349.10

702.63

469.91

413.09

831.43

395.60

347.77

699.95

318.50

279.99

563.53

60-64

65+*

725.40

639.30

1213.79

607.93

535.78

1017.24

482.90

425.59

808.03

571.42

503.60

956.14

481.06

423.96

804.94

387.30

341.33

648.06

65+*

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