ORTHODOX PRESBYTERIAN HEALTH & WELFARE TRUST
SCHEDULE OF MONTHLY PREMIUMS
EFFECTIVE 08/01/2008

 

Region 1 - Comprised of Participants in the following states:

Alaska, California, Connecticut, Florida, Hawaii, Illinois, Kansas, Massachusetts, Nevada, New Jersey, New York, Pennsylvania, Tennessee

COVERAGE

MONTHLY

QUARTERLY

 Family

1,489

4,467

Husband & Wife

1,266

3,798

Single

611

1,833

Medicare & Dependent

1,073

3,219

Region 2 - Comprised of Participants in the following states:

Alabama, Arizona, Arkansas, Colorado, Delaware, Georgia, Indiana, Kentucky, Michigan, Missouri, Montana, Nebraska, North Dakota, Ohio, Oklahoma, South Dakota, Texas, Virginia, West Virginia, Wyoming

COVERAGE

MONTHLY

QUARTERLY

 Family

1,429

4,287

Husband & Wife

1,216

3,648

Single

551

1,653

Medicare & Dependent

1,013

3,039

Region 3 - Comprised of Participants in the following states:

Idaho, Iowa, Kentucky, Louisiana, Maine, Maryland, Minnesota, Mississippi, New Hampshire, New Mexico, North Carolina, Oregon, South Carolina, Utah, Vermont, Washington, Wisconsin

COVERAGE

MONTHLY

QUARTERLY

 Family

1,340

4,020

Husband & Wife

1,140

3,420

Single

492

1,476

Medicare & Dependent

954

2,862

For All Regions, when ALL covered are Medicare primary, these rates are the same:

COVERAGE

MONTHLY

QUARTERLY

 Family

818

2,454

Single

462

1,386