Health Insurance Questions?
Call Holly, Chris or Bob at (770) 396-9517
Outside of the Atlanta area, call toll-free:
1-877-711-8376.
Email: holly@insurance-now.com

2011 Kaiser Permanente Signature HSA Qualified Plan Rates
Rates effective for plans issued with an effective date between January 1, 2011 and March 15, 2011
(rates are for illustraion only. Final rates are subject change pending final underwriting review of submitted applicaiton)

Signature HSA Plan $2,500 Deductible ($5,000 Family)
 

Signature HSA Plan $3,500 Deductible ($7,000 Family)
 

Single Subscriber

Subscriber +
Children

Subscriber/
Spouse*

Subscriber/
Sp/Children*
 

Single Subscriber

Subscriber +
Children

Subscriber/
Spouse*

Subscriber/
Sp/Children*
 age*

 Male

Female

Male

Female

M or F

M or F
 age*

 Male

Female

Male

Female

M or F

M or F

19-24

$132

$147

$342

$357

$279

$357

19-24

$116

$129

$300

$313

$245

$461

25-27

133

152

362

381

285

560

25-27

117

133

317

333

250

491

28-30

135

158

364

387

293

568

28-30

119

139

319

339

258

499

31-33

144

168

396

420

312

625

31-33

126

148

347

369

274

548

34-36

153

179

405

431

332

645

34-36

134

157

355

378

291

565

37-38

162

190

440

468

352

697

37-38

142

167

386

411

309

612

39-40

173

203

451

481

376

721

39-40

151

178

395

422

329

632

41-42

184

216

483

515

400

761

41-42

161

190

423

452

351

668

43-44

196

230

495

529

426

787

43-44

172

202

434

464

374

691

45-46

208

242

491

525

450

794

45-46

183

212

431

460

395

697

47-48

222

255

505

538

477

821

47-48

195

224

443

472

419

721

49-50

237

271

495

529

508

808

49-50

207

237

433

463

444

707

51-52

252

286

510

544

538

838

51-52

221

251

447

477

472

735

53

269

295

527

553

564

864

53

236

259

462

485

495

758

54

284

300

542

558

584

884

54

249

263

475

489

512

775

55

297

304

530

537

601

871

55

260

267

464

471

527

764

56

309

309

542

542

618

888

56

271

271

475

475

542

779

57

322

314

555

547

636

906

57

282

275

486

479

557

794

58

337

324

570

557

661

931

58

296

284

500

488

580

817

59

352

334

585

567

6868

956

59

309

293

513

497

602

839

60

367

344

596

573

711

954

60

322

302

523

503

624

837

61

383

354

612

583

737

980

61

336

311

537

512

647

860

62

398

364

627

593

762

1005

62

349

319

550

520

668

881

63

423

377

652

606

800

1043

63

371

331

572

532

702

915

64

450

395

679

624

845

1088

64

395

346

596

547

741

954
 

Click here to see the Kaiser Signature Value Plan Rates Click here to see the Kaiser Signature Premier Plan Rates
* Family coverage is based on the age of the oldest family member applying. (The oldest family member applying is the "subscriber.")
Fax your completed application to our fax: 770-396-4318


9 Dunwoody Park, Suite 136
Atlanta, GA 30338

Call Holly, Chris or Bob at
(770) 396-9517

Outside of the Atlanta area,
call toll-free:
1-877-711-8376.
Email: holly@insurance-now.com