PacificSource Health Insurance Plans for Oregon

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CDA Insurance Sites
www.1travel-insurance.com
oregonhealth-insurance.com
www.hsaoregon.net
healthinsurancewashington.com
www.msawashington.com
www.lowinsure.com
www.insurancequest.com

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Elect FlexPerks Rates
Effective date : 1/1/2010
Valid thru : 12/31/2010
Counties : Available in all counties

Family Status :	Applicant	Applicant and Spouse	Applicant and Family	Applicant and Child(ren)
Age	Deductible : 1500
0-17	107.00	N/A	N/A	N/A
18-20	135.00	N/A	N/A	N/A
21-24	140.00	N/A	N/A	N/A
25-29	162.00	N/A	N/A	N/A
30-34	184.00	N/A	N/A	N/A
35-39	203.00	N/A	N/A	N/A
40-44	256.00	N/A	N/A	N/A
45-49	300.00	N/A	N/A	N/A
50-54	402.00	N/A	N/A	N/A
55-59	492.00	N/A	N/A	N/A
60-64	572.00	N/A	N/A	N/A
65+	572.00	N/A	N/A	N/A
Age	Deductible : 2000
0-17	96.00	N/A	N/A	N/A
18-20	121.00	N/A	N/A	N/A
21-24	125.00	N/A	N/A	N/A
25-29	145.00	N/A	N/A	N/A
30-34	164.00	N/A	N/A	N/A
35-39	181.00	N/A	N/A	N/A
40-44	229.00	N/A	N/A	N/A
45-49	268.00	N/A	N/A	N/A
50-54	359.00	N/A	N/A	N/A
55-59	440.00	N/A	N/A	N/A
60-64	511.00	N/A	N/A	N/A
65+	511.00	N/A	N/A	N/A
Age	Deductible : 3000
0-17	88.00	N/A	N/A	N/A
18-20	111.00	271.00	393.00	244.00
21-24	114.00	280.00	406.00	252.00
25-29	133.00	325.00	487.00	292.00
30-34	151.00	368.00	552.00	331.00
35-39	166.00	405.00	608.00	365.00
40-44	209.00	512.00	717.00	461.00
45-49	245.00	599.00	839.00	539.00
50-54	329.00	804.00	1005.00	724.00
55-59	402.00	985.00	1132.00	886.00
60-64	467.00	1143.00	1258.00	1029.00
65+	467.00	1143.00	1258.00	1029.00
Age	Deductible : 4000
0-17	N/A	N/A	N/A	N/A
18-20	N/A	242.00	351.00	218.00
21-24	N/A	250.00	362.00	225.00
25-29	N/A	290.00	435.00	261.00
30-34	N/A	329.00	493.00	296.00
35-39	N/A	362.00	543.00	326.00
40-44	N/A	457.00	640.00	411.00
45-49	N/A	535.00	749.00	482.00
50-54	N/A	718.00	898.00	646.00
55-59	N/A	879.00	1011.00	791.00
60-64	N/A	1021.00	1123.00	919.00
65+	N/A	1021.00	1123.00	919.00
Age	Deductible : 5000
0-17	82.00	N/A	N/A	N/A
18-20	104.00	N/A	N/A	N/A
21-24	107.00	N/A	N/A	N/A
25-29	125.00	N/A	N/A	N/A
30-34	141.00	N/A	N/A	N/A
35-39	155.00	N/A	N/A	N/A
40-44	196.00	N/A	N/A	N/A
45-49	230.00	N/A	N/A	N/A
50-54	308.00	N/A	N/A	N/A
55-59	378.00	N/A	N/A	N/A
60-64	439.00	N/A	N/A	N/A
65+	439.00	N/A	N/A	N/A
Age	Deductible : 6000
0-17	N/A	N/A	N/A	N/A
18-20	N/A	221.00	321.00	199.00
21-24	N/A	229.00	332.00	206.00
25-29	N/A	266.00	398.00	239.00
30-34	N/A	301.00	452.00	271.00
35-39	N/A	331.00	497.00	298.00
40-44	N/A	419.00	586.00	377.00
45-49	N/A	490.00	686.00	441.00
50-54	N/A	657.00	822.00	592.00
55-59	N/A	805.00	926.00	724.00
60-64	N/A	935.00	1028.00	841.00
65+	N/A	935.00	1028.00	841.00
Age	Deductible : 10000
0-17	N/A	N/A	N/A	N/A
18-20	N/A	208.00	301.00	187.00
21-24	N/A	215.00	311.00	193.00
25-29	N/A	249.00	374.00	224.00
30-34	N/A	283.00	424.00	254.00
35-39	N/A	311.00	466.00	280.00
40-44	N/A	393.00	550.00	354.00
45-49	N/A	460.00	644.00	414.00
50-54	N/A	617.00	771.00	555.00
55-59	N/A	755.00	869.00	680.00
60-64	N/A	877.00	965.00	790.00
65+	N/A	877.00	965.00	790.00

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