Personal Comp Plans -- Maryland

Monthly Premium Rates Effective: January 1, 2007

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$100 Deductible, 80% Coinsurance, $1,000 Out of Pocket Max
$200 Deductible, 80% Coinsurance, $2,000 Out of Pocket Max
$400 Deductible, 75% Coinsurance, $2,000 Out of Pocket Max
$500 Deductible, 80% Coinsurance, $2,000 Out of Pocket Max
$800 Deductible, 75% Coinsurance, $2,000 Out of Pocket Max
$1,000 Deductible, 80% Coinsurance, $2,500 Out of Pocket Max
$2,500 Deductible, 80% Coinsurance, $4,000 Out of Pocket Max
$5,000 Deductible, 80% Coinsurance, $6,000 Out of Pocket Max
$10,000 Deductible, 80% Coinsurance, $10,000 Out of Pocket Max

 

$100 Deductible, 80% Coinsurance, $1,000 Out of Pocket Max

AGE INDIVIDUAL INDIVIDUAL + CHILD INDIVIDUAL + ADULT FAMILY
1-5 $180      
6-17 $148 $252 $310 $400
18-29 $216 $368 $454 $584
30-39 $292 $498 $613 $790
40-49 $361 $613 $757 $974
50-59 $462 $786 $970 $1,248
60-64 $559 $952 $1,176 $1,511

 

$200 Deductible, 80% Coinsurance, $2,000 Out of Pocket Max

AGE INDIVIDUAL INDIVIDUAL + CHILD INDIVIDUAL + ADULT FAMILY
1-5 $150      
6-17 $123 $210 $257 $332
18-29 $180 $305 $377 $485
30-39 $242 $413 $509 $655
40-49 $299 $509 $629 $808
50-59 $383 $652 $805 $1,036
60-64 $464 $790 $976 $1,254

 

$400 Deductible, 75% Coinsurance, $2,000 Out of Pocket Max

AGE INDIVIDUAL INDIVIDUAL + CHILD INDIVIDUAL + ADULT FAMILY
1-5 $98      
6-17 $80 $137 $168 $217
18-29 $117 $200 $247 $317
30-39 $158 $270 $333 $428
40-49 $196 $333 $411 $528
50-59 $250 $427 $526 $677
60-64 $303 $517 $638 $820

 

$500 Deductible, 80% Coinsurance, $2,000 Out of Pocket Max

AGE INDIVIDUAL INDIVIDUAL + CHILD INDIVIDUAL + ADULT FAMILY
1-5 $113      
6-17 $93 $158 $194 $251
18-29 $136 $231 $285 $366
30-39 $183 $312 $384 $495
40-49 $226 $384 $475 $611
50-59 $289 $493 $608 $782
60-64 $351 $597 $737 $948

 

$800 Deductible, 75% Coinsurance, $2,000 Out of Pocket Max

AGE INDIVIDUAL INDIVIDUAL + CHILD INDIVIDUAL + ADULT FAMILY
1-5 $75      
6-17 $62 $106 $130 $167
18-29 $91 $154 $190 $244
30-39 $122 $208 $256 $330
40-49 $151 $256 $317 $407
50-59 $193 $329 $406 $522
60-64 $234 $398 $492 $632

 

$1,000 Deductible, 80% Coinsurance, $2,500 Out of Pocket Max

AGE INDIVIDUAL INDIVIDUAL + CHILD INDIVIDUAL + ADULT FAMILY
1-5 $68      
6-17 $56 $95 $117 $151
18-29 $82 $139 $172 $221
30-39 $110 $188 $232 $299
40-49 $136 $232 $286 $368
50-59 $175 $297 $367 $472
60-64 $211 $360 $445 $571

 

$2,500 Deductible, 80% Coinsurance, $4,000 Out of Pocket Max

AGE INDIVIDUAL INDIVIDUAL + CHILD INDIVIDUAL + ADULT FAMILY
1-5 $54      
6-17 $44 $75 $93 $119
18-29 $65 $110 $136 $174
30-39 $87 $149 $183 $236
40-49 $108 $183 $226 $291
50-59 $138 $235 $290 $372
60-64 $167 $284 $351 $451

 

$5,000 Deductible, 80% Coinsurance, $6,000 Out of Pocket Max

AGE INDIVIDUAL INDIVIDUAL + CHILD INDIVIDUAL + ADULT FAMILY
1-5 $41      
6-17 $34 $57 $70 $91
18-29 $49 $84 $103 $133
30-39 $66 $113 $139 $179
40-49 $82 $139 $172 $221
50-59 $105 $178 $220 $283
60-64 $127 $216 $267 $343

 

$10,000 Deductible, 80% Coinsurance, $10,000 Out of Pocket Max

AGE INDIVIDUAL INDIVIDUAL + CHILD INDIVIDUAL + ADULT FAMILY
1-5 $27      
6-17 $22 $38 $47 $61
18-29 $33 $56 $69 $88
30-39 $44 $75 $93 $120
40-49 $55 $93 $115 $147
50-59 $70 $119 $147 $189
60-64 $85 $144 $178 $229