MCS Personal - Oficina del Comisionado de Segurosocs.pr.gov/ocspr/documents/obamacare/planes/MCS...

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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 Platinum 9110 Platinum 9110 Platinum 9130 Platinum 9130 43633PR0010009 43633PR0010009 43633PR0010010 43633PR0010010 Non-Tobacco Rate Tobacco Rate Non-Tobacco Rate Tobacco Rate 83.43 83.43 86.25 86.25 131.39 144.53 135.83 149.41 131.39 144.53 135.83 149.41 131.39 144.53 135.83 149.41 131.39 144.53 135.83 149.41 131.92 145.11 136.37 150.01 134.54 147.99 139.09 153.00 137.70 151.47 142.35 156.59 142.82 157.10 147.65 162.42 147.03 161.73 151.99 167.19 149.13 164.04 154.17 169.59 152.28 167.51 157.43 173.17 155.43 170.97 160.69 176.76 157.41 173.15 162.72 178.99 159.51 175.46 164.90 181.39 160.56 176.62 165.98 182.58 161.61 177.77 167.07 183.78 162.66 178.93 168.16 184.98 163.71 180.08 169.24 186.16 165.81 182.39 171.42 188.56 167.92 184.71 173.59 190.95 171.07 188.18 176.85 194.54 174.09 191.50 179.97 197.97 178.30 196.13 184.32 202.75 183.55 201.91 189.75 208.73 189.73 208.70 196.14 215.75 197.09 216.80 203.75 224.13 205.36 225.90 212.30 233.53 214.82 236.30 222.08 244.29 224.15 246.57 231.73 254.90 234.66 258.13 242.59 266.85 245.04 269.54 253.32 278.65 256.47 282.12 265.14 291.65 268.04 294.84 277.09 304.80 280.52 308.57 290.00 319.00 293.00 322.30 302.90 333.19 306.53 337.18 316.89 348.58 320.20 352.22 331.02 364.12 334.78 368.26 346.09 380.70 342.01 376.21 353.57 388.93 356.59 392.25 368.64 405.50 369.21 406.13 381.68 419.85 377.48 415.23 390.24 429.26 387.86 426.65 400.97 441.07 394.17 433.59 407.49 448.24 394.17 433.59 407.49 448.24

Transcript of MCS Personal - Oficina del Comisionado de Segurosocs.pr.gov/ocspr/documents/obamacare/planes/MCS...

Page 1: MCS Personal - Oficina del Comisionado de Segurosocs.pr.gov/ocspr/documents/obamacare/planes/MCS Personal PPO... · MCS Personal Age 0-20 21 22 23 24 25 26 27 28 ... 334.78 368.26

MCS Personal

Age

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65 and over

Platinum 9110 Platinum 9110 Platinum 9130 Platinum 9130

43633PR0010009 43633PR0010009 43633PR0010010 43633PR0010010

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

83.43 83.43 86.25 86.25

131.39 144.53 135.83 149.41

131.39 144.53 135.83 149.41

131.39 144.53 135.83 149.41

131.39 144.53 135.83 149.41

131.92 145.11 136.37 150.01

134.54 147.99 139.09 153.00

137.70 151.47 142.35 156.59

142.82 157.10 147.65 162.42

147.03 161.73 151.99 167.19

149.13 164.04 154.17 169.59

152.28 167.51 157.43 173.17

155.43 170.97 160.69 176.76

157.41 173.15 162.72 178.99

159.51 175.46 164.90 181.39

160.56 176.62 165.98 182.58

161.61 177.77 167.07 183.78

162.66 178.93 168.16 184.98

163.71 180.08 169.24 186.16

165.81 182.39 171.42 188.56

167.92 184.71 173.59 190.95

171.07 188.18 176.85 194.54

174.09 191.50 179.97 197.97

178.30 196.13 184.32 202.75

183.55 201.91 189.75 208.73

189.73 208.70 196.14 215.75

197.09 216.80 203.75 224.13

205.36 225.90 212.30 233.53

214.82 236.30 222.08 244.29

224.15 246.57 231.73 254.90

234.66 258.13 242.59 266.85

245.04 269.54 253.32 278.65

256.47 282.12 265.14 291.65

268.04 294.84 277.09 304.80

280.52 308.57 290.00 319.00

293.00 322.30 302.90 333.19

306.53 337.18 316.89 348.58

320.20 352.22 331.02 364.12

334.78 368.26 346.09 380.70

342.01 376.21 353.57 388.93

356.59 392.25 368.64 405.50

369.21 406.13 381.68 419.85

377.48 415.23 390.24 429.26

387.86 426.65 400.97 441.07

394.17 433.59 407.49 448.24

394.17 433.59 407.49 448.24

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