Standard and State-Specific Age Curves

Most states use a standard “age curve” when determining the rates for small group plans. There is a different age factor for each age from 21 to 64. A 21 year old is set at a factor of 1.0 and a 64 year old is set at a factor of 3.0. This means that the rate charged for a 64 year old will be three-times the rate of a 21 year old for the same plan on an age-rated group. For a composite rated group, all of the age rates are added up and then the composite (or average) rates are determined based on the number of employees and dependents. For every other age, there’s a different rating factor.

A few states have developed their own age curve. See the chart below or click here to view the different states’ Age Curve Variations.

State Specific Age Curve Variations
Age Band Default Alabama District of Massachusetts Minnesota Mississippi New Jersey Oregon Utah
Premium Ratio (Individual) Columbia (Small Group)
0-14 0.765 0.635 0.654 0.751 0.890 0.635 0.765 0.635 0.793
15 0.833 0.635 0.654 0.751 0.890 0.635 0.833 0.635 0.793
16 0.859 0.635 0.654 0.751 0.890 0.635 0.859 0.635 0.793
17 0.885 0.635 0.654 0.751 0.890 0.635 0.885 0.635 0.793
18 0.913 0.635 0.654 0.751 0.890 0.635 0.913 0.635 0.793
19 0.941 0.635 0.654 0.751 0.890 0.635 0.941 0.635 0.793
20 0.970 0.635 0.654 0.751 0.890 0.635 0.970 0.635 0.793
21 1.000 1.000 0.727 1.183 1.000 1.000 1.250 1.000 1.000
22 1.000 1.000 0.727 1.183 1.000 1.000 1.250 1.000 1.050
23 1.000 1.000 0.727 1.183 1.000 1.000 1.250 1.000 1.113
24 1.000 1.000 0.727 1.183 1.000 1.000 1.250 1.000 1.191
25 1.004 1.004 0.727 1.183 1.004 1.004 1.250 1.004 1.298
26 1.024 1.024 0.727 1.183 1.024 1.024 1.250 1.024 1.363
27 1.048 1.048 0.727 1.220 1.048 1.048 1.250 1.048 1.390
28 1.087 1.087 0.744 1.250 1.087 1.087 1.250 1.087 1.390
29 1.119 1.119 0.760 1.275 1.119 1.119 1.275 1.119 1.390
30 1.135 1.135 0.779 1.287 1.135 1.135 1.287 1.135 1.390
31 1.159 1.159 0.799 1.305 1.159 1.159 1.305 1.159 1.390
32 1.183 1.183 0.817 1.323 1.183 1.183 1.323 1.183 1.390
33 1.198 1.198 0.836 1.334 1.198 1.198 1.334 1.198 1.390
34 1.214 1.214 0.856 1.346 1.214 1.214 1.346 1.214 1.390
35 1.222 1.222 0.876 1.352 1.222 1.222 1.352 1.222 1.390
36 1.230 1.230 0.896 1.358 1.230 1.230 1.358 1.230 1.390
37 1.238 1.238 0.916 1.363 1.238 1.238 1.363 1.238 1.404
38 1.246 1.246 0.927 1.369 1.246 1.246 1.369 1.246 1.425
39 1.262 1.262 0.938 1.381 1.262 1.262 1.381 1.262 1.450
40 1.278 1.278 0.975 1.393 1.278 1.278 1.393 1.278 1.479
41 1.302 1.302 1.013 1.410 1.302 1.302 1.410 1.302 1.516
42 1.325 1.325 1.053 1.427 1.325 1.325 1.427 1.325 1.562
43 1.357 1.357 1.094 1.450 1.357 1.357 1.450 1.357 1.616
44 1.397 1.397 1.137 1.478 1.397 1.397 1.478 1.397 1.681
45 1.444 1.444 1.181 1.511 1.444 1.444 1.511 1.444 1.748
46 1.500 1.500 1.227 1.550 1.500 1.500 1.550 1.500 1.818
47 1.563 1.563 1.275 1.593 1.563 1.563 1.593 1.563 1.891
48 1.635 1.635 1.325 1.641 1.635 1.635 1.641 1.635 1.966
49 1.706 1.706 1.377 1.688 1.706 1.706 1.688 1.706 2.045
50 1.786 1.786 1.431 1.741 1.786 1.786 1.741 1.786 2.127
51 1.865 1.865 1.487 1.792 1.865 1.865 1.792 1.865 2.212
52 1.952 1.952 1.545 1.847 1.952 1.952 1.847 1.952 2.300
53 2.040 2.040 1.605 1.902 2.040 2.040 1.902 2.040 2.392
54 2.135 2.135 1.668 1.961 2.135 2.135 1.961 2.135 2.488
55 2.230 2.230 1.733 2.019 2.230 2.230 2.019 2.230 2.588
56 2.333 2.333 1.801 2.080 2.333 2.333 2.080 2.333 2.691
57 2.437 2.437 1.871 2.142 2.437 2.437 2.142 2.437 2.799
58 2.548 2.548 1.944 2.206 2.548 2.548 2.206 2.548 2.911
59 2.603 2.603 2.020 2.280 2.603 2.603 2.280 2.603 3.000
60 2.714 2.714 2.099 2.365 2.714 2.714 2.280 2.714 3.000
61 2.810 2.810 2.181 2.365 2.810 2.810 2.280 2.810 3.000
62 2.873 2.873 2.181 2.365 2.873 2.873 2.280 2.873 3.000
63 2.952 2.952 2.181 2.365 2.952 2.952 2.280 2.952 3.000
64 and Older 3.000 3.000 2.181 2.365 3.000 3.000 2.280 3.000 3.000

 

State Info