Maximizer (PPO) Rates  

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Maximizer - $1,000 Deductible
Age	Insured          Only		Insured & Spouse		Insured & Spouse &      Child (ren)	Insured & Child (ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19		$78		$155	$216	$134
20 - 24		114		226	315	195
25 - 29		124		262	369	229
30 - 34		144		306	422	263
35 - 39		157		332	440	283
40 - 44		194		386	515	321
45 - 49		230		457	562	331
50 - 54		273		541	649	373
55 - 59		323		641	749	420
60 - 64		377		752	806	452

Maximizer - $2,500 Deductible
Age	Insured Only		Insured & Spouse		Insured & Spouse & Child (ren)	Insured & Child (ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19		$64		$126	$176	$109
20 - 24		93		185	257	160
25 - 29		101		214	302	187
30 - 34		118		250	345	215
35 - 39		128		272	360	231
40 - 44		159		316	421	262
45 - 49		188		374	459	270
50 - 54		223		443	530	305
55 - 59		264		524	612	343
60 - 64		308		615	659	370

Maximizer - $5,000 Deductible
Age	Insured Only	Insured & Spouse	Insured & Spouse & Child (ren)	Insured & Child (ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$51	$101	$141	$88
20 - 24	75	148	206	128
25 - 29	81	172	242	150
30 - 34	94	201	277	173
35 - 39	103	218	288	185
40 - 44	128	253	338	210
45 - 49	151	300	368	217
50 - 54	179	355	425	245
55 - 59	212	421	491	275
60 - 64	247	493	529	296

Beneficial Rx Rates

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Beneficial Rx - $1,000 Deductible
Age	Insured Only	Insured& Spouse		Insured&Spouse&Child(ren)	Insured&Child(ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$85		$170	$236	$147
20 - 24	125		248	345	214
25 - 29	136		287	405	251
30 - 34	158		336	463	289
35 - 39	172		364	482	310
40 - 44	213		424	565	352
45 - 49	253		502	616	362
50 - 54	299		594	711	410
55 - 59	354		703	821	460
60 - 64	413		825	884	496

Beneficial Rx - $2,500 Deductible
Insured Only	Insured &    Spouse	Insured & Spouse & Child (ren)	Insured & Child (ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$71	$140	$195	$121
20 - 24	103	204	285	177
25 - 29	112	237	334	208
30 - 34	130	277	382	239
35 - 39	142	301	398	256
40 - 44	176	350	467	291
45 - 49	209	414	509	299
50 - 54	247	490	588	338
55 - 59	292	581	678	380
60 - 64	341	681	730	409

Beneficial Rx - $5,000 Deductible
Insured Only	Insured &    Spouse	Insured & Spouse & Child (ren)	Insured & Child (ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$56	$111	$155	$96
20 - 24	81	162	226	140
25 - 29	89	188	265	164
30 - 34	103	219	303	189
35 - 39	113	238	315	203
40 - 44	139	277	370	230
45 - 49	165	328	403	237
50 - 54	195	388	465	268
55 - 59	231	460	537	301
60 - 64	270	539	578	324

Beneficial Value Rates

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Beneficial Value - $1,000 Deductible
Age	Insured Only		Insured & Spouse	Insured & Spouse & Child(ren)	Insured & Child(ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$59	$118		$164	$102
20 - 24	87	172		241	149
25 - 29	94	199		281	174
30 - 34	110	234		322	202
35 - 39	120	253		335	215
40 - 44	149	295		394	245
45 - 49	176	350		430	253
50 - 54	209	415		498	286
55 - 59	248	492		574	322
60 - 64	288	575		617	345

Beneficial Value - $2,500 Deductible
Age	Insured Only	Insured & Spouse	Insured & Spouse & Child(ren)	Insured & Child(ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$46	$92	$128	$79
20 - 24	68	135	189	117
25 - 29	74	156	220	136
30 - 34	86	183	253	158
35 - 39	94	198	262	169
40 - 44	116	231	308	192
45 - 49	138	274	337	198
50 - 54	164	326	390	225
55 - 59	194	386	451	252
60 - 64	226	451	483	271

Beneficial Value - $5,000 Deductible
Age	Insured Only	Insured & Spouse	Insured & Spouse & Child (ren)	Insured & Child (ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$35	$69	$96	$59
20 - 24	51	101	$141	87
25 - 29	55	116	164	102
30 - 34	64	137	189	118
35 - 39	70	148	196	126
40 - 44	87	173	230	143
45 - 49	103	205	252	148
50 - 54	123	243	292	168
55 - 59	145	288	337	188
60 - 64	169	337	361	202

Beneficial Value - $7,500 Deductible
Age	Insured Only	Insured & Spouse	Insured & Spouse & Child(ren)	Insured & Child(ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$26	$51	$71	$44
20 - 24	38	75	106	65
25 - 29	41	87	122	76
30 - 34	48	102	141	88
35 - 39	52	111	146	94
40 - 44	65	129	172	107
45 - 49	77	153	189	111
50 - 54	92	182	219	126
55 - 59	109	216	253	141
60 - 64	126	252	270	151

HSA Choice Rates

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HSA Choice - $1,500 Deductible
Age	Insured Only	Insured & Spouse	Insured & Spouse & Child (ren)	Insured & Child (ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$64	$127	$177	$110
20 - 24	93	185	258	160
25 - 29	102	215	302	188
30 - 34	118	251	346	216
35 - 39	129	272	360	232
40 - 44	159	317	422	263
45 - 49	189	375	460	271
50 - 54	223	444	531	306
55 - 59	264	525	614	344
60 - 64	309	616	660	370

HSA Value Rates

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HSA Value - $2,800 Deductible
Age	Insured Only	Insured & Spouse	Insured & Spouse & Child (ren)	Insured & Child (ren)
Monthly rates effective July 1, 2007 through June 30, 2008 Monthly family rates are based on the age of primary applicant
0 - 19	$41	$82	$114	$71
20 - 24	60	119	166	103
25 - 29	66	139	195	121
30 - 34	76	162	223	139
35 - 39	83	176	233	150
40 - 44	103	204	273	170
45 - 49	122	242	297	175
50 - 54	144	286	343	198
55 - 59	171	339	396	222
60 - 64	199	398	426	239