2015 Plan Rates | Individual and Family Plans | Group Health

Individual
and family
plans
2015 plan rates
Effective Jan. 1, 2015, for individuals and families
What to know before
looking up rates
Areas where Group Health plans are offered:
• King County, Area 1
• Western WA, Area 2
Island, Kitsap, Lewis, Mason, Pierce, San Juan,
Skagit, Snohomish, Thurston, and Whatcom
counties
• Spokane County, Area 4
• South Central and Southeastern WA, Area 5
Benton, Columbia, Franklin, Kittitas, Walla
Walla, Whitman, and Yakima counties
Rates for dependents If you have dependents, you’ll need to find the
rates for their ages and add them to your rate to
get your family’s total monthly premium. Your
first 3 children ages 0–20 each will be charged
the age 0–20 rate. There’s no charge for
additional children ages 0–20. Each child older
than age 20 will be charged the rate applicable
to his or her individual age.
Smoker rates These apply to individuals age 21 and older, who
have used tobacco or nicotine products regularly
within the last 6 months. Regular tobacco use is
defined as 4 or more times per week, excluding
religious or ceremonial use.
Monthly premium rates
Plans through
Core Bronze HSA
Washington
Healthplanfinder Core Flex Bronze
Plans direct from
Group Health
page
2
3
Core Flex Silver
4
Core Flex Gold
5
Core Basics Plus
Catastrophic
6
HealthPays® Core
Bronze HSA
7
Core Plus Bronze
8
Core Plus Silver
9
Core Plus Gold
10
HealthPays® Connect
Bronze HSA
11
Connect3 Silver
12
Connect3 Gold
13
Plans on washington healthplanfinder
If you qualify for financial assistance, your premium rate may be lower than what is shown. Find out more at ghc.org/if.
Core Bronze HSA from Group Health Cooperative
King County | Area 1
Western WA* | Area 2
Spokane County | Area 4
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
$109.90
$109.90
$113.97
$113.97
$105.06
$105.06
$110.34
$110.34
AGE
0-20‡
21
$173.07
$207.68
$179.47
$215.37
$165.46
$198.55
$173.76
$208.51
22
$173.07
$207.68
$179.47
$215.37
$165.46
$198.55
$173.76
$208.51
23
$173.07
$207.68
$179.47
$215.37
$165.46
$198.55
$173.76
$208.51
24
$173.07
$207.68
$179.47
$215.37
$165.46
$198.55
$173.76
$208.51
25
$173.76
$208.51
$180.19
$216.23
$166.12
$199.34
$174.46
$209.35
26
$177.22
$212.67
$183.78
$220.54
$169.43
$203.31
$177.93
$213.52
27
$181.38
$217.65
$188.09
$225.71
$173.40
$208.08
$182.10
$218.52
28
$188.13
$225.75
$195.09
$234.11
$179.85
$215.82
$188.88
$226.66
29
$193.67
$232.40
$200.83
$241.00
$185.14
$222.17
$194.44
$233.33
30
$196.43
$235.72
$203.70
$244.44
$187.79
$225.35
$197.22
$236.66
31
$200.59
$240.71
$208.01
$249.61
$191.76
$230.11
$201.39
$241.67
32
$204.74
$245.69
$212.32
$254.78
$195.73
$234.88
$205.56
$246.67
33
$207.34
$248.81
$215.01
$258.01
$198.22
$237.86
$208.17
$249.80
34
$210.11
$252.13
$217.88
$261.46
$200.86
$241.04
$210.95
$253.14
35
$211.49
$253.79
$219.32
$263.18
$202.19
$242.62
$212.34
$254.81
36
$212.88
$255.45
$220.75
$264.90
$203.51
$244.21
$213.73
$256.47
37
$214.26
$257.11
$222.19
$266.63
$204.83
$245.80
$215.12
$258.14
38
$215.65
$258.77
$223.62
$268.35
$206.16
$247.39
$216.51
$259.81
39
$218.41
$262.10
$226.50
$271.80
$208.80
$250.57
$219.29
$263.15
40
$221.18
$265.42
$229.37
$275.24
$211.45
$253.74
$222.07
$266.48
41
$225.34
$270.40
$233.67
$280.41
$215.42
$258.51
$226.24
$271.49
42
$229.32
$275.18
$237.80
$285.36
$219.23
$263.07
$230.24
$276.28
43
$234.86
$281.83
$243.55
$292.26
$224.52
$269.43
$235.80
$282.95
44
$241.78
$290.13
$250.72
$300.87
$231.14
$277.37
$242.75
$291.30
45
$249.91
$299.90
$259.16
$310.99
$238.92
$286.70
$250.91
$301.10
46
$259.61
$311.53
$269.21
$323.05
$248.18
$297.82
$260.64
$312.77
47
$270.51
$324.61
$280.52
$336.62
$258.61
$310.33
$271.59
$325.91
48
$282.97
$339.56
$293.44
$352.13
$270.52
$324.62
$284.10
$340.92
49
$295.26
$354.31
$306.18
$367.42
$282.27
$338.72
$296.44
$355.73
50
$309.10
$370.92
$320.54
$384.65
$295.50
$354.60
$310.34
$372.41
51
$322.78
$387.33
$334.72
$401.66
$308.57
$370.29
$324.07
$388.88
52
$337.83
$405.40
$350.33
$420.40
$322.97
$387.56
$339.18
$407.02
53
$353.06
$423.68
$366.13
$439.35
$337.53
$405.03
$354.48
$425.37
54
$369.50
$443.41
$383.18
$459.81
$353.25
$423.90
$370.98
$445.18
55
$385.95
$463.14
$400.23
$480.27
$368.96
$442.76
$387.49
$464.99
56
$403.77
$484.53
$418.71
$502.45
$386.01
$463.21
$405.39
$486.47
57
$421.77
$506.13
$437.38
$524.85
$403.21
$483.86
$423.46
$508.15
58
$440.98
$529.18
$457.30
$548.76
$421.58
$505.90
$442.75
$531.30
59
$450.50
$540.60
$467.17
$560.60
$430.68
$516.82
$452.30
$542.76
60
$469.71
$563.66
$487.09
$584.51
$449.05
$538.85
$471.59
$565.91
$585.93
61
$486.33
$583.59
$504.32
$605.19
$464.93
$557.91
$488.27
62
$497.23
$596.68
$515.63
$618.75
$475.35
$570.42
$499.22
$599.06
63
$510.90
$613.08
$529.81
$635.77
$488.42
$586.11
$512.95
$615.54
64
$519.21
$623.04
$538.41
$646.11
$496.37
$595.64
$521.28
$625.53
65+
$519.21
$623.04
$538.41
$646.11
$496.37
$595.64
$521.28
$625.53
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
2
Plans on washington healthplanfinder
If you qualify for financial assistance, your premium rate may be lower than what is shown. Find out more at ghc.org/if.
Core Flex Bronze from Group Health Cooperative
King County | Area 1
Western WA* | Area 2
Spokane County | Area 4
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
$114.38
$114.38
$118.61
$118.61
$109.35
$109.35
$114.84
$114.84
AGE
0-20‡
21
$180.13
$216.16
$186.80
$224.15
$172.20
$206.65
$180.85
$217.02
22
$180.13
$216.16
$186.80
$224.15
$172.20
$206.65
$180.85
$217.02
23
$180.13
$216.16
$186.80
$224.15
$172.20
$206.65
$180.85
$217.02
24
$180.13
$216.16
$186.80
$224.15
$172.20
$206.65
$180.85
$217.02
25
$180.85
$217.02
$187.54
$225.05
$172.89
$207.47
$181.57
$217.89
26
$184.45
$221.34
$191.28
$229.53
$176.34
$211.61
$185.19
$222.23
27
$188.78
$226.53
$195.76
$234.91
$180.47
$216.56
$189.53
$227.44
28
$195.80
$234.96
$203.05
$243.66
$187.19
$224.62
$196.58
$235.90
29
$201.57
$241.88
$209.02
$250.83
$192.70
$231.24
$202.37
$242.85
30
$204.45
$245.34
$212.01
$254.41
$195.45
$234.54
$205.27
$246.32
31
$208.77
$250.53
$216.50
$259.79
$199.59
$239.50
$209.61
$251.53
32
$213.09
$255.71
$220.98
$265.17
$203.72
$244.46
$213.95
$256.74
33
$215.80
$258.96
$223.78
$268.54
$206.30
$247.56
$216.66
$259.99
34
$218.68
$262.41
$226.77
$272.12
$209.06
$250.87
$219.55
$263.46
35
$220.12
$264.14
$228.26
$273.92
$210.43
$252.52
$221.00
$265.20
36
$221.56
$265.87
$229.76
$275.71
$211.81
$254.17
$222.45
$266.94
37
$223.00
$267.60
$231.25
$277.50
$213.19
$255.83
$223.89
$268.67
38
$224.44
$269.33
$232.75
$279.30
$214.57
$257.48
$225.34
$270.41
39
$227.32
$272.79
$235.74
$282.88
$217.32
$260.79
$228.23
$273.88
40
$230.21
$276.25
$238.72
$286.47
$220.08
$264.09
$231.13
$277.35
41
$234.53
$281.44
$243.21
$291.85
$224.21
$269.05
$235.47
$282.56
42
$238.67
$286.41
$247.50
$297.00
$228.17
$273.81
$239.63
$287.55
43
$244.44
$293.32
$253.48
$304.18
$233.68
$280.42
$245.41
$294.50
44
$251.64
$301.97
$260.95
$313.14
$240.57
$288.68
$252.65
$303.18
45
$260.11
$312.13
$269.73
$323.68
$248.66
$298.40
$261.15
$313.38
46
$270.20
$324.23
$280.19
$336.23
$258.31
$309.97
$271.28
$325.53
47
$281.54
$337.85
$291.96
$350.35
$269.16
$322.99
$282.67
$339.20
48
$294.51
$353.42
$305.41
$366.49
$281.55
$337.87
$295.69
$354.83
49
$307.30
$368.76
$318.67
$382.41
$293.78
$352.54
$308.53
$370.24
50
$321.71
$386.06
$333.62
$400.34
$307.56
$369.07
$323.00
$387.60
51
$335.94
$403.13
$348.37
$418.05
$321.16
$385.39
$337.29
$404.74
52
$351.61
$421.94
$364.62
$437.55
$336.14
$403.37
$353.02
$423.63
53
$367.47
$440.96
$381.06
$457.27
$351.30
$421.56
$368.94
$442.72
54
$384.58
$461.49
$398.81
$478.57
$367.66
$441.19
$386.12
$463.34
55
$401.69
$482.03
$416.55
$499.86
$384.02
$460.82
$403.30
$483.96
56
$420.24
$504.29
$435.79
$522.95
$401.75
$482.10
$421.93
$506.31
57
$438.98
$526.77
$455.22
$546.26
$419.66
$503.60
$440.73
$528.88
58
$458.97
$550.77
$475.95
$571.14
$438.78
$526.53
$460.81
$552.97
59
$468.88
$562.66
$486.23
$583.47
$448.25
$537.90
$470.75
$564.91
60
$488.87
$586.65
$506.96
$608.35
$467.36
$560.84
$490.83
$589.00
$609.83
61
$506.17
$607.40
$524.89
$629.87
$483.89
$580.67
$508.19
62
$517.51
$621.02
$536.66
$643.99
$494.74
$593.69
$519.58
$623.50
63
$531.74
$638.09
$551.42
$661.70
$508.35
$610.02
$533.87
$640.65
64
$540.39
$648.47
$560.39
$672.45
$516.60
$619.94
$542.55
$651.06
65+
$540.39
$648.47
$560.39
$672.45
$516.60
$619.94
$542.55
$651.06
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
3
Plans on washington healthplanfinder
If you qualify for financial assistance, your premium rate for the Core Flex Silver plan
may be lower than what is shown. Find out more at ghc.org/if. Depending on the level of financial assistance you qualify for, you may also be eligible for a Core
Flex Silver 94, Core Flex Silver 87, or Core Flex Silver 73 plan. Find out more about these three plans and their premiums at wahealthplanfinder.org.
Core Flex Silver from Group Health Cooperative
King County | Area 1
Non-smoker
Smoker
Western WA* | Area 2
Non-smoker
Spokane County | Area 4
Smoker
Non-smoker
Smoker
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
AGE
0-20‡
$139.55
$139.55
$144.72
$144.72
$133.41
$133.41
$140.11
$140.11
21
$219.77
$263.72
$227.90
$273.48
$210.10
$252.12
$220.65
$264.78
22
$219.77
$263.72
$227.90
$273.48
$210.10
$252.12
$220.65
$264.78
23
$219.77
$263.72
$227.90
$273.48
$210.10
$252.12
$220.65
$264.78
24
$219.77
$263.72
$227.90
$273.48
$210.10
$252.12
$220.65
$264.78
25
$220.65
$264.78
$228.81
$274.57
$210.94
$253.13
$221.53
$265.83
26
$225.04
$270.05
$233.37
$280.04
$215.14
$258.17
$225.94
$271.13
27
$230.32
$276.38
$238.84
$286.61
$220.18
$264.22
$231.24
$277.48
28
$238.89
$286.66
$247.73
$297.27
$228.38
$274.05
$239.84
$287.81
29
$245.92
$295.10
$255.02
$306.02
$235.10
$282.12
$246.90
$296.28
30
$249.44
$299.32
$258.66
$310.40
$238.46
$286.15
$250.43
$300.52
31
$254.71
$305.65
$264.13
$316.96
$243.50
$292.20
$255.73
$306.87
32
$259.98
$311.98
$269.60
$323.52
$248.55
$298.25
$261.02
$313.23
33
$263.28
$315.94
$273.02
$327.63
$251.70
$302.04
$264.33
$317.20
34
$266.80
$320.16
$276.67
$332.00
$255.06
$306.07
$267.86
$321.44
35
$268.56
$322.27
$278.49
$334.19
$256.74
$308.09
$269.63
$323.56
36
$270.31
$324.38
$280.32
$336.38
$258.42
$310.10
$271.39
$325.67
37
$272.07
$326.49
$282.14
$338.57
$260.10
$312.12
$273.16
$327.79
38
$273.83
$328.60
$283.96
$340.75
$261.78
$314.14
$274.93
$329.91
39
$277.35
$332.82
$287.61
$345.13
$265.14
$318.17
$278.46
$334.15
40
$280.86
$337.03
$291.25
$349.51
$268.50
$322.21
$281.99
$338.38
41
$286.14
$343.36
$296.72
$356.07
$273.55
$328.26
$287.28
$344.74
42
$291.19
$349.43
$301.97
$362.36
$278.38
$334.05
$292.36
$350.83
43
$298.22
$357.87
$309.26
$371.11
$285.10
$342.12
$299.42
$359.30
44
$307.01
$368.42
$318.37
$382.05
$293.51
$352.21
$308.24
$369.89
45
$317.34
$380.81
$329.09
$394.90
$303.38
$364.06
$318.61
$382.34
46
$329.65
$395.58
$341.85
$410.22
$315.15
$378.18
$330.97
$397.16
47
$343.50
$412.20
$356.21
$427.45
$328.38
$394.06
$344.87
$413.84
48
$359.32
$431.18
$372.61
$447.14
$343.51
$412.21
$360.76
$432.91
49
$374.92
$449.91
$388.79
$466.55
$358.43
$430.11
$376.42
$451.71
50
$392.50
$471.01
$407.03
$488.43
$375.23
$450.28
$394.07
$472.89
51
$409.87
$491.84
$425.03
$510.04
$391.83
$470.20
$411.51
$493.81
52
$428.99
$514.78
$444.86
$533.83
$410.11
$492.13
$430.70
$516.84
53
$448.33
$537.99
$464.91
$557.90
$428.60
$514.32
$450.12
$540.14
54
$469.20
$563.04
$486.56
$583.88
$448.56
$538.27
$471.08
$565.30
55
$490.08
$588.10
$508.21
$609.86
$468.52
$562.22
$492.04
$590.45
56
$512.72
$615.26
$531.69
$638.02
$490.16
$588.19
$514.77
$617.72
57
$535.57
$642.69
$555.39
$666.47
$512.01
$614.41
$537.71
$645.26
58
$559.97
$671.96
$580.69
$696.82
$535.33
$642.39
$562.21
$674.65
59
$572.05
$686.46
$593.22
$711.86
$546.88
$656.26
$574.34
$689.21
60
$596.45
$715.74
$618.52
$742.22
$570.20
$684.25
$598.83
$718.60
61
$617.55
$741.05
$640.39
$768.47
$590.37
$708.45
$620.02
$744.02
62
$631.39
$757.67
$654.75
$785.70
$603.61
$724.33
$633.92
$760.70
63
$648.75
$778.50
$672.76
$807.31
$620.21
$744.25
$651.35
$781.62
64
$659.30
$791.16
$683.70
$820.43
$630.29
$756.35
$661.94
$794.33
65+
$659.30
$791.16
$683.70
$820.43
$630.29
$756.35
$661.94
$794.33
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
4
Plans on washington healthplanfinder
If you qualify for financial assistance, your premium rate may be lower than what is shown. Find out more at ghc.org/if.
Core Flex Gold from Group Health Cooperative
King County | Area 1
Western WA* | Area 2
Spokane County | Area 4
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
$169.96
$169.96
$176.25
$176.25
$162.48
$162.48
$170.64
$170.64
AGE
0-20‡
21
$267.65
$321.18
$277.55
$333.06
$255.87
$307.05
$268.72
$322.46
22
$267.65
$321.18
$277.55
$333.06
$255.87
$307.05
$268.72
$322.46
23
$267.65
$321.18
$277.55
$333.06
$255.87
$307.05
$268.72
$322.46
24
$267.65
$321.18
$277.55
$333.06
$255.87
$307.05
$268.72
$322.46
25
$268.72
$322.46
$278.66
$334.40
$256.90
$308.28
$269.80
$323.75
26
$274.07
$328.89
$284.21
$341.06
$262.01
$314.42
$275.17
$330.20
27
$280.50
$336.60
$290.88
$349.05
$268.16
$321.79
$281.62
$337.94
28
$290.94
$349.12
$301.70
$362.04
$278.13
$333.76
$292.10
$350.52
29
$299.50
$359.40
$310.58
$372.70
$286.32
$343.59
$300.70
$360.84
30
$303.78
$364.54
$315.02
$378.03
$290.42
$348.50
$305.00
$366.00
31
$310.21
$372.25
$321.68
$386.02
$296.56
$355.87
$311.45
$373.74
32
$316.63
$379.96
$328.35
$394.01
$302.70
$363.24
$317.90
$381.48
33
$320.64
$384.77
$332.51
$399.01
$306.54
$367.84
$321.93
$386.31
34
$324.93
$389.91
$336.95
$404.34
$310.63
$372.76
$326.23
$391.47
35
$327.07
$392.48
$339.17
$407.00
$312.68
$375.21
$328.38
$394.05
36
$329.21
$395.05
$341.39
$409.67
$314.72
$377.67
$330.53
$396.63
37
$331.35
$397.62
$343.61
$412.33
$316.77
$380.13
$332.68
$399.21
38
$333.49
$400.19
$345.83
$415.00
$318.82
$382.58
$334.83
$401.79
39
$337.77
$405.33
$350.27
$420.33
$322.91
$387.49
$339.13
$406.95
40
$342.06
$410.47
$354.71
$425.66
$327.01
$392.41
$343.43
$412.11
41
$348.48
$418.18
$361.37
$433.65
$333.15
$399.78
$349.87
$419.85
42
$354.64
$425.56
$367.76
$441.31
$339.03
$406.84
$356.06
$427.27
43
$363.20
$435.84
$376.64
$451.97
$347.22
$416.66
$364.65
$437.58
44
$373.91
$448.69
$387.74
$465.29
$357.46
$428.95
$375.40
$450.48
45
$386.49
$463.78
$400.79
$480.94
$369.48
$443.38
$388.03
$465.64
46
$401.48
$481.77
$416.33
$499.60
$383.81
$460.57
$403.08
$483.70
47
$418.34
$502.00
$433.82
$520.58
$399.93
$479.92
$420.01
$504.01
48
$437.61
$525.13
$453.80
$544.56
$418.35
$502.02
$439.36
$527.23
49
$456.61
$547.93
$473.51
$568.21
$436.52
$523.82
$458.44
$550.13
50
$478.02
$573.63
$495.71
$594.85
$456.99
$548.39
$479.94
$575.92
51
$499.17
$599.00
$517.64
$621.16
$477.20
$572.65
$501.16
$601.40
52
$522.45
$626.94
$541.78
$650.14
$499.47
$599.36
$524.54
$629.45
53
$546.01
$655.21
$566.21
$679.45
$521.98
$626.38
$548.19
$657.83
54
$571.43
$685.72
$592.58
$711.09
$546.29
$655.55
$573.72
$688.46
55
$596.86
$716.23
$618.94
$742.73
$570.60
$684.72
$599.25
$719.10
56
$624.43
$749.31
$647.53
$777.04
$596.95
$716.34
$626.93
$752.31
57
$652.26
$782.72
$676.40
$811.68
$623.56
$748.28
$654.87
$785.85
58
$681.97
$818.37
$707.21
$848.65
$651.97
$782.36
$684.70
$821.64
59
$696.69
$836.03
$722.47
$866.97
$666.04
$799.25
$699.48
$839.38
60
$726.40
$871.68
$753.28
$903.94
$694.44
$833.33
$729.31
$875.17
$906.13
61
$752.10
$902.52
$779.92
$935.91
$719.00
$862.81
$755.11
62
$768.96
$922.75
$797.41
$956.89
$735.12
$882.15
$772.03
$926.44
63
$790.10
$948.12
$819.34
$983.20
$755.34
$906.41
$793.26
$951.92
64
$802.95
$963.54
$832.65
$999.18
$767.61
$921.14
$806.16
$967.38
65+
$802.95
$963.54
$832.65
$999.18
$767.61
$921.14
$806.16
$967.38
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
5
Plans on washington healthplanfinder
This plan is available only to adults under 30 or adults experiencing some sort of financial hardship. To find out more, go to ghc.org/if.
Core Basics Plus Catastrophic from Group Health Cooperative
King County | Area 1
Western WA* | Area 2
Spokane County | Area 4
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
$98.22
$98.22
$101.86
$101.86
$93.90
$93.90
$98.61
$98.61
AGE
0-20‡
21
$154.68
$185.62
$160.40
$192.48
$147.87
$177.45
$155.30
$186.36
22
$154.68
$185.62
$160.40
$192.48
$147.87
$177.45
$155.30
$186.36
23
$154.68
$185.62
$160.40
$192.48
$147.87
$177.45
$155.30
$186.36
24
$154.68
$185.62
$160.40
$192.48
$147.87
$177.45
$155.30
$186.36
25
$155.30
$186.36
$161.04
$193.25
$148.47
$178.16
$155.92
$187.10
26
$158.39
$190.07
$164.25
$197.10
$151.42
$181.71
$159.03
$190.83
27
$162.10
$194.53
$168.10
$201.72
$154.97
$185.97
$162.75
$195.30
28
$168.14
$201.76
$174.36
$209.23
$160.74
$192.89
$168.81
$202.57
29
$173.09
$207.70
$179.49
$215.39
$165.47
$198.57
$173.78
$208.54
30
$175.56
$210.67
$182.06
$218.47
$167.84
$201.40
$176.26
$211.52
31
$179.27
$215.13
$185.91
$223.09
$171.39
$205.66
$179.99
$215.99
32
$182.99
$219.58
$189.76
$227.71
$174.94
$209.92
$183.72
$220.46
33
$185.31
$222.37
$192.16
$230.60
$177.15
$212.58
$186.05
$223.26
34
$187.78
$225.34
$194.73
$233.68
$179.52
$215.42
$188.53
$226.24
35
$189.02
$226.82
$196.01
$235.22
$180.70
$216.84
$189.78
$227.73
36
$190.26
$228.31
$197.30
$236.76
$181.89
$218.26
$191.02
$229.22
37
$191.49
$229.79
$198.58
$238.30
$183.07
$219.68
$192.26
$230.71
38
$192.73
$231.28
$199.86
$239.83
$184.25
$221.10
$193.50
$232.20
39
$195.21
$234.25
$202.43
$242.91
$186.62
$223.94
$195.99
$235.18
40
$197.68
$237.22
$205.00
$245.99
$188.98
$226.78
$198.47
$238.17
41
$201.39
$241.67
$208.85
$250.61
$192.53
$231.04
$202.20
$242.64
42
$204.95
$245.94
$212.53
$255.04
$195.93
$235.12
$205.77
$246.93
43
$209.90
$251.88
$217.67
$261.20
$200.67
$240.80
$210.74
$252.89
44
$216.09
$259.31
$224.08
$268.90
$206.58
$247.90
$216.95
$260.34
45
$223.36
$268.03
$231.62
$277.95
$213.53
$256.24
$224.25
$269.10
46
$232.02
$278.42
$240.60
$288.73
$221.81
$266.17
$232.95
$279.54
47
$241.76
$290.12
$250.71
$300.85
$231.13
$277.35
$242.73
$291.28
48
$252.90
$303.48
$262.26
$314.71
$241.77
$290.13
$253.91
$304.70
49
$263.88
$316.66
$273.65
$328.38
$252.27
$302.73
$264.94
$317.93
50
$276.26
$331.51
$286.48
$343.78
$264.10
$316.92
$277.36
$332.84
51
$288.48
$346.17
$299.15
$358.98
$275.79
$330.94
$289.63
$347.56
52
$301.94
$362.32
$313.11
$375.73
$288.65
$346.38
$303.14
$363.77
53
$315.55
$378.66
$327.22
$392.67
$301.66
$362.00
$316.81
$380.17
54
$330.24
$396.29
$342.46
$410.95
$315.71
$378.85
$331.56
$397.88
55
$344.94
$413.92
$357.70
$429.24
$329.76
$395.71
$346.32
$415.58
56
$360.87
$433.04
$374.22
$449.06
$344.99
$413.99
$362.31
$434.77
57
$376.96
$452.35
$390.90
$469.08
$360.37
$432.44
$378.46
$454.16
58
$394.12
$472.95
$408.71
$490.45
$376.78
$452.14
$395.70
$474.84
59
$402.63
$483.16
$417.53
$501.04
$384.92
$461.90
$404.24
$485.09
60
$419.80
$503.76
$435.33
$522.40
$401.33
$481.60
$421.48
$505.78
$523.67
61
$434.65
$521.58
$450.73
$540.88
$415.53
$498.63
$436.39
62
$444.40
$533.28
$460.84
$553.01
$424.84
$509.81
$446.17
$535.41
63
$456.62
$547.94
$473.51
$568.21
$436.52
$523.83
$458.44
$550.13
64
$464.04
$556.85
$481.20
$577.44
$443.61
$532.35
$465.90
$559.08
65+
$464.04
$556.85
$481.20
$577.44
$443.61
$532.35
$465.90
$559.08
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
6
Plans Direct from Group Health
HealthPays Core Bronze HSA from Group Health Cooperative
®
King County | Area 1
Non-smoker
Smoker
Western WA* | Area 2
Non-smoker
Spokane County | Area 4
Smoker
Non-smoker
Smoker
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
AGE
0-20‡
$110.20
$110.20
$114.28
$114.28
$105.35
$105.35
$110.64
$110.64
21
$173.54
$208.25
$179.96
$215.96
$165.91
$199.09
$174.24
$209.08
22
$173.54
$208.25
$179.96
$215.96
$165.91
$199.09
$174.24
$209.08
23
$173.54
$208.25
$179.96
$215.96
$165.91
$199.09
$174.24
$209.08
24
$173.54
$208.25
$179.96
$215.96
$165.91
$199.09
$174.24
$209.08
25
$174.24
$209.08
$180.68
$216.82
$166.57
$199.88
$174.93
$209.92
26
$177.71
$213.25
$184.28
$221.14
$169.89
$203.87
$178.42
$214.10
27
$181.87
$218.25
$188.60
$226.32
$173.87
$208.64
$182.60
$219.12
28
$188.64
$226.37
$195.62
$234.74
$180.34
$216.41
$189.39
$227.27
29
$194.19
$233.03
$201.38
$241.65
$185.65
$222.78
$194.97
$233.96
30
$196.97
$236.36
$204.26
$245.11
$188.30
$225.96
$197.76
$237.31
31
$201.14
$241.36
$208.58
$250.29
$192.29
$230.74
$201.94
$242.33
32
$205.30
$246.36
$212.90
$255.48
$196.27
$235.52
$206.12
$247.35
33
$207.90
$249.48
$215.60
$258.71
$198.76
$238.51
$208.73
$250.48
34
$210.68
$252.82
$218.48
$262.17
$201.41
$241.69
$211.52
$253.83
35
$212.07
$254.48
$219.91
$263.90
$202.74
$243.28
$212.92
$255.50
36
$213.46
$256.15
$221.35
$265.63
$204.06
$244.88
$214.31
$257.17
37
$214.84
$257.81
$222.79
$267.35
$205.39
$246.47
$215.70
$258.85
38
$216.23
$259.48
$224.23
$269.08
$206.72
$248.06
$217.10
$260.52
39
$219.01
$262.81
$227.11
$272.54
$209.37
$251.25
$219.89
$263.86
40
$221.79
$266.14
$229.99
$275.99
$212.03
$254.43
$222.67
$267.21
41
$225.95
$271.14
$234.31
$281.17
$216.01
$259.21
$226.86
$272.23
42
$229.94
$275.93
$238.45
$286.14
$219.83
$263.79
$230.86
$277.04
43
$235.50
$282.60
$244.21
$293.05
$225.13
$270.16
$236.44
$283.73
44
$242.44
$290.93
$251.41
$301.69
$231.77
$278.12
$243.41
$292.09
45
$250.59
$300.71
$259.87
$311.84
$239.57
$287.48
$251.60
$301.92
46
$260.31
$312.38
$269.94
$323.93
$248.86
$298.63
$261.35
$313.62
47
$271.25
$325.50
$281.28
$337.54
$259.31
$311.17
$272.33
$326.80
48
$283.74
$340.49
$294.24
$353.09
$271.26
$325.51
$284.88
$341.85
49
$296.06
$355.27
$307.02
$368.42
$283.04
$339.64
$297.25
$356.70
50
$309.95
$371.93
$321.41
$385.70
$296.31
$355.57
$311.19
$373.42
51
$323.66
$388.39
$335.63
$402.76
$309.41
$371.30
$324.95
$389.94
52
$338.75
$406.50
$351.29
$421.55
$323.85
$388.62
$340.11
$408.13
53
$354.03
$424.83
$367.12
$440.55
$338.45
$406.14
$355.44
$426.53
54
$370.51
$444.61
$384.22
$461.07
$354.21
$425.05
$371.99
$446.39
55
$387.00
$464.40
$401.32
$481.58
$369.97
$443.96
$388.55
$466.26
56
$404.87
$485.85
$419.85
$503.82
$387.06
$464.47
$406.49
$487.79
57
$422.92
$507.51
$438.57
$526.28
$404.31
$485.18
$424.61
$509.54
58
$442.18
$530.62
$458.55
$550.25
$422.73
$507.27
$443.95
$532.74
59
$451.73
$542.08
$468.44
$562.13
$431.85
$518.22
$453.54
$544.24
60
$470.99
$565.19
$488.42
$586.10
$450.27
$540.32
$472.88
$567.45
61
$487.65
$585.18
$505.70
$606.84
$466.20
$559.44
$489.60
$587.52
62
$498.59
$598.30
$517.03
$620.44
$476.65
$571.98
$500.58
$600.70
63
$512.30
$614.75
$531.25
$637.50
$489.75
$587.71
$514.34
$617.21
64
$520.62
$624.75
$539.88
$647.87
$497.72
$597.26
$522.71
$627.24
65+
$520.62
$624.75
$539.88
$647.87
$497.72
$597.26
$522.71
$627.24
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
7
Plans Direct from Group Health
Core Plus Bronze from Group Health Cooperative
King County | Area 1
Non-smoker
Smoker
Western WA* | Area 2
Non-smoker
Spokane County | Area 4
Smoker
Non-smoker
Smoker
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
AGE
0-20‡
$116.09
$116.09
$120.39
$120.39
$110.99
$110.99
$116.56
$116.56
21
$182.82
$219.39
$189.59
$227.51
$174.78
$209.74
$183.56
$220.27
22
$182.82
$219.39
$189.59
$227.51
$174.78
$209.74
$183.56
$220.27
23
$182.82
$219.39
$189.59
$227.51
$174.78
$209.74
$183.56
$220.27
24
$182.82
$219.39
$189.59
$227.51
$174.78
$209.74
$183.56
$220.27
25
$183.56
$220.27
$190.35
$228.42
$175.48
$210.58
$184.29
$221.15
26
$187.21
$224.66
$194.14
$232.97
$178.98
$214.77
$187.96
$225.55
27
$191.60
$229.92
$198.69
$238.43
$183.17
$219.80
$192.37
$230.84
28
$198.73
$238.48
$206.08
$247.30
$189.99
$227.98
$199.53
$239.43
29
$204.58
$245.50
$212.15
$254.58
$195.58
$234.70
$205.40
$246.48
30
$207.51
$249.01
$215.18
$258.22
$198.38
$238.05
$208.34
$250.00
31
$211.89
$254.27
$219.73
$263.68
$202.57
$243.08
$212.74
$255.29
32
$216.28
$259.54
$224.28
$269.14
$206.77
$248.12
$217.15
$260.58
33
$219.02
$262.83
$227.13
$272.55
$209.39
$251.26
$219.90
$263.88
34
$221.95
$266.34
$230.16
$276.19
$212.18
$254.62
$222.84
$267.40
35
$223.41
$268.09
$231.68
$278.01
$213.58
$256.30
$224.31
$269.17
36
$224.87
$269.85
$233.19
$279.83
$214.98
$257.98
$225.77
$270.93
37
$226.34
$271.60
$234.71
$281.65
$216.38
$259.65
$227.24
$272.69
38
$227.80
$273.36
$236.23
$283.47
$217.78
$261.33
$228.71
$274.45
39
$230.72
$276.87
$239.26
$287.11
$220.57
$264.69
$231.65
$277.98
40
$233.65
$280.38
$242.30
$290.75
$223.37
$268.04
$234.58
$281.50
41
$238.04
$285.65
$246.85
$296.21
$227.56
$273.08
$238.99
$286.79
42
$242.24
$290.69
$251.21
$301.45
$231.58
$277.90
$243.21
$291.85
43
$248.09
$297.71
$257.27
$308.73
$237.18
$284.61
$249.09
$298.90
44
$255.41
$306.49
$264.86
$317.83
$244.17
$293.00
$256.43
$307.71
45
$264.00
$316.80
$273.77
$328.52
$252.38
$302.86
$265.05
$318.07
46
$274.24
$329.08
$284.38
$341.26
$262.17
$314.60
$275.33
$330.40
47
$285.76
$342.91
$296.33
$355.59
$273.18
$327.82
$286.90
$344.28
48
$298.92
$358.70
$309.98
$371.97
$285.77
$342.92
$300.11
$360.14
49
$311.90
$374.28
$323.44
$388.13
$298.18
$357.81
$313.15
$375.78
50
$326.53
$391.83
$338.61
$406.33
$312.16
$374.59
$327.83
$393.40
51
$340.97
$409.16
$353.58
$424.30
$325.97
$391.16
$342.33
$410.80
52
$356.87
$428.25
$370.08
$444.09
$341.17
$409.41
$358.30
$429.96
53
$372.96
$447.56
$386.76
$464.11
$356.55
$427.86
$374.45
$449.35
54
$390.33
$468.40
$404.77
$485.73
$373.16
$447.79
$391.89
$470.27
55
$407.70
$489.24
$422.78
$507.34
$389.76
$467.71
$409.33
$491.20
56
$426.53
$511.84
$442.31
$530.77
$407.76
$489.32
$428.24
$513.88
57
$445.54
$534.65
$462.03
$554.43
$425.94
$511.13
$447.33
$536.79
58
$465.84
$559.01
$483.07
$579.69
$445.34
$534.41
$467.70
$561.24
59
$475.89
$571.07
$493.50
$592.20
$454.95
$545.94
$477.80
$573.36
60
$496.19
$595.42
$514.55
$617.45
$474.35
$569.23
$498.17
$597.81
$618.95
61
$513.74
$616.49
$532.75
$639.30
$491.13
$589.36
$515.79
62
$525.26
$630.31
$544.69
$653.63
$502.14
$602.57
$527.36
$632.83
63
$539.70
$647.64
$559.67
$671.60
$515.95
$619.14
$541.86
$650.23
64
$548.46
$658.17
$568.77
$682.52
$524.34
$629.21
$550.67
$660.80
65+
$548.46
$658.17
$568.77
$682.52
$524.34
$629.21
$550.67
$660.80
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
8
Plans Direct from Group Health
Core Plus Silver from Group Health Cooperative
King County | Area 1
Non-smoker
Smoker
Western WA* | Area 2
Non-smoker
Spokane County | Area 4
Smoker
Non-smoker
Smoker
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
AGE
0-20‡
$141.65
$141.65
$146.89
$146.89
$135.42
$135.42
$142.21
$142.21
21
$223.07
$267.68
$231.32
$277.58
$213.25
$255.90
$223.96
$268.75
22
$223.07
$267.68
$231.32
$277.58
$213.25
$255.90
$223.96
$268.75
23
$223.07
$267.68
$231.32
$277.58
$213.25
$255.90
$223.96
$268.75
24
$223.07
$267.68
$231.32
$277.58
$213.25
$255.90
$223.96
$268.75
25
$223.96
$268.75
$232.25
$278.69
$214.11
$256.93
$224.86
$269.83
26
$228.42
$274.10
$236.87
$284.25
$218.37
$262.04
$229.33
$275.20
27
$233.77
$280.53
$242.42
$290.91
$223.49
$268.19
$234.71
$281.65
28
$242.47
$290.97
$251.45
$301.73
$231.81
$278.17
$243.44
$292.13
29
$249.61
$299.53
$258.85
$310.62
$238.63
$286.35
$250.61
$300.73
30
$253.18
$303.82
$262.55
$315.06
$242.04
$290.45
$254.19
$305.03
31
$258.53
$310.24
$268.10
$321.72
$247.16
$296.59
$259.57
$311.48
32
$263.89
$316.67
$273.65
$328.38
$252.28
$302.73
$264.94
$317.93
33
$267.23
$320.68
$277.12
$332.55
$255.48
$306.57
$268.30
$321.96
34
$270.80
$324.96
$280.82
$336.99
$258.89
$310.67
$271.89
$326.26
35
$272.59
$327.11
$282.67
$339.21
$260.59
$312.71
$273.68
$328.41
36
$274.37
$329.25
$284.52
$341.43
$262.30
$314.76
$275.47
$330.56
37
$276.16
$331.39
$286.37
$343.65
$264.01
$316.81
$277.26
$332.71
38
$277.94
$333.53
$288.23
$345.87
$265.71
$318.85
$279.05
$334.86
39
$281.51
$337.81
$291.93
$350.31
$269.12
$322.95
$282.64
$339.16
40
$285.08
$342.10
$295.63
$354.75
$272.54
$327.04
$286.22
$343.46
41
$290.43
$348.52
$301.18
$361.42
$277.65
$333.19
$291.60
$349.91
42
$295.56
$354.68
$306.50
$367.80
$282.56
$339.07
$296.75
$356.10
43
$302.70
$363.24
$313.90
$376.68
$289.38
$347.26
$303.91
$364.70
44
$311.62
$373.95
$323.15
$387.79
$297.91
$357.50
$312.87
$375.45
45
$322.11
$386.53
$334.03
$400.83
$307.94
$369.52
$323.40
$388.08
46
$334.60
$401.52
$346.98
$416.38
$319.88
$383.85
$335.94
$403.13
47
$348.65
$418.38
$361.55
$433.86
$333.31
$399.98
$350.05
$420.06
48
$364.71
$437.66
$378.21
$453.85
$348.67
$418.40
$366.17
$439.41
49
$380.55
$456.66
$394.63
$473.56
$363.81
$436.57
$382.07
$458.49
50
$398.40
$478.08
$413.14
$495.77
$380.87
$457.04
$399.99
$479.99
51
$416.02
$499.22
$431.41
$517.70
$397.72
$477.26
$417.68
$501.22
52
$435.43
$522.51
$451.54
$541.85
$416.27
$499.52
$437.17
$524.60
53
$455.06
$546.07
$471.89
$566.27
$435.03
$522.04
$456.88
$548.25
54
$476.25
$571.50
$493.87
$592.64
$455.29
$546.35
$478.15
$573.78
55
$497.44
$596.93
$515.84
$619.01
$475.55
$570.66
$499.43
$599.32
56
$520.42
$624.50
$539.67
$647.60
$497.52
$597.02
$522.50
$627.00
57
$543.61
$652.34
$563.73
$676.47
$519.70
$623.63
$545.79
$654.95
58
$568.37
$682.05
$589.40
$707.29
$543.37
$652.04
$570.65
$684.78
59
$580.64
$696.77
$602.13
$722.55
$555.10
$666.11
$582.97
$699.56
60
$605.40
$726.48
$627.80
$753.36
$578.77
$694.52
$607.83
$729.39
$755.19
61
$626.82
$752.18
$650.01
$780.01
$599.24
$719.09
$629.33
62
$640.87
$769.05
$664.58
$797.50
$612.67
$735.21
$643.44
$772.12
63
$658.49
$790.19
$682.86
$819.43
$629.52
$755.42
$661.13
$793.35
64
$669.20
$803.04
$693.96
$832.74
$639.75
$767.70
$671.88
$806.25
65+
$669.20
$803.04
$693.96
$832.74
$639.75
$767.70
$671.88
$806.25
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
9
Plans Direct from Group Health
Core Plus Gold from Group Health Cooperative
King County | Area 1
Western WA* | Area 2
Spokane County | Area 4
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
$172.52
$172.52
$178.90
$178.90
$164.93
$164.93
$173.21
$173.21
AGE
0-20‡
21
$271.68
$326.02
$281.73
$338.08
$259.73
$311.67
$272.77
$327.32
22
$271.68
$326.02
$281.73
$338.08
$259.73
$311.67
$272.77
$327.32
23
$271.68
$326.02
$281.73
$338.08
$259.73
$311.67
$272.77
$327.32
24
$271.68
$326.02
$281.73
$338.08
$259.73
$311.67
$272.77
$327.32
25
$272.77
$327.32
$282.86
$339.43
$260.77
$312.92
$273.86
$328.63
26
$278.20
$333.84
$288.50
$346.19
$265.96
$319.15
$279.31
$335.18
27
$284.72
$341.67
$295.26
$354.31
$272.19
$326.63
$285.86
$343.03
28
$295.32
$354.38
$306.24
$367.49
$282.32
$338.79
$296.50
$355.80
29
$304.01
$364.81
$315.26
$378.31
$290.63
$348.76
$305.23
$366.27
30
$308.36
$370.03
$319.77
$383.72
$294.79
$353.75
$309.59
$371.51
31
$314.88
$377.85
$326.53
$391.84
$301.02
$361.23
$316.14
$379.37
32
$321.40
$385.68
$333.29
$399.95
$307.26
$368.71
$322.68
$387.22
33
$325.47
$390.57
$337.52
$405.02
$311.15
$373.38
$326.78
$392.13
34
$329.82
$395.79
$342.02
$410.43
$315.31
$378.37
$331.14
$397.37
35
$331.99
$398.39
$344.28
$413.13
$317.39
$380.86
$333.32
$399.99
36
$334.17
$401.00
$346.53
$415.84
$319.46
$383.36
$335.50
$402.61
37
$336.34
$403.61
$348.79
$418.54
$321.54
$385.85
$337.69
$405.22
38
$338.52
$406.22
$351.04
$421.25
$323.62
$388.34
$339.87
$407.84
39
$342.86
$411.43
$355.55
$426.66
$327.78
$393.33
$344.23
$413.08
40
$347.21
$416.65
$360.06
$432.07
$331.93
$398.32
$348.60
$418.32
41
$353.73
$424.48
$366.82
$440.18
$338.17
$405.80
$355.14
$426.17
42
$359.98
$431.97
$373.30
$447.96
$344.14
$412.97
$361.42
$433.70
43
$368.67
$442.41
$382.31
$458.78
$352.45
$422.94
$370.15
$444.18
44
$379.54
$455.45
$393.58
$472.30
$362.84
$435.41
$381.06
$457.27
45
$392.31
$470.77
$406.82
$488.19
$375.05
$450.06
$393.88
$472.65
46
$407.52
$489.03
$422.60
$507.12
$389.59
$467.51
$409.15
$490.98
47
$424.64
$509.57
$440.35
$528.42
$405.95
$487.14
$426.34
$511.60
48
$444.20
$533.04
$460.63
$552.76
$424.65
$509.59
$445.98
$535.17
49
$463.49
$556.19
$480.64
$576.77
$443.09
$531.71
$465.34
$558.41
50
$485.22
$582.27
$503.18
$603.81
$463.87
$556.65
$487.16
$584.60
51
$506.69
$608.02
$525.43
$630.52
$484.39
$581.27
$508.71
$610.46
52
$530.32
$636.39
$549.94
$659.93
$506.99
$608.39
$532.44
$638.93
53
$554.23
$665.08
$574.74
$689.68
$529.84
$635.81
$556.45
$667.74
54
$580.04
$696.05
$601.50
$721.80
$554.52
$665.42
$582.36
$698.83
55
$605.85
$727.02
$628.27
$753.92
$579.19
$695.03
$608.27
$729.93
56
$633.83
$760.60
$657.28
$788.74
$605.94
$727.13
$636.37
$763.64
57
$662.09
$794.51
$686.58
$823.90
$632.96
$759.55
$664.74
$797.68
58
$692.24
$830.69
$717.86
$861.43
$661.79
$794.14
$695.01
$834.02
59
$707.19
$848.62
$733.35
$880.02
$676.07
$811.28
$710.02
$852.02
60
$737.34
$884.81
$764.63
$917.55
$704.90
$845.88
$740.29
$888.35
$919.77
61
$763.42
$916.11
$791.67
$950.01
$729.83
$875.80
$766.48
62
$780.54
$936.65
$809.42
$971.30
$746.20
$895.44
$783.66
$940.40
63
$802.00
$962.40
$831.68
$998.01
$766.72
$920.06
$805.21
$966.25
64
$815.04
$978.05
$845.19
$1,014.24
$779.18
$935.01
$818.30
$981.96
65+
$815.04
$978.05
$845.19
$1,014.24
$779.18
$935.01
$818.30
$981.96
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
10
Plans Direct from Group Health
HealthPays Connect Bronze HSA from Group Health Options, Inc.
®
King County | Area 1
Non-smoker
Smoker
Western WA* | Area 2
Non-smoker
Smoker
Spokane County | Area 4
Non-smoker
Smoker
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
AGE
0-20‡
$129.08
$129.08
$133.86
$133.86
$123.40
$123.40
$129.60
$129.60
21
$203.28
$243.94
$210.80
$252.96
$194.34
$233.20
$204.09
$244.91
22
$203.28
$243.94
$210.80
$252.96
$194.34
$233.20
$204.09
$244.91
23
$203.28
$243.94
$210.80
$252.96
$194.34
$233.20
$204.09
$244.91
24
$203.28
$243.94
$210.80
$252.96
$194.34
$233.20
$204.09
$244.91
25
$204.09
$244.91
$211.65
$253.98
$195.11
$234.14
$204.91
$245.89
26
$208.16
$249.79
$215.86
$259.03
$199.00
$238.80
$208.99
$250.79
27
$213.04
$255.65
$220.92
$265.11
$203.67
$244.40
$213.89
$256.67
28
$220.97
$265.16
$229.14
$274.97
$211.24
$253.49
$221.85
$266.22
29
$227.47
$272.97
$235.89
$283.07
$217.46
$260.96
$228.38
$274.06
30
$230.72
$276.87
$239.26
$287.11
$220.57
$264.69
$231.65
$277.98
31
$235.60
$282.72
$244.32
$293.18
$225.24
$270.28
$236.55
$283.85
32
$240.48
$288.58
$249.38
$299.26
$229.90
$275.88
$241.44
$289.73
33
$243.53
$292.24
$252.54
$303.05
$232.82
$279.38
$244.51
$293.41
34
$246.78
$296.14
$255.91
$307.10
$235.92
$283.11
$247.77
$297.32
35
$248.41
$298.09
$257.60
$309.12
$237.48
$284.98
$249.40
$299.28
36
$250.04
$300.04
$259.29
$311.14
$239.03
$286.84
$251.04
$301.24
37
$251.66
$301.99
$260.97
$313.17
$240.59
$288.71
$252.67
$303.20
38
$253.29
$303.95
$262.66
$315.19
$242.14
$290.57
$254.30
$305.16
39
$256.54
$307.85
$266.03
$319.24
$245.25
$294.30
$257.57
$309.08
40
$259.79
$311.75
$269.41
$323.29
$248.36
$298.04
$260.83
$313.00
41
$264.67
$317.61
$274.47
$329.36
$253.03
$303.63
$265.73
$318.88
42
$269.35
$323.22
$279.31
$335.18
$257.50
$309.00
$270.43
$324.51
43
$275.85
$331.02
$286.06
$343.27
$263.72
$316.46
$276.96
$332.35
44
$283.98
$340.78
$294.49
$353.39
$271.49
$325.79
$285.12
$342.14
45
$293.54
$352.25
$304.40
$365.28
$280.62
$336.75
$294.71
$353.65
46
$304.92
$365.91
$316.20
$379.44
$291.51
$349.81
$306.14
$367.37
47
$317.73
$381.27
$329.48
$395.38
$303.75
$364.50
$319.00
$382.80
48
$332.36
$398.84
$344.66
$413.59
$317.74
$381.29
$333.69
$400.43
49
$346.80
$416.16
$359.63
$431.56
$331.54
$397.85
$348.18
$417.82
50
$363.06
$435.67
$376.49
$451.79
$347.09
$416.50
$364.51
$437.42
51
$379.12
$454.94
$393.15
$471.78
$362.44
$434.93
$380.64
$456.76
52
$396.80
$476.17
$411.49
$493.78
$379.35
$455.21
$398.39
$478.07
53
$414.69
$497.63
$430.04
$516.04
$396.45
$475.74
$416.35
$499.62
54
$434.01
$520.81
$450.06
$540.08
$414.91
$497.89
$435.74
$522.89
55
$453.32
$543.98
$470.09
$564.11
$433.37
$520.05
$455.13
$546.16
56
$474.26
$569.11
$491.80
$590.16
$453.39
$544.07
$476.15
$571.38
57
$495.40
$594.48
$513.73
$616.47
$473.60
$568.32
$497.38
$596.85
58
$517.96
$621.55
$537.13
$644.55
$495.17
$594.20
$520.03
$624.04
59
$529.14
$634.97
$548.72
$658.46
$505.86
$607.03
$531.26
$637.51
60
$551.71
$662.05
$572.12
$686.54
$527.43
$632.92
$553.91
$664.69
61
$571.22
$685.46
$592.36
$710.83
$546.09
$655.30
$573.51
$688.21
62
$584.03
$700.83
$605.64
$726.76
$558.33
$670.00
$586.36
$703.64
63
$600.09
$720.10
$622.29
$746.75
$573.68
$688.42
$602.49
$722.98
64
$609.84
$731.81
$632.40
$758.88
$583.01
$699.60
$612.27
$734.73
65+
$609.84
$731.81
$632.40
$758.88
$583.01
$699.60
$612.27
$734.73
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
11
Plans Direct from Group Health
Connect3 Silver from Group Health Options, Inc.
King County | Area 1
Western WA* | Area 2
Spokane County | Area 4
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
Non-smoker
Smoker
$166.36
$166.36
$172.52
$172.52
$159.04
$159.04
$167.03
$167.03
AGE
0-20‡
21
$261.99
$314.38
$271.68
$326.02
$250.46
$300.55
$263.03
$315.64
22
$261.99
$314.38
$271.68
$326.02
$250.46
$300.55
$263.03
$315.64
23
$261.99
$314.38
$271.68
$326.02
$250.46
$300.55
$263.03
$315.64
24
$261.99
$314.38
$271.68
$326.02
$250.46
$300.55
$263.03
$315.64
25
$263.03
$315.64
$272.77
$327.32
$251.46
$301.75
$264.09
$316.90
26
$268.27
$321.93
$278.20
$333.84
$256.47
$307.76
$269.35
$323.22
27
$274.56
$329.47
$284.72
$341.66
$262.48
$314.98
$275.66
$330.79
28
$284.78
$341.73
$295.32
$354.38
$272.25
$326.70
$285.92
$343.10
29
$293.16
$351.79
$304.01
$364.81
$280.26
$336.32
$294.33
$353.20
30
$297.35
$356.82
$308.36
$370.03
$284.27
$341.12
$298.54
$358.25
31
$303.64
$364.37
$314.88
$377.85
$290.28
$348.34
$304.86
$365.83
32
$309.93
$371.92
$321.40
$385.68
$296.29
$355.55
$311.17
$373.40
33
$313.86
$376.63
$325.47
$390.57
$300.05
$360.06
$315.11
$378.14
34
$318.05
$381.66
$329.82
$395.78
$304.06
$364.87
$319.32
$383.19
35
$320.15
$384.18
$331.99
$398.39
$306.06
$367.27
$321.43
$385.71
36
$322.24
$386.69
$334.17
$401.00
$308.06
$369.68
$323.53
$388.24
37
$324.34
$389.21
$336.34
$403.61
$310.07
$372.08
$325.64
$390.76
38
$326.43
$391.72
$338.51
$406.22
$312.07
$374.49
$327.74
$393.29
39
$330.63
$396.75
$342.86
$411.43
$316.08
$379.29
$331.95
$398.34
40
$334.82
$401.78
$347.21
$416.65
$320.09
$384.10
$336.16
$403.39
41
$341.11
$409.33
$353.73
$424.47
$326.10
$391.32
$342.47
$410.96
42
$347.13
$416.56
$359.98
$431.97
$331.86
$398.23
$348.52
$418.22
43
$355.51
$426.62
$368.67
$442.40
$339.87
$407.85
$356.94
$428.32
44
$365.99
$439.19
$379.54
$455.44
$349.89
$419.87
$367.46
$440.95
45
$378.31
$453.97
$392.31
$470.77
$361.66
$433.99
$379.82
$455.79
46
$392.98
$471.57
$407.52
$489.02
$375.69
$450.83
$394.55
$473.46
47
$409.48
$491.38
$424.63
$509.56
$391.47
$469.76
$411.12
$493.35
48
$428.35
$514.02
$444.20
$533.04
$409.50
$491.40
$430.06
$516.07
49
$446.95
$536.34
$463.49
$556.18
$427.28
$512.74
$448.74
$538.48
50
$467.91
$561.49
$485.22
$582.26
$447.32
$536.78
$469.78
$563.73
51
$488.60
$586.32
$506.68
$608.02
$467.11
$560.53
$490.56
$588.67
52
$511.40
$613.68
$530.32
$636.38
$488.90
$586.67
$513.44
$616.13
53
$534.45
$641.34
$554.23
$665.07
$510.94
$613.12
$536.59
$643.91
54
$559.34
$671.21
$580.04
$696.04
$534.73
$641.67
$561.58
$673.89
55
$584.23
$701.07
$605.85
$727.01
$558.52
$670.23
$586.57
$703.88
56
$611.21
$733.46
$633.83
$760.59
$584.32
$701.18
$613.66
$736.39
57
$638.46
$766.15
$662.08
$794.50
$610.37
$732.44
$641.01
$769.22
58
$667.54
$801.05
$692.24
$830.69
$638.17
$765.80
$670.21
$804.25
59
$681.95
$818.34
$707.18
$848.62
$651.94
$782.33
$684.68
$821.61
60
$711.03
$853.24
$737.34
$884.81
$679.74
$815.69
$713.87
$856.65
61
$736.18
$883.42
$763.42
$916.10
$703.79
$844.55
$739.13
$886.95
62
$752.69
$903.22
$780.53
$936.64
$719.57
$863.48
$755.70
$906.84
63
$773.38
$928.06
$802.00
$962.40
$739.35
$887.22
$776.48
$931.77
64
$785.96
$943.14
$815.04
$978.05
$751.38
$901.65
$789.09
$946.92
65+
$785.96
$943.14
$815.04
$978.05
$751.38
$901.65
$789.09
$946.92
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
12
Plans Direct from Group Health
Connect3 Gold from Group Health Options, Inc.
King County | Area 1
Non-smoker
Smoker
Western WA* | Area 2
Non-smoker
Smoker
Spokane County | Area 4
Non-smoker
Smoker
South Central and
Southeastern WA† | Area 5
Non-smoker
Smoker
AGE
0-20‡
$198.29
$198.29
$205.63
$205.63
$189.57
$189.57
$199.09
$199.09
21
$312.27
$374.73
$323.83
$388.59
$298.53
$358.24
$313.52
$376.23
22
$312.27
$374.73
$323.83
$388.59
$298.53
$358.24
$313.52
$376.23
23
$312.27
$374.73
$323.83
$388.59
$298.53
$358.24
$313.52
$376.23
24
$312.27
$374.73
$323.83
$388.59
$298.53
$358.24
$313.52
$376.23
25
$313.52
$376.23
$325.12
$390.15
$299.73
$359.67
$314.78
$377.73
26
$319.77
$383.72
$331.60
$397.92
$305.70
$366.84
$321.05
$385.26
27
$327.26
$392.72
$339.37
$407.25
$312.86
$375.44
$328.57
$394.29
28
$339.44
$407.33
$352.00
$422.40
$324.51
$389.41
$340.80
$408.96
29
$349.43
$419.32
$362.36
$434.84
$334.06
$400.87
$350.83
$421.00
30
$354.43
$425.32
$367.55
$441.05
$338.84
$406.60
$355.85
$427.02
31
$361.93
$434.31
$375.32
$450.38
$346.00
$415.20
$363.37
$436.05
32
$369.42
$443.30
$383.09
$459.71
$353.17
$423.80
$370.90
$445.08
33
$374.10
$448.93
$387.95
$465.54
$357.64
$429.17
$375.60
$450.72
34
$379.10
$454.92
$393.13
$471.75
$362.42
$434.90
$380.62
$456.74
35
$381.60
$457.92
$395.72
$474.86
$364.81
$437.77
$383.13
$459.75
36
$384.10
$460.92
$398.31
$477.97
$367.20
$440.64
$385.63
$462.76
37
$386.60
$463.91
$400.90
$481.08
$369.59
$443.50
$388.14
$465.77
38
$389.09
$466.91
$403.49
$484.19
$371.97
$446.37
$390.65
$468.78
39
$394.09
$472.91
$408.67
$490.41
$376.75
$452.10
$395.67
$474.80
40
$399.09
$478.90
$413.85
$496.62
$381.53
$457.83
$400.68
$480.82
41
$406.58
$487.90
$421.62
$505.95
$388.69
$466.43
$408.21
$489.85
42
$413.76
$496.52
$429.07
$514.89
$395.56
$474.67
$415.42
$498.50
43
$423.76
$508.51
$439.43
$527.32
$405.11
$486.13
$425.45
$510.54
44
$436.25
$523.50
$452.39
$542.87
$417.05
$500.46
$437.99
$525.59
45
$450.92
$541.11
$467.61
$561.13
$431.08
$517.30
$452.73
$543.27
46
$468.41
$562.09
$485.74
$582.89
$447.80
$537.36
$470.28
$564.34
47
$488.08
$585.70
$506.14
$607.37
$466.61
$559.93
$490.04
$588.04
48
$510.57
$612.68
$529.46
$635.35
$488.10
$585.72
$512.61
$615.13
49
$532.74
$639.29
$552.45
$662.94
$509.30
$611.16
$534.87
$641.84
50
$557.72
$669.27
$578.36
$694.03
$533.18
$639.82
$559.95
$671.94
51
$582.39
$698.87
$603.94
$724.73
$556.77
$668.12
$584.72
$701.66
52
$609.56
$731.47
$632.11
$758.54
$582.74
$699.29
$612.00
$734.40
53
$637.04
$764.45
$660.61
$792.73
$609.01
$730.81
$639.59
$767.50
54
$666.71
$800.05
$691.37
$829.65
$637.37
$764.84
$669.37
$803.25
55
$696.37
$835.65
$722.14
$866.56
$665.73
$798.88
$699.16
$838.99
56
$728.54
$874.24
$755.49
$906.59
$696.48
$835.78
$731.45
$877.74
57
$761.01
$913.21
$789.17
$947.00
$727.53
$873.03
$764.06
$916.87
58
$795.67
$954.81
$825.11
$990.14
$760.66
$912.80
$798.86
$958.63
59
$812.85
$975.42
$842.92
$1,011.51
$777.08
$932.50
$816.10
$979.32
60
$847.51
$1,017.01
$878.87
$1,054.64
$810.22
$972.27
$850.90
$1,021.08
61
$877.49
$1,052.99
$909.96
$1,091.95
$838.88
$1,006.66
$881.00
$1,057.20
62
$897.16
$1,076.60
$930.36
$1,116.43
$857.69
$1,029.23
$900.75
$1,080.90
63
$921.83
$1,106.20
$955.94
$1,147.13
$881.27
$1,057.53
$925.52
$1,110.62
64
$936.81
$1,124.19
$971.48
$1,165.77
$895.59
$1,074.72
$940.56
$1,128.68
65+
$936.81
$1,124.19
$971.48
$1,165.77
$895.59
$1,074.72
$940.56
$1,128.68
* Western Washington includes Island, Kitsap, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Thurston, and Whatcom counties.
† South Central and Southeastern Washington includes Benton, Columbia, Franklin, Kittitas, Walla Walla, Whitman, and Yakima counties.
‡ First 3 children ages 0–20 each will be charged the age 0–20 rate. There’s no charge for additional children ages 0–20.
13
NOTES
14
15
For more information
about Group Health individual
and family plans, go to ghc.org/if or call us toll-free
at 1-800-358-8815.
14-IF-1215-02 2014-10

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