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(Available to Washington State Residents Only)
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MONTHLY RATES FOR INDIVIDUAL HEALTHPAYS HSA PLAN
Rates Effective 01/01/11 - 06/30/11 Rates based on age as of July 1, 2010
Rates for you (and your spouse if applicable) are based on the age of each applicant. An increase in age to the next higher age range will increase your rate as indicated below without further notice from the Company.
To qualify for the non-smoker rates, you and your spouse must not have smoked cigarettes, cigars, pipes or used chewing tobacco, smokeless tobacco or any other form of tobacco or illegal drug substances with the past 12 months.
Individuals under the age of 19 are only allowed to enroll in plans during the annual open enrollment period of Nov 1st - Dec 15th, or during a special enrollment period. To view more information about the requirements to enroll an individual under 19 click here.
Individual HealthPays HSA Plan
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| Age Range | Western Washington* | Central/Eastern Washington* |
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Non-Smoker |
Smoker |
Non-Smoker |
Smoker |
| Dependent child under 26 ** † |
$ 68.00 |
$ 68.00 |
$ 70.00 |
$ 70.00 |
| Adult Age 24 or Under † |
$ 79.00 |
$ 95.00 |
$ 80.00 |
$ 97.00 |
| 25-29 |
$ 86.00 |
$104.00 |
$ 90.00 |
$106.00 |
| 30-34 |
$ 95.00 |
$114.00 |
$ 97.00 |
$116.00 |
| 35-39 |
$105.00 |
$126.00 |
$108.00 |
$130.00 |
| 40-44 |
$128.00 |
$154.00 |
$131.00 |
$157.00 |
| 45-49 |
$152.00 |
$182.00 |
$155.00 |
$186.00 |
| 50-54 |
$182.00 |
$219.00 |
$187.00 |
$223.00 |
| 55-59 |
$225.00 |
$269.00 |
$229.00 |
$275.00 |
| 60 - 64 |
$285.00 |
$341.00 |
$291.00 |
$349.00 |
| 65 + |
$285.00 |
$341.00 |
$291.00 |
$349.00 |
* Western Washington counties: King, Kitsap, Pierce, Snohomish, Island, Thurston, Whatcom, Skagit, San Juan, Mason, Lewis, and Gray's Harbor (Zip codes: 98541, 98557, 98554, & 98568). Central/Eastern Washington counties: Kittitas, Yakima, Benton, Franklin, Walla Walla, Columbia, Whitman, and Spokane.
** When three or more children are covered, the first two up to age 26 are billed.
† Individuals under the age of 19 are only allowed to enroll in plans during the annual open enrollment period of Nov 1st - Dec 15th, or during a special enrollment period. To view more information about the requirements to enroll an individual under 19 click here.

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E-mail us for more information and a free quote or CALL TOLL FREE 1-800-875-4490 (in the U.S.)
or 1-253-854-0199 (outside the U.S.) Fax: 1-253-896-9411
Mailing address: Maddock & Associates, 1407 Willow Road E, Suite C, Tacoma, WA 98424
Serving all of Washington at 800-875-4490, Seattle at 206-682-1628, Bellevue at 425-454-6834, Kent at 253-854-0199 and Tacoma at 253-572-3291.
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