CoventryOne POS Individual Health Plan Monthly Rates - Effective 03/16/08 - 6/15/08
(coverage and rates are subject to Coventry medical underwriting and approval. If approved CoventryOne rates are guaranteed for 12 months
from the effective date of coverage)

NOTE: FOR ALL PLANS, CALCULATE THE PREMIUM FOR THE AGE OF EACH FAMILY MEMBER
- IF THERE ARE 4 OR MORE MEMBERS TO BE COVERED IN YOUR FAMILY, A 10% FAMILY DISCOUNT
WILL BE GIVEN (for tobacco users, add 20% to the total rate)

RATES - AREA 1 - Use these rates if your zip code is in Banks, Barrow, Bartow, Butts, Carroll, Cherokee, Clarke,
Clayton, Cobb, Coweta, Dawson, Dekalb, Douglas, Fayette, Forsyth, Fulton, Gordon, Greene, Gwinnett, Haralson, Heard,
Henry, Jackson, Jasper, Madison, Meriwether, Morgan, Newton, Oconee, Oglethorpe, Paulding, Pike, Rockdale, Spalding,
Troup, Walton or Wilkes County in Georgia

These rates are available for applicants with effective dates from March 16, 2008 through June 15, 2008.

	$500 DEDUCTIBLE		$1,000 DEDUCTIBLE		$2,000 DEDUCTIBLE		$3,000 DEDUCTIBLE		$4,000 DEDUCTIBLE		$5,000 DEDUCTIBLE		$10,000 DEDUCTIBLE
Age	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female
> 1	$343	$343	$263	$263	$197	$197	$154	$154	$144	$144	$136	$136	$92	$92
1-19	156	156	120	120	90	90	70	70	66	66	62	62	43	43
20-24	156	224	120	171	90	129	70	100	66	94	62	89	43	60
25-29	170	286	132	221	98	164	76	129	71	121	69	114	46	77
30-34	210	311	161	240	119	179	93	139	87	130	83	124	56	84
35-39	244	333	187	255	139	191	108	149	101	140	97	132	66	90
40-44	281	389	216	299	161	223	125	175	117	164	112	155	75	105
45-49	389	467	299	360	223	268	175	210	164	197	155	186	105	126
50-54	530	561	408	433	303	322	237	251	222	235	211	223	143	152
55-59	686	629	528	484	392	361	307	282	288	264	273	250	186	169
60-64	934	732	718	563	536	419	418	327	392	306	371	291	252	198

RATES - AREA 2 - Use these rates if your zip code is in Aiken, Atkinson, Baldwin, Bibb, Bleckley, Brantley, Burke, Chattooga, Columbia, Crawford, Dooly, Floyd, Gilmer, Habersham, Hall, Houston, Jones, Lamar, Lincoln, Lumpkin, Macon, McDuffie, Monroe, Peach, Pickens, Pierce, Polk, Richmond, Taylor, Twiggs, Union, Upson, Ware, White or Wilkinson County

These rates are available for applicants with effective dates from March 16, 2008 through June 15, 2008.

	$500 DEDUCTIBLE		$1,000 DEDUCTIBLE		$2,000 DEDUCTIBLE		$3,000 DEDUCTIBLE		$4,000 DEDUCTIBLE		$5,000 DEDUCTIBLE		$10,000 DEDUCTIBLE
Age	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female
> 1	$377.30	$377.30	$289.30	$289.30	$216.70	$216.70	$169.40	$169.40	$158.40	$158.40	$149.60	$149.60	$101.20	$101.20
1-19	171.60	171.60	132.00	132.00	99.00	99.00	77.00	77.00	72.60	72.60	68.20	68.20	47.30	47.30
20-24	171.60	246.40	132.00	188.10	99.00	141.90	77.00	110.00	72.60	103.40	68.20	97.90	47.30	66.00
25-29	187.00	314.60	145.20	243.10	107.80	180.40	83.60	141.90	78.10	133.10	75.90	125.40	50.60	84.70
30-34	231.00	342.10	177.10	264.00	130.90	196.90	102.30	152.90	95.70	143.00	91.30	136.40	61.60	92.40
35-39	268.40	366.30	205.70	280.50	152.90	210.10	118.80	163.90	111.10	154.00	106.70	145.20	72.60	99.00
40-44	309.10	427.90	237.60	328.90	177.10	245.30	137.50	192.50	128.70	180.40	123.20	170.50	82.50	115.50
45-49	427.90	513.70	328.90	396.00	245.30	294.80	192.50	231.00	180.40	216.70	170.50	204.60	115.50	138.60
50-54	583.00	617.10	448.80	476.30	333.30	354.20	260.70	2276.10	244.20	258.50	232.10	245.30	157.30	167.20
55-59	754.60	691.90	580.80	532.40	431.20	397.10	337.70	310.20	316.80	290.40	300.30	275.00	204.60	185.90
60-64	1027.40	805.20	789.80	619.30	589.60	460.90	459.80	359.70	431.20	336.60	408.10	320.10	277.20	217.80

RATES - AREA 3 - Use these rates if your zip code is in Appling, Bryan, Bulloch, Candler, Chatham, Coffee, Effingham, Emanuel, Evans, Liberty, Long, McIntosh, Screven or Wayne County.

These rates are available for applicants with effective dates from March 16, 2008 through June 15, 2008 .

	$500 DEDUCTIBLE		$1,000 DEDUCTIBLE		$2,000 DEDUCTIBLE		$3,000 DEDUCTIBLE		$4,000 DEDUCTIBLE		$5,000 DEDUCTIBLE		$10,000 DEDUCTIBLE
Age	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female	Male	Female
> 1	$325.85	$325.85	$249.85	$249.85	$187.15	$187.15	$146.30	$146.30	$136.80	$136.80	$129.20	$129.20	$87.40	$87.40
1-19	148.20	148.20	114.00	114.00	85.50	85.50	66.50	66.50	62.70	62.70	58.90	58.90	40.85	40.85
20-24	148.20	212.80	114.00	162.45	85.50	122.55	66.50	95.00	62.70	89.30	58.90	84.55	40.85	57.00
25-29	161.50	271.70	125.40	209.95	93.10	155.80	72.20	122.55	67.45	114.95	65.55	108.30	43.70	73.15
30-34	199.50	295.45	152.95	228.00	113.05	170.05	88.35	132.05	82.65	123.50	78.85	117.80	53.20	79.80
35-39	231.80	316.35	177.65	242.25	132.05	181.45	102.60	141.55	95.95	133.00	92.15	125.40	62.70	85.50
40-44	266.95	369.55	205.20	284.05	152.95	211.85	118.75	166.25	111.15	155.80	106.40	147.25	71.25	99.75
45-49	369.55	443.65	284.05	342.00	211.85	254.60	166.25	199.50	155.80	187.15	147.25	176.70	99.75	119.70
50-54	503.50	532.95	387.60	411.35	287.85	305.90	225.15	238.45	210.90	223.25	200.45	211.85	135.85	144.40
55-59	651.70	597.55	501.60	459.80	372.40	342.95	291.65	267.90	273.60	250.80	259.35	237.50	176.70	160.55
60-64	887.30	695.40	682.10	534.85	509.20	398.05	397.10	310.65	372.40	290.70	352.45	276.45	239.40	188.10

Click here to view the CoventryOne Individual Plan Benefits
Click here to compare with the HDHP (HSA Qualified Health Plan) Rates
Click here to view the HDHP (HSA Qualified Health Plan) Benefits
Click here to have an enrollment kit mailed or e-mailed to you Be sure to specify which plan(s) you're interested in
CLICK HERE TO DOWNLOAD AND PRINT AN APPLICATION (Adobe Acrobat reader is necessary to download this file.) Click here to download the free Adobe Acrobat reader
9 Dunwoody Park, Suite 136 Atlanta, GA 30338 Authorized Coventry Agent Call Holly, Chris or Bob at (770) 396-9517 Outside of the Atlanta area, call toll-free: 1-877-711-8376. Email: holly@insurance-now.com If you are looking for health insurance cheap, call Insurance Now for a free medical insurance quote. We specialize in health insurance free quotes..