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Oscar Insurance Corporation Rate Manual for Small Group ACA Products 

New York January 1, 2020 

Oscar Insurance Corporation

TABLE OF CONTENTS 

Plan Designs 

Q1 Premium Rates Effective January 1, 2020 

Q2 Premium Rates Effective April 1, 2020 

Q3 Premium Rates Effective July 1, 2020 

Q4 Premium Rates Effective October 1, 2020 

Rating Regions 

Rating Classes 

Plan Variations 

Sample Rate Calculation 

Commission Schedule and Fees 

Our commission schedule is as follows: 

Expected Loss Ratios 

Oscar Insurance Corporation 2

Plan Designs (1 of 4)

Oscar Insurance Corporation 3

Plan Designs (2 of 4)  

     

Oscar Insurance Corporation 4

Plan Designs (3 of 4) 

 

Oscar Insurance Corporation 5

Plan Designs (4 of 4)

Oscar Insurance Corporation 6

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Oscar Insurance Corporation

Small Group Q1 Premium Rates Effective January 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

January 1, 2020

Oscar Circle Bronze $4500 74289NY2780001 $556.22 $1,112.44 $945.58 $1,585.23

Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $554.53 $1,109.06 $942.70 $1,580.41

Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $557.91 $1,115.82 $948.45 $1,590.05

Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $554.53 $1,109.06 $942.70 $1,580.41

Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $557.91 $1,115.82 $948.45 $1,590.05

Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $553.40 $1,106.81 $940.79 $1,577.20

Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $556.22 $1,112.44 $945.58 $1,585.23

Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $553.40 $1,106.81 $940.79 $1,577.20

Oscar Circle Bronze $6650 HSA 74289NY2780009 $567.89 $1,135.79 $965.42 $1,618.50

Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $566.17 $1,132.34 $962.49 $1,613.58

Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $569.62 $1,139.24 $968.35 $1,623.42

Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $566.17 $1,132.34 $962.49 $1,613.58

Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $569.62 $1,139.24 $968.35 $1,623.42

Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $565.02 $1,130.03 $960.53 $1,610.30

Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $567.89 $1,135.79 $965.42 $1,618.50

Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $565.02 $1,130.03 $960.53 $1,610.30

Oscar Circle Bronze $8150 74289NY2780017 $531.86 $1,063.71 $904.15 $1,515.79

Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $530.24 $1,060.48 $901.41 $1,511.18

Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $533.47 $1,066.94 $906.90 $1,520.39

Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $530.24 $1,060.48 $901.41 $1,511.18

Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $533.47 $1,066.94 $906.90 $1,520.39

Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $529.16 $1,058.32 $899.57 $1,508.11

Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $531.86 $1,063.71 $904.15 $1,515.79

Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $529.16 $1,058.32 $899.57 $1,508.11

Oscar Circle Gold $0 74289NY2780025 $846.08 $1,692.15 $1,438.33 $2,411.32

Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $843.51 $1,687.01 $1,433.96 $2,403.99

Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $848.65 $1,697.30 $1,442.70 $2,418.65

Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $843.51 $1,687.01 $1,433.96 $2,403.99

Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $848.65 $1,697.30 $1,442.70 $2,418.65

Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $841.79 $1,683.58 $1,431.04 $2,399.10

Oscar Circle Gold $0 (No DP) 74289NY2780031 $846.08 $1,692.15 $1,438.33 $2,411.32

Oscar Circle Gold $0 (No FP) 74289NY2780032 $841.79 $1,683.58 $1,431.04 $2,399.10

Oscar Circle Gold $2000 74289NY2780033 $768.58 $1,537.16 $1,306.59 $2,190.45

Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $766.24 $1,532.49 $1,302.62 $2,183.80

Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $770.92 $1,541.83 $1,310.56 $2,197.11

Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $766.24 $1,532.49 $1,302.62 $2,183.80

Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $770.92 $1,541.83 $1,310.56 $2,197.11

Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $764.69 $1,529.37 $1,299.97 $2,179.36

Oscar Circle Gold $2000 (No DP) 74289NY2780039 $768.58 $1,537.16 $1,306.59 $2,190.45

Oscar Circle Gold $2000 (No FP) 74289NY2780040 $764.69 $1,529.37 $1,299.97 $2,179.36

Oscar Circle Gold $1000 74289NY2780041 $806.12 $1,612.24 $1,370.40 $2,297.44

Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $803.67 $1,607.34 $1,366.24 $2,290.46

Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $808.57 $1,617.14 $1,374.57 $2,304.42

Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $803.67 $1,607.34 $1,366.24 $2,290.46

Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $808.57 $1,617.14 $1,374.57 $2,304.42

Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $802.04 $1,604.07 $1,363.46 $2,285.80

Oscar Circle Gold $1000 (No DP) 74289NY2780047 $806.12 $1,612.24 $1,370.40 $2,297.44

Oscar Circle Gold $1000 (No FP) 74289NY2780048 $802.04 $1,604.07 $1,363.46 $2,285.80

Oscar Circle Platinum $0 $2400 74289NY2780049 $954.59 $1,909.18 $1,622.80 $2,720.58

Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $951.69 $1,903.37 $1,617.87 $2,712.31

Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $957.49 $1,914.98 $1,627.73 $2,728.85

Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $951.69 $1,903.37 $1,617.87 $2,712.31

Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $957.49 $1,914.98 $1,627.73 $2,728.85

Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $949.75 $1,899.51 $1,614.58 $2,706.80

Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $954.59 $1,909.18 $1,622.80 $2,720.58

Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $949.75 $1,899.51 $1,614.58 $2,706.80

Oscar Circle Silver $0 74289NY2780057 $744.90 $1,489.80 $1,266.33 $2,122.97

Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $742.64 $1,485.27 $1,262.48 $2,116.51

Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $747.16 $1,494.33 $1,270.18 $2,129.42

Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $742.64 $1,485.27 $1,262.48 $2,116.51

Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $747.16 $1,494.33 $1,270.18 $2,129.42

Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $741.13 $1,482.25 $1,259.92 $2,112.21

Oscar Circle Silver $0 (No DP) 74289NY2780063 $744.90 $1,489.80 $1,266.33 $2,122.97

Oscar Insurance Corporation 7

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Oscar Insurance Corporation

Small Group Q1 Premium Rates Effective January 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

January 1, 2020

Oscar Circle Silver $0 (No FP) 74289NY2780064 $741.13 $1,482.25 $1,259.92 $2,112.21

Oscar Circle Silver $3000 HSA 74289NY2780065 $625.16 $1,250.33 $1,062.78 $1,781.72

Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $623.26 $1,246.53 $1,059.55 $1,776.30

Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $627.07 $1,254.13 $1,066.01 $1,787.14

Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $623.26 $1,246.53 $1,059.55 $1,776.30

Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $627.07 $1,254.13 $1,066.01 $1,787.14

Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $622.00 $1,244.00 $1,057.40 $1,772.69

Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $625.16 $1,250.33 $1,062.78 $1,781.72

Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $622.00 $1,244.00 $1,057.40 $1,772.69

Oscar Circle Silver $3000 74289NY2780073 $680.31 $1,360.62 $1,156.53 $1,938.89

Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $678.24 $1,356.49 $1,153.01 $1,932.99

Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $682.38 $1,364.76 $1,160.04 $1,944.78

Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $678.24 $1,356.49 $1,153.01 $1,932.99

Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $682.38 $1,364.76 $1,160.04 $1,944.78

Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $676.86 $1,353.73 $1,150.67 $1,929.07

Oscar Circle Silver $3000 (No DP) 74289NY2780079 $680.31 $1,360.62 $1,156.53 $1,938.89

Oscar Circle Silver $3000 (No FP) 74289NY2780080 $676.86 $1,353.73 $1,150.67 $1,929.07

Oscar Circle Silver $4500 74289NY2780081 $635.93 $1,271.86 $1,081.08 $1,812.40

Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $634.00 $1,267.99 $1,077.79 $1,806.89

Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $637.86 $1,275.72 $1,084.37 $1,817.91

Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $634.00 $1,267.99 $1,077.79 $1,806.89

Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $637.86 $1,275.72 $1,084.37 $1,817.91

Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $632.71 $1,265.42 $1,075.60 $1,803.22

Oscar Circle Silver $4500 (No DP) 74289NY2780087 $635.93 $1,271.86 $1,081.08 $1,812.40

Oscar Circle Silver $4500 (No FP) 74289NY2780088 $632.71 $1,265.42 $1,075.60 $1,803.22

Oscar Circle Platinum $0 Option 2 74289NY2780089 $984.57 $1,969.14 $1,673.77 $2,806.02

Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $987.56 $1,975.12 $1,678.85 $2,814.55

Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $984.57 $1,969.14 $1,673.77 $2,806.02

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $987.56 $1,975.12 $1,678.85 $2,814.55

Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $979.58 $1,959.16 $1,665.29 $2,791.80

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $981.58 $1,963.15 $1,668.68 $2,797.49

Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $979.58 $1,959.16 $1,665.29 $2,791.80

Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $981.58 $1,963.15 $1,668.68 $2,797.49

Oscar Circle Gold $1250 74289NY2780097 $766.16 $1,532.32 $1,302.47 $2,183.56

Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $768.49 $1,536.98 $1,306.43 $2,190.20

Oscar Circle Gold $1250 (No DP) 74289NY2780099 $766.16 $1,532.32 $1,302.47 $2,183.56

Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $768.49 $1,536.98 $1,306.43 $2,190.20

Oscar Circle Gold $1250 (No FP) 74289NY2780101 $762.28 $1,524.56 $1,295.88 $2,172.50

Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $763.83 $1,527.67 $1,298.52 $2,176.92

Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $762.28 $1,524.56 $1,295.88 $2,172.50

Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $763.83 $1,527.67 $1,298.52 $2,176.92

Oscar Circle Plus Bronze $4500 74289NY2790001 $645.02 $1,290.04 $1,096.54 $1,838.31

Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $643.06 $1,286.12 $1,093.20 $1,832.72

Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $646.98 $1,293.96 $1,099.87 $1,843.90

Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $643.06 $1,286.12 $1,093.20 $1,832.72

Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $646.98 $1,293.96 $1,099.87 $1,843.90

Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $641.75 $1,283.51 $1,090.98 $1,829.00

Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $645.02 $1,290.04 $1,096.54 $1,838.31

Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $641.75 $1,283.51 $1,090.98 $1,829.00

Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $656.81 $1,313.63 $1,116.58 $1,871.92

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $654.82 $1,309.64 $1,113.19 $1,866.23

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $658.81 $1,317.62 $1,119.98 $1,877.61

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $654.82 $1,309.64 $1,113.19 $1,866.23

Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $658.81 $1,317.62 $1,119.98 $1,877.61

Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $653.49 $1,306.97 $1,110.93 $1,862.44

Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $656.81 $1,313.63 $1,116.58 $1,871.92

Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $653.49 $1,306.97 $1,110.93 $1,862.44

Oscar Circle Plus Bronze $8150 74289NY2790017 $617.88 $1,235.76 $1,050.39 $1,760.95

Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $616.00 $1,232.00 $1,047.20 $1,755.60

Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $619.76 $1,239.51 $1,053.59 $1,766.31

Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $616.00 $1,232.00 $1,047.20 $1,755.60

Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $619.76 $1,239.51 $1,053.59 $1,766.31

Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $614.75 $1,229.50 $1,045.07 $1,752.03

Oscar Insurance Corporation 8

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Oscar Insurance Corporation

Small Group Q1 Premium Rates Effective January 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

January 1, 2020

Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $617.88 $1,235.76 $1,050.39 $1,760.95

Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $614.75 $1,229.50 $1,045.07 $1,752.03

Oscar Circle Plus Gold $0 74289NY2790025 $955.45 $1,910.89 $1,624.26 $2,723.02

Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $952.54 $1,905.08 $1,619.32 $2,714.74

Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $958.35 $1,916.70 $1,629.19 $2,731.29

Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $952.54 $1,905.08 $1,619.32 $2,714.74

Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $958.35 $1,916.70 $1,629.19 $2,731.29

Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $950.60 $1,901.21 $1,616.03 $2,709.22

Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $955.45 $1,910.89 $1,624.26 $2,723.02

Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $950.60 $1,901.21 $1,616.03 $2,709.22

Oscar Circle Plus Gold $2000 74289NY2790033 $875.50 $1,750.99 $1,488.34 $2,495.16

Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $872.83 $1,745.67 $1,483.82 $2,487.58

Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $878.16 $1,756.31 $1,492.87 $2,502.75

Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $872.83 $1,745.67 $1,483.82 $2,487.58

Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $878.16 $1,756.31 $1,492.87 $2,502.75

Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $871.06 $1,742.12 $1,480.80 $2,482.52

Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $875.50 $1,750.99 $1,488.34 $2,495.16

Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $871.06 $1,742.12 $1,480.80 $2,482.52

Oscar Circle Plus Gold $1000 74289NY2790041 $911.53 $1,823.05 $1,549.59 $2,597.85

Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $908.76 $1,817.51 $1,544.88 $2,589.95

Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $914.30 $1,828.59 $1,554.30 $2,605.75

Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $908.76 $1,817.51 $1,544.88 $2,589.95

Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $914.30 $1,828.59 $1,554.30 $2,605.75

Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $906.91 $1,813.82 $1,541.74 $2,584.69

Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $911.53 $1,823.05 $1,549.59 $2,597.85

Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $906.91 $1,813.82 $1,541.74 $2,584.69

Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,067.32 $2,134.63 $1,814.44 $3,041.85

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,064.07 $2,128.14 $1,808.92 $3,032.60

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,070.56 $2,141.12 $1,819.95 $3,051.09

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,064.07 $2,128.14 $1,808.92 $3,032.60

Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,070.56 $2,141.12 $1,819.95 $3,051.09

Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,061.91 $2,123.82 $1,805.24 $3,026.44

Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,067.32 $2,134.63 $1,814.44 $3,041.85

Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,061.91 $2,123.82 $1,805.24 $3,026.44

Oscar Circle Plus Silver $0 74289NY2790057 $851.13 $1,702.26 $1,446.92 $2,425.72

Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $848.54 $1,697.08 $1,442.52 $2,418.34

Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $853.72 $1,707.43 $1,451.32 $2,433.09

Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $848.54 $1,697.08 $1,442.52 $2,418.34

Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $853.72 $1,707.43 $1,451.32 $2,433.09

Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $846.82 $1,693.63 $1,439.59 $2,413.43

Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $851.13 $1,702.26 $1,446.92 $2,425.72

Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $846.82 $1,693.63 $1,439.59 $2,413.43

Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $721.06 $1,442.12 $1,225.80 $2,055.01

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $718.87 $1,437.73 $1,222.07 $2,048.77

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $723.25 $1,446.50 $1,229.52 $2,061.26

Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $718.87 $1,437.73 $1,222.07 $2,048.77

Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $723.25 $1,446.50 $1,229.52 $2,061.26

Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $717.40 $1,434.81 $1,219.59 $2,044.60

Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $721.06 $1,442.12 $1,225.80 $2,055.01

Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $717.40 $1,434.81 $1,219.59 $2,044.60

Oscar Circle Plus Silver $3000 74289NY2790073 $782.20 $1,564.40 $1,329.74 $2,229.27

Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $779.82 $1,559.65 $1,325.70 $2,222.49

Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $784.58 $1,569.16 $1,333.78 $2,236.05

Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $779.82 $1,559.65 $1,325.70 $2,222.49

Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $784.58 $1,569.16 $1,333.78 $2,236.05

Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $778.24 $1,556.48 $1,323.00 $2,217.98

Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $782.20 $1,564.40 $1,329.74 $2,229.27

Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $778.24 $1,556.48 $1,323.00 $2,217.98

Oscar Circle Plus Silver $4500 74289NY2790081 $738.69 $1,477.38 $1,255.77 $2,105.26

Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $736.44 $1,472.89 $1,251.95 $2,098.86

Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $740.93 $1,481.87 $1,259.59 $2,111.66

Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $736.44 $1,472.89 $1,251.95 $2,098.86

Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $740.93 $1,481.87 $1,259.59 $2,111.66

Oscar Insurance Corporation 9

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Oscar Insurance Corporation

Small Group Q1 Premium Rates Effective January 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

January 1, 2020

Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $734.95 $1,469.89 $1,249.41 $2,094.60

Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $738.69 $1,477.38 $1,255.77 $2,105.26

Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $734.95 $1,469.89 $1,249.41 $2,094.60

Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,094.44 $2,188.89 $1,860.55 $3,119.17

Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,097.77 $2,195.54 $1,866.21 $3,128.65

Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,094.44 $2,188.89 $1,860.55 $3,119.17

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,097.77 $2,195.54 $1,866.21 $3,128.65

Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,088.90 $2,177.80 $1,851.13 $3,103.36

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,091.12 $2,182.23 $1,854.90 $3,109.68

Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,088.90 $2,177.80 $1,851.13 $3,103.36

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,091.12 $2,182.23 $1,854.90 $3,109.68

Oscar Circle Plus Gold $1250 74289NY2790097 $872.83 $1,745.66 $1,483.81 $2,487.57

Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $875.48 $1,750.97 $1,488.32 $2,495.13

Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $872.83 $1,745.66 $1,483.81 $2,487.57

Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $875.48 $1,750.97 $1,488.32 $2,495.13

Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $868.41 $1,736.82 $1,476.30 $2,474.97

Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $870.18 $1,740.36 $1,479.30 $2,480.01

Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $868.41 $1,736.82 $1,476.30 $2,474.97

Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $870.18 $1,740.36 $1,479.30 $2,480.01

Oscar Circle Bronze $4500 74289NY2780001 $556.22 $1,112.44 $945.58 $1,585.23

Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $554.53 $1,109.06 $942.70 $1,580.41

Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $557.91 $1,115.82 $948.45 $1,590.05

Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $554.53 $1,109.06 $942.70 $1,580.41

Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $557.91 $1,115.82 $948.45 $1,590.05

Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $553.40 $1,106.81 $940.79 $1,577.20

Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $556.22 $1,112.44 $945.58 $1,585.23

Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $553.40 $1,106.81 $940.79 $1,577.20

Oscar Circle Bronze $6650 HSA 74289NY2780009 $567.89 $1,135.79 $965.42 $1,618.50

Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $566.17 $1,132.34 $962.49 $1,613.58

Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $569.62 $1,139.24 $968.35 $1,623.42

Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $566.17 $1,132.34 $962.49 $1,613.58

Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $569.62 $1,139.24 $968.35 $1,623.42

Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $565.02 $1,130.03 $960.53 $1,610.30

Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $567.89 $1,135.79 $965.42 $1,618.50

Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $565.02 $1,130.03 $960.53 $1,610.30

Oscar Circle Bronze $8150 74289NY2780017 $531.86 $1,063.71 $904.15 $1,515.79

Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $530.24 $1,060.48 $901.41 $1,511.18

Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $533.47 $1,066.94 $906.90 $1,520.39

Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $530.24 $1,060.48 $901.41 $1,511.18

Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $533.47 $1,066.94 $906.90 $1,520.39

Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $529.16 $1,058.32 $899.57 $1,508.11

Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $531.86 $1,063.71 $904.15 $1,515.79

Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $529.16 $1,058.32 $899.57 $1,508.11

Oscar Circle Gold $0 74289NY2780025 $846.08 $1,692.15 $1,438.33 $2,411.32

Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $843.51 $1,687.01 $1,433.96 $2,403.99

Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $848.65 $1,697.30 $1,442.70 $2,418.65

Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $843.51 $1,687.01 $1,433.96 $2,403.99

Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $848.65 $1,697.30 $1,442.70 $2,418.65

Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $841.79 $1,683.58 $1,431.04 $2,399.10

Oscar Circle Gold $0 (No DP) 74289NY2780031 $846.08 $1,692.15 $1,438.33 $2,411.32

Oscar Circle Gold $0 (No FP) 74289NY2780032 $841.79 $1,683.58 $1,431.04 $2,399.10

Oscar Circle Gold $2000 74289NY2780033 $768.58 $1,537.16 $1,306.59 $2,190.45

Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $766.24 $1,532.49 $1,302.62 $2,183.80

Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $770.92 $1,541.83 $1,310.56 $2,197.11

Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $766.24 $1,532.49 $1,302.62 $2,183.80

Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $770.92 $1,541.83 $1,310.56 $2,197.11

Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $764.69 $1,529.37 $1,299.97 $2,179.36

Oscar Circle Gold $2000 (No DP) 74289NY2780039 $768.58 $1,537.16 $1,306.59 $2,190.45

Oscar Circle Gold $2000 (No FP) 74289NY2780040 $764.69 $1,529.37 $1,299.97 $2,179.36

Oscar Circle Gold $1000 74289NY2780041 $806.12 $1,612.24 $1,370.40 $2,297.44

Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $803.67 $1,607.34 $1,366.24 $2,290.46

Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $808.57 $1,617.14 $1,374.57 $2,304.42

Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $803.67 $1,607.34 $1,366.24 $2,290.46

Oscar Insurance Corporation 10

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Oscar Insurance Corporation

Small Group Q1 Premium Rates Effective January 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

January 1, 2020

Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $808.57 $1,617.14 $1,374.57 $2,304.42

Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $802.04 $1,604.07 $1,363.46 $2,285.80

Oscar Circle Gold $1000 (No DP) 74289NY2780047 $806.12 $1,612.24 $1,370.40 $2,297.44

Oscar Circle Gold $1000 (No FP) 74289NY2780048 $802.04 $1,604.07 $1,363.46 $2,285.80

Oscar Circle Platinum $0 $2400 74289NY2780049 $954.59 $1,909.18 $1,622.80 $2,720.58

Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $951.69 $1,903.37 $1,617.87 $2,712.31

Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $957.49 $1,914.98 $1,627.73 $2,728.85

Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $951.69 $1,903.37 $1,617.87 $2,712.31

Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $957.49 $1,914.98 $1,627.73 $2,728.85

Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $949.75 $1,899.51 $1,614.58 $2,706.80

Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $954.59 $1,909.18 $1,622.80 $2,720.58

Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $949.75 $1,899.51 $1,614.58 $2,706.80

Oscar Circle Silver $0 74289NY2780057 $744.90 $1,489.80 $1,266.33 $2,122.97

Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $742.64 $1,485.27 $1,262.48 $2,116.51

Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $747.16 $1,494.33 $1,270.18 $2,129.42

Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $742.64 $1,485.27 $1,262.48 $2,116.51

Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $747.16 $1,494.33 $1,270.18 $2,129.42

Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $741.13 $1,482.25 $1,259.92 $2,112.21

Oscar Circle Silver $0 (No DP) 74289NY2780063 $744.90 $1,489.80 $1,266.33 $2,122.97

Oscar Circle Silver $0 (No FP) 74289NY2780064 $741.13 $1,482.25 $1,259.92 $2,112.21

Oscar Circle Silver $3000 HSA 74289NY2780065 $625.16 $1,250.33 $1,062.78 $1,781.72

Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $623.26 $1,246.53 $1,059.55 $1,776.30

Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $627.07 $1,254.13 $1,066.01 $1,787.14

Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $623.26 $1,246.53 $1,059.55 $1,776.30

Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $627.07 $1,254.13 $1,066.01 $1,787.14

Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $622.00 $1,244.00 $1,057.40 $1,772.69

Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $625.16 $1,250.33 $1,062.78 $1,781.72

Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $622.00 $1,244.00 $1,057.40 $1,772.69

Oscar Circle Silver $3000 74289NY2780073 $680.31 $1,360.62 $1,156.53 $1,938.89

Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $678.24 $1,356.49 $1,153.01 $1,932.99

Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $682.38 $1,364.76 $1,160.04 $1,944.78

Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $678.24 $1,356.49 $1,153.01 $1,932.99

Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $682.38 $1,364.76 $1,160.04 $1,944.78

Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $676.86 $1,353.73 $1,150.67 $1,929.07

Oscar Circle Silver $3000 (No DP) 74289NY2780079 $680.31 $1,360.62 $1,156.53 $1,938.89

Oscar Circle Silver $3000 (No FP) 74289NY2780080 $676.86 $1,353.73 $1,150.67 $1,929.07

Oscar Circle Silver $4500 74289NY2780081 $635.93 $1,271.86 $1,081.08 $1,812.40

Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $634.00 $1,267.99 $1,077.79 $1,806.89

Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $637.86 $1,275.72 $1,084.37 $1,817.91

Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $634.00 $1,267.99 $1,077.79 $1,806.89

Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $637.86 $1,275.72 $1,084.37 $1,817.91

Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $632.71 $1,265.42 $1,075.60 $1,803.22

Oscar Circle Silver $4500 (No DP) 74289NY2780087 $635.93 $1,271.86 $1,081.08 $1,812.40

Oscar Circle Silver $4500 (No FP) 74289NY2780088 $632.71 $1,265.42 $1,075.60 $1,803.22

Oscar Circle Platinum $0 Option 2 74289NY2780089 $984.57 $1,969.14 $1,673.77 $2,806.02

Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $987.56 $1,975.12 $1,678.85 $2,814.55

Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $984.57 $1,969.14 $1,673.77 $2,806.02

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $987.56 $1,975.12 $1,678.85 $2,814.55

Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $979.58 $1,959.16 $1,665.29 $2,791.80

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $981.58 $1,963.15 $1,668.68 $2,797.49

Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $979.58 $1,959.16 $1,665.29 $2,791.80

Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $981.58 $1,963.15 $1,668.68 $2,797.49

Oscar Circle Gold $1250 74289NY2780097 $766.16 $1,532.32 $1,302.47 $2,183.56

Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $768.49 $1,536.98 $1,306.43 $2,190.20

Oscar Circle Gold $1250 (No DP) 74289NY2780099 $766.16 $1,532.32 $1,302.47 $2,183.56

Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $768.49 $1,536.98 $1,306.43 $2,190.20

Oscar Circle Gold $1250 (No FP) 74289NY2780101 $762.28 $1,524.56 $1,295.88 $2,172.50

Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $763.83 $1,527.67 $1,298.52 $2,176.92

Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $762.28 $1,524.56 $1,295.88 $2,172.50

Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $763.83 $1,527.67 $1,298.52 $2,176.92

Oscar Circle Plus Bronze $4500 74289NY2790001 $645.02 $1,290.04 $1,096.54 $1,838.31

Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $643.06 $1,286.12 $1,093.20 $1,832.72

Oscar Insurance Corporation 11

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Oscar Insurance Corporation

Small Group Q1 Premium Rates Effective January 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

January 1, 2020

Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $646.98 $1,293.96 $1,099.87 $1,843.90

Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $643.06 $1,286.12 $1,093.20 $1,832.72

Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $646.98 $1,293.96 $1,099.87 $1,843.90

Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $641.75 $1,283.51 $1,090.98 $1,829.00

Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $645.02 $1,290.04 $1,096.54 $1,838.31

Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $641.75 $1,283.51 $1,090.98 $1,829.00

Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $656.81 $1,313.63 $1,116.58 $1,871.92

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $654.82 $1,309.64 $1,113.19 $1,866.23

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $658.81 $1,317.62 $1,119.98 $1,877.61

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $654.82 $1,309.64 $1,113.19 $1,866.23

Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $658.81 $1,317.62 $1,119.98 $1,877.61

Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $653.49 $1,306.97 $1,110.93 $1,862.44

Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $656.81 $1,313.63 $1,116.58 $1,871.92

Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $653.49 $1,306.97 $1,110.93 $1,862.44

Oscar Circle Plus Bronze $8150 74289NY2790017 $617.88 $1,235.76 $1,050.39 $1,760.95

Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $616.00 $1,232.00 $1,047.20 $1,755.60

Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $619.76 $1,239.51 $1,053.59 $1,766.31

Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $616.00 $1,232.00 $1,047.20 $1,755.60

Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $619.76 $1,239.51 $1,053.59 $1,766.31

Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $614.75 $1,229.50 $1,045.07 $1,752.03

Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $617.88 $1,235.76 $1,050.39 $1,760.95

Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $614.75 $1,229.50 $1,045.07 $1,752.03

Oscar Circle Plus Gold $0 74289NY2790025 $955.45 $1,910.89 $1,624.26 $2,723.02

Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $952.54 $1,905.08 $1,619.32 $2,714.74

Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $958.35 $1,916.70 $1,629.19 $2,731.29

Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $952.54 $1,905.08 $1,619.32 $2,714.74

Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $958.35 $1,916.70 $1,629.19 $2,731.29

Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $950.60 $1,901.21 $1,616.03 $2,709.22

Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $955.45 $1,910.89 $1,624.26 $2,723.02

Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $950.60 $1,901.21 $1,616.03 $2,709.22

Oscar Circle Plus Gold $2000 74289NY2790033 $875.50 $1,750.99 $1,488.34 $2,495.16

Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $872.83 $1,745.67 $1,483.82 $2,487.58

Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $878.16 $1,756.31 $1,492.87 $2,502.75

Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $872.83 $1,745.67 $1,483.82 $2,487.58

Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $878.16 $1,756.31 $1,492.87 $2,502.75

Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $871.06 $1,742.12 $1,480.80 $2,482.52

Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $875.50 $1,750.99 $1,488.34 $2,495.16

Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $871.06 $1,742.12 $1,480.80 $2,482.52

Oscar Circle Plus Gold $1000 74289NY2790041 $911.53 $1,823.05 $1,549.59 $2,597.85

Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $908.76 $1,817.51 $1,544.88 $2,589.95

Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $914.30 $1,828.59 $1,554.30 $2,605.75

Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $908.76 $1,817.51 $1,544.88 $2,589.95

Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $914.30 $1,828.59 $1,554.30 $2,605.75

Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $906.91 $1,813.82 $1,541.74 $2,584.69

Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $911.53 $1,823.05 $1,549.59 $2,597.85

Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $906.91 $1,813.82 $1,541.74 $2,584.69

Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,067.32 $2,134.63 $1,814.44 $3,041.85

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,064.07 $2,128.14 $1,808.92 $3,032.60

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,070.56 $2,141.12 $1,819.95 $3,051.09

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,064.07 $2,128.14 $1,808.92 $3,032.60

Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,070.56 $2,141.12 $1,819.95 $3,051.09

Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,061.91 $2,123.82 $1,805.24 $3,026.44

Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,067.32 $2,134.63 $1,814.44 $3,041.85

Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,061.91 $2,123.82 $1,805.24 $3,026.44

Oscar Circle Plus Silver $0 74289NY2790057 $851.13 $1,702.26 $1,446.92 $2,425.72

Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $848.54 $1,697.08 $1,442.52 $2,418.34

Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $853.72 $1,707.43 $1,451.32 $2,433.09

Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $848.54 $1,697.08 $1,442.52 $2,418.34

Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $853.72 $1,707.43 $1,451.32 $2,433.09

Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $846.82 $1,693.63 $1,439.59 $2,413.43

Oscar Insurance Corporation 12

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Oscar Insurance Corporation

Small Group Q1 Premium Rates Effective January 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

January 1, 2020

Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $851.13 $1,702.26 $1,446.92 $2,425.72

Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $846.82 $1,693.63 $1,439.59 $2,413.43

Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $721.06 $1,442.12 $1,225.80 $2,055.01

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $718.87 $1,437.73 $1,222.07 $2,048.77

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $723.25 $1,446.50 $1,229.52 $2,061.26

Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $718.87 $1,437.73 $1,222.07 $2,048.77

Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $723.25 $1,446.50 $1,229.52 $2,061.26

Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $717.40 $1,434.81 $1,219.59 $2,044.60

Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $721.06 $1,442.12 $1,225.80 $2,055.01

Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $717.40 $1,434.81 $1,219.59 $2,044.60

Oscar Circle Plus Silver $3000 74289NY2790073 $782.20 $1,564.40 $1,329.74 $2,229.27

Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $779.82 $1,559.65 $1,325.70 $2,222.49

Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $784.58 $1,569.16 $1,333.78 $2,236.05

Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $779.82 $1,559.65 $1,325.70 $2,222.49

Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $784.58 $1,569.16 $1,333.78 $2,236.05

Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $778.24 $1,556.48 $1,323.00 $2,217.98

Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $782.20 $1,564.40 $1,329.74 $2,229.27

Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $778.24 $1,556.48 $1,323.00 $2,217.98

Oscar Circle Plus Silver $4500 74289NY2790081 $738.69 $1,477.38 $1,255.77 $2,105.26

Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $736.44 $1,472.89 $1,251.95 $2,098.86

Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $740.93 $1,481.87 $1,259.59 $2,111.66

Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $736.44 $1,472.89 $1,251.95 $2,098.86

Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $740.93 $1,481.87 $1,259.59 $2,111.66

Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $734.95 $1,469.89 $1,249.41 $2,094.60

Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $738.69 $1,477.38 $1,255.77 $2,105.26

Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $734.95 $1,469.89 $1,249.41 $2,094.60

Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,094.44 $2,188.89 $1,860.55 $3,119.17

Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,097.77 $2,195.54 $1,866.21 $3,128.65

Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,094.44 $2,188.89 $1,860.55 $3,119.17

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,097.77 $2,195.54 $1,866.21 $3,128.65

Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,088.90 $2,177.80 $1,851.13 $3,103.36

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,091.12 $2,182.23 $1,854.90 $3,109.68

Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,088.90 $2,177.80 $1,851.13 $3,103.36

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,091.12 $2,182.23 $1,854.90 $3,109.68

Oscar Circle Plus Gold $1250 74289NY2790097 $872.83 $1,745.66 $1,483.81 $2,487.57

Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $875.48 $1,750.97 $1,488.32 $2,495.13

Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $872.83 $1,745.66 $1,483.81 $2,487.57

Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $875.48 $1,750.97 $1,488.32 $2,495.13

Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $868.41 $1,736.82 $1,476.30 $2,474.97

Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $870.18 $1,740.36 $1,479.30 $2,480.01

Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $868.41 $1,736.82 $1,476.30 $2,474.97

Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $870.18 $1,740.36 $1,479.30 $2,480.01

Oscar Insurance Corporation 13

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q2 Premium Rates Effective April 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

April 1, 2020

Oscar Circle Bronze $4500 74289NY2780001 $563.29 $1,126.58 $957.59 $1,605.37

Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $561.58 $1,123.15 $954.68 $1,600.49

Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $565.00 $1,130.00 $960.50 $1,610.25

Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $561.58 $1,123.15 $954.68 $1,600.49

Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $565.00 $1,130.00 $960.50 $1,610.25

Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $560.44 $1,120.87 $952.74 $1,597.24

Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $563.29 $1,126.58 $957.59 $1,605.37

Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $560.44 $1,120.87 $952.74 $1,597.24

Oscar Circle Bronze $6650 HSA 74289NY2780009 $575.11 $1,150.22 $977.69 $1,639.06

Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $573.36 $1,146.72 $974.72 $1,634.08

Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $576.86 $1,153.72 $980.66 $1,644.05

Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $573.36 $1,146.72 $974.72 $1,634.08

Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $576.86 $1,153.72 $980.66 $1,644.05

Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $572.20 $1,144.39 $972.73 $1,630.76

Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $575.11 $1,150.22 $977.69 $1,639.06

Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $572.20 $1,144.39 $972.73 $1,630.76

Oscar Circle Bronze $8150 74289NY2780017 $538.61 $1,077.23 $915.64 $1,535.05

Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $536.98 $1,073.95 $912.86 $1,530.38

Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $540.25 $1,080.50 $918.42 $1,539.71

Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $536.98 $1,073.95 $912.86 $1,530.38

Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $540.25 $1,080.50 $918.42 $1,539.71

Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $535.88 $1,071.77 $911.00 $1,527.27

Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $538.61 $1,077.23 $915.64 $1,535.05

Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $535.88 $1,071.77 $911.00 $1,527.27

Oscar Circle Gold $0 74289NY2780025 $856.83 $1,713.65 $1,456.61 $2,441.96

Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $854.22 $1,708.45 $1,452.18 $2,434.53

Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $859.43 $1,718.86 $1,461.03 $2,449.38

Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $854.22 $1,708.45 $1,452.18 $2,434.53

Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $859.43 $1,718.86 $1,461.03 $2,449.38

Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $852.49 $1,704.97 $1,449.23 $2,429.59

Oscar Circle Gold $0 (No DP) 74289NY2780031 $856.83 $1,713.65 $1,456.61 $2,441.96

Oscar Circle Gold $0 (No FP) 74289NY2780032 $852.49 $1,704.97 $1,449.23 $2,429.59

Oscar Circle Gold $2000 74289NY2780033 $778.35 $1,556.69 $1,323.19 $2,218.29

Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $775.98 $1,551.96 $1,319.17 $2,211.54

Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $780.71 $1,561.42 $1,327.21 $2,225.03

Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $775.98 $1,551.96 $1,319.17 $2,211.54

Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $780.71 $1,561.42 $1,327.21 $2,225.03

Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $774.40 $1,548.81 $1,316.48 $2,207.05

Oscar Circle Gold $2000 (No DP) 74289NY2780039 $778.35 $1,556.69 $1,323.19 $2,218.29

Oscar Circle Gold $2000 (No FP) 74289NY2780040 $774.40 $1,548.81 $1,316.48 $2,207.05

Oscar Circle Gold $1000 74289NY2780041 $816.36 $1,632.72 $1,387.81 $2,326.63

Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $813.88 $1,627.76 $1,383.60 $2,319.56

Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $818.84 $1,637.69 $1,392.03 $2,333.70

Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $813.88 $1,627.76 $1,383.60 $2,319.56

Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $818.84 $1,637.69 $1,392.03 $2,333.70

Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $812.23 $1,624.45 $1,380.78 $2,314.84

Oscar Circle Gold $1000 (No DP) 74289NY2780047 $816.36 $1,632.72 $1,387.81 $2,326.63

Oscar Circle Gold $1000 (No FP) 74289NY2780048 $812.23 $1,624.45 $1,380.78 $2,314.84

Oscar Circle Platinum $0 $2400 74289NY2780049 $966.72 $1,933.44 $1,643.42 $2,755.15

Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $963.78 $1,927.56 $1,638.42 $2,746.77

Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $969.66 $1,939.31 $1,648.42 $2,763.52

Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $963.78 $1,927.56 $1,638.42 $2,746.77

Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $969.66 $1,939.31 $1,648.42 $2,763.52

Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $961.82 $1,923.64 $1,635.09 $2,741.19

Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $966.72 $1,933.44 $1,643.42 $2,755.15

Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $961.82 $1,923.64 $1,635.09 $2,741.19

Oscar Circle Silver $0 74289NY2780057 $754.37 $1,508.73 $1,282.42 $2,149.94

Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $752.07 $1,504.14 $1,278.52 $2,143.41

Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $756.66 $1,513.32 $1,286.32 $2,156.48

Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $752.07 $1,504.14 $1,278.52 $2,143.41

Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $756.66 $1,513.32 $1,286.32 $2,156.48

Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $750.54 $1,501.09 $1,275.92 $2,139.05

Oscar Circle Silver $0 (No DP) 74289NY2780063 $754.37 $1,508.73 $1,282.42 $2,149.94

Oscar Circle Silver $0 (No FP) 74289NY2780064 $750.54 $1,501.09 $1,275.92 $2,139.05

Oscar Insurance Corporation 14

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q2 Premium Rates Effective April 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

April 1, 2020

Oscar Circle Silver $3000 HSA 74289NY2780065 $633.11 $1,266.22 $1,076.28 $1,804.36

Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $631.18 $1,262.37 $1,073.01 $1,798.87

Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $635.03 $1,270.06 $1,079.56 $1,809.84

Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $631.18 $1,262.37 $1,073.01 $1,798.87

Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $635.03 $1,270.06 $1,079.56 $1,809.84

Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $629.90 $1,259.80 $1,070.83 $1,795.22

Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $633.11 $1,266.22 $1,076.28 $1,804.36

Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $629.90 $1,259.80 $1,070.83 $1,795.22

Oscar Circle Silver $3000 74289NY2780073 $688.96 $1,377.91 $1,171.22 $1,963.52

Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $686.86 $1,373.72 $1,167.66 $1,957.55

Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $691.05 $1,382.10 $1,174.78 $1,969.49

Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $686.86 $1,373.72 $1,167.66 $1,957.55

Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $691.05 $1,382.10 $1,174.78 $1,969.49

Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $685.47 $1,370.93 $1,165.29 $1,953.58

Oscar Circle Silver $3000 (No DP) 74289NY2780079 $688.96 $1,377.91 $1,171.22 $1,963.52

Oscar Circle Silver $3000 (No FP) 74289NY2780080 $685.47 $1,370.93 $1,165.29 $1,953.58

Oscar Circle Silver $4500 74289NY2780081 $644.01 $1,288.02 $1,094.82 $1,835.43

Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $642.05 $1,284.10 $1,091.49 $1,829.85

Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $645.97 $1,291.93 $1,098.14 $1,841.00

Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $642.05 $1,284.10 $1,091.49 $1,829.85

Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $645.97 $1,291.93 $1,098.14 $1,841.00

Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $640.75 $1,281.49 $1,089.27 $1,826.13

Oscar Circle Silver $4500 (No DP) 74289NY2780087 $644.01 $1,288.02 $1,094.82 $1,835.43

Oscar Circle Silver $4500 (No FP) 74289NY2780088 $640.75 $1,281.49 $1,089.27 $1,826.13

Oscar Circle Platinum $0 Option 2 74289NY2780089 $997.08 $1,994.16 $1,695.03 $2,841.67

Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $1,000.11 $2,000.22 $1,700.18 $2,850.31

Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $997.08 $1,994.16 $1,695.03 $2,841.67

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $1,000.11 $2,000.22 $1,700.18 $2,850.31

Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $992.03 $1,984.05 $1,686.45 $2,827.28

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $994.05 $1,988.09 $1,689.88 $2,833.03

Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $992.03 $1,984.05 $1,686.45 $2,827.28

Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $994.05 $1,988.09 $1,689.88 $2,833.03

Oscar Circle Gold $1250 74289NY2780097 $775.90 $1,551.79 $1,319.02 $2,211.30

Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $778.25 $1,556.51 $1,323.03 $2,218.03

Oscar Circle Gold $1250 (No DP) 74289NY2780099 $775.90 $1,551.79 $1,319.02 $2,211.30

Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $778.25 $1,556.51 $1,323.03 $2,218.03

Oscar Circle Gold $1250 (No FP) 74289NY2780101 $771.97 $1,543.93 $1,312.34 $2,200.10

Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $773.54 $1,547.08 $1,315.01 $2,204.58

Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $771.97 $1,543.93 $1,312.34 $2,200.10

Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $773.54 $1,547.08 $1,315.01 $2,204.58

Oscar Circle Plus Bronze $4500 74289NY2790001 $653.22 $1,306.43 $1,110.47 $1,861.67

Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $651.23 $1,302.46 $1,107.09 $1,856.01

Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $655.20 $1,310.40 $1,113.84 $1,867.33

Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $651.23 $1,302.46 $1,107.09 $1,856.01

Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $655.20 $1,310.40 $1,113.84 $1,867.33

Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $649.91 $1,299.82 $1,104.84 $1,852.24

Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $653.22 $1,306.43 $1,110.47 $1,861.67

Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $649.91 $1,299.82 $1,104.84 $1,852.24

Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $665.16 $1,330.32 $1,130.77 $1,895.71

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $663.14 $1,326.28 $1,127.33 $1,889.94

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $667.18 $1,334.36 $1,134.21 $1,901.47

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $663.14 $1,326.28 $1,127.33 $1,889.94

Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $667.18 $1,334.36 $1,134.21 $1,901.47

Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $661.79 $1,323.58 $1,125.04 $1,886.10

Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $665.16 $1,330.32 $1,130.77 $1,895.71

Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $661.79 $1,323.58 $1,125.04 $1,886.10

Oscar Circle Plus Bronze $8150 74289NY2790017 $625.73 $1,251.46 $1,063.74 $1,783.33

Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $623.83 $1,247.65 $1,060.51 $1,777.91

Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $627.63 $1,255.26 $1,066.97 $1,788.75

Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $623.83 $1,247.65 $1,060.51 $1,777.91

Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $627.63 $1,255.26 $1,066.97 $1,788.75

Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $622.56 $1,245.12 $1,058.35 $1,774.29

Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $625.73 $1,251.46 $1,063.74 $1,783.33

Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $622.56 $1,245.12 $1,058.35 $1,774.29

Oscar Insurance Corporation 15

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q2 Premium Rates Effective April 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

April 1, 2020

Oscar Circle Plus Gold $0 74289NY2790025 $967.58 $1,935.17 $1,644.89 $2,757.62

Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $964.64 $1,929.29 $1,639.89 $2,749.23

Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $970.53 $1,941.05 $1,649.89 $2,766.00

Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $964.64 $1,929.29 $1,639.89 $2,749.23

Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $970.53 $1,941.05 $1,649.89 $2,766.00

Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $962.68 $1,925.37 $1,636.56 $2,743.65

Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $967.58 $1,935.17 $1,644.89 $2,757.62

Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $962.68 $1,925.37 $1,636.56 $2,743.65

Oscar Circle Plus Gold $2000 74289NY2790033 $886.62 $1,773.24 $1,507.25 $2,526.87

Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $883.92 $1,767.85 $1,502.67 $2,519.19

Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $889.31 $1,778.63 $1,511.83 $2,534.55

Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $883.92 $1,767.85 $1,502.67 $2,519.19

Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $889.31 $1,778.63 $1,511.83 $2,534.55

Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $882.13 $1,764.26 $1,499.62 $2,514.07

Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $886.62 $1,773.24 $1,507.25 $2,526.87

Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $882.13 $1,764.26 $1,499.62 $2,514.07

Oscar Circle Plus Gold $1000 74289NY2790041 $923.11 $1,846.22 $1,569.28 $2,630.86

Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $920.30 $1,840.60 $1,564.51 $2,622.86

Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $925.91 $1,851.83 $1,574.05 $2,638.85

Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $920.30 $1,840.60 $1,564.51 $2,622.86

Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $925.91 $1,851.83 $1,574.05 $2,638.85

Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $918.43 $1,836.86 $1,561.33 $2,617.53

Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $923.11 $1,846.22 $1,569.28 $2,630.86

Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $918.43 $1,836.86 $1,561.33 $2,617.53

Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,080.88 $2,161.75 $1,837.49 $3,080.50

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,077.59 $2,155.18 $1,831.91 $3,071.14

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,084.16 $2,168.32 $1,843.08 $3,089.86

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,077.59 $2,155.18 $1,831.91 $3,071.14

Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,084.16 $2,168.32 $1,843.08 $3,089.86

Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,075.40 $2,150.80 $1,828.18 $3,064.89

Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,080.88 $2,161.75 $1,837.49 $3,080.50

Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,075.40 $2,150.80 $1,828.18 $3,064.89

Oscar Circle Plus Silver $0 74289NY2790057 $861.94 $1,723.88 $1,465.30 $2,456.54

Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $859.32 $1,718.65 $1,460.85 $2,449.07

Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $864.56 $1,729.12 $1,469.76 $2,464.00

Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $859.32 $1,718.65 $1,460.85 $2,449.07

Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $864.56 $1,729.12 $1,469.76 $2,464.00

Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $857.58 $1,715.15 $1,457.88 $2,444.09

Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $861.94 $1,723.88 $1,465.30 $2,456.54

Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $857.58 $1,715.15 $1,457.88 $2,444.09

Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $730.22 $1,460.44 $1,241.37 $2,081.13

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $728.00 $1,456.00 $1,237.60 $2,074.80

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $732.44 $1,464.88 $1,245.15 $2,087.45

Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $728.00 $1,456.00 $1,237.60 $2,074.80

Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $732.44 $1,464.88 $1,245.15 $2,087.45

Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $726.52 $1,453.04 $1,235.08 $2,070.58

Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $730.22 $1,460.44 $1,241.37 $2,081.13

Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $726.52 $1,453.04 $1,235.08 $2,070.58

Oscar Circle Plus Silver $3000 74289NY2790073 $792.14 $1,584.28 $1,346.64 $2,257.60

Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $789.73 $1,579.46 $1,342.54 $2,250.73

Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $794.55 $1,589.09 $1,350.73 $2,264.46

Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $789.73 $1,579.46 $1,342.54 $2,250.73

Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $794.55 $1,589.09 $1,350.73 $2,264.46

Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $788.13 $1,576.25 $1,339.81 $2,246.16

Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $792.14 $1,584.28 $1,346.64 $2,257.60

Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $788.13 $1,576.25 $1,339.81 $2,246.16

Oscar Circle Plus Silver $4500 74289NY2790081 $748.07 $1,496.15 $1,271.73 $2,132.01

Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $745.80 $1,491.60 $1,267.86 $2,125.53

Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $750.35 $1,500.70 $1,275.59 $2,138.49

Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $745.80 $1,491.60 $1,267.86 $2,125.53

Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $750.35 $1,500.70 $1,275.59 $2,138.49

Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $744.28 $1,488.57 $1,265.28 $2,121.21

Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $748.07 $1,496.15 $1,271.73 $2,132.01

Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $744.28 $1,488.57 $1,265.28 $2,121.21

Oscar Insurance Corporation 16

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q2 Premium Rates Effective April 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

April 1, 2020

Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,108.35 $2,216.70 $1,884.19 $3,158.80

Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,111.72 $2,223.44 $1,889.92 $3,168.40

Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,108.35 $2,216.70 $1,884.19 $3,158.80

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,111.72 $2,223.44 $1,889.92 $3,168.40

Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,102.73 $2,205.47 $1,874.65 $3,142.79

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,104.98 $2,209.96 $1,878.47 $3,149.20

Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,102.73 $2,205.47 $1,874.65 $3,142.79

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,104.98 $2,209.96 $1,878.47 $3,149.20

Oscar Circle Plus Gold $1250 74289NY2790097 $883.92 $1,767.84 $1,502.67 $2,519.17

Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $886.61 $1,773.22 $1,507.23 $2,526.83

Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $883.92 $1,767.84 $1,502.67 $2,519.17

Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $886.61 $1,773.22 $1,507.23 $2,526.83

Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $879.44 $1,758.89 $1,495.05 $2,506.41

Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $881.23 $1,762.47 $1,498.10 $2,511.52

Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $879.44 $1,758.89 $1,495.05 $2,506.41

Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $881.23 $1,762.47 $1,498.10 $2,511.52

Oscar Circle Bronze $4500 74289NY2780001 $563.29 $1,126.58 $957.59 $1,605.37

Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $561.58 $1,123.15 $954.68 $1,600.49

Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $565.00 $1,130.00 $960.50 $1,610.25

Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $561.58 $1,123.15 $954.68 $1,600.49

Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $565.00 $1,130.00 $960.50 $1,610.25

Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $560.44 $1,120.87 $952.74 $1,597.24

Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $563.29 $1,126.58 $957.59 $1,605.37

Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $560.44 $1,120.87 $952.74 $1,597.24

Oscar Circle Bronze $6650 HSA 74289NY2780009 $575.11 $1,150.22 $977.69 $1,639.06

Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $573.36 $1,146.72 $974.72 $1,634.08

Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $576.86 $1,153.72 $980.66 $1,644.05

Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $573.36 $1,146.72 $974.72 $1,634.08

Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $576.86 $1,153.72 $980.66 $1,644.05

Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $572.20 $1,144.39 $972.73 $1,630.76

Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $575.11 $1,150.22 $977.69 $1,639.06

Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $572.20 $1,144.39 $972.73 $1,630.76

Oscar Circle Bronze $8150 74289NY2780017 $538.61 $1,077.23 $915.64 $1,535.05

Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $536.98 $1,073.95 $912.86 $1,530.38

Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $540.25 $1,080.50 $918.42 $1,539.71

Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $536.98 $1,073.95 $912.86 $1,530.38

Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $540.25 $1,080.50 $918.42 $1,539.71

Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $535.88 $1,071.77 $911.00 $1,527.27

Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $538.61 $1,077.23 $915.64 $1,535.05

Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $535.88 $1,071.77 $911.00 $1,527.27

Oscar Circle Gold $0 74289NY2780025 $856.83 $1,713.65 $1,456.61 $2,441.96

Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $854.22 $1,708.45 $1,452.18 $2,434.53

Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $859.43 $1,718.86 $1,461.03 $2,449.38

Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $854.22 $1,708.45 $1,452.18 $2,434.53

Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $859.43 $1,718.86 $1,461.03 $2,449.38

Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $852.49 $1,704.97 $1,449.23 $2,429.59

Oscar Circle Gold $0 (No DP) 74289NY2780031 $856.83 $1,713.65 $1,456.61 $2,441.96

Oscar Circle Gold $0 (No FP) 74289NY2780032 $852.49 $1,704.97 $1,449.23 $2,429.59

Oscar Circle Gold $2000 74289NY2780033 $778.35 $1,556.69 $1,323.19 $2,218.29

Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $775.98 $1,551.96 $1,319.17 $2,211.54

Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $780.71 $1,561.42 $1,327.21 $2,225.03

Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $775.98 $1,551.96 $1,319.17 $2,211.54

Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $780.71 $1,561.42 $1,327.21 $2,225.03

Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $774.40 $1,548.81 $1,316.48 $2,207.05

Oscar Circle Gold $2000 (No DP) 74289NY2780039 $778.35 $1,556.69 $1,323.19 $2,218.29

Oscar Circle Gold $2000 (No FP) 74289NY2780040 $774.40 $1,548.81 $1,316.48 $2,207.05

Oscar Circle Gold $1000 74289NY2780041 $816.36 $1,632.72 $1,387.81 $2,326.63

Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $813.88 $1,627.76 $1,383.60 $2,319.56

Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $818.84 $1,637.69 $1,392.03 $2,333.70

Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $813.88 $1,627.76 $1,383.60 $2,319.56

Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $818.84 $1,637.69 $1,392.03 $2,333.70

Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $812.23 $1,624.45 $1,380.78 $2,314.84

Oscar Circle Gold $1000 (No DP) 74289NY2780047 $816.36 $1,632.72 $1,387.81 $2,326.63

Oscar Circle Gold $1000 (No FP) 74289NY2780048 $812.23 $1,624.45 $1,380.78 $2,314.84

Oscar Insurance Corporation 17

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q2 Premium Rates Effective April 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

April 1, 2020

Oscar Circle Platinum $0 $2400 74289NY2780049 $966.72 $1,933.44 $1,643.42 $2,755.15

Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $963.78 $1,927.56 $1,638.42 $2,746.77

Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $969.66 $1,939.31 $1,648.42 $2,763.52

Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $963.78 $1,927.56 $1,638.42 $2,746.77

Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $969.66 $1,939.31 $1,648.42 $2,763.52

Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $961.82 $1,923.64 $1,635.09 $2,741.19

Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $966.72 $1,933.44 $1,643.42 $2,755.15

Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $961.82 $1,923.64 $1,635.09 $2,741.19

Oscar Circle Silver $0 74289NY2780057 $754.37 $1,508.73 $1,282.42 $2,149.94

Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $752.07 $1,504.14 $1,278.52 $2,143.41

Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $756.66 $1,513.32 $1,286.32 $2,156.48

Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $752.07 $1,504.14 $1,278.52 $2,143.41

Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $756.66 $1,513.32 $1,286.32 $2,156.48

Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $750.54 $1,501.09 $1,275.92 $2,139.05

Oscar Circle Silver $0 (No DP) 74289NY2780063 $754.37 $1,508.73 $1,282.42 $2,149.94

Oscar Circle Silver $0 (No FP) 74289NY2780064 $750.54 $1,501.09 $1,275.92 $2,139.05

Oscar Circle Silver $3000 HSA 74289NY2780065 $633.11 $1,266.22 $1,076.28 $1,804.36

Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $631.18 $1,262.37 $1,073.01 $1,798.87

Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $635.03 $1,270.06 $1,079.56 $1,809.84

Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $631.18 $1,262.37 $1,073.01 $1,798.87

Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $635.03 $1,270.06 $1,079.56 $1,809.84

Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $629.90 $1,259.80 $1,070.83 $1,795.22

Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $633.11 $1,266.22 $1,076.28 $1,804.36

Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $629.90 $1,259.80 $1,070.83 $1,795.22

Oscar Circle Silver $3000 74289NY2780073 $688.96 $1,377.91 $1,171.22 $1,963.52

Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $686.86 $1,373.72 $1,167.66 $1,957.55

Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $691.05 $1,382.10 $1,174.78 $1,969.49

Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $686.86 $1,373.72 $1,167.66 $1,957.55

Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $691.05 $1,382.10 $1,174.78 $1,969.49

Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $685.47 $1,370.93 $1,165.29 $1,953.58

Oscar Circle Silver $3000 (No DP) 74289NY2780079 $688.96 $1,377.91 $1,171.22 $1,963.52

Oscar Circle Silver $3000 (No FP) 74289NY2780080 $685.47 $1,370.93 $1,165.29 $1,953.58

Oscar Circle Silver $4500 74289NY2780081 $644.01 $1,288.02 $1,094.82 $1,835.43

Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $642.05 $1,284.10 $1,091.49 $1,829.85

Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $645.97 $1,291.93 $1,098.14 $1,841.00

Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $642.05 $1,284.10 $1,091.49 $1,829.85

Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $645.97 $1,291.93 $1,098.14 $1,841.00

Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $640.75 $1,281.49 $1,089.27 $1,826.13

Oscar Circle Silver $4500 (No DP) 74289NY2780087 $644.01 $1,288.02 $1,094.82 $1,835.43

Oscar Circle Silver $4500 (No FP) 74289NY2780088 $640.75 $1,281.49 $1,089.27 $1,826.13

Oscar Circle Platinum $0 Option 2 74289NY2780089 $997.08 $1,994.16 $1,695.03 $2,841.67

Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $1,000.11 $2,000.22 $1,700.18 $2,850.31

Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $997.08 $1,994.16 $1,695.03 $2,841.67

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $1,000.11 $2,000.22 $1,700.18 $2,850.31

Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $992.03 $1,984.05 $1,686.45 $2,827.28

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $994.05 $1,988.09 $1,689.88 $2,833.03

Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $992.03 $1,984.05 $1,686.45 $2,827.28

Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $994.05 $1,988.09 $1,689.88 $2,833.03

Oscar Circle Gold $1250 74289NY2780097 $775.90 $1,551.79 $1,319.02 $2,211.30

Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $778.25 $1,556.51 $1,323.03 $2,218.03

Oscar Circle Gold $1250 (No DP) 74289NY2780099 $775.90 $1,551.79 $1,319.02 $2,211.30

Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $778.25 $1,556.51 $1,323.03 $2,218.03

Oscar Circle Gold $1250 (No FP) 74289NY2780101 $771.97 $1,543.93 $1,312.34 $2,200.10

Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $773.54 $1,547.08 $1,315.01 $2,204.58

Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $771.97 $1,543.93 $1,312.34 $2,200.10

Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $773.54 $1,547.08 $1,315.01 $2,204.58

Oscar Circle Plus Bronze $4500 74289NY2790001 $653.22 $1,306.43 $1,110.47 $1,861.67

Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $651.23 $1,302.46 $1,107.09 $1,856.01

Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $655.20 $1,310.40 $1,113.84 $1,867.33

Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $651.23 $1,302.46 $1,107.09 $1,856.01

Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $655.20 $1,310.40 $1,113.84 $1,867.33

Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $649.91 $1,299.82 $1,104.84 $1,852.24

Oscar Insurance Corporation 18

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q2 Premium Rates Effective April 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

April 1, 2020

Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $653.22 $1,306.43 $1,110.47 $1,861.67

Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $649.91 $1,299.82 $1,104.84 $1,852.24

Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $665.16 $1,330.32 $1,130.77 $1,895.71

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $663.14 $1,326.28 $1,127.33 $1,889.94

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $667.18 $1,334.36 $1,134.21 $1,901.47

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $663.14 $1,326.28 $1,127.33 $1,889.94

Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $667.18 $1,334.36 $1,134.21 $1,901.47

Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $661.79 $1,323.58 $1,125.04 $1,886.10

Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $665.16 $1,330.32 $1,130.77 $1,895.71

Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $661.79 $1,323.58 $1,125.04 $1,886.10

Oscar Circle Plus Bronze $8150 74289NY2790017 $625.73 $1,251.46 $1,063.74 $1,783.33

Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $623.83 $1,247.65 $1,060.51 $1,777.91

Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $627.63 $1,255.26 $1,066.97 $1,788.75

Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $623.83 $1,247.65 $1,060.51 $1,777.91

Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $627.63 $1,255.26 $1,066.97 $1,788.75

Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $622.56 $1,245.12 $1,058.35 $1,774.29

Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $625.73 $1,251.46 $1,063.74 $1,783.33

Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $622.56 $1,245.12 $1,058.35 $1,774.29

Oscar Circle Plus Gold $0 74289NY2790025 $967.58 $1,935.17 $1,644.89 $2,757.62

Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $964.64 $1,929.29 $1,639.89 $2,749.23

Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $970.53 $1,941.05 $1,649.89 $2,766.00

Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $964.64 $1,929.29 $1,639.89 $2,749.23

Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $970.53 $1,941.05 $1,649.89 $2,766.00

Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $962.68 $1,925.37 $1,636.56 $2,743.65

Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $967.58 $1,935.17 $1,644.89 $2,757.62

Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $962.68 $1,925.37 $1,636.56 $2,743.65

Oscar Circle Plus Gold $2000 74289NY2790033 $886.62 $1,773.24 $1,507.25 $2,526.87

Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $883.92 $1,767.85 $1,502.67 $2,519.19

Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $889.31 $1,778.63 $1,511.83 $2,534.55

Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $883.92 $1,767.85 $1,502.67 $2,519.19

Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $889.31 $1,778.63 $1,511.83 $2,534.55

Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $882.13 $1,764.26 $1,499.62 $2,514.07

Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $886.62 $1,773.24 $1,507.25 $2,526.87

Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $882.13 $1,764.26 $1,499.62 $2,514.07

Oscar Circle Plus Gold $1000 74289NY2790041 $923.11 $1,846.22 $1,569.28 $2,630.86

Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $920.30 $1,840.60 $1,564.51 $2,622.86

Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $925.91 $1,851.83 $1,574.05 $2,638.85

Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $920.30 $1,840.60 $1,564.51 $2,622.86

Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $925.91 $1,851.83 $1,574.05 $2,638.85

Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $918.43 $1,836.86 $1,561.33 $2,617.53

Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $923.11 $1,846.22 $1,569.28 $2,630.86

Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $918.43 $1,836.86 $1,561.33 $2,617.53

Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,080.88 $2,161.75 $1,837.49 $3,080.50

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,077.59 $2,155.18 $1,831.91 $3,071.14

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,084.16 $2,168.32 $1,843.08 $3,089.86

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,077.59 $2,155.18 $1,831.91 $3,071.14

Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,084.16 $2,168.32 $1,843.08 $3,089.86

Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,075.40 $2,150.80 $1,828.18 $3,064.89

Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,080.88 $2,161.75 $1,837.49 $3,080.50

Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,075.40 $2,150.80 $1,828.18 $3,064.89

Oscar Circle Plus Silver $0 74289NY2790057 $861.94 $1,723.88 $1,465.30 $2,456.54

Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $859.32 $1,718.65 $1,460.85 $2,449.07

Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $864.56 $1,729.12 $1,469.76 $2,464.00

Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $859.32 $1,718.65 $1,460.85 $2,449.07

Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $864.56 $1,729.12 $1,469.76 $2,464.00

Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $857.58 $1,715.15 $1,457.88 $2,444.09

Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $861.94 $1,723.88 $1,465.30 $2,456.54

Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $857.58 $1,715.15 $1,457.88 $2,444.09

Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $730.22 $1,460.44 $1,241.37 $2,081.13

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $728.00 $1,456.00 $1,237.60 $2,074.80

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $732.44 $1,464.88 $1,245.15 $2,087.45

Oscar Insurance Corporation 19

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q2 Premium Rates Effective April 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

April 1, 2020

Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $728.00 $1,456.00 $1,237.60 $2,074.80

Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $732.44 $1,464.88 $1,245.15 $2,087.45

Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $726.52 $1,453.04 $1,235.08 $2,070.58

Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $730.22 $1,460.44 $1,241.37 $2,081.13

Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $726.52 $1,453.04 $1,235.08 $2,070.58

Oscar Circle Plus Silver $3000 74289NY2790073 $792.14 $1,584.28 $1,346.64 $2,257.60

Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $789.73 $1,579.46 $1,342.54 $2,250.73

Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $794.55 $1,589.09 $1,350.73 $2,264.46

Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $789.73 $1,579.46 $1,342.54 $2,250.73

Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $794.55 $1,589.09 $1,350.73 $2,264.46

Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $788.13 $1,576.25 $1,339.81 $2,246.16

Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $792.14 $1,584.28 $1,346.64 $2,257.60

Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $788.13 $1,576.25 $1,339.81 $2,246.16

Oscar Circle Plus Silver $4500 74289NY2790081 $748.07 $1,496.15 $1,271.73 $2,132.01

Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $745.80 $1,491.60 $1,267.86 $2,125.53

Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $750.35 $1,500.70 $1,275.59 $2,138.49

Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $745.80 $1,491.60 $1,267.86 $2,125.53

Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $750.35 $1,500.70 $1,275.59 $2,138.49

Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $744.28 $1,488.57 $1,265.28 $2,121.21

Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $748.07 $1,496.15 $1,271.73 $2,132.01

Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $744.28 $1,488.57 $1,265.28 $2,121.21

Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,108.35 $2,216.70 $1,884.19 $3,158.80

Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,111.72 $2,223.44 $1,889.92 $3,168.40

Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,108.35 $2,216.70 $1,884.19 $3,158.80

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,111.72 $2,223.44 $1,889.92 $3,168.40

Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,102.73 $2,205.47 $1,874.65 $3,142.79

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,104.98 $2,209.96 $1,878.47 $3,149.20

Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,102.73 $2,205.47 $1,874.65 $3,142.79

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,104.98 $2,209.96 $1,878.47 $3,149.20

Oscar Circle Plus Gold $1250 74289NY2790097 $883.92 $1,767.84 $1,502.67 $2,519.17

Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $886.61 $1,773.22 $1,507.23 $2,526.83

Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $883.92 $1,767.84 $1,502.67 $2,519.17

Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $886.61 $1,773.22 $1,507.23 $2,526.83

Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $879.44 $1,758.89 $1,495.05 $2,506.41

Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $881.23 $1,762.47 $1,498.10 $2,511.52

Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $879.44 $1,758.89 $1,495.05 $2,506.41

Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $881.23 $1,762.47 $1,498.10 $2,511.52

Oscar Insurance Corporation 20

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q3 Premium Rates Effective July 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

July 1, 2020

Oscar Circle Bronze $4500 74289NY2780001 $570.45 $1,140.89 $969.76 $1,625.77

Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $568.71 $1,137.42 $966.81 $1,620.83

Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $572.18 $1,144.36 $972.71 $1,630.71

Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $568.71 $1,137.42 $966.81 $1,620.83

Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $572.18 $1,144.36 $972.71 $1,630.71

Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $567.56 $1,135.11 $964.85 $1,617.53

Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $570.45 $1,140.89 $969.76 $1,625.77

Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $567.56 $1,135.11 $964.85 $1,617.53

Oscar Circle Bronze $6650 HSA 74289NY2780009 $582.42 $1,164.83 $990.11 $1,659.89

Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $580.65 $1,161.29 $987.10 $1,654.84

Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $584.19 $1,168.37 $993.12 $1,664.93

Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $580.65 $1,161.29 $987.10 $1,654.84

Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $584.19 $1,168.37 $993.12 $1,664.93

Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $579.47 $1,158.93 $985.09 $1,651.48

Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $582.42 $1,164.83 $990.11 $1,659.89

Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $579.47 $1,158.93 $985.09 $1,651.48

Oscar Circle Bronze $8150 74289NY2780017 $545.46 $1,090.91 $927.28 $1,554.55

Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $543.80 $1,087.60 $924.46 $1,549.83

Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $547.11 $1,094.23 $930.09 $1,559.28

Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $543.80 $1,087.60 $924.46 $1,549.83

Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $547.11 $1,094.23 $930.09 $1,559.28

Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $542.69 $1,085.39 $922.58 $1,546.67

Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $545.46 $1,090.91 $927.28 $1,554.55

Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $542.69 $1,085.39 $922.58 $1,546.67

Oscar Circle Gold $0 74289NY2780025 $867.71 $1,735.43 $1,475.11 $2,472.98

Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $865.08 $1,730.15 $1,470.63 $2,465.47

Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $870.35 $1,740.70 $1,479.60 $2,480.50

Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $865.08 $1,730.15 $1,470.63 $2,465.47

Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $870.35 $1,740.70 $1,479.60 $2,480.50

Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $863.32 $1,726.64 $1,467.64 $2,460.46

Oscar Circle Gold $0 (No DP) 74289NY2780031 $867.71 $1,735.43 $1,475.11 $2,472.98

Oscar Circle Gold $0 (No FP) 74289NY2780032 $863.32 $1,726.64 $1,467.64 $2,460.46

Oscar Circle Gold $2000 74289NY2780033 $788.24 $1,576.47 $1,340.00 $2,246.47

Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $785.84 $1,571.68 $1,335.93 $2,239.64

Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $790.63 $1,581.26 $1,344.07 $2,253.30

Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $785.84 $1,571.68 $1,335.93 $2,239.64

Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $790.63 $1,581.26 $1,344.07 $2,253.30

Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $784.24 $1,568.48 $1,333.21 $2,235.09

Oscar Circle Gold $2000 (No DP) 74289NY2780039 $788.24 $1,576.47 $1,340.00 $2,246.47

Oscar Circle Gold $2000 (No FP) 74289NY2780040 $784.24 $1,568.48 $1,333.21 $2,235.09

Oscar Circle Gold $1000 74289NY2780041 $826.73 $1,653.47 $1,405.45 $2,356.19

Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $824.22 $1,648.44 $1,401.18 $2,349.03

Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $829.25 $1,658.49 $1,409.72 $2,363.35

Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $824.22 $1,648.44 $1,401.18 $2,349.03

Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $829.25 $1,658.49 $1,409.72 $2,363.35

Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $822.55 $1,645.09 $1,398.33 $2,344.26

Oscar Circle Gold $1000 (No DP) 74289NY2780047 $826.73 $1,653.47 $1,405.45 $2,356.19

Oscar Circle Gold $1000 (No FP) 74289NY2780048 $822.55 $1,645.09 $1,398.33 $2,344.26

Oscar Circle Platinum $0 $2400 74289NY2780049 $979.00 $1,958.00 $1,664.30 $2,790.15

Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $976.02 $1,952.05 $1,659.24 $2,781.67

Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $981.98 $1,963.95 $1,669.36 $2,798.63

Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $976.02 $1,952.05 $1,659.24 $2,781.67

Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $981.98 $1,963.95 $1,669.36 $2,798.63

Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $974.04 $1,948.08 $1,655.87 $2,776.02

Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $979.00 $1,958.00 $1,664.30 $2,790.15

Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $974.04 $1,948.08 $1,655.87 $2,776.02

Oscar Circle Silver $0 74289NY2780057 $763.95 $1,527.90 $1,298.72 $2,177.26

Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $761.63 $1,523.26 $1,294.77 $2,170.64

Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $766.27 $1,532.54 $1,302.66 $2,183.88

Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $761.63 $1,523.26 $1,294.77 $2,170.64

Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $766.27 $1,532.54 $1,302.66 $2,183.88

Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $760.08 $1,520.16 $1,292.14 $2,166.23

Oscar Circle Silver $0 (No DP) 74289NY2780063 $763.95 $1,527.90 $1,298.72 $2,177.26

Oscar Circle Silver $0 (No FP) 74289NY2780064 $760.08 $1,520.16 $1,292.14 $2,166.23

Oscar Insurance Corporation 21

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q3 Premium Rates Effective July 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

July 1, 2020

Oscar Circle Silver $3000 HSA 74289NY2780065 $641.15 $1,282.30 $1,089.96 $1,827.28

Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $639.20 $1,278.41 $1,086.65 $1,821.73

Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $643.10 $1,286.20 $1,093.27 $1,832.84

Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $639.20 $1,278.41 $1,086.65 $1,821.73

Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $643.10 $1,286.20 $1,093.27 $1,832.84

Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $637.90 $1,275.81 $1,084.44 $1,818.03

Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $641.15 $1,282.30 $1,089.96 $1,827.28

Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $637.90 $1,275.81 $1,084.44 $1,818.03

Oscar Circle Silver $3000 74289NY2780073 $697.71 $1,395.42 $1,186.11 $1,988.47

Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $695.59 $1,391.18 $1,182.50 $1,982.43

Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $699.83 $1,399.66 $1,189.71 $1,994.51

Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $695.59 $1,391.18 $1,182.50 $1,982.43

Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $699.83 $1,399.66 $1,189.71 $1,994.51

Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $694.17 $1,388.35 $1,180.10 $1,978.40

Oscar Circle Silver $3000 (No DP) 74289NY2780079 $697.71 $1,395.42 $1,186.11 $1,988.47

Oscar Circle Silver $3000 (No FP) 74289NY2780080 $694.17 $1,388.35 $1,180.10 $1,978.40

Oscar Circle Silver $4500 74289NY2780081 $652.19 $1,304.38 $1,108.73 $1,858.75

Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $650.21 $1,300.42 $1,105.36 $1,853.10

Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $654.17 $1,308.35 $1,112.10 $1,864.40

Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $650.21 $1,300.42 $1,105.36 $1,853.10

Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $654.17 $1,308.35 $1,112.10 $1,864.40

Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $648.89 $1,297.78 $1,103.11 $1,849.33

Oscar Circle Silver $4500 (No DP) 74289NY2780087 $652.19 $1,304.38 $1,108.73 $1,858.75

Oscar Circle Silver $4500 (No FP) 74289NY2780088 $648.89 $1,297.78 $1,103.11 $1,849.33

Oscar Circle Platinum $0 Option 2 74289NY2780089 $1,009.75 $2,019.49 $1,716.57 $2,877.78

Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $1,012.82 $2,025.63 $1,721.79 $2,886.52

Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $1,009.75 $2,019.49 $1,716.57 $2,877.78

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $1,012.82 $2,025.63 $1,721.79 $2,886.52

Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $1,004.63 $2,009.26 $1,707.87 $2,863.20

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $1,006.68 $2,013.35 $1,711.35 $2,869.03

Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $1,004.63 $2,009.26 $1,707.87 $2,863.20

Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $1,006.68 $2,013.35 $1,711.35 $2,869.03

Oscar Circle Gold $1250 74289NY2780097 $785.75 $1,571.51 $1,335.78 $2,239.40

Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $788.14 $1,576.29 $1,339.84 $2,246.21

Oscar Circle Gold $1250 (No DP) 74289NY2780099 $785.75 $1,571.51 $1,335.78 $2,239.40

Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $788.14 $1,576.29 $1,339.84 $2,246.21

Oscar Circle Gold $1250 (No FP) 74289NY2780101 $781.77 $1,563.55 $1,329.02 $2,228.06

Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $783.37 $1,566.73 $1,331.72 $2,232.59

Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $781.77 $1,563.55 $1,329.02 $2,228.06

Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $783.37 $1,566.73 $1,331.72 $2,232.59

Oscar Circle Plus Bronze $4500 74289NY2790001 $661.52 $1,323.03 $1,124.58 $1,885.32

Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $659.51 $1,319.01 $1,121.16 $1,879.59

Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $663.53 $1,327.05 $1,128.00 $1,891.05

Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $659.51 $1,319.01 $1,121.16 $1,879.59

Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $663.53 $1,327.05 $1,128.00 $1,891.05

Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $658.17 $1,316.33 $1,118.88 $1,875.77

Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $661.52 $1,323.03 $1,124.58 $1,885.32

Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $658.17 $1,316.33 $1,118.88 $1,875.77

Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $673.61 $1,347.22 $1,145.14 $1,919.79

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $671.56 $1,343.13 $1,141.66 $1,913.96

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $675.66 $1,351.32 $1,148.62 $1,925.63

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $671.56 $1,343.13 $1,141.66 $1,913.96

Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $675.66 $1,351.32 $1,148.62 $1,925.63

Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $670.20 $1,340.40 $1,139.34 $1,910.07

Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $673.61 $1,347.22 $1,145.14 $1,919.79

Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $670.20 $1,340.40 $1,139.34 $1,910.07

Oscar Circle Plus Bronze $8150 74289NY2790017 $633.68 $1,267.36 $1,077.25 $1,805.99

Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $631.75 $1,263.51 $1,073.98 $1,800.50

Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $635.61 $1,271.21 $1,080.53 $1,811.48

Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $631.75 $1,263.51 $1,073.98 $1,800.50

Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $635.61 $1,271.21 $1,080.53 $1,811.48

Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $630.47 $1,260.94 $1,071.80 $1,796.84

Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $633.68 $1,267.36 $1,077.25 $1,805.99

Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $630.47 $1,260.94 $1,071.80 $1,796.84

Oscar Insurance Corporation 22

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q3 Premium Rates Effective July 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

July 1, 2020

Oscar Circle Plus Gold $0 74289NY2790025 $979.88 $1,959.76 $1,665.79 $2,792.65

Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $976.90 $1,953.80 $1,660.73 $2,784.17

Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $982.86 $1,965.71 $1,670.86 $2,801.14

Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $976.90 $1,953.80 $1,660.73 $2,784.17

Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $982.86 $1,965.71 $1,670.86 $2,801.14

Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $974.91 $1,949.83 $1,657.35 $2,778.51

Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $979.88 $1,959.76 $1,665.79 $2,792.65

Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $974.91 $1,949.83 $1,657.35 $2,778.51

Oscar Circle Plus Gold $2000 74289NY2790033 $897.88 $1,795.77 $1,526.40 $2,558.97

Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $895.16 $1,790.31 $1,521.76 $2,551.19

Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $900.61 $1,801.23 $1,531.04 $2,566.75

Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $895.16 $1,790.31 $1,521.76 $2,551.19

Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $900.61 $1,801.23 $1,531.04 $2,566.75

Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $893.34 $1,786.67 $1,518.67 $2,546.01

Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $897.88 $1,795.77 $1,526.40 $2,558.97

Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $893.34 $1,786.67 $1,518.67 $2,546.01

Oscar Circle Plus Gold $1000 74289NY2790041 $934.84 $1,869.67 $1,589.22 $2,664.28

Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $932.00 $1,863.99 $1,584.39 $2,656.19

Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $937.68 $1,875.36 $1,594.05 $2,672.38

Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $932.00 $1,863.99 $1,584.39 $2,656.19

Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $937.68 $1,875.36 $1,594.05 $2,672.38

Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $930.10 $1,860.20 $1,581.17 $2,650.79

Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $934.84 $1,869.67 $1,589.22 $2,664.28

Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $930.10 $1,860.20 $1,581.17 $2,650.79

Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,094.61 $2,189.22 $1,860.84 $3,119.64

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,091.28 $2,182.57 $1,855.18 $3,110.16

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,097.94 $2,195.87 $1,866.49 $3,129.12

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,091.28 $2,182.57 $1,855.18 $3,110.16

Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,097.94 $2,195.87 $1,866.49 $3,129.12

Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,089.06 $2,178.13 $1,851.41 $3,103.83

Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,094.61 $2,189.22 $1,860.84 $3,119.64

Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,089.06 $2,178.13 $1,851.41 $3,103.83

Oscar Circle Plus Silver $0 74289NY2790057 $872.89 $1,745.79 $1,483.92 $2,487.75

Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $870.24 $1,740.48 $1,479.41 $2,480.19

Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $875.55 $1,751.09 $1,488.43 $2,495.31

Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $870.24 $1,740.48 $1,479.41 $2,480.19

Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $875.55 $1,751.09 $1,488.43 $2,495.31

Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $868.47 $1,736.94 $1,476.40 $2,475.15

Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $872.89 $1,745.79 $1,483.92 $2,487.75

Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $868.47 $1,736.94 $1,476.40 $2,475.15

Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $739.50 $1,478.99 $1,257.15 $2,107.57

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $737.25 $1,474.50 $1,253.32 $2,101.16

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $741.75 $1,483.49 $1,260.97 $2,113.97

Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $737.25 $1,474.50 $1,253.32 $2,101.16

Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $741.75 $1,483.49 $1,260.97 $2,113.97

Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $735.75 $1,471.50 $1,250.78 $2,096.89

Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $739.50 $1,478.99 $1,257.15 $2,107.57

Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $735.75 $1,471.50 $1,250.78 $2,096.89

Oscar Circle Plus Silver $3000 74289NY2790073 $802.20 $1,604.41 $1,363.75 $2,286.28

Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $799.77 $1,599.53 $1,359.60 $2,279.33

Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $804.64 $1,609.28 $1,367.89 $2,293.23

Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $799.77 $1,599.53 $1,359.60 $2,279.33

Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $804.64 $1,609.28 $1,367.89 $2,293.23

Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $798.14 $1,596.28 $1,356.84 $2,274.70

Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $802.20 $1,604.41 $1,363.75 $2,286.28

Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $798.14 $1,596.28 $1,356.84 $2,274.70

Oscar Circle Plus Silver $4500 74289NY2790081 $757.58 $1,515.16 $1,287.88 $2,159.10

Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $755.28 $1,510.55 $1,283.97 $2,152.54

Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $759.88 $1,519.76 $1,291.80 $2,165.66

Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $755.28 $1,510.55 $1,283.97 $2,152.54

Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $759.88 $1,519.76 $1,291.80 $2,165.66

Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $753.74 $1,507.48 $1,281.36 $2,148.16

Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $757.58 $1,515.16 $1,287.88 $2,159.10

Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $753.74 $1,507.48 $1,281.36 $2,148.16

Oscar Insurance Corporation 23

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q3 Premium Rates Effective July 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

July 1, 2020

Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,122.43 $2,244.86 $1,908.13 $3,198.93

Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,125.84 $2,251.69 $1,913.93 $3,208.65

Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,122.43 $2,244.86 $1,908.13 $3,198.93

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,125.84 $2,251.69 $1,913.93 $3,208.65

Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,116.75 $2,233.49 $1,898.47 $3,182.73

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,119.02 $2,238.04 $1,902.33 $3,189.21

Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,116.75 $2,233.49 $1,898.47 $3,182.73

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,119.02 $2,238.04 $1,902.33 $3,189.21

Oscar Circle Plus Gold $1250 74289NY2790097 $895.15 $1,790.30 $1,521.76 $2,551.18

Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $897.87 $1,795.75 $1,526.38 $2,558.94

Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $895.15 $1,790.30 $1,521.76 $2,551.18

Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $897.87 $1,795.75 $1,526.38 $2,558.94

Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $890.62 $1,781.23 $1,514.05 $2,538.26

Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $892.43 $1,784.86 $1,517.13 $2,543.43

Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $890.62 $1,781.23 $1,514.05 $2,538.26

Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $892.43 $1,784.86 $1,517.13 $2,543.43

Oscar Circle Bronze $4500 74289NY2780001 $570.45 $1,140.89 $969.76 $1,625.77

Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $568.71 $1,137.42 $966.81 $1,620.83

Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $572.18 $1,144.36 $972.71 $1,630.71

Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $568.71 $1,137.42 $966.81 $1,620.83

Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $572.18 $1,144.36 $972.71 $1,630.71

Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $567.56 $1,135.11 $964.85 $1,617.53

Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $570.45 $1,140.89 $969.76 $1,625.77

Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $567.56 $1,135.11 $964.85 $1,617.53

Oscar Circle Bronze $6650 HSA 74289NY2780009 $582.42 $1,164.83 $990.11 $1,659.89

Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $580.65 $1,161.29 $987.10 $1,654.84

Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $584.19 $1,168.37 $993.12 $1,664.93

Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $580.65 $1,161.29 $987.10 $1,654.84

Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $584.19 $1,168.37 $993.12 $1,664.93

Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $579.47 $1,158.93 $985.09 $1,651.48

Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $582.42 $1,164.83 $990.11 $1,659.89

Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $579.47 $1,158.93 $985.09 $1,651.48

Oscar Circle Bronze $8150 74289NY2780017 $545.46 $1,090.91 $927.28 $1,554.55

Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $543.80 $1,087.60 $924.46 $1,549.83

Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $547.11 $1,094.23 $930.09 $1,559.28

Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $543.80 $1,087.60 $924.46 $1,549.83

Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $547.11 $1,094.23 $930.09 $1,559.28

Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $542.69 $1,085.39 $922.58 $1,546.67

Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $545.46 $1,090.91 $927.28 $1,554.55

Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $542.69 $1,085.39 $922.58 $1,546.67

Oscar Circle Gold $0 74289NY2780025 $867.71 $1,735.43 $1,475.11 $2,472.98

Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $865.08 $1,730.15 $1,470.63 $2,465.47

Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $870.35 $1,740.70 $1,479.60 $2,480.50

Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $865.08 $1,730.15 $1,470.63 $2,465.47

Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $870.35 $1,740.70 $1,479.60 $2,480.50

Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $863.32 $1,726.64 $1,467.64 $2,460.46

Oscar Circle Gold $0 (No DP) 74289NY2780031 $867.71 $1,735.43 $1,475.11 $2,472.98

Oscar Circle Gold $0 (No FP) 74289NY2780032 $863.32 $1,726.64 $1,467.64 $2,460.46

Oscar Circle Gold $2000 74289NY2780033 $788.24 $1,576.47 $1,340.00 $2,246.47

Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $785.84 $1,571.68 $1,335.93 $2,239.64

Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $790.63 $1,581.26 $1,344.07 $2,253.30

Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $785.84 $1,571.68 $1,335.93 $2,239.64

Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $790.63 $1,581.26 $1,344.07 $2,253.30

Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $784.24 $1,568.48 $1,333.21 $2,235.09

Oscar Circle Gold $2000 (No DP) 74289NY2780039 $788.24 $1,576.47 $1,340.00 $2,246.47

Oscar Circle Gold $2000 (No FP) 74289NY2780040 $784.24 $1,568.48 $1,333.21 $2,235.09

Oscar Circle Gold $1000 74289NY2780041 $826.73 $1,653.47 $1,405.45 $2,356.19

Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $824.22 $1,648.44 $1,401.18 $2,349.03

Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $829.25 $1,658.49 $1,409.72 $2,363.35

Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $824.22 $1,648.44 $1,401.18 $2,349.03

Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $829.25 $1,658.49 $1,409.72 $2,363.35

Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $822.55 $1,645.09 $1,398.33 $2,344.26

Oscar Circle Gold $1000 (No DP) 74289NY2780047 $826.73 $1,653.47 $1,405.45 $2,356.19

Oscar Circle Gold $1000 (No FP) 74289NY2780048 $822.55 $1,645.09 $1,398.33 $2,344.26

Oscar Insurance Corporation 24

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q3 Premium Rates Effective July 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

July 1, 2020

Oscar Circle Platinum $0 $2400 74289NY2780049 $979.00 $1,958.00 $1,664.30 $2,790.15

Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $976.02 $1,952.05 $1,659.24 $2,781.67

Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $981.98 $1,963.95 $1,669.36 $2,798.63

Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $976.02 $1,952.05 $1,659.24 $2,781.67

Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $981.98 $1,963.95 $1,669.36 $2,798.63

Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $974.04 $1,948.08 $1,655.87 $2,776.02

Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $979.00 $1,958.00 $1,664.30 $2,790.15

Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $974.04 $1,948.08 $1,655.87 $2,776.02

Oscar Circle Silver $0 74289NY2780057 $763.95 $1,527.90 $1,298.72 $2,177.26

Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $761.63 $1,523.26 $1,294.77 $2,170.64

Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $766.27 $1,532.54 $1,302.66 $2,183.88

Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $761.63 $1,523.26 $1,294.77 $2,170.64

Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $766.27 $1,532.54 $1,302.66 $2,183.88

Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $760.08 $1,520.16 $1,292.14 $2,166.23

Oscar Circle Silver $0 (No DP) 74289NY2780063 $763.95 $1,527.90 $1,298.72 $2,177.26

Oscar Circle Silver $0 (No FP) 74289NY2780064 $760.08 $1,520.16 $1,292.14 $2,166.23

Oscar Circle Silver $3000 HSA 74289NY2780065 $641.15 $1,282.30 $1,089.96 $1,827.28

Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $639.20 $1,278.41 $1,086.65 $1,821.73

Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $643.10 $1,286.20 $1,093.27 $1,832.84

Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $639.20 $1,278.41 $1,086.65 $1,821.73

Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $643.10 $1,286.20 $1,093.27 $1,832.84

Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $637.90 $1,275.81 $1,084.44 $1,818.03

Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $641.15 $1,282.30 $1,089.96 $1,827.28

Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $637.90 $1,275.81 $1,084.44 $1,818.03

Oscar Circle Silver $3000 74289NY2780073 $697.71 $1,395.42 $1,186.11 $1,988.47

Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $695.59 $1,391.18 $1,182.50 $1,982.43

Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $699.83 $1,399.66 $1,189.71 $1,994.51

Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $695.59 $1,391.18 $1,182.50 $1,982.43

Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $699.83 $1,399.66 $1,189.71 $1,994.51

Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $694.17 $1,388.35 $1,180.10 $1,978.40

Oscar Circle Silver $3000 (No DP) 74289NY2780079 $697.71 $1,395.42 $1,186.11 $1,988.47

Oscar Circle Silver $3000 (No FP) 74289NY2780080 $694.17 $1,388.35 $1,180.10 $1,978.40

Oscar Circle Silver $4500 74289NY2780081 $652.19 $1,304.38 $1,108.73 $1,858.75

Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $650.21 $1,300.42 $1,105.36 $1,853.10

Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $654.17 $1,308.35 $1,112.10 $1,864.40

Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $650.21 $1,300.42 $1,105.36 $1,853.10

Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $654.17 $1,308.35 $1,112.10 $1,864.40

Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $648.89 $1,297.78 $1,103.11 $1,849.33

Oscar Circle Silver $4500 (No DP) 74289NY2780087 $652.19 $1,304.38 $1,108.73 $1,858.75

Oscar Circle Silver $4500 (No FP) 74289NY2780088 $648.89 $1,297.78 $1,103.11 $1,849.33

Oscar Circle Platinum $0 Option 2 74289NY2780089 $1,009.75 $2,019.49 $1,716.57 $2,877.78

Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $1,012.82 $2,025.63 $1,721.79 $2,886.52

Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $1,009.75 $2,019.49 $1,716.57 $2,877.78

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $1,012.82 $2,025.63 $1,721.79 $2,886.52

Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $1,004.63 $2,009.26 $1,707.87 $2,863.20

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $1,006.68 $2,013.35 $1,711.35 $2,869.03

Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $1,004.63 $2,009.26 $1,707.87 $2,863.20

Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $1,006.68 $2,013.35 $1,711.35 $2,869.03

Oscar Circle Gold $1250 74289NY2780097 $785.75 $1,571.51 $1,335.78 $2,239.40

Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $788.14 $1,576.29 $1,339.84 $2,246.21

Oscar Circle Gold $1250 (No DP) 74289NY2780099 $785.75 $1,571.51 $1,335.78 $2,239.40

Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $788.14 $1,576.29 $1,339.84 $2,246.21

Oscar Circle Gold $1250 (No FP) 74289NY2780101 $781.77 $1,563.55 $1,329.02 $2,228.06

Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $783.37 $1,566.73 $1,331.72 $2,232.59

Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $781.77 $1,563.55 $1,329.02 $2,228.06

Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $783.37 $1,566.73 $1,331.72 $2,232.59

Oscar Circle Plus Bronze $4500 74289NY2790001 $661.52 $1,323.03 $1,124.58 $1,885.32

Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $659.51 $1,319.01 $1,121.16 $1,879.59

Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $663.53 $1,327.05 $1,128.00 $1,891.05

Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $659.51 $1,319.01 $1,121.16 $1,879.59

Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $663.53 $1,327.05 $1,128.00 $1,891.05

Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $658.17 $1,316.33 $1,118.88 $1,875.77

Oscar Insurance Corporation 25

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q3 Premium Rates Effective July 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

July 1, 2020

Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $661.52 $1,323.03 $1,124.58 $1,885.32

Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $658.17 $1,316.33 $1,118.88 $1,875.77

Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $673.61 $1,347.22 $1,145.14 $1,919.79

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $671.56 $1,343.13 $1,141.66 $1,913.96

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $675.66 $1,351.32 $1,148.62 $1,925.63

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $671.56 $1,343.13 $1,141.66 $1,913.96

Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $675.66 $1,351.32 $1,148.62 $1,925.63

Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $670.20 $1,340.40 $1,139.34 $1,910.07

Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $673.61 $1,347.22 $1,145.14 $1,919.79

Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $670.20 $1,340.40 $1,139.34 $1,910.07

Oscar Circle Plus Bronze $8150 74289NY2790017 $633.68 $1,267.36 $1,077.25 $1,805.99

Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $631.75 $1,263.51 $1,073.98 $1,800.50

Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $635.61 $1,271.21 $1,080.53 $1,811.48

Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $631.75 $1,263.51 $1,073.98 $1,800.50

Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $635.61 $1,271.21 $1,080.53 $1,811.48

Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $630.47 $1,260.94 $1,071.80 $1,796.84

Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $633.68 $1,267.36 $1,077.25 $1,805.99

Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $630.47 $1,260.94 $1,071.80 $1,796.84

Oscar Circle Plus Gold $0 74289NY2790025 $979.88 $1,959.76 $1,665.79 $2,792.65

Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $976.90 $1,953.80 $1,660.73 $2,784.17

Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $982.86 $1,965.71 $1,670.86 $2,801.14

Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $976.90 $1,953.80 $1,660.73 $2,784.17

Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $982.86 $1,965.71 $1,670.86 $2,801.14

Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $974.91 $1,949.83 $1,657.35 $2,778.51

Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $979.88 $1,959.76 $1,665.79 $2,792.65

Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $974.91 $1,949.83 $1,657.35 $2,778.51

Oscar Circle Plus Gold $2000 74289NY2790033 $897.88 $1,795.77 $1,526.40 $2,558.97

Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $895.16 $1,790.31 $1,521.76 $2,551.19

Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $900.61 $1,801.23 $1,531.04 $2,566.75

Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $895.16 $1,790.31 $1,521.76 $2,551.19

Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $900.61 $1,801.23 $1,531.04 $2,566.75

Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $893.34 $1,786.67 $1,518.67 $2,546.01

Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $897.88 $1,795.77 $1,526.40 $2,558.97

Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $893.34 $1,786.67 $1,518.67 $2,546.01

Oscar Circle Plus Gold $1000 74289NY2790041 $934.84 $1,869.67 $1,589.22 $2,664.28

Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $932.00 $1,863.99 $1,584.39 $2,656.19

Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $937.68 $1,875.36 $1,594.05 $2,672.38

Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $932.00 $1,863.99 $1,584.39 $2,656.19

Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $937.68 $1,875.36 $1,594.05 $2,672.38

Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $930.10 $1,860.20 $1,581.17 $2,650.79

Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $934.84 $1,869.67 $1,589.22 $2,664.28

Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $930.10 $1,860.20 $1,581.17 $2,650.79

Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,094.61 $2,189.22 $1,860.84 $3,119.64

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,091.28 $2,182.57 $1,855.18 $3,110.16

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,097.94 $2,195.87 $1,866.49 $3,129.12

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,091.28 $2,182.57 $1,855.18 $3,110.16

Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,097.94 $2,195.87 $1,866.49 $3,129.12

Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,089.06 $2,178.13 $1,851.41 $3,103.83

Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,094.61 $2,189.22 $1,860.84 $3,119.64

Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,089.06 $2,178.13 $1,851.41 $3,103.83

Oscar Circle Plus Silver $0 74289NY2790057 $872.89 $1,745.79 $1,483.92 $2,487.75

Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $870.24 $1,740.48 $1,479.41 $2,480.19

Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $875.55 $1,751.09 $1,488.43 $2,495.31

Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $870.24 $1,740.48 $1,479.41 $2,480.19

Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $875.55 $1,751.09 $1,488.43 $2,495.31

Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $868.47 $1,736.94 $1,476.40 $2,475.15

Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $872.89 $1,745.79 $1,483.92 $2,487.75

Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $868.47 $1,736.94 $1,476.40 $2,475.15

Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $739.50 $1,478.99 $1,257.15 $2,107.57

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $737.25 $1,474.50 $1,253.32 $2,101.16

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $741.75 $1,483.49 $1,260.97 $2,113.97

Oscar Insurance Corporation 26

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q3 Premium Rates Effective July 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

July 1, 2020

Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $737.25 $1,474.50 $1,253.32 $2,101.16

Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $741.75 $1,483.49 $1,260.97 $2,113.97

Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $735.75 $1,471.50 $1,250.78 $2,096.89

Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $739.50 $1,478.99 $1,257.15 $2,107.57

Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $735.75 $1,471.50 $1,250.78 $2,096.89

Oscar Circle Plus Silver $3000 74289NY2790073 $802.20 $1,604.41 $1,363.75 $2,286.28

Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $799.77 $1,599.53 $1,359.60 $2,279.33

Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $804.64 $1,609.28 $1,367.89 $2,293.23

Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $799.77 $1,599.53 $1,359.60 $2,279.33

Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $804.64 $1,609.28 $1,367.89 $2,293.23

Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $798.14 $1,596.28 $1,356.84 $2,274.70

Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $802.20 $1,604.41 $1,363.75 $2,286.28

Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $798.14 $1,596.28 $1,356.84 $2,274.70

Oscar Circle Plus Silver $4500 74289NY2790081 $757.58 $1,515.16 $1,287.88 $2,159.10

Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $755.28 $1,510.55 $1,283.97 $2,152.54

Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $759.88 $1,519.76 $1,291.80 $2,165.66

Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $755.28 $1,510.55 $1,283.97 $2,152.54

Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $759.88 $1,519.76 $1,291.80 $2,165.66

Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $753.74 $1,507.48 $1,281.36 $2,148.16

Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $757.58 $1,515.16 $1,287.88 $2,159.10

Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $753.74 $1,507.48 $1,281.36 $2,148.16

Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,122.43 $2,244.86 $1,908.13 $3,198.93

Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,125.84 $2,251.69 $1,913.93 $3,208.65

Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,122.43 $2,244.86 $1,908.13 $3,198.93

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,125.84 $2,251.69 $1,913.93 $3,208.65

Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,116.75 $2,233.49 $1,898.47 $3,182.73

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,119.02 $2,238.04 $1,902.33 $3,189.21

Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,116.75 $2,233.49 $1,898.47 $3,182.73

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,119.02 $2,238.04 $1,902.33 $3,189.21

Oscar Circle Plus Gold $1250 74289NY2790097 $895.15 $1,790.30 $1,521.76 $2,551.18

Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $897.87 $1,795.75 $1,526.38 $2,558.94

Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $895.15 $1,790.30 $1,521.76 $2,551.18

Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $897.87 $1,795.75 $1,526.38 $2,558.94

Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $890.62 $1,781.23 $1,514.05 $2,538.26

Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $892.43 $1,784.86 $1,517.13 $2,543.43

Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $890.62 $1,781.23 $1,514.05 $2,538.26

Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $892.43 $1,784.86 $1,517.13 $2,543.43

Oscar Insurance Corporation 27

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q4 Premium Rates Effective October 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

October 1, 2020

Oscar Circle Bronze $4500 74289NY2780001 $577.69 $1,155.39 $982.08 $1,646.43

Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $575.94 $1,151.88 $979.09 $1,641.42

Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $579.45 $1,158.90 $985.06 $1,651.43

Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $575.94 $1,151.88 $979.09 $1,641.42

Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $579.45 $1,158.90 $985.06 $1,651.43

Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $574.77 $1,149.53 $977.10 $1,638.09

Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $577.69 $1,155.39 $982.08 $1,646.43

Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $574.77 $1,149.53 $977.10 $1,638.09

Oscar Circle Bronze $6650 HSA 74289NY2780009 $589.82 $1,179.63 $1,002.69 $1,680.98

Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $588.02 $1,176.05 $999.64 $1,675.87

Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $591.61 $1,183.22 $1,005.74 $1,686.09

Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $588.02 $1,176.05 $999.64 $1,675.87

Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $591.61 $1,183.22 $1,005.74 $1,686.09

Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $586.83 $1,173.66 $997.61 $1,672.46

Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $589.82 $1,179.63 $1,002.69 $1,680.98

Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $586.83 $1,173.66 $997.61 $1,672.46

Oscar Circle Bronze $8150 74289NY2780017 $552.39 $1,104.77 $939.06 $1,574.30

Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $550.71 $1,101.42 $936.20 $1,569.52

Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $554.07 $1,108.13 $941.91 $1,579.09

Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $550.71 $1,101.42 $936.20 $1,569.52

Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $554.07 $1,108.13 $941.91 $1,579.09

Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $549.59 $1,099.18 $934.30 $1,566.33

Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $552.39 $1,104.77 $939.06 $1,574.30

Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $549.59 $1,099.18 $934.30 $1,566.33

Oscar Circle Gold $0 74289NY2780025 $878.74 $1,757.48 $1,493.86 $2,504.40

Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $876.07 $1,752.14 $1,489.31 $2,496.79

Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $881.41 $1,762.82 $1,498.40 $2,512.02

Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $876.07 $1,752.14 $1,489.31 $2,496.79

Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $881.41 $1,762.82 $1,498.40 $2,512.02

Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $874.29 $1,748.57 $1,486.29 $2,491.72

Oscar Circle Gold $0 (No DP) 74289NY2780031 $878.74 $1,757.48 $1,493.86 $2,504.40

Oscar Circle Gold $0 (No FP) 74289NY2780032 $874.29 $1,748.57 $1,486.29 $2,491.72

Oscar Circle Gold $2000 74289NY2780033 $798.25 $1,596.50 $1,357.03 $2,275.01

Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $795.82 $1,591.65 $1,352.90 $2,268.10

Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $800.68 $1,601.35 $1,361.15 $2,281.93

Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $795.82 $1,591.65 $1,352.90 $2,268.10

Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $800.68 $1,601.35 $1,361.15 $2,281.93

Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $794.21 $1,588.41 $1,350.15 $2,263.49

Oscar Circle Gold $2000 (No DP) 74289NY2780039 $798.25 $1,596.50 $1,357.03 $2,275.01

Oscar Circle Gold $2000 (No FP) 74289NY2780040 $794.21 $1,588.41 $1,350.15 $2,263.49

Oscar Circle Gold $1000 74289NY2780041 $837.24 $1,674.48 $1,423.31 $2,386.13

Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $834.69 $1,669.39 $1,418.98 $2,378.88

Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $839.78 $1,679.57 $1,427.63 $2,393.38

Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $834.69 $1,669.39 $1,418.98 $2,378.88

Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $839.78 $1,679.57 $1,427.63 $2,393.38

Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $833.00 $1,665.99 $1,416.09 $2,374.04

Oscar Circle Gold $1000 (No DP) 74289NY2780047 $837.24 $1,674.48 $1,423.31 $2,386.13

Oscar Circle Gold $1000 (No FP) 74289NY2780048 $833.00 $1,665.99 $1,416.09 $2,374.04

Oscar Circle Platinum $0 $2400 74289NY2780049 $991.44 $1,982.88 $1,685.45 $2,825.60

Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $988.43 $1,976.85 $1,680.32 $2,817.01

Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $994.45 $1,988.91 $1,690.57 $2,834.19

Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $988.43 $1,976.85 $1,680.32 $2,817.01

Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $994.45 $1,988.91 $1,690.57 $2,834.19

Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $986.42 $1,972.83 $1,676.91 $2,811.29

Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $991.44 $1,982.88 $1,685.45 $2,825.60

Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $986.42 $1,972.83 $1,676.91 $2,811.29

Oscar Circle Silver $0 74289NY2780057 $773.66 $1,547.31 $1,315.22 $2,204.92

Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $771.31 $1,542.61 $1,311.22 $2,198.22

Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $776.01 $1,552.02 $1,319.21 $2,211.62

Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $771.31 $1,542.61 $1,311.22 $2,198.22

Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $776.01 $1,552.02 $1,319.21 $2,211.62

Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $769.74 $1,539.47 $1,308.55 $2,193.75

Oscar Circle Silver $0 (No DP) 74289NY2780063 $773.66 $1,547.31 $1,315.22 $2,204.92

Oscar Circle Silver $0 (No FP) 74289NY2780064 $769.74 $1,539.47 $1,308.55 $2,193.75

Oscar Insurance Corporation 28

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q4 Premium Rates Effective October 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

October 1, 2020

Oscar Circle Silver $3000 HSA 74289NY2780065 $649.30 $1,298.60 $1,103.81 $1,850.50

Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $647.32 $1,294.65 $1,100.45 $1,844.88

Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $651.27 $1,302.54 $1,107.16 $1,856.13

Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $647.32 $1,294.65 $1,100.45 $1,844.88

Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $651.27 $1,302.54 $1,107.16 $1,856.13

Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $646.01 $1,292.02 $1,098.22 $1,841.13

Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $649.30 $1,298.60 $1,103.81 $1,850.50

Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $646.01 $1,292.02 $1,098.22 $1,841.13

Oscar Circle Silver $3000 74289NY2780073 $706.57 $1,413.15 $1,201.18 $2,013.74

Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $704.43 $1,408.85 $1,197.52 $2,007.61

Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $708.72 $1,417.44 $1,204.83 $2,019.86

Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $704.43 $1,408.85 $1,197.52 $2,007.61

Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $708.72 $1,417.44 $1,204.83 $2,019.86

Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $702.99 $1,405.99 $1,195.09 $2,003.53

Oscar Circle Silver $3000 (No DP) 74289NY2780079 $706.57 $1,413.15 $1,201.18 $2,013.74

Oscar Circle Silver $3000 (No FP) 74289NY2780080 $702.99 $1,405.99 $1,195.09 $2,003.53

Oscar Circle Silver $4500 74289NY2780081 $660.48 $1,320.96 $1,122.81 $1,882.36

Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $658.47 $1,316.94 $1,119.40 $1,876.64

Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $662.49 $1,324.97 $1,126.23 $1,888.08

Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $658.47 $1,316.94 $1,119.40 $1,876.64

Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $662.49 $1,324.97 $1,126.23 $1,888.08

Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $657.13 $1,314.26 $1,117.13 $1,872.83

Oscar Circle Silver $4500 (No DP) 74289NY2780087 $660.48 $1,320.96 $1,122.81 $1,882.36

Oscar Circle Silver $4500 (No FP) 74289NY2780088 $657.13 $1,314.26 $1,117.13 $1,872.83

Oscar Circle Platinum $0 Option 2 74289NY2780089 $1,022.58 $2,045.15 $1,738.38 $2,914.34

Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $1,025.68 $2,051.37 $1,743.66 $2,923.20

Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $1,022.58 $2,045.15 $1,738.38 $2,914.34

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $1,025.68 $2,051.37 $1,743.66 $2,923.20

Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $1,017.40 $2,034.79 $1,729.57 $2,899.58

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $1,019.47 $2,038.94 $1,733.10 $2,905.48

Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $1,017.40 $2,034.79 $1,729.57 $2,899.58

Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $1,019.47 $2,038.94 $1,733.10 $2,905.48

Oscar Circle Gold $1250 74289NY2780097 $795.74 $1,591.48 $1,352.75 $2,267.85

Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $798.16 $1,596.31 $1,356.87 $2,274.75

Oscar Circle Gold $1250 (No DP) 74289NY2780099 $795.74 $1,591.48 $1,352.75 $2,267.85

Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $798.16 $1,596.31 $1,356.87 $2,274.75

Oscar Circle Gold $1250 (No FP) 74289NY2780101 $791.71 $1,583.41 $1,345.90 $2,256.37

Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $793.32 $1,586.64 $1,348.64 $2,260.96

Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $791.71 $1,583.41 $1,345.90 $2,256.37

Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $793.32 $1,586.64 $1,348.64 $2,260.96

Oscar Circle Plus Bronze $4500 74289NY2790001 $669.92 $1,339.84 $1,138.87 $1,909.28

Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $667.89 $1,335.77 $1,135.41 $1,903.47

Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $671.96 $1,343.92 $1,142.33 $1,915.08

Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $667.89 $1,335.77 $1,135.41 $1,903.47

Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $671.96 $1,343.92 $1,142.33 $1,915.08

Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $666.53 $1,333.06 $1,133.10 $1,899.60

Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $669.92 $1,339.84 $1,138.87 $1,909.28

Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $666.53 $1,333.06 $1,133.10 $1,899.60

Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $682.17 $1,364.34 $1,159.69 $1,944.18

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $680.10 $1,360.19 $1,156.16 $1,938.27

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $684.24 $1,368.49 $1,163.21 $1,950.09

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $680.10 $1,360.19 $1,156.16 $1,938.27

Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $684.24 $1,368.49 $1,163.21 $1,950.09

Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $678.71 $1,357.43 $1,153.81 $1,934.34

Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $682.17 $1,364.34 $1,159.69 $1,944.18

Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $678.71 $1,357.43 $1,153.81 $1,934.34

Oscar Circle Plus Bronze $8150 74289NY2790017 $641.73 $1,283.46 $1,090.94 $1,828.93

Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $639.78 $1,279.56 $1,087.63 $1,823.37

Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $643.68 $1,287.36 $1,094.26 $1,834.49

Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $639.78 $1,279.56 $1,087.63 $1,823.37

Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $643.68 $1,287.36 $1,094.26 $1,834.49

Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $638.48 $1,276.96 $1,085.42 $1,819.67

Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $641.73 $1,283.46 $1,090.94 $1,828.93

Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $638.48 $1,276.96 $1,085.42 $1,819.67

Oscar Insurance Corporation 29

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q4 Premium Rates Effective October 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

October 1, 2020

Oscar Circle Plus Gold $0 74289NY2790025 $992.33 $1,984.66 $1,686.96 $2,828.14

Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $989.31 $1,978.63 $1,681.83 $2,819.54

Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $995.34 $1,990.69 $1,692.09 $2,836.73

Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $989.31 $1,978.63 $1,681.83 $2,819.54

Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $995.34 $1,990.69 $1,692.09 $2,836.73

Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $987.30 $1,974.60 $1,678.41 $2,813.81

Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $992.33 $1,984.66 $1,686.96 $2,828.14

Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $987.30 $1,974.60 $1,678.41 $2,813.81

Oscar Circle Plus Gold $2000 74289NY2790033 $909.29 $1,818.59 $1,545.80 $2,591.49

Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $906.53 $1,813.06 $1,541.10 $2,583.61

Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $912.06 $1,824.11 $1,550.50 $2,599.36

Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $906.53 $1,813.06 $1,541.10 $2,583.61

Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $912.06 $1,824.11 $1,550.50 $2,599.36

Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $904.69 $1,809.37 $1,537.97 $2,578.36

Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $909.29 $1,818.59 $1,545.80 $2,591.49

Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $904.69 $1,809.37 $1,537.97 $2,578.36

Oscar Circle Plus Gold $1000 74289NY2790041 $946.71 $1,893.43 $1,609.41 $2,698.14

Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $943.84 $1,887.67 $1,604.52 $2,689.94

Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $949.59 $1,899.18 $1,614.31 $2,706.34

Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $943.84 $1,887.67 $1,604.52 $2,689.94

Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $949.59 $1,899.18 $1,614.31 $2,706.34

Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $941.92 $1,883.84 $1,601.26 $2,684.47

Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $946.71 $1,893.43 $1,609.41 $2,698.14

Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $941.92 $1,883.84 $1,601.26 $2,684.47

Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,108.52 $2,217.04 $1,884.48 $3,159.28

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,105.15 $2,210.30 $1,878.75 $3,149.67

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,111.89 $2,223.77 $1,890.21 $3,168.88

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,105.15 $2,210.30 $1,878.75 $3,149.67

Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,111.89 $2,223.77 $1,890.21 $3,168.88

Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,102.90 $2,205.80 $1,874.93 $3,143.27

Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,108.52 $2,217.04 $1,884.48 $3,159.28

Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,102.90 $2,205.80 $1,874.93 $3,143.27

Oscar Circle Plus Silver $0 74289NY2790057 $883.98 $1,767.97 $1,502.77 $2,519.36

Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $881.30 $1,762.60 $1,498.21 $2,511.70

Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $886.67 $1,773.34 $1,507.34 $2,527.01

Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $881.30 $1,762.60 $1,498.21 $2,511.70

Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $886.67 $1,773.34 $1,507.34 $2,527.01

Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $879.51 $1,759.01 $1,495.16 $2,506.59

Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $883.98 $1,767.97 $1,502.77 $2,519.36

Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $879.51 $1,759.01 $1,495.16 $2,506.59

Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $748.89 $1,497.79 $1,273.12 $2,134.35

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $746.62 $1,493.23 $1,269.25 $2,127.86

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $751.17 $1,502.34 $1,276.99 $2,140.83

Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $746.62 $1,493.23 $1,269.25 $2,127.86

Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $751.17 $1,502.34 $1,276.99 $2,140.83

Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $745.10 $1,490.20 $1,266.67 $2,123.53

Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $748.89 $1,497.79 $1,273.12 $2,134.35

Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $745.10 $1,490.20 $1,266.67 $2,123.53

Oscar Circle Plus Silver $3000 74289NY2790073 $812.40 $1,624.79 $1,381.07 $2,315.33

Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $809.93 $1,619.85 $1,376.88 $2,308.29

Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $814.87 $1,629.73 $1,385.27 $2,322.37

Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $809.93 $1,619.85 $1,376.88 $2,308.29

Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $814.87 $1,629.73 $1,385.27 $2,322.37

Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $808.28 $1,616.56 $1,374.08 $2,303.60

Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $812.40 $1,624.79 $1,381.07 $2,315.33

Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $808.28 $1,616.56 $1,374.08 $2,303.60

Oscar Circle Plus Silver $4500 74289NY2790081 $767.20 $1,534.41 $1,304.25 $2,186.53

Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $764.87 $1,529.74 $1,300.28 $2,179.89

Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $769.54 $1,539.07 $1,308.21 $2,193.18

Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $764.87 $1,529.74 $1,300.28 $2,179.89

Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $769.54 $1,539.07 $1,308.21 $2,193.18

Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $763.32 $1,526.64 $1,297.64 $2,175.46

Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $767.20 $1,534.41 $1,304.25 $2,186.53

Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $763.32 $1,526.64 $1,297.64 $2,175.46

Oscar Insurance Corporation 30

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q4 Premium Rates Effective October 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

October 1, 2020

Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,136.69 $2,273.39 $1,932.38 $3,239.58

Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,140.15 $2,280.30 $1,938.25 $3,249.42

Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,136.69 $2,273.39 $1,932.38 $3,239.58

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,140.15 $2,280.30 $1,938.25 $3,249.42

Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,130.94 $2,261.87 $1,922.59 $3,223.17

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,133.24 $2,266.48 $1,926.51 $3,229.73

Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,130.94 $2,261.87 $1,922.59 $3,223.17

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,133.24 $2,266.48 $1,926.51 $3,229.73

Oscar Circle Plus Gold $1250 74289NY2790097 $906.53 $1,813.05 $1,541.09 $2,583.60

Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $909.28 $1,818.56 $1,545.78 $2,591.45

Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $906.53 $1,813.05 $1,541.09 $2,583.60

Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $909.28 $1,818.56 $1,545.78 $2,591.45

Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $901.93 $1,803.87 $1,533.29 $2,570.51

Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $903.77 $1,807.54 $1,536.41 $2,575.74

Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $901.93 $1,803.87 $1,533.29 $2,570.51

Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $903.77 $1,807.54 $1,536.41 $2,575.74

Oscar Circle Bronze $4500 74289NY2780001 $577.69 $1,155.39 $982.08 $1,646.43

Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $575.94 $1,151.88 $979.09 $1,641.42

Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $579.45 $1,158.90 $985.06 $1,651.43

Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $575.94 $1,151.88 $979.09 $1,641.42

Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $579.45 $1,158.90 $985.06 $1,651.43

Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $574.77 $1,149.53 $977.10 $1,638.09

Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $577.69 $1,155.39 $982.08 $1,646.43

Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $574.77 $1,149.53 $977.10 $1,638.09

Oscar Circle Bronze $6650 HSA 74289NY2780009 $589.82 $1,179.63 $1,002.69 $1,680.98

Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $588.02 $1,176.05 $999.64 $1,675.87

Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $591.61 $1,183.22 $1,005.74 $1,686.09

Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $588.02 $1,176.05 $999.64 $1,675.87

Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $591.61 $1,183.22 $1,005.74 $1,686.09

Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $586.83 $1,173.66 $997.61 $1,672.46

Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $589.82 $1,179.63 $1,002.69 $1,680.98

Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $586.83 $1,173.66 $997.61 $1,672.46

Oscar Circle Bronze $8150 74289NY2780017 $552.39 $1,104.77 $939.06 $1,574.30

Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $550.71 $1,101.42 $936.20 $1,569.52

Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $554.07 $1,108.13 $941.91 $1,579.09

Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $550.71 $1,101.42 $936.20 $1,569.52

Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $554.07 $1,108.13 $941.91 $1,579.09

Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $549.59 $1,099.18 $934.30 $1,566.33

Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $552.39 $1,104.77 $939.06 $1,574.30

Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $549.59 $1,099.18 $934.30 $1,566.33

Oscar Circle Gold $0 74289NY2780025 $878.74 $1,757.48 $1,493.86 $2,504.40

Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $876.07 $1,752.14 $1,489.31 $2,496.79

Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $881.41 $1,762.82 $1,498.40 $2,512.02

Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $876.07 $1,752.14 $1,489.31 $2,496.79

Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $881.41 $1,762.82 $1,498.40 $2,512.02

Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $874.29 $1,748.57 $1,486.29 $2,491.72

Oscar Circle Gold $0 (No DP) 74289NY2780031 $878.74 $1,757.48 $1,493.86 $2,504.40

Oscar Circle Gold $0 (No FP) 74289NY2780032 $874.29 $1,748.57 $1,486.29 $2,491.72

Oscar Circle Gold $2000 74289NY2780033 $798.25 $1,596.50 $1,357.03 $2,275.01

Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $795.82 $1,591.65 $1,352.90 $2,268.10

Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $800.68 $1,601.35 $1,361.15 $2,281.93

Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $795.82 $1,591.65 $1,352.90 $2,268.10

Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $800.68 $1,601.35 $1,361.15 $2,281.93

Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $794.21 $1,588.41 $1,350.15 $2,263.49

Oscar Circle Gold $2000 (No DP) 74289NY2780039 $798.25 $1,596.50 $1,357.03 $2,275.01

Oscar Circle Gold $2000 (No FP) 74289NY2780040 $794.21 $1,588.41 $1,350.15 $2,263.49

Oscar Circle Gold $1000 74289NY2780041 $837.24 $1,674.48 $1,423.31 $2,386.13

Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $834.69 $1,669.39 $1,418.98 $2,378.88

Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $839.78 $1,679.57 $1,427.63 $2,393.38

Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $834.69 $1,669.39 $1,418.98 $2,378.88

Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $839.78 $1,679.57 $1,427.63 $2,393.38

Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $833.00 $1,665.99 $1,416.09 $2,374.04

Oscar Circle Gold $1000 (No DP) 74289NY2780047 $837.24 $1,674.48 $1,423.31 $2,386.13

Oscar Circle Gold $1000 (No FP) 74289NY2780048 $833.00 $1,665.99 $1,416.09 $2,374.04

Oscar Insurance Corporation 31

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q4 Premium Rates Effective October 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

October 1, 2020

Oscar Circle Platinum $0 $2400 74289NY2780049 $991.44 $1,982.88 $1,685.45 $2,825.60

Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $988.43 $1,976.85 $1,680.32 $2,817.01

Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $994.45 $1,988.91 $1,690.57 $2,834.19

Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $988.43 $1,976.85 $1,680.32 $2,817.01

Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $994.45 $1,988.91 $1,690.57 $2,834.19

Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $986.42 $1,972.83 $1,676.91 $2,811.29

Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $991.44 $1,982.88 $1,685.45 $2,825.60

Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $986.42 $1,972.83 $1,676.91 $2,811.29

Oscar Circle Silver $0 74289NY2780057 $773.66 $1,547.31 $1,315.22 $2,204.92

Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $771.31 $1,542.61 $1,311.22 $2,198.22

Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $776.01 $1,552.02 $1,319.21 $2,211.62

Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $771.31 $1,542.61 $1,311.22 $2,198.22

Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $776.01 $1,552.02 $1,319.21 $2,211.62

Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $769.74 $1,539.47 $1,308.55 $2,193.75

Oscar Circle Silver $0 (No DP) 74289NY2780063 $773.66 $1,547.31 $1,315.22 $2,204.92

Oscar Circle Silver $0 (No FP) 74289NY2780064 $769.74 $1,539.47 $1,308.55 $2,193.75

Oscar Circle Silver $3000 HSA 74289NY2780065 $649.30 $1,298.60 $1,103.81 $1,850.50

Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $647.32 $1,294.65 $1,100.45 $1,844.88

Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $651.27 $1,302.54 $1,107.16 $1,856.13

Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $647.32 $1,294.65 $1,100.45 $1,844.88

Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $651.27 $1,302.54 $1,107.16 $1,856.13

Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $646.01 $1,292.02 $1,098.22 $1,841.13

Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $649.30 $1,298.60 $1,103.81 $1,850.50

Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $646.01 $1,292.02 $1,098.22 $1,841.13

Oscar Circle Silver $3000 74289NY2780073 $706.57 $1,413.15 $1,201.18 $2,013.74

Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $704.43 $1,408.85 $1,197.52 $2,007.61

Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $708.72 $1,417.44 $1,204.83 $2,019.86

Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $704.43 $1,408.85 $1,197.52 $2,007.61

Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $708.72 $1,417.44 $1,204.83 $2,019.86

Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $702.99 $1,405.99 $1,195.09 $2,003.53

Oscar Circle Silver $3000 (No DP) 74289NY2780079 $706.57 $1,413.15 $1,201.18 $2,013.74

Oscar Circle Silver $3000 (No FP) 74289NY2780080 $702.99 $1,405.99 $1,195.09 $2,003.53

Oscar Circle Silver $4500 74289NY2780081 $660.48 $1,320.96 $1,122.81 $1,882.36

Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $658.47 $1,316.94 $1,119.40 $1,876.64

Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $662.49 $1,324.97 $1,126.23 $1,888.08

Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $658.47 $1,316.94 $1,119.40 $1,876.64

Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $662.49 $1,324.97 $1,126.23 $1,888.08

Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $657.13 $1,314.26 $1,117.13 $1,872.83

Oscar Circle Silver $4500 (No DP) 74289NY2780087 $660.48 $1,320.96 $1,122.81 $1,882.36

Oscar Circle Silver $4500 (No FP) 74289NY2780088 $657.13 $1,314.26 $1,117.13 $1,872.83

Oscar Circle Platinum $0 Option 2 74289NY2780089 $1,022.58 $2,045.15 $1,738.38 $2,914.34

Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $1,025.68 $2,051.37 $1,743.66 $2,923.20

Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $1,022.58 $2,045.15 $1,738.38 $2,914.34

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $1,025.68 $2,051.37 $1,743.66 $2,923.20

Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $1,017.40 $2,034.79 $1,729.57 $2,899.58

Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $1,019.47 $2,038.94 $1,733.10 $2,905.48

Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $1,017.40 $2,034.79 $1,729.57 $2,899.58

Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $1,019.47 $2,038.94 $1,733.10 $2,905.48

Oscar Circle Gold $1250 74289NY2780097 $795.74 $1,591.48 $1,352.75 $2,267.85

Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $798.16 $1,596.31 $1,356.87 $2,274.75

Oscar Circle Gold $1250 (No DP) 74289NY2780099 $795.74 $1,591.48 $1,352.75 $2,267.85

Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $798.16 $1,596.31 $1,356.87 $2,274.75

Oscar Circle Gold $1250 (No FP) 74289NY2780101 $791.71 $1,583.41 $1,345.90 $2,256.37

Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $793.32 $1,586.64 $1,348.64 $2,260.96

Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $791.71 $1,583.41 $1,345.90 $2,256.37

Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $793.32 $1,586.64 $1,348.64 $2,260.96

Oscar Circle Plus Bronze $4500 74289NY2790001 $669.92 $1,339.84 $1,138.87 $1,909.28

Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $667.89 $1,335.77 $1,135.41 $1,903.47

Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $671.96 $1,343.92 $1,142.33 $1,915.08

Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $667.89 $1,335.77 $1,135.41 $1,903.47

Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $671.96 $1,343.92 $1,142.33 $1,915.08

Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $666.53 $1,333.06 $1,133.10 $1,899.60

Oscar Insurance Corporation 32

Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q4 Premium Rates Effective October 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

October 1, 2020

Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $669.92 $1,339.84 $1,138.87 $1,909.28

Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $666.53 $1,333.06 $1,133.10 $1,899.60

Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $682.17 $1,364.34 $1,159.69 $1,944.18

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $680.10 $1,360.19 $1,156.16 $1,938.27

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $684.24 $1,368.49 $1,163.21 $1,950.09

Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $680.10 $1,360.19 $1,156.16 $1,938.27

Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $684.24 $1,368.49 $1,163.21 $1,950.09

Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $678.71 $1,357.43 $1,153.81 $1,934.34

Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $682.17 $1,364.34 $1,159.69 $1,944.18

Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $678.71 $1,357.43 $1,153.81 $1,934.34

Oscar Circle Plus Bronze $8150 74289NY2790017 $641.73 $1,283.46 $1,090.94 $1,828.93

Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $639.78 $1,279.56 $1,087.63 $1,823.37

Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $643.68 $1,287.36 $1,094.26 $1,834.49

Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $639.78 $1,279.56 $1,087.63 $1,823.37

Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $643.68 $1,287.36 $1,094.26 $1,834.49

Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $638.48 $1,276.96 $1,085.42 $1,819.67

Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $641.73 $1,283.46 $1,090.94 $1,828.93

Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $638.48 $1,276.96 $1,085.42 $1,819.67

Oscar Circle Plus Gold $0 74289NY2790025 $992.33 $1,984.66 $1,686.96 $2,828.14

Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $989.31 $1,978.63 $1,681.83 $2,819.54

Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $995.34 $1,990.69 $1,692.09 $2,836.73

Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $989.31 $1,978.63 $1,681.83 $2,819.54

Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $995.34 $1,990.69 $1,692.09 $2,836.73

Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $987.30 $1,974.60 $1,678.41 $2,813.81

Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $992.33 $1,984.66 $1,686.96 $2,828.14

Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $987.30 $1,974.60 $1,678.41 $2,813.81

Oscar Circle Plus Gold $2000 74289NY2790033 $909.29 $1,818.59 $1,545.80 $2,591.49

Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $906.53 $1,813.06 $1,541.10 $2,583.61

Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $912.06 $1,824.11 $1,550.50 $2,599.36

Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $906.53 $1,813.06 $1,541.10 $2,583.61

Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $912.06 $1,824.11 $1,550.50 $2,599.36

Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $904.69 $1,809.37 $1,537.97 $2,578.36

Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $909.29 $1,818.59 $1,545.80 $2,591.49

Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $904.69 $1,809.37 $1,537.97 $2,578.36

Oscar Circle Plus Gold $1000 74289NY2790041 $946.71 $1,893.43 $1,609.41 $2,698.14

Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $943.84 $1,887.67 $1,604.52 $2,689.94

Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $949.59 $1,899.18 $1,614.31 $2,706.34

Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $943.84 $1,887.67 $1,604.52 $2,689.94

Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $949.59 $1,899.18 $1,614.31 $2,706.34

Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $941.92 $1,883.84 $1,601.26 $2,684.47

Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $946.71 $1,893.43 $1,609.41 $2,698.14

Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $941.92 $1,883.84 $1,601.26 $2,684.47

Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,108.52 $2,217.04 $1,884.48 $3,159.28

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,105.15 $2,210.30 $1,878.75 $3,149.67

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,111.89 $2,223.77 $1,890.21 $3,168.88

Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,105.15 $2,210.30 $1,878.75 $3,149.67

Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,111.89 $2,223.77 $1,890.21 $3,168.88

Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,102.90 $2,205.80 $1,874.93 $3,143.27

Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,108.52 $2,217.04 $1,884.48 $3,159.28

Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,102.90 $2,205.80 $1,874.93 $3,143.27

Oscar Circle Plus Silver $0 74289NY2790057 $883.98 $1,767.97 $1,502.77 $2,519.36

Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $881.30 $1,762.60 $1,498.21 $2,511.70

Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $886.67 $1,773.34 $1,507.34 $2,527.01

Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $881.30 $1,762.60 $1,498.21 $2,511.70

Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $886.67 $1,773.34 $1,507.34 $2,527.01

Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $879.51 $1,759.01 $1,495.16 $2,506.59

Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $883.98 $1,767.97 $1,502.77 $2,519.36

Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $879.51 $1,759.01 $1,495.16 $2,506.59

Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $748.89 $1,497.79 $1,273.12 $2,134.35

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $746.62 $1,493.23 $1,269.25 $2,127.86

Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $751.17 $1,502.34 $1,276.99 $2,140.83

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Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

Small Group Q4 Premium Rates Effective October 1, 2020

Product Name Plan ID

Premium Per Contract

SingleSingle Plus

SpouseSingle PlusChild(ren)

Single PlusSpouse PlusChild(ren)

October 1, 2020

Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $746.62 $1,493.23 $1,269.25 $2,127.86

Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $751.17 $1,502.34 $1,276.99 $2,140.83

Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $745.10 $1,490.20 $1,266.67 $2,123.53

Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $748.89 $1,497.79 $1,273.12 $2,134.35

Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $745.10 $1,490.20 $1,266.67 $2,123.53

Oscar Circle Plus Silver $3000 74289NY2790073 $812.40 $1,624.79 $1,381.07 $2,315.33

Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $809.93 $1,619.85 $1,376.88 $2,308.29

Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $814.87 $1,629.73 $1,385.27 $2,322.37

Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $809.93 $1,619.85 $1,376.88 $2,308.29

Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $814.87 $1,629.73 $1,385.27 $2,322.37

Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $808.28 $1,616.56 $1,374.08 $2,303.60

Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $812.40 $1,624.79 $1,381.07 $2,315.33

Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $808.28 $1,616.56 $1,374.08 $2,303.60

Oscar Circle Plus Silver $4500 74289NY2790081 $767.20 $1,534.41 $1,304.25 $2,186.53

Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $764.87 $1,529.74 $1,300.28 $2,179.89

Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $769.54 $1,539.07 $1,308.21 $2,193.18

Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $764.87 $1,529.74 $1,300.28 $2,179.89

Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $769.54 $1,539.07 $1,308.21 $2,193.18

Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $763.32 $1,526.64 $1,297.64 $2,175.46

Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $767.20 $1,534.41 $1,304.25 $2,186.53

Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $763.32 $1,526.64 $1,297.64 $2,175.46

Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,136.69 $2,273.39 $1,932.38 $3,239.58

Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,140.15 $2,280.30 $1,938.25 $3,249.42

Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,136.69 $2,273.39 $1,932.38 $3,239.58

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,140.15 $2,280.30 $1,938.25 $3,249.42

Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,130.94 $2,261.87 $1,922.59 $3,223.17

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,133.24 $2,266.48 $1,926.51 $3,229.73

Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,130.94 $2,261.87 $1,922.59 $3,223.17

Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,133.24 $2,266.48 $1,926.51 $3,229.73

Oscar Circle Plus Gold $1250 74289NY2790097 $906.53 $1,813.05 $1,541.09 $2,583.60

Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $909.28 $1,818.56 $1,545.78 $2,591.45

Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $906.53 $1,813.05 $1,541.09 $2,583.60

Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $909.28 $1,818.56 $1,545.78 $2,591.45

Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $901.93 $1,803.87 $1,533.29 $2,570.51

Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $903.77 $1,807.54 $1,536.41 $2,575.74

Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $901.93 $1,803.87 $1,533.29 $2,570.51

Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $903.77 $1,807.54 $1,536.41 $2,575.74

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Rating Regions 

The rates and plans are available in the following rating regions and counties only:  

Table 2: Rating Regions 

Rating Area  Rating Factor  Counties Included 

New York City  (Region 4) 

1.00  Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Richmond (Staten Island), Rockland, Westchester 

Long Island (Region 8) 

1.00  Nassau, Suffolk 

 

 

   

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Rating Classes  All rates are community rated with no age or lifestyle rating discount or surcharge factors. The rates are developed for 5 tiers:  

Table 3: Rating Classes 

Tier  Relativity 

Single  1.00 

Single & Spouse  2.00 

Single & Child(ren)  1.70 

Single, Spouse, & Child(ren)  2.85 

  

 

   

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Plan Variations 

 

Table 4: Plan Adjustments 

Plan Adjustments  Relativity 

Coverage through Age 26 only  1.000 

Coverage through Age 29  1.003 

Without Family Planning Coverage  0.994 

Domestic Partner Coverage  1.000 

Pediatric Dental Coverage  1.000 

   

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Sample Rate Calculation  Plan: Oscar Classic Silver 3500 SG, Coverage through age 26, with family planning coverage Rating Region: New York City Effective Date: January 1, 2020   Table 5: Sample Rate Calculation

Tier Single Single and Spouse Single and Child(ren)

Single, Spouse, and Child(ren)

Base Rate $680.31  $680.31  $680.31  $680.31 

Rating Factor 1.00  1.00  1.00  1.00 

Tier Factor 1.00  2.00  1.70  2.85 

Premium $680.31  $1,360.62  $1,156.53  $1,938.89 

   

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Commission Schedule and Fees 

Our commission schedule is as follows: 

 ● Selling Agent: 4.0% of premium 

 

   

   

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Expected Loss Ratios  The expected loss ratio across all products is 86%.  

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