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Rates for Individuals/Families
Please select which coverage you are interested in:
Family
(yourself and/or spouse,children)
Individual
(yourself)
Child Only
(children only)
Please enter the following information to view the monthly premium rates for BluePreferred
®
, BluePreferred Saver, BluePreferred Basic, BlueClassic
®
, BlueClassic Saver and BlueSelect
®
.
Information About Applicant
Age:
Age
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
Sex:
Sex
Male
Female
County of residence:
County
Maricopa County
Pima County
Other Arizona County
Information About Applicant's Family
Will there be a spouse covered under the plan?
No
Yes
Spouse's Information:
Sex
Male
Female
Age
15-17
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
Will there be dependent children covered under the plan?
No
Yes, 1 Dependent Child
Yes, 2 Dependent Children
Yes, 3 Dependent Children
Yes, 4 Dependent Children
Yes, 5 Dependent Children
Yes, 6 Dependent Children
Yes, 7 Dependent Children
Yes, 8 Dependent Children
Yes, 9 Dependent Children
Yes, 10+ Dependent Children
Child #1:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Child #2:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Child #3:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Child #4:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Child #5:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Child #6:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Child #7:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Child #8:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Child #9:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Child #10:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-24
25-29
Information About Applicant
Age:
Age
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
Sex:
Sex
Male
Female
County of residence:
County
Maricopa County
Pima County
Other Arizona County
Information About Child
Age:
Age
<2
2-6
7-10
11-14
15-17
18-19
Sex:
Sex
Male
Female
County of residence:
County
Maricopa County
Pima County
Other Arizona County
Will there be other children covered under the plan?
No
Yes, 1 Other Child
Yes, 2 Other Children
Yes, 3 Other Children
Yes, 4 Other Children
Yes, 5 Other Children
Yes, 6 Other Children
Yes, 7 Other Children
Yes, 8 Other Children
Yes, 9+ Other Children
Child #2:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-19
Child #3:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-19
Child #4:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-19
Child #5:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-19
Child #6:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-19
Child #7:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-19
Child #8:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-19
Child #9:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-19
Child #10:
Sex
Male
Female
Age
<2
2-6
7-10
11-14
15-17
18-19
Do you have a plan preference?
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Show Me Rates For Indemnity Only
Note:
These rates are not guaranteed and are subject to change.
Attention:
Monthly premium rates shown on this Web site are effective October 1, 2007.