HI 01005: Premium Health Insurance
TN 21 (10-04)
|
INCLUSIVE PERIOD |
HI PREMIUM AMOUNT |
SURCHARGE AMOUNT |
|---|---|---|
01/18–12/18 |
422.00 |
464.20 |
|
01/17–12/17 |
413.00 |
454.30 |
|
01/16–12/16 |
411.00 |
452.10 |
|
01/15-12/15 |
407.00 |
447.70 |
|
01/14–12/14 |
426.00 |
468.60 |
|
01/13-12/13 |
441.00 |
485.10 |
|
01/12-12/12 |
451.00 |
496.10 |
|
01/11-12/11 |
450.00 |
495.00 |
|
01/10-12/10 |
461.00 |
507.10 |
|
01/09-12/09 |
443.00 |
487.30 |
|
01/08-12/08 |
423.00 |
465.30 |
|
01/07-12/07 |
410.00 |
451.00 |
|
01/06-12/06 |
393.00 |
432.30 |
|
01/05-12/05 |
375.00 |
412.50 |
|
01/04-12/04 |
343.00 |
377.30 |
|
01/03-12/03 |
316.00 |
347.60 |
|
01/02-12/02 |
319.00 |
350.90 |
|
01/01-12/01 |
300.00 |
330.00 |
|
01/00-12/00 |
301.00 |
331.10 |
|
01/98-12/99 |
309.00 |
339.90 |
|
01/97-12/97 |
311.00 |
342.10 |
|
01/96-12/96 |
289.00 |
317.90 |
|
01/95-12/95 |
261.00 |
287.10 |
|
01/94-12/94 |
245.00 |
269.50 |
|
01/93-12/93 |
221.00 |
243.10 |
|
01/92-12/92 |
192.00 |
211.20 |
|
01/91-12/91 |
177.00 |
194.70 |
|
01/90-12/90 |
175.00 |
192.50 |
|
01/89-12/89 |
156.00 |
171.60 |
|
01/88-12/88 |
234.00 |
257.40 |
|
01/87-12/87 |
226.00 |
248.60 |
|
07/86-12/86 |
214.00 |
235.40 |