Page 5 - Brown PC 12-1-2023 Benefit Guide

Monthly Age Rates:

Blue Cross Blue Shield

2023 Rate Information

• Brown, P.C. pays 50% towards the (BCBS) Monthly Medical Premium for an
employee to enroll, nothing additional for dependents.

• All employees are enrolled in $50K of Employer Paid Basic Life/AD&D from
The Hartford.

BUY UP H.S.A. BUY UP H.S.A.
AGE S9M2CHC B661CHC AGE S9M2CHC B661CHC

<15 $ 371.74 $ 334.53 41 $ 632.68 $ 569.36
15 $ 404.78 $ 364.27 42 $ 643.86 $ 579.42
16 $ 417.41 $ 375.64 43 $ 659.41 $ 593.42
17 $ 430.05 $ 387.01 44 $ 678.84 $ 610.91
18 $ 443.65 $ 399.25 45 $ 701.68 $ 631.46
19 $ 457.26 $ 411.50 46 $ 728.90 $ 655.95
20 $ 471.35 $ 424.18 47 $ 759.51 $ 683.50
21 $ 485.93 $ 437.30 48 $ 794.50 $ 714.99
22 $ 485.93 $ 437.30 49 $ 829.00 $ 746.03
23 $ 485.93 $ 437.30 50 $ 867.87 $ 781.02
24 $ 485.93 $ 437.30 51 $ 906.26 $ 815.56
25 $ 487.87 $ 439.05 52 $ 948.54 $ 853.61
26 $ 497.59 $ 447.80 53 $ 991.30 $ 892.09
27 $ 509.25 $ 458.29 54 $1,037.46 $ 933.64
28 $ 528.21 $ 475.35 55 $1,083.62 $ 975.18

29 $ 543.76 $ 489.34 56 $1,133.67 $1,020.22
30 $ 551.53 $ 496.34 57 $1,184.21 $1,065.70
31 $ 563.19 $ 506.83 58 $1,238.15 $1,114.24
32 $ 574.86 $ 517.33 59 $1,264.88 $1,138.29
33 $ 582.14 $ 523.89 60 $1,318.81 $1,186.83
34 $ 589.92 $ 530.88 61 $1,365.46 $1,228.81
35 $ 593.81 $ 534.38 62 $1,396.08 $1,256.36
36 $ 597.69 $ 537.88 63 $1,434.47 $1,290.91
37 $ 601.58 $ 541.38 64+ $1,457.79 $1,311.90
38 $ 605.47 $ 544.88 1CHILD<15 $ 371.74 $ 334.53
39 $ 613.24 $ 551.87 2CHILDREN<15 $ 743.48 $ 669.06
40 $ 621.02 $ 558.87 3CHILDREN<15 $1,115.22 $1,003.59

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