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State *	- choose state - Idaho Oregon Washington
County *	Ada Adams Bannock Bear Lake Benewah Bingham Blaine Boise Bonner Bonneville Boundary Butte Camas Canyon Caribou Cassia Clark Clearwater Custer Elmore Franklin Fremont Gem Gooding Idaho Jefferson Jerome Kootenai Latah Lemhi Lewis Lincoln Madison Minidoka Nez Perce Oneida Owyhee Payette Power Shoshone Teton Twin Falls Valley Washington Baker Benton Clackamas Clatsop Columbia Coos Crook Curry Deschutes Douglas Gilliam Grant Harney Hood River Jackson Jefferson Josephine Klamath Lake Lane Lincoln Linn Malheur Marion Morrow Multnomah Polk Sherman Tillamook Umatilla Union Wallowa Wasco Washington Wheeler Yamhill Adams Asotin Benton Chelan Clallam Clark Columbia Cowlitz Douglas Ferry Franklin Garfield Grant Grays Harbor Island Jefferson King Kitsap Kittitas Klickitat Lewis Lincoln Mason Okanogan Pacific Pend Oreille Pierce San Juan Skagit Skamania Snohomish Spokane Stevens Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima
Applicant Age *	Smoker? Yes
Spouse Age	Smoker? Yes
Dependent Child 1 Age	Smoker? Yes
Coverage Start Date *
Premium	ALL Less than $100 Less than $150 Less than $200 Less than $250 Less than $300 Less than $350 Less than $400 Less than $450 Less than $500 Less than $600 Less than $700 Less than $800 Less than $900 Less than $1000
Deductible	ALL $250 or Less $500 or Less $1500 or Less $2500 or Less $5000 or Less $1000 or More $2500 or More $5000 or More
Office Visit Copay	ALL $20 or Less $30 or Less $40 or Less
Check the boxes below to only see plans with selected options
Plans w/Prescriptions	Yes
Plans w/Dental	Yes
Plans w/Vision	Yes
Plans w/Alternative Care	Yes
HSA Only	Yes
Exclude HSA	Yes
	NOTE: Fields marked with * are required. CHILD AGE NOTE: For children 0-11 months, enter 1.

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