2025 Annual Premium
Member’s Age | Plan Number | Single | Single +1 | Family |
---|---|---|---|---|
Under 30 | 6948 | $1,072.80 | $2,380.92 | $2,501.28 |
30 – 39 | 6427 | $1,240.92 | $2,759.28 | $2,868.96 |
40 – 64 | 5494 | $2,145.00 | $4,840.56 | $4,983.24 |
65 and over | 5495 | $3,016.92 | $5,567.28 | $5.621.64 |
2025 Monthly EFT Premium
Member’s Age | Plan Number | Single | Single +1 | Family |
---|---|---|---|---|
Under 30 | 6948 | $89.40 | $198.41 | $208.44 |
30 – 39 | 6427 | $103.41 | $229.94 | $239.08 |
40 – 64 | 5494 | $178.75 | $403.38 | $415.27 |
65 and over | 5495 | $251.41 | $463.94 | $468.47 |