TN 21 (09-01)
Premium surcharges for late enrollment (see HI 01001.010) are added to the base premium amount.
The 340% premium amount given in HI 01001.001B. is effective 7/01, for enrollments during the 2001 general enrollment period (GEP).
Base Premium and Surcharge Amounts Payable for 2001:
Base
-
50.00
10%
55.00
20%
60.00
30%
65.00
40%
70.00
50%
75.00
60%
80.00
70%
85.00
80%
90.00
90%
95.00
100%
100.00
110%
105.00
120%
110.00
130%
115.00
140%
120.00
150%
125.00
160%
130.00
170%
135.00
180%
140.00
190%
145.00
200%
150.00
210%
155.00
220%
160.00
230%
165.00
240%
170.00
250%
175.00
260%
180.00
270%
185.00
280%
190.00
290%
195.00
300%
200.00
310%
205.00
320%
210.00
330
215.00
340%
220.00