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This change was made on Jan 2, 2018. See latest version.
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HI 01005.012: Exhibit — Reduced Hospital Insurance (HI) Premiums and Surcharges

changes
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  • Effective Dates: 11/21/2016 - Present
  • Effective Dates: 01/02/2018 - Present
  • TN 21 (10-04)
  • HI 01005.012 Exhibit — Reduced Hospital Insurance (HI) Premiums and Surcharges
  • INCLUSIVE PERIOD
  • REDUCED PREMIUM AMOUNT
  • SURCHARGE AMOUNT
  • 01/18–12/18
  • 232.00
  • 255.20
  • 01/17–12/17
  • 227.00
  • 249.70
  • 01/16–12/16
  • 226.00
  • 248.60
  • 01/15-12/15
  • 224.00
  • 246.40
  • 01/14–12/14
  • 234.00
  • $257.40
  • 01/13-12/13
  • 243.00
  • 267.30
  • 01/12-12/12
  • 248.00
  • 272.80
  • 01/11-12/11
  • 248.00
  • 272.80
  • 01/10-12/10
  • 254.00
  • 279.40
  • 01/09-12/09
  • 244.00
  • 268.40
  • 01/08-12/08
  • 233.00
  • 256.30
  • 01/07-12/07
  • 226.00
  • 248.60
  • 01/06-12/06
  • 216.00
  • 237.60
  • 01/05-12/05
  • 206.00
  • 226.60
  • 01/04-12/04
  • 189.00
  • 207.90
  • 01/03-12/03
  • 174.00
  • 191.40
  • 01/02-12/02
  • 175.00
  • 192.50
  • 01/01-12/01
  • 165.00
  • 181.50
  • 01/00-12/00
  • 166.00
  • 182.60
  • 01/98-12/99
  • 170.00
  • 187.00
  • 01/97-12/97
  • 187.00
  • 205.70
  • 01/96-12/96
  • 188.00
  • 206.80
  • 01/95-12/95
  • 183.00
  • 201.30
  • 01/94-12/94
  • 184.00
  • 202.40
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