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HSA Value Rates

HSA Value - $2,800 (individual)/$5,600 (family)
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective December 1, 2009 through October 31, 2010
Monthly family rates are based on the age of primary applicant
0 - 19 $53 $105 $146 $91
20 - 24 77 152 213 132
25 - 29 85 178 250 155
30 - 34 97 208 286 178
35 - 39 106 226 299 192
40 - 44 132 261 350 218
45 - 49 156 310 381 224
50 - 54 185 366 440 254
55 - 59 219 434 507 284
60 - 64 255 510 546 306