OneBlue
SM
A balanced plan from Blue Care Network of Michigan.
Monthly Rates
Nonsmoker Rates
Smoker Rates
Age
Male
Female
Male
Female
0-19
$216.98
$216.98
$216.98
$216.98
20-25
$216.98
$216.98
$271.22
$271.22
26-29
$173.47
$396.35
$216.84
$495.44
30-34
$211.83
$423.11
$275.38
$550.04
35-39
$241.41
$403.07
$325.90
$544.14
40-44
$276.20
$395.69
$386.68
$553.97
45-49
$350.62
$456.62
$508.40
$662.10
50-54
$479.44
$542.75
$719.16
$814.13
55-59
$613.71
$631.31
$951.25
$978.53
60-64
$806.71
$795.17
$1,250.40
$1,232.51
The Michigan Claims Tax Assessment will be added to your bill. The 2012 assessment is 0.84 percent of your
total contract premium.
Here’s an example of how to estimate the MI Claims Tax Assessment:
OneBlue
Male, age 35, nonsmoker
$241.41
Female, age 32, smoker
550.04
Child, age 8, nonsmoker
216.98
Total contract premium
MI Claims Tax Assessment
Total due
$1,008.43
8.47
(multiply total contract premium by 0.0084)
$1,016.90
Determine your tax assessment by using our online tax calculator at bcbsm.com/mitax/.
Rates effective May 1, 2012. The rates do not include the Michigan Claims Tax Assessment and
other federal taxes under consideration that will be added to your bill.
Blue Care Network of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association.
CF 10769 MAR 12
R000790