Authorized Kaiser Agent

Rates are only for Atlanta, Georgia and surrounding areas

2008 HMO Personal Plans Atlanta Monthly Premiums - Rates effective 6/02/2008 - 9/01/2008

HMO Premier Plan Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$167	$175	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	167	175	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	167	175	$337	$344	$574	$748	$341	$511	$752
20-24	191	275	361	443	600	768	466	636	875
25-29	236	348	406	519	646	817	587	756	994
30-34	250	439	420	611	659	826	692	859	1099
35-39	291	494	461	665	700	870	786	956	1193
40-44	333	486	503	639	741	821	874	1044	1281
45-49	415	515	569	663	783	886	959	1115	1331
50-54	480	583	624	727	829	973	1064	1209	1410
55-59	624	673	771	822	973	1183	1258	1402	1605
60-64**	819	771	972	915	1188	1265	1634	1788	2002

 

HMO Plan 500 Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$131	$138	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	131	138	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	131	138	$265	$274	$454	$589	$268	$403	$592
20-24	151	216	286	353	474	610	369	503	693
25-29	188	276	321	413	511	645	463	597	787
30-34	196	348	331	483	521	655	545	680	869
35-39	230	390	364	526	555	688	621	756	944
40-44	263	384	398	505	587	649	692	823	1013
45-49	328	408	450	522	620	699	760	880	1050
50-54	381	461	494	574	653	771	841	953	1115
55-59	494	530	610	651	771	937	994	1109	1269
60-64**	648	610	768	724	940	1000	1291	1415	1583

HMO Plan 1,000 Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$110	$118	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	110	118	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	110	118	$226	$231	$387	$501	$229	$343	$504
20-24	128	186	243	299	402	518	314	426	588
25-29	159	234	274	348	434	547	394	507	668
30-34	169	296	282	410	442	557	465	579	737
35-39	195	333	310	448	469	586	528	642	800
40-44	224	326	337	430	499	552	587	701	860
45-49	279	345	381	445	528	594	647	748	893
50-54	324	392	420	489	557	652	716	812	949
55-59	420	450	518	553	652	796	845	943	1079
60-64**	551	518	654	614	798	850	1099	1203	1346

HMO Plan 2,000 Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$87	$90	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	87	90	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	87	90	$173	$177	$297	$386	$176	$264	$387
20-24	97	142	187	230	310	399	241	329	452
25-29	122	180	210	268	334	422	303	390	516
30-34	129	227	217	316	341	429	357	447	568
35-39	151	256	240	344	361	450	405	494	618
40-44	172	251	261	331	384	423	451	539	664
45-49	215	268	294	342	405	458	498	576	688
50-54	249	301	324	375	428	503	549	624	729
55-59	324	346	398	425	503	612	650	726	830
60-64**	423	398	503	474	613	653	846	925	1036

HMO Plan 3,000 Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$78	$84	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	78	84	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	78	84	$159	$163	$273	$354	$160	$242	$355
20-24	91	129	171	210	284	364	222	302	415
25-29	112	164	194	246	306	387	277	359	470
30-34	119	209	199	290	312	393	328	406	521
35-39	138	234	217	315	331	414	371	452	565
40-44	158	230	238	302	353	388	414	494	607
45-49	196	243	268	314	372	419	454	529	628
50-54	227	276	296	344	392	461	503	572	668
55-59	296	318	366	389	461	561	595	665	759
60-64**	388	366	462	433	562	598	772	847	947

HMO Plan 5,000 Rates
	Single Subscriber		Subscriber/ Child**		Subscriber/ Children**		Subscriber/ Spouse**	Subscriber/ Spouse/Child**	Subscriber/ Spouse/Children**
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$69	$72	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	69	72	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	69	72	$142	$146	$243	$316	$145	$216	$317
20-24	82	118	154	188	255	328	197	268	370
25-29	101	147	172	222	274	346	250	320	421
30-34	105	187	177	260	279	353	293	364	466
35-39	123	209	195	282	296	369	333	405	506
40-44	141	207	213	271	315	348	370	442	544
45-49	175	218	240	279	332	374	407	473	564
50-54	203	248	265	308	352	413	450	513	597
55-59	265	284	327	348	413	502	533	594	680
60-64**	347	327	412	388	503	538	691	759	849

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Click here to have an enrollment kit mailed to you
* Family coverage is based on the age of the oldest family member applying. (The oldest family member applying is the "subscriber.") **If you are 65 or older, please inquire about our coverage for Medicare-eligible members at 770-396-9517.
Fax your completed application to our fax: 770-396-4318 (if paying by check, check must be received prior to effective date requested)

To receive your Kaiser Personal Plans enrollment kit, call Holly, Bob or Chris at (770) 396-9517 or Email: holly@insurance-now.com