Authorized Kaiser Agent

Rates are only for Atlanta, Georgia and surrounding areas

2008 HMO Personal Plans Atlanta Monthly Premiums - Rates effective3/02/2008 - 6/01/2008

HMO Premier Plan Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$160	$168	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	160	168	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	160	168	$324	$331	$552	$720	$328	$491	$723
20-24	184	264	347	426	577	738	448	612	841
25-29	227	335	390	499	621	785	565	727	956
30-34	240	422	404	588	633	795	666	826	1057
35-39	280	475	443	640	673	836	756	919	1147
40-44	320	467	484	615	712	789	840	1004	1231
45-49	399	495	547	638	753	852	922	1072	1280
50-54	462	561	600	699	797	936	1023	1163	1356
55-59	600	647	742	790	936	1138	1210	1348	1543
60-64**	787	742	935	880	1142	1217	1571	1719	1925

 

HMO Plan 500 Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$126	$133	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	126	133	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	126	133	$255	$263	$437	$567	$258	$388	$569
20-24	146	208	275	339	456	587	355	484	667
25-29	181	265	309	397	491	620	445	574	757
30-34	188	335	318	465	501	630	524	654	835
35-39	222	375	350	505	534	661	597	727	908
40-44	253	369	383	486	565	624	666	791	974
45-49	315	392	433	502	596	672	731	847	1010
50-54	366	443	475	552	628	742	809	916	1072
55-59	475	510	587	626	742	901	956	1066	1220
60-64**	623	587	738	696	904	962	1242	1360	1523

HMO Plan 1,000 Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$106	$113	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	106	113	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	106	113	$217	$223	$372	$482	$220	$330	$485
20-24	123	179	234	287	387	498	302	410	566
25-29	153	225	263	335	417	526	379	488	643
30-34	162	285	271	394	425	536	447	556	708
35-39	187	320	298	431	451	564	508	618	770
40-44	215	313	324	414	479	530	565	674	827
45-49	268	332	366	427	508	571	622	720	859
50-54	312	376	404	470	536	627	688	781	912
55-59	404	433	498	531	627	765	812	907	1038
60-64**	529	498	629	591	768	817	1057	1156	1294

HMO Plan 2,000 Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$83	$86	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	83	86	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	83	86	$166	$171	$286	$371	$170	$254	$372
20-24	94	136	180	222	298	384	232	316	435
25-29	118	173	202	258	321	406	291	375	496
30-34	124	218	209	304	328	413	343	430	546
35-39	146	246	231	331	347	433	389	475	594
40-44	165	241	251	318	369	407	434	518	639
45-49	207	258	283	329	389	440	478	554	661
50-54	239	289	312	361	412	484	528	600	701
55-59	312	333	383	409	484	589	625	698	798
60-64**	407	383	484	456	590	628	813	889	996

HMO Plan 3,000 Rates
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$75	$81	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	75	81	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	75	81	$153	$157	$262	$340	$154	$233	$341
20-24	87	124	164	202	274	350	213	290	399
25-29	108	158	186	236	294	372	266	345	452
30-34	114	201	191	279	300	378	315	390	501
35-39	133	225	209	303	318	398	357	435	543
40-44	152	222	229	290	339	373	398	475	583
45-49	188	234	258	302	358	402	437	509	604
50-54	218	265	285	331	376	443	484	550	643
55-59	285	306	352	374	443	540	572	640	730
60-64**	373	352	444	416	541	575	743	814	911

HMO Plan 5,000 Rates
	Single Subscriber		Subscriber/ Child**		Subscriber/ Children**		Subscriber/ Spouse**	Subscriber/ Spouse/Child**	Subscriber/ Spouse/Children**
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-2	$67	$70	N/A	N/A	N/A	N/A	N/A	N/A	N/A
3-11	67	70	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	67	70	$136	$140	$234	$304	$139	$208	$305
20-24	79	113	148	181	245	315	189	258	356
25-29	97	141	165	213	263	333	240	308	405
30-34	101	180	171	250	268	339	282	350	448
35-39	119	201	187	271	285	355	320	389	487
40-44	135	199	205	261	303	335	356	425	523
45-49	168	210	231	268	319	360	391	454	542
50-54	196	238	255	296	338	397	433	493	574
55-59	255	274	314	335	397	483	513	571	654
60-64**	334	314	396	373	484	517	665	730	816

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* Family coverage is based on the age of the oldest family member applying. (The oldest family member applying is the "subscriber.") **If you are 65 or older, please inquire about our coverage for Medicare-eligible members at 404-364-7001.
Fax your completed application to our fax: 770-396-4318

To receive your Personal Plans enrollment kit, call Bob, Holly or Rosa at (770) 396-9517 or Email: holly@insurance-now.com