mcs personal -...

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MCS Personal Age 0-20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 and over Silver 7110 Silver 7110 Silver 7130 Silver 7130 43633PR0010003 43633PR0010003 43633PR0010004 43633PR0010004 Non-Tobacco Rate Tobacco Rate Non-Tobacco Rate Tobacco Rate 66.52 66.52 69.34 69.34 104.75 115.23 109.20 120.12 104.75 115.23 109.20 120.12 104.75 115.23 109.20 120.12 104.75 115.23 109.20 120.12 105.17 115.69 109.64 120.60 107.26 117.99 111.82 123.00 109.78 120.76 114.44 125.88 113.86 125.25 118.70 130.57 117.22 128.94 122.19 134.41 118.89 130.78 123.94 136.33 121.41 133.55 126.56 139.22 123.92 136.31 129.18 142.10 125.49 138.04 130.82 143.90 127.17 139.89 132.57 145.83 128.00 140.80 133.44 146.78 128.84 141.72 134.32 147.75 129.68 142.65 135.19 148.71 130.52 143.57 136.06 149.67 132.19 145.41 137.81 151.59 133.87 147.26 139.56 153.52 136.38 150.02 142.18 156.40 138.79 152.67 144.69 159.16 142.15 156.37 148.18 163.00 146.34 160.97 152.55 167.81 151.26 166.39 157.68 173.45 157.13 172.84 163.80 180.18 163.72 180.09 170.68 187.75 171.27 188.40 178.54 196.39 178.70 196.57 186.30 204.93 187.08 205.79 195.03 214.53 195.36 214.90 203.66 224.03 204.47 224.92 213.16 234.48 213.69 235.06 222.77 245.05 223.64 246.00 233.14 256.45 233.59 256.95 243.52 267.87 244.38 268.82 254.76 280.24 255.28 280.81 266.12 292.73 266.90 293.59 278.24 306.06 272.66 299.93 284.25 312.68 284.29 312.72 296.37 326.01 294.35 323.79 306.85 337.54 300.95 331.05 313.73 345.10 309.22 340.14 322.36 354.60 314.25 345.68 327.60 360.36 314.25 345.68 327.60 360.36

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Page 1: MCS Personal - tucubiertacom.s3.amazonaws.comtucubiertacom.s3.amazonaws.com/additionaldetail/MCS+Personal+PPO... · MCS Personal Age 0-20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

MCS Personal

Age

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65 and over

Silver 7110 Silver 7110 Silver 7130 Silver 7130

43633PR0010003 43633PR0010003 43633PR0010004 43633PR0010004

Non-Tobacco Rate Tobacco Rate Non-Tobacco Rate Tobacco Rate

66.52 66.52 69.34 69.34

104.75 115.23 109.20 120.12

104.75 115.23 109.20 120.12

104.75 115.23 109.20 120.12

104.75 115.23 109.20 120.12

105.17 115.69 109.64 120.60

107.26 117.99 111.82 123.00

109.78 120.76 114.44 125.88

113.86 125.25 118.70 130.57

117.22 128.94 122.19 134.41

118.89 130.78 123.94 136.33

121.41 133.55 126.56 139.22

123.92 136.31 129.18 142.10

125.49 138.04 130.82 143.90

127.17 139.89 132.57 145.83

128.00 140.80 133.44 146.78

128.84 141.72 134.32 147.75

129.68 142.65 135.19 148.71

130.52 143.57 136.06 149.67

132.19 145.41 137.81 151.59

133.87 147.26 139.56 153.52

136.38 150.02 142.18 156.40

138.79 152.67 144.69 159.16

142.15 156.37 148.18 163.00

146.34 160.97 152.55 167.81

151.26 166.39 157.68 173.45

157.13 172.84 163.80 180.18

163.72 180.09 170.68 187.75

171.27 188.40 178.54 196.39

178.70 196.57 186.30 204.93

187.08 205.79 195.03 214.53

195.36 214.90 203.66 224.03

204.47 224.92 213.16 234.48

213.69 235.06 222.77 245.05

223.64 246.00 233.14 256.45

233.59 256.95 243.52 267.87

244.38 268.82 254.76 280.24

255.28 280.81 266.12 292.73

266.90 293.59 278.24 306.06

272.66 299.93 284.25 312.68

284.29 312.72 296.37 326.01

294.35 323.79 306.85 337.54

300.95 331.05 313.73 345.10

309.22 340.14 322.36 354.60

314.25 345.68 327.60 360.36

314.25 345.68 327.60 360.36