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Plan Benefits
Platinum | Gold Rx | Silver Rx | Bronze | HSA Compatible | Child-only
Plan Premiums
Platinum | Gold Rx | Silver Rx | Bronze | HSA Compatible | Child-only

Platinum Rates
Effective date : 10/1/2009
Valid thru : 1/1/2011
Counties : Columbia, Multnomah, Polk, Washington, Yamhill, Benton*, Clackamas*, Hood River*, Linn*, Marion*

Family Status :	Applicant	Applicant and Spouse	Applicant and Child(ren)	Applicant and Family
Age	Deductible : None
0-19	161.00	N/A	N/A	N/A
20-25	192.00	384.00	367.00	559.00
26-29	233.00	466.00	446.00	679.00
30-34	297.00	594.00	567.00	864.00
35-39	326.00	652.00	622.00	948.00
40-44	404.00	808.00	726.00	1130.00
45-49	434.00	868.00	756.00	1190.00
50-54	564.00	1128.00	886.00	1450.00
55-59	699.00	1398.00	1021.00	1720.00
60-64	765.00	1530.00	1087.00	1852.00
65+	765.00	N/A	N/A	N/A

Platinum Rx Rates
Effective date : 10/1/2009
Valid thru : 1/1/2011
Counties : Columbia, Multnomah, Polk, Washington, Yamhill, Benton*, Clackamas*, Hood River*, Linn*, Marion*

Family Status :	Applicant	Applicant and Spouse	Applicant and Child(ren)	Applicant and Family
Age	Deductible : None
0-19	171.00	N/A	N/A	N/A
20-25	204.00	408.00	390.00	594.00
26-29	248.00	496.00	474.00	722.00
30-34	315.00	630.00	602.00	917.00
35-39	346.00	692.00	661.00	1007.00
40-44	429.00	858.00	771.00	1200.00
45-49	461.00	922.00	803.00	1264.00
50-54	599.00	1198.00	941.00	1540.00
55-59	743.00	1486.00	1085.00	1828.00
60-64	812.00	1624.00	1154.00	1966.00
65+	812.00	N/A	N/A	N/A

* - not all of the zip codes are eligible in this county