| |
|
 |
BlueCross BlueValue Rates
|
Area 1 New Business Rates effective through December 31, 2009
|
| Non Tobacco users within previous 12 months |
|
|
|
|
BlueValue Plan 1000 |
BlueValue Plan 2000 |
BlueValue Plan 3000 |
| |
Age |
Male |
Female |
Family |
Male |
Female |
Family |
Male |
Female |
Family |
0-19 |
$148 |
$148 |
$684 |
$113 |
$113 |
$522 |
$89 |
$89 |
$383 |
20-24 |
160 |
201 |
787 |
122 |
153 |
601 |
120 |
120 |
427 |
25-29 |
192 |
243 |
895 |
146 |
185 |
682 |
145 |
145 |
491 |
30-34 |
204 |
312 |
1,034 |
155 |
238 |
789 |
187 |
187 |
566 |
35-39 |
260 |
368 |
914 |
198 |
281 |
697 |
220 |
220 |
522 |
40-44 |
304 |
402 |
864 |
231 |
307 |
659 |
241 |
241 |
510 |
45-49 |
392 |
493 |
1,000 |
299 |
376 |
763 |
295 |
295 |
595 |
50-54 |
480 |
541 |
1,095 |
366 |
412 |
835 |
324 |
324 |
652 |
55-59 |
598 |
613 |
1,226 |
456 |
467 |
935 |
367 |
367 |
730 |
60-64 |
835 |
734 |
1,477 |
637 |
560 |
1,127 |
439 |
439 |
881 |
|
BlueValue Plan 3500 |
BlueValue Plan 5000 |
BlueValue Plan 10000 |
| |
Age |
Male |
Female |
Family |
Male |
Female |
Family |
Male |
Female |
Family |
0-19 |
$87 |
$87 |
$329 |
$76 |
$76 |
$290 |
$52 |
$52 |
$198 |
20-24 |
94 |
117 |
342 |
82 |
104 |
301 |
56 |
70 |
205 |
25-29 |
112 |
142 |
406 |
99 |
125 |
358 |
67 |
85 |
244 |
30-34 |
119 |
183 |
464 |
105 |
161 |
409 |
71 |
109 |
279 |
35-39 |
152 |
216 |
468 |
134 |
190 |
413 |
91 |
129 |
281 |
40-44 |
178 |
235 |
488 |
157 |
207 |
430 |
107 |
141 |
293 |
45-49 |
229 |
289 |
575 |
202 |
254 |
507 |
138 |
173 |
345 |
50-54 |
281 |
317 |
632 |
248 |
279 |
557 |
169 |
190 |
380 |
55-59 |
350 |
359 |
708 |
309 |
316 |
624 |
210 |
215 |
425 |
60-64 |
489 |
430 |
854 |
431 |
379 |
753 |
293 |
258 |
513 |
|
| Tobacco Users within the previous 12 months add 20% to rates. |
| Area 1 counties: Clayton, Cobb, Dekalb, Douglas, Fulton, Gwinnett, Henry, Rockdale |