Page 10 - The Legacy School Benefit Booklet 2021-2022
P. 10
Member Rates
BlueChoice BlueChoice
Age Plus Gold Age Plus Gold
$1,000 $1,000
0-14 $274.15 40 $458.00
15 $298.52 41 $466.60
16 $307.84 42 $474.84
17 $317.16 43 $486.31
18 $327.19 44 $500.64
19 $337.23 45 $517.49
20 $347.62 46 $537.56
21 $358.37 47 $560.13
22 $358.37 48 $585.93
23 $358.37 49 $611.38
24 $358.37 50 $640.05
25 $359.80 51 $668.36
26 $366.97 52 $699.54
27 $375.57 53 $731.07
28 $389.55 54 $765.12
29 $401.02 55 $799.17
30 $406.75 56 $836.08
31 $415.35 57 $873.35
32 $423.95 58 $913.13
33 $429.33 59 $932.84
34 $435.06 60 $972.62
35 $437.93 61 $1007.02
36 $440.80 62 $1029.60
37 $443.66 63 $1057.91
38 $446.53 64 $1075.11
39 $452.26 65+ $1075.11
Effective Date: 02/01/2021
Learn how to calculate your rate on the next page.
