Premiums
See the Weight Status Table for target weight definition. 
PLAN 1000: $1,000 deductible
| |
Target Weight or Below |
Above Target Weight |
| Age |
Non Tobacco User |
Tobacco User |
Non Tobacco User |
Tobacco User |
| <30 |
$387 |
$445 |
$430 |
$494 |
| 30-39 |
$450 |
$517 |
$500 |
$574 |
| 40-49 |
$546 |
$628 |
$607 |
$698 |
| 50-59 |
$649 |
$747 |
$722 |
$830 |
| 60-64 |
$766 |
$881 |
$851 |
$979 |
| 65+ |
$904 |
$1,040 |
$1,005 |
$1,156 |
PLAN 2500: $2,500 deductible (HSA Eligible)
| |
Target Weight or Below |
Above Target Weight |
| Age |
Non Tobacco User |
Tobacco User |
Non Tobacco User |
Tobacco User |
| <30 |
$318 |
$366 |
$353 |
$406 |
| 30-39 |
$369 |
$425 |
$410 |
$472 |
| 40-49 |
$449 |
$516 |
$498 |
$573 |
| 50-59 |
$534 |
$614 |
$593 |
$682 |
| 60-64 |
$630 |
$724 |
$699 |
$804 |
| 65+ |
$743 |
$855 |
$826 |
$950 |
PLAN 5000: $5,000 deductible
| |
Target Weight or Below |
Above Target Weight |
| Age |
Non Tobacco User |
Tobacco User |
Non Tobacco User |
Tobacco User |
| <30 |
$273 |
$313 |
$303 |
$348 |
| 30-39 |
$317 |
$364 |
$352 |
$404 |
| 40-49 |
$384 |
$442 |
$427 |
$491 |
| 50-59 |
$457 |
$526 |
$508 |
$584 |
| 60-64 |
$539 |
$620 |
$599 |
$689 |
| 65+ |
$637 |
$732 |
$708 |
$814 |