Age Banded Rates
Insurance Carrier:
Anthem Medical Insurance
Medical Plan:
2023 Anthem Gold Pathway CT PPO 2000/20%/5000 Value - 75E9
Age
Rate
Age
Rate
0 - 14
$348.71
40 - 40
$582.55
15 - 15
$379.71
41 - 41
$593.49
16 - 16
$391.56
42 - 42
$603.97
17 - 17
$403.41
43 - 43
$618.56
18 - 18
$416.17
44 - 44
$636.79
19 - 19
$428.94
45 - 45
$658.22
20 - 20
$442.16
46 - 46
$683.75
21 - 21
$455.83
47 - 47
$712.46
22 - 22
$455.83
48 - 48
$745.28
23 - 23
$455.83
49 - 49
$777.65
24 - 24
$455.83
50 - 50
$814.11
25 - 25
$457.65
51 - 51
$850.12
26 - 26
$466.77
52 - 52
$889.78
27 - 27
$477.71
53 - 53
$929.89
28 - 28
$495.49
54 - 54
$973.20
29 - 29
$510.07
55 - 55
$1,016.50
30 - 30
$517.37
56 - 56
$1,063.45
31 - 31
$528.31
57 - 57
$1,110.86
32 - 32
$539.25
58 - 58
$1,161.45
33 - 33
$546.08
59 - 59
$1,186.53
34 - 34
$553.38
60 - 60
$1,237.12
35 - 35
$557.02
61 - 61
$1,280.88
36 - 36
$560.67
62 - 62
$1,309.60
37 - 37
$564.32
63 - 63
$1,345.61
38 - 38
$567.96
64 - 130
$1,367.49
39 - 39
$575.26
20 USRN PARTNERS 2023 BENEFITS GUIDE
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