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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

Bronze 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 : 1500
0-19	81.00	N/A	N/A	N/A
20-25	97.00	194.00	185.00	282.00
26-29	117.00	234.00	224.00	341.00
30-34	149.00	298.00	285.00	434.00
35-39	164.00	328.00	313.00	477.00
40-44	203.00	406.00	365.00	568.00
45-49	218.00	436.00	380.00	598.00
50-54	284.00	568.00	446.00	730.00
55-59	352.00	704.00	514.00	866.00
60-64	385.00	770.00	547.00	932.00
65+	385.00	N/A	N/A	N/A
Age	Deductible : 2500
0-19	77.00	N/A	N/A	N/A
20-25	92.00	184.00	176.00	268.00
26-29	112.00	224.00	214.00	326.00
30-34	142.00	284.00	271.00	413.00
35-39	156.00	312.00	298.00	454.00
40-44	193.00	386.00	347.00	540.00
45-49	207.00	414.00	361.00	568.00
50-54	270.00	540.00	424.00	694.00
55-59	334.00	668.00	488.00	822.00
60-64	366.00	732.00	520.00	886.00
65+	366.00	N/A	N/A	N/A
Age	Deductible : 3500
0-19	75.00	N/A	N/A	N/A
20-25	89.00	178.00	171.00	260.00
26-29	109.00	218.00	208.00	317.00
30-34	138.00	276.00	264.00	402.00
35-39	152.00	304.00	290.00	442.00
40-44	188.00	376.00	338.00	526.00
45-49	202.00	404.00	352.00	554.00
50-54	263.00	526.00	413.00	676.00
55-59	326.00	652.00	476.00	802.00
60-64	356.00	712.00	506.00	862.00
65+	356.00	N/A	N/A	N/A
Age	Deductible : 5000
0-19	70.00	N/A	N/A	N/A
20-25	83.00	166.00	159.00	242.00
26-29	102.00	204.00	194.00	296.00
30-34	129.00	258.00	247.00	376.00
35-39	142.00	284.00	271.00	413.00
40-44	175.00	350.00	315.00	490.00
45-49	189.00	378.00	329.00	518.00
50-54	245.00	490.00	385.00	630.00
55-59	304.00	608.00	444.00	748.00
60-64	333.00	666.00	473.00	806.00
65+	333.00	N/A	N/A	N/A
Age	Deductible : 7500
0-19	64.00	N/A	N/A	N/A
20-25	76.00	152.00	146.00	222.00
26-29	93.00	186.00	177.00	270.00
30-34	118.00	236.00	226.00	344.00
35-39	129.00	258.00	247.00	376.00
40-44	160.00	320.00	288.00	448.00
45-49	172.00	344.00	300.00	472.00
50-54	224.00	448.00	352.00	576.00
55-59	278.00	556.00	406.00	684.00
60-64	304.00	608.00	432.00	736.00
65+	304.00	N/A	N/A	N/A

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