TN 21 (10-04)

HI 01005.012 Exhibit — Reduced Hospital Insurance (HI) Premiums and Surcharges

INCLUSIVE PERIOD

REDUCED PREMIUM AMOUNT

SURCHARGE AMOUNT

01/17–12/17

227.00

249.70

01/16–12/16

226.00

248.60

01/15-12/15

224.00

246.40

01/14–12/14

234.00

$257.40

01/13-12/13

243.00

267.30

01/12-12/12

248.00

272.80

01/11-12/11

248.00

272.80

01/10-12/10

254.00

279.40

01/09-12/09

244.00

268.40

01/08-12/08

233.00

256.30

01/07-12/07

226.00

248.60

01/06-12/06

216.00

237.60

01/05-12/05

206.00

226.60

01/04-12/04

189.00

207.90

01/03-12/03

174.00

191.40

01/02-12/02

175.00

192.50

01/01-12/01

165.00

181.50

01/00-12/00

166.00

182.60

01/98-12/99

170.00

187.00

01/97-12/97

187.00

205.70

01/96-12/96

188.00

206.80

01/95-12/95

183.00

201.30

01/94-12/94

184.00

202.40


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0601005012
HI 01005.012 - Exhibit -- Reduced Hospital Insurance (HI) Premiums and Surcharges - 11/21/2016
Batch run: 11/21/2016
Rev:11/21/2016