Filing at a Glance - DFS Portal · 2019. 5. 30. · Filing at a Glance Company: Oscar Insurance...

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Filing at a Glance Company: Oscar Insurance Corporation Product Name: Oscar 2020 Small Group Rate Filing State: New York TOI: H15G Group Health - Hospital/Surgical/Medical Expense Sub-TOI: H15G.003 Small Group Only Filing Type: 2020 Prior Approval ACA Rates Date Submitted: 05/13/2019 SERFF Tr Num: OHIN-131934236 SERFF Status: Assigned State Tr Num: 2019050196 State Status: CP-xx-IA Co Tr Num: Implementation Date Requested: 01/01/2020 Disposition Date: Disposition Status: Implementation Date: State Filing Description: SERFF Tracking #: OHIN-131934236 State Tracking #: 2019050196 Company Tracking #: State: New York Filing Company: Oscar Insurance Corporation TOI/Sub-TOI: H15G Group Health - Hospital/Surgical/Medical Expense/H15G.003 Small Group Only Product Name: Oscar 2020 Small Group Rate Filing Project Name/Number: / PDF Pipeline for SERFF Tracking Number OHIN-131934236 Generated 05/21/2019 10:36 AM

Transcript of Filing at a Glance - DFS Portal · 2019. 5. 30. · Filing at a Glance Company: Oscar Insurance...

  • Filing at a Glance

    Company: Oscar Insurance CorporationProduct Name: Oscar 2020 Small Group Rate FilingState: New YorkTOI: H15G Group Health - Hospital/Surgical/Medical ExpenseSub-TOI: H15G.003 Small Group OnlyFiling Type: 2020 Prior Approval ACA RatesDate Submitted: 05/13/2019SERFF Tr Num: OHIN-131934236SERFF Status: AssignedState Tr Num: 2019050196State Status: CP-xx-IACo Tr Num:

    ImplementationDate Requested:

    01/01/2020

    Disposition Date:Disposition Status:Implementation Date:

    State Filing Description:

    SERFF Tracking #: OHIN-131934236 State Tracking #: 2019050196 Company Tracking #:

    State: New York Filing Company: Oscar Insurance CorporationTOI/Sub-TOI: H15G Group Health - Hospital/Surgical/Medical Expense/H15G.003 Small Group OnlyProduct Name: Oscar 2020 Small Group Rate FilingProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number OHIN-131934236 Generated 05/21/2019 10:36 AM

  • General Information

    Company and Contact

    Filing Fees

    State Specific

    Project Name: Status of Filing in Domicile: PendingProject Number: Date Approved in Domicile:Requested Filing Mode: Review & Approval Domicile Status Comments:Explanation for Combination/Other: Market Type: GroupSubmission Type: New Submission Group Market Size: SmallGroup Market Type: Overall Rate Impact: 15.8%Filing Status Changed: 05/14/2019State Status Changed: 05/14/2019 Deemer Date:

    Corresponding Filing Tracking Number:

    PPACA: Non-Grandfathered Immed Mkt Reforms

    PPACA Notes: nullInclude Exchange Intentions: No

    Filing Description:Oscar 2020 Small Group Rate Filing

    Filing Contact Information

    Filing Company InformationOscar Insurance Corporation295 Lafayette Street6th FloorNew York City, NY 10012(855) 672-2755 ext. [Phone]

    CoCode: 15281Group Code: 4818Group Name:FEIN Number: 46-2043136

    State of Domicile: New YorkCompany Type:State ID Number:

    Fee Required? No

    Retaliatory? No

    Fee Explanation:

    1. Is a parallel filing being submitted for another issuing entity of the same parent organization? Yes/No (If Yes, enter nameof other entity, submission date, and SERFF Tracking Number of the parallel file.): No2. Does this filing contain a dental, vision or health insurance policy or contract that uses a network of health care providers?(If Yes, enter the PNDS Network ID number and name. If the network has not been filed in PNDS, it must be filed within 60days of approval.): Yes - TBD3. : n/a

    SERFF Tracking #: OHIN-131934236 State Tracking #: 2019050196 Company Tracking #:

    State: New York Filing Company: Oscar Insurance CorporationTOI/Sub-TOI: H15G Group Health - Hospital/Surgical/Medical Expense/H15G.003 Small Group OnlyProduct Name: Oscar 2020 Small Group Rate FilingProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number OHIN-131934236 Generated 05/21/2019 10:36 AM

  • 4. Type of filing? Enter Form and Rate, Form only, Rate only (Form only should be used ONLY when the filing only containsan application, advertisement, administrative form, or is a group prefiling notification, out-of-state, or a report filing. Formsubmissions with no proposed rate impact are considered form and rate filings and require an actuarial memorandum.): RateOnly5. Is this a Rate only filing? Yes/No [If Yes, enter one: Commission/Fee Schedule, DBL Loss Ratio Monitoring, ExperienceFiling Monitoring, Experience Rating Formula, Medicare Supplement Annual Filing (other than rate adjustment), RateAdjustment, or Other with brief explanation).]: Yes6. Does this submission contain a form subject to Regulation 123 (i.e., the certificate is deemed delivered in New York State)?Yes/No (If Yes, provide a full explanation in the Filing Description field.): No7. Did this insurer prefile group coverage for this group under Section 52.32 prior to this filing? Yes/No (If Yes, enter thestate tracking number assigned and the effective date of coverage.): No8. Does this submission contain any form which is subject to review by the Life Bureau, the Property Bureau or both? Yes/No(If Yes, identify the forms, the Bureau, the date submitted, and the SERFF file number.): No9. Does this filing contain forms that replace any other previously approved forms? Yes/No (If Yes, identify the formnumbers, the file number, and the date of approval of the forms being replaced in the Filing Description field.): No

    SERFF Tracking #: OHIN-131934236 State Tracking #: 2019050196 Company Tracking #:

    State: New York Filing Company: Oscar Insurance CorporationTOI/Sub-TOI: H15G Group Health - Hospital/Surgical/Medical Expense/H15G.003 Small Group OnlyProduct Name: Oscar 2020 Small Group Rate FilingProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number OHIN-131934236 Generated 05/21/2019 10:36 AM

  • Rate Information Rate data applies to filing.

    Filing Method: SERFFRate Change Type: IncreaseOverall Percentage of Last Rate Revision: 2.000%Effective Date of Last Rate Revision: 01/01/2019Filing Method of Last Filing: SERFFSERFF Tracking Number of Last Filing: OHIN-131494379

    Company Rate Information

    CompanyName:

    CompanyRateChange:

    Overall %IndicatedChange:

    Overall %RateImpact:

    WrittenPremiumChange forthis Program:

    Number of PolicyHolders Affectedfor this Program:

    WrittenPremium forthis Program:

    Maximum %Change(where req'd):

    Minimum %Change(where req'd):

    Oscar InsuranceCorporation

    Increase 15.800% 15.800% $15,438,674 9,761 $97,895,450 20.500% 8.600%

    SERFF Tracking #: OHIN-131934236 State Tracking #: 2019050196 Company Tracking #:

    State: New York Filing Company: Oscar Insurance CorporationTOI/Sub-TOI: H15G Group Health - Hospital/Surgical/Medical Expense/H15G.003 Small Group OnlyProduct Name: Oscar 2020 Small Group Rate FilingProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number OHIN-131934236 Generated 05/21/2019 10:36 AM

  • Rate Review Detail COMPANY:Company Name: Oscar Insurance CorporationHHS Issuer Id: 74289

    PRODUCTS:

    Product Name HIOS Product ID HIOS Submission ID Number of CoveredLives

    Oscar Small Group Circle EPO 74289NY278 10667Oscar Small Group Circle Plus EPO 74289NY279 3029

    Trend Factors:

    FORMS:New Policy Forms: Oscar Small Group EPO OffEx Std/NonStd 2020Affected Forms:Other Affected Forms:

    REQUESTED RATE CHANGE INFORMATION:Change Period: QuarterlyMember Months: 100,116Benefit Change: IncreasePercent Change Requested: Min: 8.6 Max: 20.5 Avg: 15.8

    PRIOR RATE:Total Earned Premium: 97,895,450.00Total Incurred Claims: 72,439,673.00Annual $: Min: 430.27 Max: 1,003.55 Avg: 595.65

    REQUESTED RATE:Projected Earned Premium: 222,721,722.00Projected Incurred Claims: 102,759,543.00Annual $: Min: 484.05 Max: 1,003.55 Avg: 695.44

    SERFF Tracking #: OHIN-131934236 State Tracking #: 2019050196 Company Tracking #:

    State: New York Filing Company: Oscar Insurance CorporationTOI/Sub-TOI: H15G Group Health - Hospital/Surgical/Medical Expense/H15G.003 Small Group OnlyProduct Name: Oscar 2020 Small Group Rate FilingProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number OHIN-131934236 Generated 05/21/2019 10:36 AM

  • Rate/Rule Schedule

    ItemNo.

    ScheduleItemStatus

    Document NameAffected Form Numbers(Separated with commas) Rate Action Rate Action Information Attachments

    1 Rate Manual New 2020 NY RateManual_SG_20190513.xlsx,2020_SG_RateManual_20190513.pdf,

    SERFF Tracking #: OHIN-131934236 State Tracking #: 2019050196 Company Tracking #:

    State: New York Filing Company: Oscar Insurance CorporationTOI/Sub-TOI: H15G Group Health - Hospital/Surgical/Medical Expense/H15G.003 Small Group OnlyProduct Name: Oscar 2020 Small Group Rate FilingProject Name/Number: /

    PDF Pipeline for SERFF Tracking Number OHIN-131934236 Generated 05/21/2019 10:36 AM

  • 295 Lafayette St, 6th floor 

    New York, NY 10012 

    1-855-OSCAR-55

    [email protected]

    Oscar Insurance Corporation Rate Manual for Small Group ACA Products 

    New York January 1, 2020 

    Oscar Insurance Corporation

    mailto:[email protected]

  • TABLE OF CONTENTS 

    Plan Designs 

    Q1 Premium Rates Effective January 1, 2020 

    Q2 Premium Rates Effective April 1, 2020 

    Q3 Premium Rates Effective July 1, 2020 

    Q4 Premium Rates Effective October 1, 2020 

    Rating Regions 

    Rating Classes 

    Plan Variations 

    Sample Rate Calculation 

    Commission Schedule and Fees 

    Our commission schedule is as follows: 

    Expected Loss Ratios 

    Oscar Insurance Corporation

  • Plan Designs (1 of 4)

    2

    Oscar Insurance Corporation

  • Plan Designs (2 of 4)  

         

    3

    Oscar Insurance Corporation

  • Plan Designs (3 of 4) 

    4

    Oscar Insurance Corporation

  • Plan Designs (4 of 4)

    5

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q1 Premium Rates Effective January 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    January 1, 2020

    Oscar Circle Bronze $4500 74289NY2780001 $547.93 $1,095.87 $931.49 $1,561.61

    Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $546.27 $1,092.54 $928.66 $1,556.87

    Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $549.60 $1,099.20 $934.33 $1,566.36

    Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $546.27 $1,092.54 $928.66 $1,556.87

    Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $549.60 $1,099.20 $934.33 $1,566.36

    Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $545.15 $1,090.32 $926.77 $1,553.71

    Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $547.93 $1,095.87 $931.49 $1,561.61

    Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $545.15 $1,090.32 $926.77 $1,553.71

    Oscar Circle Bronze $6650 HSA 74289NY2780009 $559.43 $1,118.87 $951.04 $1,594.38

    Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $557.73 $1,115.46 $948.15 $1,589.54

    Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $561.14 $1,122.27 $953.93 $1,599.23

    Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $557.73 $1,115.46 $948.15 $1,589.54

    Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $561.14 $1,122.27 $953.93 $1,599.23

    Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $556.60 $1,113.20 $946.22 $1,586.31

    Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $559.43 $1,118.87 $951.04 $1,594.38

    Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $556.60 $1,113.20 $946.22 $1,586.31

    Oscar Circle Bronze $8150 74289NY2780017 $523.93 $1,047.86 $890.68 $1,493.21

    Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $522.34 $1,044.67 $887.97 $1,488.67

    Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $525.53 $1,051.05 $893.39 $1,497.74

    Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $522.34 $1,044.67 $887.97 $1,488.67

    Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $525.53 $1,051.05 $893.39 $1,497.74

    Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $521.28 $1,042.55 $886.18 $1,485.64

    Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $523.93 $1,047.86 $890.68 $1,493.21

    Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $521.28 $1,042.55 $886.18 $1,485.64

    Oscar Circle Gold $0 74289NY2780025 $833.47 $1,666.94 $1,416.90 $2,375.40

    Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $830.94 $1,661.88 $1,412.60 $2,368.18

    Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $836.00 $1,672.01 $1,421.21 $2,382.61

    Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $830.94 $1,661.88 $1,412.60 $2,368.18

    Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $836.00 $1,672.01 $1,421.21 $2,382.61

    Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $829.25 $1,658.50 $1,409.72 $2,363.36

    Oscar Circle Gold $0 (No DP) 74289NY2780031 $833.47 $1,666.94 $1,416.90 $2,375.40

    Oscar Circle Gold $0 (No FP) 74289NY2780032 $829.25 $1,658.50 $1,409.72 $2,363.36

    Oscar Circle Gold $2000 74289NY2780033 $757.13 $1,514.26 $1,287.12 $2,157.82

    Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $754.83 $1,509.66 $1,283.21 $2,151.26

    Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $759.43 $1,518.86 $1,291.04 $2,164.38

    Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $754.83 $1,509.66 $1,283.21 $2,151.26

    Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $759.43 $1,518.86 $1,291.04 $2,164.38

    Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $753.29 $1,506.59 $1,280.60 $2,146.89

    Oscar Circle Gold $2000 (No DP) 74289NY2780039 $757.13 $1,514.26 $1,287.12 $2,157.82

    Oscar Circle Gold $2000 (No FP) 74289NY2780040 $753.29 $1,506.59 $1,280.60 $2,146.89

    Oscar Circle Gold $1000 74289NY2780041 $794.11 $1,588.22 $1,349.99 $2,263.21

    Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $791.69 $1,583.39 $1,345.88 $2,256.33

    Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $796.52 $1,593.05 $1,354.09 $2,270.09

    Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $791.69 $1,583.39 $1,345.88 $2,256.33

    Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $796.52 $1,593.05 $1,354.09 $2,270.09

    Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $790.08 $1,580.18 $1,343.15 $2,251.74

    Oscar Circle Gold $1000 (No DP) 74289NY2780047 $794.11 $1,588.22 $1,349.99 $2,263.21

    Oscar Circle Gold $1000 (No FP) 74289NY2780048 $790.08 $1,580.18 $1,343.15 $2,251.74

    Oscar Circle Platinum $0 $2400 74289NY2780049 $940.36 $1,880.74 $1,598.63 $2,680.05

    Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $937.51 $1,875.02 $1,593.77 $2,671.90

    Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $943.23 $1,886.45 $1,603.49 $2,688.19

    Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $937.51 $1,875.02 $1,593.77 $2,671.90

    Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $943.23 $1,886.45 $1,603.49 $2,688.19

    Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $935.60 $1,871.20 $1,590.53 $2,666.47

    Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $940.36 $1,880.74 $1,598.63 $2,680.05

    Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $935.60 $1,871.20 $1,590.53 $2,666.47

    Oscar Circle Silver $0 74289NY2780057 $733.80 $1,467.61 $1,247.46 $2,091.34

    Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $731.58 $1,463.14 $1,243.67 $2,084.98

    Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $736.03 $1,472.07 $1,251.25 $2,097.69

    Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $731.58 $1,463.14 $1,243.67 $2,084.98

    Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $736.03 $1,472.07 $1,251.25 $2,097.69

    Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $730.08 $1,460.17 $1,241.15 $2,080.75

    Oscar Circle Silver $0 (No DP) 74289NY2780063 $733.80 $1,467.61 $1,247.46 $2,091.34

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q1 Premium Rates Effective January 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Silver $0 (No FP) 74289NY2780064 $730.08 $1,460.17 $1,241.15 $2,080.75

    Oscar Circle Silver $3000 HSA 74289NY2780065 $615.85 $1,231.70 $1,046.95 $1,755.18

    Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $613.98 $1,227.96 $1,043.76 $1,749.84

    Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $617.72 $1,235.44 $1,050.13 $1,760.51

    Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $613.98 $1,227.96 $1,043.76 $1,749.84

    Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $617.72 $1,235.44 $1,050.13 $1,760.51

    Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $612.73 $1,225.46 $1,041.64 $1,746.28

    Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $615.85 $1,231.70 $1,046.95 $1,755.18

    Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $612.73 $1,225.46 $1,041.64 $1,746.28

    Oscar Circle Silver $3000 74289NY2780073 $670.17 $1,340.35 $1,139.30 $1,910.00

    Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $668.14 $1,336.28 $1,135.84 $1,904.19

    Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $672.21 $1,344.43 $1,142.76 $1,915.81

    Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $668.14 $1,336.28 $1,135.84 $1,904.19

    Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $672.21 $1,344.43 $1,142.76 $1,915.81

    Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $666.78 $1,333.56 $1,133.53 $1,900.32

    Oscar Circle Silver $3000 (No DP) 74289NY2780079 $670.17 $1,340.35 $1,139.30 $1,910.00

    Oscar Circle Silver $3000 (No FP) 74289NY2780080 $666.78 $1,333.56 $1,133.53 $1,900.32

    Oscar Circle Silver $4500 74289NY2780081 $626.45 $1,252.91 $1,064.98 $1,785.40

    Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $624.55 $1,249.10 $1,061.74 $1,779.97

    Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $628.36 $1,256.72 $1,068.21 $1,790.82

    Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $624.55 $1,249.10 $1,061.74 $1,779.97

    Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $628.36 $1,256.72 $1,068.21 $1,790.82

    Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $623.28 $1,246.56 $1,059.58 $1,776.35

    Oscar Circle Silver $4500 (No DP) 74289NY2780087 $626.45 $1,252.91 $1,064.98 $1,785.40

    Oscar Circle Silver $4500 (No FP) 74289NY2780088 $623.28 $1,246.56 $1,059.58 $1,776.35

    Oscar Circle Platinum $0 Option 2 74289NY2780089 $969.90 $1,939.80 $1,648.83 $2,764.21

    Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $972.85 $1,945.69 $1,653.84 $2,772.62

    Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $969.90 $1,939.80 $1,648.83 $2,764.21

    Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $972.85 $1,945.69 $1,653.84 $2,772.62

    Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $964.99 $1,929.98 $1,640.48 $2,750.21

    Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $966.95 $1,933.90 $1,643.82 $2,755.81

    Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $964.99 $1,929.98 $1,640.48 $2,750.21

    Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $966.95 $1,933.90 $1,643.82 $2,755.81

    Oscar Circle Gold $1250 74289NY2780097 $754.75 $1,509.49 $1,283.07 $2,151.03

    Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $757.04 $1,514.08 $1,286.97 $2,157.57

    Oscar Circle Gold $1250 (No DP) 74289NY2780099 $754.75 $1,509.49 $1,283.07 $2,151.03

    Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $757.04 $1,514.08 $1,286.97 $2,157.57

    Oscar Circle Gold $1250 (No FP) 74289NY2780101 $750.93 $1,501.85 $1,276.57 $2,140.13

    Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $752.45 $1,504.91 $1,279.17 $2,144.49

    Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $750.93 $1,501.85 $1,276.57 $2,140.13

    Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $752.45 $1,504.91 $1,279.17 $2,144.49

    Oscar Circle Plus Bronze $4500 74289NY2790001 $635.41 $1,270.82 $1,080.20 $1,810.93

    Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $633.48 $1,266.96 $1,076.92 $1,805.42

    Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $637.34 $1,274.69 $1,083.49 $1,816.43

    Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $633.48 $1,266.96 $1,076.92 $1,805.42

    Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $637.34 $1,274.69 $1,083.49 $1,816.43

    Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $632.19 $1,264.39 $1,074.73 $1,801.75

    Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $635.41 $1,270.82 $1,080.20 $1,810.93

    Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $632.19 $1,264.39 $1,074.73 $1,801.75

    Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $647.03 $1,294.06 $1,099.95 $1,844.04

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $645.07 $1,290.12 $1,096.60 $1,838.43

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $648.99 $1,297.99 $1,103.29 $1,849.64

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $645.07 $1,290.12 $1,096.60 $1,838.43

    Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $648.99 $1,297.99 $1,103.29 $1,849.64

    Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $643.75 $1,287.50 $1,094.37 $1,834.69

    Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $647.03 $1,294.06 $1,099.95 $1,844.04

    Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $643.75 $1,287.50 $1,094.37 $1,834.69

    Oscar Circle Plus Bronze $8150 74289NY2790017 $608.67 $1,217.35 $1,034.75 $1,734.72

    Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $606.82 $1,213.65 $1,031.60 $1,729.45

    Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $610.53 $1,221.05 $1,037.89 $1,739.99

    Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $606.82 $1,213.65 $1,031.60 $1,729.45

    Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $610.53 $1,221.05 $1,037.89 $1,739.99

    Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $605.59 $1,211.18 $1,029.50 $1,725.93

    Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $608.67 $1,217.35 $1,034.75 $1,734.72

    Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $605.59 $1,211.18 $1,029.50 $1,725.93

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q1 Premium Rates Effective January 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Plus Gold $0 74289NY2790025 $941.21 $1,882.43 $1,600.06 $2,682.45

    Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $938.35 $1,876.70 $1,595.20 $2,674.30

    Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $944.07 $1,888.14 $1,604.92 $2,690.60

    Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $938.35 $1,876.70 $1,595.20 $2,674.30

    Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $944.07 $1,888.14 $1,604.92 $2,690.60

    Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $936.45 $1,872.88 $1,591.95 $2,668.86

    Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $941.21 $1,882.43 $1,600.06 $2,682.45

    Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $936.45 $1,872.88 $1,591.95 $2,668.86

    Oscar Circle Plus Gold $2000 74289NY2790033 $862.45 $1,724.91 $1,466.17 $2,457.99

    Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $859.83 $1,719.67 $1,461.71 $2,450.52

    Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $865.08 $1,730.15 $1,470.62 $2,465.46

    Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $859.83 $1,719.67 $1,461.71 $2,450.52

    Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $865.08 $1,730.15 $1,470.62 $2,465.46

    Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $858.09 $1,716.17 $1,458.74 $2,445.54

    Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $862.45 $1,724.91 $1,466.17 $2,457.99

    Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $858.09 $1,716.17 $1,458.74 $2,445.54

    Oscar Circle Plus Gold $1000 74289NY2790041 $897.95 $1,795.90 $1,526.51 $2,559.15

    Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $895.22 $1,790.44 $1,521.87 $2,551.37

    Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $900.68 $1,801.35 $1,531.14 $2,566.92

    Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $895.22 $1,790.44 $1,521.87 $2,551.37

    Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $900.68 $1,801.35 $1,531.14 $2,566.92

    Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $893.40 $1,786.79 $1,518.77 $2,546.19

    Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $897.95 $1,795.90 $1,526.51 $2,559.15

    Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $893.40 $1,786.79 $1,518.77 $2,546.19

    Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,051.42 $2,102.83 $1,787.40 $2,996.53

    Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,048.22 $2,096.44 $1,781.97 $2,987.42

    Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,054.61 $2,109.22 $1,792.83 $3,005.64

    Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,048.22 $2,096.44 $1,781.97 $2,987.42

    Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,054.61 $2,109.22 $1,792.83 $3,005.64

    Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,046.09 $2,092.17 $1,778.35 $2,981.36

    Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,051.42 $2,102.83 $1,787.40 $2,996.53

    Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,046.09 $2,092.17 $1,778.35 $2,981.36

    Oscar Circle Plus Silver $0 74289NY2790057 $838.45 $1,676.90 $1,425.36 $2,389.57

    Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $835.90 $1,671.80 $1,421.03 $2,382.32

    Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $840.99 $1,681.99 $1,429.69 $2,396.84

    Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $835.90 $1,671.80 $1,421.03 $2,382.32

    Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $840.99 $1,681.99 $1,429.69 $2,396.84

    Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $834.20 $1,668.40 $1,418.14 $2,377.47

    Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $838.45 $1,676.90 $1,425.36 $2,389.57

    Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $834.20 $1,668.40 $1,418.14 $2,377.47

    Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $710.32 $1,420.63 $1,207.54 $2,024.40

    Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $708.16 $1,416.31 $1,203.87 $2,018.24

    Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $712.47 $1,424.95 $1,211.20 $2,030.55

    Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $708.16 $1,416.31 $1,203.87 $2,018.24

    Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $712.47 $1,424.95 $1,211.20 $2,030.55

    Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $706.72 $1,413.43 $1,201.41 $2,014.14

    Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $710.32 $1,420.63 $1,207.54 $2,024.40

    Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $706.72 $1,413.43 $1,201.41 $2,014.14

    Oscar Circle Plus Silver $3000 74289NY2790073 $770.54 $1,541.09 $1,309.93 $2,196.06

    Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $768.21 $1,536.41 $1,305.95 $2,189.39

    Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $772.89 $1,545.77 $1,313.91 $2,202.73

    Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $768.21 $1,536.41 $1,305.95 $2,189.39

    Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $772.89 $1,545.77 $1,313.91 $2,202.73

    Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $766.65 $1,533.28 $1,303.29 $2,184.93

    Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $770.54 $1,541.09 $1,309.93 $2,196.06

    Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $766.65 $1,533.28 $1,303.29 $2,184.93

    Oscar Circle Plus Silver $4500 74289NY2790081 $727.69 $1,455.37 $1,237.06 $2,073.89

    Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $725.47 $1,450.94 $1,233.30 $2,067.59

    Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $729.90 $1,459.79 $1,240.82 $2,080.20

    Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $725.47 $1,450.94 $1,233.30 $2,067.59

    Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $729.90 $1,459.79 $1,240.82 $2,080.20

    Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $724.00 $1,447.99 $1,230.79 $2,063.39

    Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $727.69 $1,455.37 $1,237.06 $2,073.89

    Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $724.00 $1,447.99 $1,230.79 $2,063.39

    Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,078.13 $2,156.28 $1,832.83 $3,072.70

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q1 Premium Rates Effective January 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,081.41 $2,162.83 $1,838.41 $3,082.03

    Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,078.13 $2,156.28 $1,832.83 $3,072.70

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,081.41 $2,162.83 $1,838.41 $3,082.03

    Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,072.68 $2,145.35 $1,823.55 $3,057.13

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,074.87 $2,149.72 $1,827.27 $3,063.36

    Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,072.68 $2,145.35 $1,823.55 $3,057.13

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,074.87 $2,149.72 $1,827.27 $3,063.36

    Oscar Circle Plus Gold $1250 74289NY2790097 $859.82 $1,719.66 $1,461.71 $2,450.51

    Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $862.44 $1,724.88 $1,466.15 $2,457.96

    Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $859.82 $1,719.66 $1,461.71 $2,450.51

    Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $862.44 $1,724.88 $1,466.15 $2,457.96

    Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $855.47 $1,710.95 $1,454.31 $2,438.10

    Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $857.21 $1,714.42 $1,457.26 $2,443.06

    Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $855.47 $1,710.95 $1,454.31 $2,438.10

    Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $857.21 $1,714.42 $1,457.26 $2,443.06

    Oscar Circle Bronze $4500 74289NY2780001 $547.93 $1,095.87 $931.49 $1,561.61

    Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $546.27 $1,092.54 $928.66 $1,556.87

    Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $549.60 $1,099.20 $934.33 $1,566.36

    Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $546.27 $1,092.54 $928.66 $1,556.87

    Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $549.60 $1,099.20 $934.33 $1,566.36

    Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $545.15 $1,090.32 $926.77 $1,553.71

    Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $547.93 $1,095.87 $931.49 $1,561.61

    Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $545.15 $1,090.32 $926.77 $1,553.71

    Oscar Circle Bronze $6650 HSA 74289NY2780009 $559.43 $1,118.87 $951.04 $1,594.38

    Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $557.73 $1,115.46 $948.15 $1,589.54

    Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $561.14 $1,122.27 $953.93 $1,599.23

    Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $557.73 $1,115.46 $948.15 $1,589.54

    Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $561.14 $1,122.27 $953.93 $1,599.23

    Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $556.60 $1,113.20 $946.22 $1,586.31

    Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $559.43 $1,118.87 $951.04 $1,594.38

    Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $556.60 $1,113.20 $946.22 $1,586.31

    Oscar Circle Bronze $8150 74289NY2780017 $523.93 $1,047.86 $890.68 $1,493.21

    Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $522.34 $1,044.67 $887.97 $1,488.67

    Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $525.53 $1,051.05 $893.39 $1,497.74

    Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $522.34 $1,044.67 $887.97 $1,488.67

    Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $525.53 $1,051.05 $893.39 $1,497.74

    Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $521.28 $1,042.55 $886.18 $1,485.64

    Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $523.93 $1,047.86 $890.68 $1,493.21

    Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $521.28 $1,042.55 $886.18 $1,485.64

    Oscar Circle Gold $0 74289NY2780025 $833.47 $1,666.94 $1,416.90 $2,375.40

    Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $830.94 $1,661.88 $1,412.60 $2,368.18

    Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $836.00 $1,672.01 $1,421.21 $2,382.61

    Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $830.94 $1,661.88 $1,412.60 $2,368.18

    Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $836.00 $1,672.01 $1,421.21 $2,382.61

    Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $829.25 $1,658.50 $1,409.72 $2,363.36

    Oscar Circle Gold $0 (No DP) 74289NY2780031 $833.47 $1,666.94 $1,416.90 $2,375.40

    Oscar Circle Gold $0 (No FP) 74289NY2780032 $829.25 $1,658.50 $1,409.72 $2,363.36

    Oscar Circle Gold $2000 74289NY2780033 $757.13 $1,514.26 $1,287.12 $2,157.82

    Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $754.83 $1,509.66 $1,283.21 $2,151.26

    Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $759.43 $1,518.86 $1,291.04 $2,164.38

    Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $754.83 $1,509.66 $1,283.21 $2,151.26

    Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $759.43 $1,518.86 $1,291.04 $2,164.38

    Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $753.29 $1,506.59 $1,280.60 $2,146.89

    Oscar Circle Gold $2000 (No DP) 74289NY2780039 $757.13 $1,514.26 $1,287.12 $2,157.82

    Oscar Circle Gold $2000 (No FP) 74289NY2780040 $753.29 $1,506.59 $1,280.60 $2,146.89

    Oscar Circle Gold $1000 74289NY2780041 $794.11 $1,588.22 $1,349.99 $2,263.21

    Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $791.69 $1,583.39 $1,345.88 $2,256.33

    Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $796.52 $1,593.05 $1,354.09 $2,270.09

    Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $791.69 $1,583.39 $1,345.88 $2,256.33

    Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $796.52 $1,593.05 $1,354.09 $2,270.09

    Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $790.08 $1,580.18 $1,343.15 $2,251.74

    Oscar Circle Gold $1000 (No DP) 74289NY2780047 $794.11 $1,588.22 $1,349.99 $2,263.21

    Oscar Circle Gold $1000 (No FP) 74289NY2780048 $790.08 $1,580.18 $1,343.15 $2,251.74

    Oscar Circle Platinum $0 $2400 74289NY2780049 $940.36 $1,880.74 $1,598.63 $2,680.05

    Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $937.51 $1,875.02 $1,593.77 $2,671.90

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q1 Premium Rates Effective January 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $943.23 $1,886.45 $1,603.49 $2,688.19

    Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $937.51 $1,875.02 $1,593.77 $2,671.90

    Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $943.23 $1,886.45 $1,603.49 $2,688.19

    Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $935.60 $1,871.20 $1,590.53 $2,666.47

    Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $940.36 $1,880.74 $1,598.63 $2,680.05

    Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $935.60 $1,871.20 $1,590.53 $2,666.47

    Oscar Circle Silver $0 74289NY2780057 $733.80 $1,467.61 $1,247.46 $2,091.34

    Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $731.58 $1,463.14 $1,243.67 $2,084.98

    Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $736.03 $1,472.07 $1,251.25 $2,097.69

    Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $731.58 $1,463.14 $1,243.67 $2,084.98

    Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $736.03 $1,472.07 $1,251.25 $2,097.69

    Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $730.08 $1,460.17 $1,241.15 $2,080.75

    Oscar Circle Silver $0 (No DP) 74289NY2780063 $733.80 $1,467.61 $1,247.46 $2,091.34

    Oscar Circle Silver $0 (No FP) 74289NY2780064 $730.08 $1,460.17 $1,241.15 $2,080.75

    Oscar Circle Silver $3000 HSA 74289NY2780065 $615.85 $1,231.70 $1,046.95 $1,755.18

    Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $613.98 $1,227.96 $1,043.76 $1,749.84

    Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $617.72 $1,235.44 $1,050.13 $1,760.51

    Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $613.98 $1,227.96 $1,043.76 $1,749.84

    Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $617.72 $1,235.44 $1,050.13 $1,760.51

    Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $612.73 $1,225.46 $1,041.64 $1,746.28

    Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $615.85 $1,231.70 $1,046.95 $1,755.18

    Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $612.73 $1,225.46 $1,041.64 $1,746.28

    Oscar Circle Silver $3000 74289NY2780073 $670.17 $1,340.35 $1,139.30 $1,910.00

    Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $668.14 $1,336.28 $1,135.84 $1,904.19

    Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $672.21 $1,344.43 $1,142.76 $1,915.81

    Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $668.14 $1,336.28 $1,135.84 $1,904.19

    Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $672.21 $1,344.43 $1,142.76 $1,915.81

    Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $666.78 $1,333.56 $1,133.53 $1,900.32

    Oscar Circle Silver $3000 (No DP) 74289NY2780079 $670.17 $1,340.35 $1,139.30 $1,910.00

    Oscar Circle Silver $3000 (No FP) 74289NY2780080 $666.78 $1,333.56 $1,133.53 $1,900.32

    Oscar Circle Silver $4500 74289NY2780081 $626.45 $1,252.91 $1,064.98 $1,785.40

    Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $624.55 $1,249.10 $1,061.74 $1,779.97

    Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $628.36 $1,256.72 $1,068.21 $1,790.82

    Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $624.55 $1,249.10 $1,061.74 $1,779.97

    Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $628.36 $1,256.72 $1,068.21 $1,790.82

    Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $623.28 $1,246.56 $1,059.58 $1,776.35

    Oscar Circle Silver $4500 (No DP) 74289NY2780087 $626.45 $1,252.91 $1,064.98 $1,785.40

    Oscar Circle Silver $4500 (No FP) 74289NY2780088 $623.28 $1,246.56 $1,059.58 $1,776.35

    Oscar Circle Platinum $0 Option 2 74289NY2780089 $969.90 $1,939.80 $1,648.83 $2,764.21

    Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $972.85 $1,945.69 $1,653.84 $2,772.62

    Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $969.90 $1,939.80 $1,648.83 $2,764.21

    Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $972.85 $1,945.69 $1,653.84 $2,772.62

    Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $964.99 $1,929.98 $1,640.48 $2,750.21

    Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $966.95 $1,933.90 $1,643.82 $2,755.81

    Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $964.99 $1,929.98 $1,640.48 $2,750.21

    Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $966.95 $1,933.90 $1,643.82 $2,755.81

    Oscar Circle Gold $1250 74289NY2780097 $754.75 $1,509.49 $1,283.07 $2,151.03

    Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $757.04 $1,514.08 $1,286.97 $2,157.57

    Oscar Circle Gold $1250 (No DP) 74289NY2780099 $754.75 $1,509.49 $1,283.07 $2,151.03

    Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $757.04 $1,514.08 $1,286.97 $2,157.57

    Oscar Circle Gold $1250 (No FP) 74289NY2780101 $750.93 $1,501.85 $1,276.57 $2,140.13

    Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $752.45 $1,504.91 $1,279.17 $2,144.49

    Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $750.93 $1,501.85 $1,276.57 $2,140.13

    Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $752.45 $1,504.91 $1,279.17 $2,144.49

    Oscar Circle Plus Bronze $4500 74289NY2790001 $635.41 $1,270.82 $1,080.20 $1,810.93

    Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $633.48 $1,266.96 $1,076.92 $1,805.42

    Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $637.34 $1,274.69 $1,083.49 $1,816.43

    Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $633.48 $1,266.96 $1,076.92 $1,805.42

    Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $637.34 $1,274.69 $1,083.49 $1,816.43

    Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $632.19 $1,264.39 $1,074.73 $1,801.75

    Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $635.41 $1,270.82 $1,080.20 $1,810.93

    Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $632.19 $1,264.39 $1,074.73 $1,801.75

    Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $647.03 $1,294.06 $1,099.95 $1,844.04

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q1 Premium Rates Effective January 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $645.07 $1,290.12 $1,096.60 $1,838.43

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $648.99 $1,297.99 $1,103.29 $1,849.64

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $645.07 $1,290.12 $1,096.60 $1,838.43

    Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $648.99 $1,297.99 $1,103.29 $1,849.64

    Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $643.75 $1,287.50 $1,094.37 $1,834.69

    Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $647.03 $1,294.06 $1,099.95 $1,844.04

    Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $643.75 $1,287.50 $1,094.37 $1,834.69

    Oscar Circle Plus Bronze $8150 74289NY2790017 $608.67 $1,217.35 $1,034.75 $1,734.72

    Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $606.82 $1,213.65 $1,031.60 $1,729.45

    Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $610.53 $1,221.05 $1,037.89 $1,739.99

    Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $606.82 $1,213.65 $1,031.60 $1,729.45

    Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $610.53 $1,221.05 $1,037.89 $1,739.99

    Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $605.59 $1,211.18 $1,029.50 $1,725.93

    Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $608.67 $1,217.35 $1,034.75 $1,734.72

    Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $605.59 $1,211.18 $1,029.50 $1,725.93

    Oscar Circle Plus Gold $0 74289NY2790025 $941.21 $1,882.43 $1,600.06 $2,682.45

    Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $938.35 $1,876.70 $1,595.20 $2,674.30

    Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $944.07 $1,888.14 $1,604.92 $2,690.60

    Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $938.35 $1,876.70 $1,595.20 $2,674.30

    Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $944.07 $1,888.14 $1,604.92 $2,690.60

    Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $936.45 $1,872.88 $1,591.95 $2,668.86

    Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $941.21 $1,882.43 $1,600.06 $2,682.45

    Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $936.45 $1,872.88 $1,591.95 $2,668.86

    Oscar Circle Plus Gold $2000 74289NY2790033 $862.45 $1,724.91 $1,466.17 $2,457.99

    Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $859.83 $1,719.67 $1,461.71 $2,450.52

    Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $865.08 $1,730.15 $1,470.62 $2,465.46

    Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $859.83 $1,719.67 $1,461.71 $2,450.52

    Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $865.08 $1,730.15 $1,470.62 $2,465.46

    Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $858.09 $1,716.17 $1,458.74 $2,445.54

    Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $862.45 $1,724.91 $1,466.17 $2,457.99

    Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $858.09 $1,716.17 $1,458.74 $2,445.54

    Oscar Circle Plus Gold $1000 74289NY2790041 $897.95 $1,795.90 $1,526.51 $2,559.15

    Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $895.22 $1,790.44 $1,521.87 $2,551.37

    Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $900.68 $1,801.35 $1,531.14 $2,566.92

    Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $895.22 $1,790.44 $1,521.87 $2,551.37

    Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $900.68 $1,801.35 $1,531.14 $2,566.92

    Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $893.40 $1,786.79 $1,518.77 $2,546.19

    Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $897.95 $1,795.90 $1,526.51 $2,559.15

    Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $893.40 $1,786.79 $1,518.77 $2,546.19

    Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,051.42 $2,102.83 $1,787.40 $2,996.53

    Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,048.22 $2,096.44 $1,781.97 $2,987.42

    Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,054.61 $2,109.22 $1,792.83 $3,005.64

    Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,048.22 $2,096.44 $1,781.97 $2,987.42

    Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,054.61 $2,109.22 $1,792.83 $3,005.64

    Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,046.09 $2,092.17 $1,778.35 $2,981.36

    Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,051.42 $2,102.83 $1,787.40 $2,996.53

    Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,046.09 $2,092.17 $1,778.35 $2,981.36

    Oscar Circle Plus Silver $0 74289NY2790057 $838.45 $1,676.90 $1,425.36 $2,389.57

    Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $835.90 $1,671.80 $1,421.03 $2,382.32

    Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $840.99 $1,681.99 $1,429.69 $2,396.84

    Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $835.90 $1,671.80 $1,421.03 $2,382.32

    Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $840.99 $1,681.99 $1,429.69 $2,396.84

    Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $834.20 $1,668.40 $1,418.14 $2,377.47

    Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $838.45 $1,676.90 $1,425.36 $2,389.57

    Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $834.20 $1,668.40 $1,418.14 $2,377.47

    Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $710.32 $1,420.63 $1,207.54 $2,024.40

    Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $708.16 $1,416.31 $1,203.87 $2,018.24

    Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $712.47 $1,424.95 $1,211.20 $2,030.55

    Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $708.16 $1,416.31 $1,203.87 $2,018.24

    Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $712.47 $1,424.95 $1,211.20 $2,030.55

    Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $706.72 $1,413.43 $1,201.41 $2,014.14

    Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $710.32 $1,420.63 $1,207.54 $2,024.40

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q1 Premium Rates Effective January 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $706.72 $1,413.43 $1,201.41 $2,014.14

    Oscar Circle Plus Silver $3000 74289NY2790073 $770.54 $1,541.09 $1,309.93 $2,196.06

    Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $768.21 $1,536.41 $1,305.95 $2,189.39

    Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $772.89 $1,545.77 $1,313.91 $2,202.73

    Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $768.21 $1,536.41 $1,305.95 $2,189.39

    Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $772.89 $1,545.77 $1,313.91 $2,202.73

    Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $766.65 $1,533.28 $1,303.29 $2,184.93

    Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $770.54 $1,541.09 $1,309.93 $2,196.06

    Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $766.65 $1,533.28 $1,303.29 $2,184.93

    Oscar Circle Plus Silver $4500 74289NY2790081 $727.69 $1,455.37 $1,237.06 $2,073.89

    Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $725.47 $1,450.94 $1,233.30 $2,067.59

    Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $729.90 $1,459.79 $1,240.82 $2,080.20

    Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $725.47 $1,450.94 $1,233.30 $2,067.59

    Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $729.90 $1,459.79 $1,240.82 $2,080.20

    Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $724.00 $1,447.99 $1,230.79 $2,063.39

    Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $727.69 $1,455.37 $1,237.06 $2,073.89

    Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $724.00 $1,447.99 $1,230.79 $2,063.39

    Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,078.13 $2,156.28 $1,832.83 $3,072.70

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,081.41 $2,162.83 $1,838.41 $3,082.03

    Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,078.13 $2,156.28 $1,832.83 $3,072.70

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,081.41 $2,162.83 $1,838.41 $3,082.03

    Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,072.68 $2,145.35 $1,823.55 $3,057.13

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,074.87 $2,149.72 $1,827.27 $3,063.36

    Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,072.68 $2,145.35 $1,823.55 $3,057.13

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,074.87 $2,149.72 $1,827.27 $3,063.36

    Oscar Circle Plus Gold $1250 74289NY2790097 $859.82 $1,719.66 $1,461.71 $2,450.51

    Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $862.44 $1,724.88 $1,466.15 $2,457.96

    Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $859.82 $1,719.66 $1,461.71 $2,450.51

    Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $862.44 $1,724.88 $1,466.15 $2,457.96

    Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $855.47 $1,710.95 $1,454.31 $2,438.10

    Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $857.21 $1,714.42 $1,457.26 $2,443.06

    Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $855.47 $1,710.95 $1,454.31 $2,438.10

    Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $857.21 $1,714.42 $1,457.26 $2,443.06

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q2 Premium Rates Effective April 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    April 1, 2020

    Oscar Circle Bronze $4500 74289NY2780001 $554.90 $1,109.79 $943.32 $1,581.45

    Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $553.21 $1,106.42 $940.46 $1,576.65

    Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $556.59 $1,113.17 $946.20 $1,586.26

    Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $553.21 $1,106.42 $940.46 $1,576.65

    Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $556.59 $1,113.17 $946.20 $1,586.26

    Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $552.08 $1,104.17 $938.55 $1,573.45

    Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $554.90 $1,109.79 $943.32 $1,581.45

    Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $552.08 $1,104.17 $938.55 $1,573.45

    Oscar Circle Bronze $6650 HSA 74289NY2780009 $566.54 $1,133.09 $963.12 $1,614.64

    Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $564.82 $1,129.64 $960.20 $1,609.74

    Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $568.27 $1,136.53 $966.05 $1,619.55

    Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $564.82 $1,129.64 $960.20 $1,609.74

    Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $568.27 $1,136.53 $966.05 $1,619.55

    Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $563.67 $1,127.34 $958.24 $1,606.47

    Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $566.54 $1,133.09 $963.12 $1,614.64

    Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $563.67 $1,127.34 $958.24 $1,606.47

    Oscar Circle Bronze $8150 74289NY2780017 $530.58 $1,061.18 $902.00 $1,512.18

    Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $528.97 $1,057.95 $899.25 $1,507.58

    Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $532.20 $1,064.40 $904.74 $1,516.77

    Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $528.97 $1,057.95 $899.25 $1,507.58

    Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $532.20 $1,064.40 $904.74 $1,516.77

    Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $527.90 $1,055.80 $897.44 $1,504.51

    Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $530.58 $1,061.18 $902.00 $1,512.18

    Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $527.90 $1,055.80 $897.44 $1,504.51

    Oscar Circle Gold $0 74289NY2780025 $844.06 $1,688.12 $1,434.90 $2,405.58

    Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $841.50 $1,682.99 $1,430.55 $2,398.27

    Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $846.63 $1,693.25 $1,439.27 $2,412.88

    Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $841.50 $1,682.99 $1,430.55 $2,398.27

    Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $846.63 $1,693.25 $1,439.27 $2,412.88

    Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $839.79 $1,679.57 $1,427.63 $2,393.39

    Oscar Circle Gold $0 (No DP) 74289NY2780031 $844.06 $1,688.12 $1,434.90 $2,405.58

    Oscar Circle Gold $0 (No FP) 74289NY2780032 $839.79 $1,679.57 $1,427.63 $2,393.39

    Oscar Circle Gold $2000 74289NY2780033 $766.75 $1,533.50 $1,303.47 $2,185.24

    Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $764.42 $1,528.84 $1,299.51 $2,178.60

    Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $769.08 $1,538.16 $1,307.44 $2,191.88

    Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $764.42 $1,528.84 $1,299.51 $2,178.60

    Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $769.08 $1,538.16 $1,307.44 $2,191.88

    Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $762.87 $1,525.73 $1,296.87 $2,174.17

    Oscar Circle Gold $2000 (No DP) 74289NY2780039 $766.75 $1,533.50 $1,303.47 $2,185.24

    Oscar Circle Gold $2000 (No FP) 74289NY2780040 $762.87 $1,525.73 $1,296.87 $2,174.17

    Oscar Circle Gold $1000 74289NY2780041 $804.20 $1,608.40 $1,367.14 $2,291.97

    Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $801.75 $1,603.51 $1,362.98 $2,285.00

    Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $806.64 $1,613.29 $1,371.29 $2,298.94

    Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $801.75 $1,603.51 $1,362.98 $2,285.00

    Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $806.64 $1,613.29 $1,371.29 $2,298.94

    Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $800.12 $1,600.25 $1,360.22 $2,280.35

    Oscar Circle Gold $1000 (No DP) 74289NY2780047 $804.20 $1,608.40 $1,367.14 $2,291.97

    Oscar Circle Gold $1000 (No FP) 74289NY2780048 $800.12 $1,600.25 $1,360.22 $2,280.35

    Oscar Circle Platinum $0 $2400 74289NY2780049 $952.31 $1,904.63 $1,618.94 $2,714.10

    Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $949.42 $1,898.85 $1,614.02 $2,705.85

    Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $955.21 $1,910.42 $1,623.86 $2,722.34

    Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $949.42 $1,898.85 $1,614.02 $2,705.85

    Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $955.21 $1,910.42 $1,623.86 $2,722.34

    Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $947.49 $1,894.98 $1,610.73 $2,700.35

    Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $952.31 $1,904.63 $1,618.94 $2,714.10

    Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $947.49 $1,894.98 $1,610.73 $2,700.35

    Oscar Circle Silver $0 74289NY2780057 $743.13 $1,486.26 $1,263.31 $2,117.91

    Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $740.87 $1,481.73 $1,259.47 $2,111.47

    Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $745.39 $1,490.77 $1,267.15 $2,124.35

    Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $740.87 $1,481.73 $1,259.47 $2,111.47

    Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $745.39 $1,490.77 $1,267.15 $2,124.35

    Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $739.36 $1,478.72 $1,256.92 $2,107.18

    Oscar Circle Silver $0 (No DP) 74289NY2780063 $743.13 $1,486.26 $1,263.31 $2,117.91

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q2 Premium Rates Effective April 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Silver $0 (No FP) 74289NY2780064 $739.36 $1,478.72 $1,256.92 $2,107.18

    Oscar Circle Silver $3000 HSA 74289NY2780065 $623.67 $1,247.35 $1,060.25 $1,777.48

    Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $621.78 $1,243.56 $1,057.02 $1,772.07

    Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $625.57 $1,251.14 $1,063.48 $1,782.88

    Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $621.78 $1,243.56 $1,057.02 $1,772.07

    Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $625.57 $1,251.14 $1,063.48 $1,782.88

    Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $620.52 $1,241.03 $1,054.87 $1,768.47

    Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $623.67 $1,247.35 $1,060.25 $1,777.48

    Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $620.52 $1,241.03 $1,054.87 $1,768.47

    Oscar Circle Silver $3000 74289NY2780073 $678.69 $1,357.38 $1,153.78 $1,934.27

    Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $676.63 $1,353.26 $1,150.27 $1,928.39

    Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $680.76 $1,361.51 $1,157.28 $1,940.15

    Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $676.63 $1,353.26 $1,150.27 $1,928.39

    Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $680.76 $1,361.51 $1,157.28 $1,940.15

    Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $675.26 $1,350.50 $1,147.93 $1,924.47

    Oscar Circle Silver $3000 (No DP) 74289NY2780079 $678.69 $1,357.38 $1,153.78 $1,934.27

    Oscar Circle Silver $3000 (No FP) 74289NY2780080 $675.26 $1,350.50 $1,147.93 $1,924.47

    Oscar Circle Silver $4500 74289NY2780081 $634.41 $1,268.83 $1,078.51 $1,808.09

    Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $632.48 $1,264.97 $1,075.23 $1,802.59

    Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $636.34 $1,272.69 $1,081.78 $1,813.57

    Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $632.48 $1,264.97 $1,075.23 $1,802.59

    Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $636.34 $1,272.69 $1,081.78 $1,813.57

    Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $631.20 $1,262.40 $1,073.04 $1,798.92

    Oscar Circle Silver $4500 (No DP) 74289NY2780087 $634.41 $1,268.83 $1,078.51 $1,808.09

    Oscar Circle Silver $4500 (No FP) 74289NY2780088 $631.20 $1,262.40 $1,073.04 $1,798.92

    Oscar Circle Platinum $0 Option 2 74289NY2780089 $982.22 $1,964.45 $1,669.78 $2,799.33

    Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $985.21 $1,970.42 $1,674.86 $2,807.84

    Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $982.22 $1,964.45 $1,669.78 $2,799.33

    Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $985.21 $1,970.42 $1,674.86 $2,807.84

    Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $977.25 $1,954.50 $1,661.32 $2,785.15

    Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $979.24 $1,958.47 $1,664.71 $2,790.82

    Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $977.25 $1,954.50 $1,661.32 $2,785.15

    Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $979.24 $1,958.47 $1,664.71 $2,790.82

    Oscar Circle Gold $1250 74289NY2780097 $764.34 $1,528.67 $1,299.38 $2,178.36

    Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $766.66 $1,533.32 $1,303.32 $2,184.98

    Oscar Circle Gold $1250 (No DP) 74289NY2780099 $764.34 $1,528.67 $1,299.38 $2,178.36

    Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $766.66 $1,533.32 $1,303.32 $2,184.98

    Oscar Circle Gold $1250 (No FP) 74289NY2780101 $760.47 $1,520.93 $1,292.79 $2,167.32

    Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $762.01 $1,524.03 $1,295.42 $2,171.73

    Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $760.47 $1,520.93 $1,292.79 $2,167.32

    Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $762.01 $1,524.03 $1,295.42 $2,171.73

    Oscar Circle Plus Bronze $4500 74289NY2790001 $643.49 $1,286.97 $1,093.92 $1,833.94

    Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $641.53 $1,283.06 $1,090.60 $1,828.36

    Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $645.44 $1,290.88 $1,097.25 $1,839.51

    Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $641.53 $1,283.06 $1,090.60 $1,828.36

    Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $645.44 $1,290.88 $1,097.25 $1,839.51

    Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $640.23 $1,280.45 $1,088.38 $1,824.64

    Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $643.49 $1,286.97 $1,093.92 $1,833.94

    Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $640.23 $1,280.45 $1,088.38 $1,824.64

    Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $655.25 $1,310.50 $1,113.93 $1,867.47

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $653.26 $1,306.51 $1,110.54 $1,861.79

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $657.24 $1,314.48 $1,117.31 $1,873.14

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $653.26 $1,306.51 $1,110.54 $1,861.79

    Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $657.24 $1,314.48 $1,117.31 $1,873.14

    Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $651.93 $1,303.86 $1,108.28 $1,858.00

    Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $655.25 $1,310.50 $1,113.93 $1,867.47

    Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $651.93 $1,303.86 $1,108.28 $1,858.00

    Oscar Circle Plus Bronze $8150 74289NY2790017 $616.40 $1,232.82 $1,047.89 $1,756.76

    Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $614.53 $1,229.07 $1,044.70 $1,751.42

    Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $618.28 $1,236.57 $1,051.08 $1,762.10

    Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $614.53 $1,229.07 $1,044.70 $1,751.42

    Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $618.28 $1,236.57 $1,051.08 $1,762.10

    Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $613.28 $1,226.57 $1,042.58 $1,747.86

    Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $616.40 $1,232.82 $1,047.89 $1,756.76

    Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $613.28 $1,226.57 $1,042.58 $1,747.86

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q2 Premium Rates Effective April 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Plus Gold $0 74289NY2790025 $953.17 $1,906.34 $1,620.39 $2,716.54

    Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $950.27 $1,900.55 $1,615.47 $2,708.27

    Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $956.07 $1,912.13 $1,625.31 $2,724.79

    Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $950.27 $1,900.55 $1,615.47 $2,708.27

    Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $956.07 $1,912.13 $1,625.31 $2,724.79

    Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $948.34 $1,896.68 $1,612.18 $2,702.77

    Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $953.17 $1,906.34 $1,620.39 $2,716.54

    Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $948.34 $1,896.68 $1,612.18 $2,702.77

    Oscar Circle Plus Gold $2000 74289NY2790033 $873.41 $1,746.83 $1,484.79 $2,489.22

    Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $870.76 $1,741.52 $1,480.28 $2,481.65

    Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $876.07 $1,752.14 $1,489.31 $2,496.78

    Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $870.76 $1,741.52 $1,480.28 $2,481.65

    Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $876.07 $1,752.14 $1,489.31 $2,496.78

    Oscar Circle Plus Gold $2000 (No DP, No FP) 74289NY2790038 $868.99 $1,737.98 $1,477.28 $2,476.61

    Oscar Circle Plus Gold $2000 (No DP) 74289NY2790039 $873.41 $1,746.83 $1,484.79 $2,489.22

    Oscar Circle Plus Gold $2000 (No FP) 74289NY2790040 $868.99 $1,737.98 $1,477.28 $2,476.61

    Oscar Circle Plus Gold $1000 74289NY2790041 $909.36 $1,818.71 $1,545.91 $2,591.66

    Oscar Circle Plus Gold $1000 (Dep 29, No DP, No FP) 74289NY2790042 $906.59 $1,813.19 $1,541.20 $2,583.79

    Oscar Circle Plus Gold $1000 (Dep 29, No DP) 74289NY2790043 $912.12 $1,824.24 $1,550.60 $2,599.54

    Oscar Circle Plus Gold $1000 (Dep 29, No FP) 74289NY2790044 $906.59 $1,813.19 $1,541.20 $2,583.79

    Oscar Circle Plus Gold $1000 (Dep 29) 74289NY2790045 $912.12 $1,824.24 $1,550.60 $2,599.54

    Oscar Circle Plus Gold $1000 (No DP, No FP) 74289NY2790046 $904.75 $1,809.50 $1,538.07 $2,578.54

    Oscar Circle Plus Gold $1000 (No DP) 74289NY2790047 $909.36 $1,818.71 $1,545.91 $2,591.66

    Oscar Circle Plus Gold $1000 (No FP) 74289NY2790048 $904.75 $1,809.50 $1,538.07 $2,578.54

    Oscar Circle Plus Platinum $0 $2400 74289NY2790049 $1,064.78 $2,129.55 $1,810.11 $3,034.61

    Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2790050 $1,061.54 $2,123.07 $1,804.61 $3,025.38

    Oscar Circle Plus Platinum $0 $2400 (Dep 29, No DP) 74289NY2790051 $1,068.01 $2,136.02 $1,815.61 $3,043.82

    Oscar Circle Plus Platinum $0 $2400 (Dep 29, No FP) 74289NY2790052 $1,061.54 $2,123.07 $1,804.61 $3,025.38

    Oscar Circle Plus Platinum $0 $2400 (Dep 29) 74289NY2790053 $1,068.01 $2,136.02 $1,815.61 $3,043.82

    Oscar Circle Plus Platinum $0 $2400 (No DP, No FP) 74289NY2790054 $1,059.38 $2,118.76 $1,800.95 $3,019.24

    Oscar Circle Plus Platinum $0 $2400 (No DP) 74289NY2790055 $1,064.78 $2,129.55 $1,810.11 $3,034.61

    Oscar Circle Plus Platinum $0 $2400 (No FP) 74289NY2790056 $1,059.38 $2,118.76 $1,800.95 $3,019.24

    Oscar Circle Plus Silver $0 74289NY2790057 $849.10 $1,698.20 $1,443.47 $2,419.93

    Oscar Circle Plus Silver $0 (Dep 29, No DP, No FP) 74289NY2790058 $846.52 $1,693.04 $1,439.09 $2,412.59

    Oscar Circle Plus Silver $0 (Dep 29, No DP) 74289NY2790059 $851.68 $1,703.36 $1,447.86 $2,427.29

    Oscar Circle Plus Silver $0 (Dep 29, No FP) 74289NY2790060 $846.52 $1,693.04 $1,439.09 $2,412.59

    Oscar Circle Plus Silver $0 (Dep 29) 74289NY2790061 $851.68 $1,703.36 $1,447.86 $2,427.29

    Oscar Circle Plus Silver $0 (No DP, No FP) 74289NY2790062 $844.80 $1,689.60 $1,436.16 $2,407.67

    Oscar Circle Plus Silver $0 (No DP) 74289NY2790063 $849.10 $1,698.20 $1,443.47 $2,419.93

    Oscar Circle Plus Silver $0 (No FP) 74289NY2790064 $844.80 $1,689.60 $1,436.16 $2,407.67

    Oscar Circle Plus Silver $3000 HSA 74289NY2790065 $719.34 $1,438.68 $1,222.88 $2,050.12

    Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2790066 $717.16 $1,434.30 $1,219.16 $2,043.89

    Oscar Circle Plus Silver $3000 HSA (Dep 29, No DP) 74289NY2790067 $721.52 $1,443.05 $1,226.59 $2,056.35

    Oscar Circle Plus Silver $3000 HSA (Dep 29, No FP) 74289NY2790068 $717.16 $1,434.30 $1,219.16 $2,043.89

    Oscar Circle Plus Silver $3000 HSA (Dep 29) 74289NY2790069 $721.52 $1,443.05 $1,226.59 $2,056.35

    Oscar Circle Plus Silver $3000 HSA (No DP, No FP) 74289NY2790070 $715.70 $1,431.39 $1,216.68 $2,039.73

    Oscar Circle Plus Silver $3000 HSA (No DP) 74289NY2790071 $719.34 $1,438.68 $1,222.88 $2,050.12

    Oscar Circle Plus Silver $3000 HSA (No FP) 74289NY2790072 $715.70 $1,431.39 $1,216.68 $2,039.73

    Oscar Circle Plus Silver $3000 74289NY2790073 $780.34 $1,560.67 $1,326.57 $2,223.97

    Oscar Circle Plus Silver $3000 (Dep 29, No DP, No FP) 74289NY2790074 $777.97 $1,555.93 $1,322.54 $2,217.20

    Oscar Circle Plus Silver $3000 (Dep 29, No DP) 74289NY2790075 $782.71 $1,565.41 $1,330.61 $2,230.72

    Oscar Circle Plus Silver $3000 (Dep 29, No FP) 74289NY2790076 $777.97 $1,555.93 $1,322.54 $2,217.20

    Oscar Circle Plus Silver $3000 (Dep 29) 74289NY2790077 $782.71 $1,565.41 $1,330.61 $2,230.72

    Oscar Circle Plus Silver $3000 (No DP, No FP) 74289NY2790078 $776.39 $1,552.77 $1,319.85 $2,212.69

    Oscar Circle Plus Silver $3000 (No DP) 74289NY2790079 $780.34 $1,560.67 $1,326.57 $2,223.97

    Oscar Circle Plus Silver $3000 (No FP) 74289NY2790080 $776.39 $1,552.77 $1,319.85 $2,212.69

    Oscar Circle Plus Silver $4500 74289NY2790081 $736.93 $1,473.86 $1,252.78 $2,100.24

    Oscar Circle Plus Silver $4500 (Dep 29, No DP, No FP) 74289NY2790082 $734.69 $1,469.37 $1,248.97 $2,093.86

    Oscar Circle Plus Silver $4500 (Dep 29, No DP) 74289NY2790083 $739.17 $1,478.34 $1,256.59 $2,106.63

    Oscar Circle Plus Silver $4500 (Dep 29, No FP) 74289NY2790084 $734.69 $1,469.37 $1,248.97 $2,093.86

    Oscar Circle Plus Silver $4500 (Dep 29) 74289NY2790085 $739.17 $1,478.34 $1,256.59 $2,106.63

    Oscar Circle Plus Silver $4500 (No DP, No FP) 74289NY2790086 $733.20 $1,466.39 $1,246.43 $2,089.60

    Oscar Circle Plus Silver $4500 (No DP) 74289NY2790087 $736.93 $1,473.86 $1,252.78 $2,100.24

    Oscar Circle Plus Silver $4500 (No FP) 74289NY2790088 $733.20 $1,466.39 $1,246.43 $2,089.60

    Oscar Circle Plus Platinum $0 Option 2 74289NY2790089 $1,091.83 $2,183.68 $1,856.12 $3,111.74

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q2 Premium Rates Effective April 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29) 74289NY2790090 $1,095.15 $2,190.31 $1,861.77 $3,121.19

    Oscar Circle Plus Platinum $0 Option 2 (No DP) 74289NY2790091 $1,091.83 $2,183.68 $1,856.12 $3,111.74

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP) 74289NY2790092 $1,095.15 $2,190.31 $1,861.77 $3,121.19

    Oscar Circle Plus Platinum $0 Option 2 (No DP, No FP) 74289NY2790093 $1,086.30 $2,172.61 $1,846.72 $3,095.98

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2790094 $1,088.52 $2,177.03 $1,850.48 $3,102.28

    Oscar Circle Plus Platinum $0 Option 2 (No FP) 74289NY2790095 $1,086.30 $2,172.61 $1,846.72 $3,095.98

    Oscar Circle Plus Platinum $0 Option 2 (Dep 29, No FP) 74289NY2790096 $1,088.52 $2,177.03 $1,850.48 $3,102.28

    Oscar Circle Plus Gold $1250 74289NY2790097 $870.75 $1,741.51 $1,480.28 $2,481.64

    Oscar Circle Plus Gold $1250 (Dep 29) 74289NY2790098 $873.40 $1,746.80 $1,484.77 $2,489.19

    Oscar Circle Plus Gold $1250 (No DP) 74289NY2790099 $870.75 $1,741.51 $1,480.28 $2,481.64

    Oscar Circle Plus Gold $1250 (Dep 29, No DP) 74289NY2790100 $873.40 $1,746.80 $1,484.77 $2,489.19

    Oscar Circle Plus Gold $1250 (No DP, No FP) 74289NY2790101 $866.34 $1,732.69 $1,472.78 $2,469.07

    Oscar Circle Plus Gold $1250 (Dep 29, No DP, No FP) 74289NY2790102 $868.10 $1,736.21 $1,475.78 $2,474.10

    Oscar Circle Plus Gold $1250 (No FP) 74289NY2790103 $866.34 $1,732.69 $1,472.78 $2,469.07

    Oscar Circle Plus Gold $1250 (Dep 29, No FP) 74289NY2790104 $868.10 $1,736.21 $1,475.78 $2,474.10

    Oscar Circle Bronze $4500 74289NY2780001 $554.90 $1,109.79 $943.32 $1,581.45

    Oscar Circle Bronze $4500 (Dep 29, No DP, No FP) 74289NY2780002 $553.21 $1,106.42 $940.46 $1,576.65

    Oscar Circle Bronze $4500 (Dep 29, No DP) 74289NY2780003 $556.59 $1,113.17 $946.20 $1,586.26

    Oscar Circle Bronze $4500 (Dep 29, No FP) 74289NY2780004 $553.21 $1,106.42 $940.46 $1,576.65

    Oscar Circle Bronze $4500 (Dep 29) 74289NY2780005 $556.59 $1,113.17 $946.20 $1,586.26

    Oscar Circle Bronze $4500 (No DP, No FP) 74289NY2780006 $552.08 $1,104.17 $938.55 $1,573.45

    Oscar Circle Bronze $4500 (No DP) 74289NY2780007 $554.90 $1,109.79 $943.32 $1,581.45

    Oscar Circle Bronze $4500 (No FP) 74289NY2780008 $552.08 $1,104.17 $938.55 $1,573.45

    Oscar Circle Bronze $6650 HSA 74289NY2780009 $566.54 $1,133.09 $963.12 $1,614.64

    Oscar Circle Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2780010 $564.82 $1,129.64 $960.20 $1,609.74

    Oscar Circle Bronze $6650 HSA (Dep 29, No DP) 74289NY2780011 $568.27 $1,136.53 $966.05 $1,619.55

    Oscar Circle Bronze $6650 HSA (Dep 29, No FP) 74289NY2780012 $564.82 $1,129.64 $960.20 $1,609.74

    Oscar Circle Bronze $6650 HSA (Dep 29) 74289NY2780013 $568.27 $1,136.53 $966.05 $1,619.55

    Oscar Circle Bronze $6650 HSA (No DP, No FP) 74289NY2780014 $563.67 $1,127.34 $958.24 $1,606.47

    Oscar Circle Bronze $6650 HSA (No DP) 74289NY2780015 $566.54 $1,133.09 $963.12 $1,614.64

    Oscar Circle Bronze $6650 HSA (No FP) 74289NY2780016 $563.67 $1,127.34 $958.24 $1,606.47

    Oscar Circle Bronze $8150 74289NY2780017 $530.58 $1,061.18 $902.00 $1,512.18

    Oscar Circle Bronze $8150 (Dep 29, No DP, No FP) 74289NY2780018 $528.97 $1,057.95 $899.25 $1,507.58

    Oscar Circle Bronze $8150 (Dep 29, No DP) 74289NY2780019 $532.20 $1,064.40 $904.74 $1,516.77

    Oscar Circle Bronze $8150 (Dep 29, No FP) 74289NY2780020 $528.97 $1,057.95 $899.25 $1,507.58

    Oscar Circle Bronze $8150 (Dep 29) 74289NY2780021 $532.20 $1,064.40 $904.74 $1,516.77

    Oscar Circle Bronze $8150 (No DP, No FP) 74289NY2780022 $527.90 $1,055.80 $897.44 $1,504.51

    Oscar Circle Bronze $8150 (No DP) 74289NY2780023 $530.58 $1,061.18 $902.00 $1,512.18

    Oscar Circle Bronze $8150 (No FP) 74289NY2780024 $527.90 $1,055.80 $897.44 $1,504.51

    Oscar Circle Gold $0 74289NY2780025 $844.06 $1,688.12 $1,434.90 $2,405.58

    Oscar Circle Gold $0 (Dep 29, No DP, No FP) 74289NY2780026 $841.50 $1,682.99 $1,430.55 $2,398.27

    Oscar Circle Gold $0 (Dep 29, No DP) 74289NY2780027 $846.63 $1,693.25 $1,439.27 $2,412.88

    Oscar Circle Gold $0 (Dep 29, No FP) 74289NY2780028 $841.50 $1,682.99 $1,430.55 $2,398.27

    Oscar Circle Gold $0 (Dep 29) 74289NY2780029 $846.63 $1,693.25 $1,439.27 $2,412.88

    Oscar Circle Gold $0 (No DP, No FP) 74289NY2780030 $839.79 $1,679.57 $1,427.63 $2,393.39

    Oscar Circle Gold $0 (No DP) 74289NY2780031 $844.06 $1,688.12 $1,434.90 $2,405.58

    Oscar Circle Gold $0 (No FP) 74289NY2780032 $839.79 $1,679.57 $1,427.63 $2,393.39

    Oscar Circle Gold $2000 74289NY2780033 $766.75 $1,533.50 $1,303.47 $2,185.24

    Oscar Circle Gold $2000 (Dep 29, No DP, No FP) 74289NY2780034 $764.42 $1,528.84 $1,299.51 $2,178.60

    Oscar Circle Gold $2000 (Dep 29, No DP) 74289NY2780035 $769.08 $1,538.16 $1,307.44 $2,191.88

    Oscar Circle Gold $2000 (Dep 29, No FP) 74289NY2780036 $764.42 $1,528.84 $1,299.51 $2,178.60

    Oscar Circle Gold $2000 (Dep 29) 74289NY2780037 $769.08 $1,538.16 $1,307.44 $2,191.88

    Oscar Circle Gold $2000 (No DP, No FP) 74289NY2780038 $762.87 $1,525.73 $1,296.87 $2,174.17

    Oscar Circle Gold $2000 (No DP) 74289NY2780039 $766.75 $1,533.50 $1,303.47 $2,185.24

    Oscar Circle Gold $2000 (No FP) 74289NY2780040 $762.87 $1,525.73 $1,296.87 $2,174.17

    Oscar Circle Gold $1000 74289NY2780041 $804.20 $1,608.40 $1,367.14 $2,291.97

    Oscar Circle Gold $1000 (Dep 29, No DP, No FP) 74289NY2780042 $801.75 $1,603.51 $1,362.98 $2,285.00

    Oscar Circle Gold $1000 (Dep 29, No DP) 74289NY2780043 $806.64 $1,613.29 $1,371.29 $2,298.94

    Oscar Circle Gold $1000 (Dep 29, No FP) 74289NY2780044 $801.75 $1,603.51 $1,362.98 $2,285.00

    Oscar Circle Gold $1000 (Dep 29) 74289NY2780045 $806.64 $1,613.29 $1,371.29 $2,298.94

    Oscar Circle Gold $1000 (No DP, No FP) 74289NY2780046 $800.12 $1,600.25 $1,360.22 $2,280.35

    Oscar Circle Gold $1000 (No DP) 74289NY2780047 $804.20 $1,608.40 $1,367.14 $2,291.97

    Oscar Circle Gold $1000 (No FP) 74289NY2780048 $800.12 $1,600.25 $1,360.22 $2,280.35

    Oscar Circle Platinum $0 $2400 74289NY2780049 $952.31 $1,904.63 $1,618.94 $2,714.10

    Oscar Circle Platinum $0 $2400 (Dep 29, No DP, No FP) 74289NY2780050 $949.42 $1,898.85 $1,614.02 $2,705.85

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q2 Premium Rates Effective April 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Platinum $0 $2400 (Dep 29, No DP) 74289NY2780051 $955.21 $1,910.42 $1,623.86 $2,722.34

    Oscar Circle Platinum $0 $2400 (Dep 29, No FP) 74289NY2780052 $949.42 $1,898.85 $1,614.02 $2,705.85

    Oscar Circle Platinum $0 $2400 (Dep 29) 74289NY2780053 $955.21 $1,910.42 $1,623.86 $2,722.34

    Oscar Circle Platinum $0 $2400 (No DP, No FP) 74289NY2780054 $947.49 $1,894.98 $1,610.73 $2,700.35

    Oscar Circle Platinum $0 $2400 (No DP) 74289NY2780055 $952.31 $1,904.63 $1,618.94 $2,714.10

    Oscar Circle Platinum $0 $2400 (No FP) 74289NY2780056 $947.49 $1,894.98 $1,610.73 $2,700.35

    Oscar Circle Silver $0 74289NY2780057 $743.13 $1,486.26 $1,263.31 $2,117.91

    Oscar Circle Silver $0 (Dep 29, No DP, No FP) 74289NY2780058 $740.87 $1,481.73 $1,259.47 $2,111.47

    Oscar Circle Silver $0 (Dep 29, No DP) 74289NY2780059 $745.39 $1,490.77 $1,267.15 $2,124.35

    Oscar Circle Silver $0 (Dep 29, No FP) 74289NY2780060 $740.87 $1,481.73 $1,259.47 $2,111.47

    Oscar Circle Silver $0 (Dep 29) 74289NY2780061 $745.39 $1,490.77 $1,267.15 $2,124.35

    Oscar Circle Silver $0 (No DP, No FP) 74289NY2780062 $739.36 $1,478.72 $1,256.92 $2,107.18

    Oscar Circle Silver $0 (No DP) 74289NY2780063 $743.13 $1,486.26 $1,263.31 $2,117.91

    Oscar Circle Silver $0 (No FP) 74289NY2780064 $739.36 $1,478.72 $1,256.92 $2,107.18

    Oscar Circle Silver $3000 HSA 74289NY2780065 $623.67 $1,247.35 $1,060.25 $1,777.48

    Oscar Circle Silver $3000 HSA (Dep 29, No DP, No FP) 74289NY2780066 $621.78 $1,243.56 $1,057.02 $1,772.07

    Oscar Circle Silver $3000 HSA (Dep 29, No DP) 74289NY2780067 $625.57 $1,251.14 $1,063.48 $1,782.88

    Oscar Circle Silver $3000 HSA (Dep 29, No FP) 74289NY2780068 $621.78 $1,243.56 $1,057.02 $1,772.07

    Oscar Circle Silver $3000 HSA (Dep 29) 74289NY2780069 $625.57 $1,251.14 $1,063.48 $1,782.88

    Oscar Circle Silver $3000 HSA (No DP, No FP) 74289NY2780070 $620.52 $1,241.03 $1,054.87 $1,768.47

    Oscar Circle Silver $3000 HSA (No DP) 74289NY2780071 $623.67 $1,247.35 $1,060.25 $1,777.48

    Oscar Circle Silver $3000 HSA (No FP) 74289NY2780072 $620.52 $1,241.03 $1,054.87 $1,768.47

    Oscar Circle Silver $3000 74289NY2780073 $678.69 $1,357.38 $1,153.78 $1,934.27

    Oscar Circle Silver $3000 (Dep 29, No DP, No FP) 74289NY2780074 $676.63 $1,353.26 $1,150.27 $1,928.39

    Oscar Circle Silver $3000 (Dep 29, No DP) 74289NY2780075 $680.76 $1,361.51 $1,157.28 $1,940.15

    Oscar Circle Silver $3000 (Dep 29, No FP) 74289NY2780076 $676.63 $1,353.26 $1,150.27 $1,928.39

    Oscar Circle Silver $3000 (Dep 29) 74289NY2780077 $680.76 $1,361.51 $1,157.28 $1,940.15

    Oscar Circle Silver $3000 (No DP, No FP) 74289NY2780078 $675.26 $1,350.50 $1,147.93 $1,924.47

    Oscar Circle Silver $3000 (No DP) 74289NY2780079 $678.69 $1,357.38 $1,153.78 $1,934.27

    Oscar Circle Silver $3000 (No FP) 74289NY2780080 $675.26 $1,350.50 $1,147.93 $1,924.47

    Oscar Circle Silver $4500 74289NY2780081 $634.41 $1,268.83 $1,078.51 $1,808.09

    Oscar Circle Silver $4500 (Dep 29, No DP, No FP) 74289NY2780082 $632.48 $1,264.97 $1,075.23 $1,802.59

    Oscar Circle Silver $4500 (Dep 29, No DP) 74289NY2780083 $636.34 $1,272.69 $1,081.78 $1,813.57

    Oscar Circle Silver $4500 (Dep 29, No FP) 74289NY2780084 $632.48 $1,264.97 $1,075.23 $1,802.59

    Oscar Circle Silver $4500 (Dep 29) 74289NY2780085 $636.34 $1,272.69 $1,081.78 $1,813.57

    Oscar Circle Silver $4500 (No DP, No FP) 74289NY2780086 $631.20 $1,262.40 $1,073.04 $1,798.92

    Oscar Circle Silver $4500 (No DP) 74289NY2780087 $634.41 $1,268.83 $1,078.51 $1,808.09

    Oscar Circle Silver $4500 (No FP) 74289NY2780088 $631.20 $1,262.40 $1,073.04 $1,798.92

    Oscar Circle Platinum $0 Option 2 74289NY2780089 $982.22 $1,964.45 $1,669.78 $2,799.33

    Oscar Circle Platinum $0 Option 2 (Dep 29) 74289NY2780090 $985.21 $1,970.42 $1,674.86 $2,807.84

    Oscar Circle Platinum $0 Option 2 (No DP) 74289NY2780091 $982.22 $1,964.45 $1,669.78 $2,799.33

    Oscar Circle Platinum $0 Option 2 (Dep 29, No DP) 74289NY2780092 $985.21 $1,970.42 $1,674.86 $2,807.84

    Oscar Circle Platinum $0 Option 2 (No DP, No FP) 74289NY2780093 $977.25 $1,954.50 $1,661.32 $2,785.15

    Oscar Circle Platinum $0 Option 2 (Dep 29, No DP, No FP) 74289NY2780094 $979.24 $1,958.47 $1,664.71 $2,790.82

    Oscar Circle Platinum $0 Option 2 (No FP) 74289NY2780095 $977.25 $1,954.50 $1,661.32 $2,785.15

    Oscar Circle Platinum $0 Option 2 (Dep 29, No FP) 74289NY2780096 $979.24 $1,958.47 $1,664.71 $2,790.82

    Oscar Circle Gold $1250 74289NY2780097 $764.34 $1,528.67 $1,299.38 $2,178.36

    Oscar Circle Gold $1250 (Dep 29) 74289NY2780098 $766.66 $1,533.32 $1,303.32 $2,184.98

    Oscar Circle Gold $1250 (No DP) 74289NY2780099 $764.34 $1,528.67 $1,299.38 $2,178.36

    Oscar Circle Gold $1250 (Dep 29, No DP) 74289NY2780100 $766.66 $1,533.32 $1,303.32 $2,184.98

    Oscar Circle Gold $1250 (No FP) 74289NY2780101 $760.47 $1,520.93 $1,292.79 $2,167.32

    Oscar Circle Gold $1250 (Dep 29, No FP) 74289NY2780102 $762.01 $1,524.03 $1,295.42 $2,171.73

    Oscar Circle Gold $1250 (No DP, No FP) 74289NY2780103 $760.47 $1,520.93 $1,292.79 $2,167.32

    Oscar Circle Gold $1250 (Dep 29, No DP, No FP) 74289NY2780104 $762.01 $1,524.03 $1,295.42 $2,171.73

    Oscar Circle Plus Bronze $4500 74289NY2790001 $643.49 $1,286.97 $1,093.92 $1,833.94

    Oscar Circle Plus Bronze $4500 (Dep 29, No DP, No FP) 74289NY2790002 $641.53 $1,283.06 $1,090.60 $1,828.36

    Oscar Circle Plus Bronze $4500 (Dep 29, No DP) 74289NY2790003 $645.44 $1,290.88 $1,097.25 $1,839.51

    Oscar Circle Plus Bronze $4500 (Dep 29, No FP) 74289NY2790004 $641.53 $1,283.06 $1,090.60 $1,828.36

    Oscar Circle Plus Bronze $4500 (Dep 29) 74289NY2790005 $645.44 $1,290.88 $1,097.25 $1,839.51

    Oscar Circle Plus Bronze $4500 (No DP, No FP) 74289NY2790006 $640.23 $1,280.45 $1,088.38 $1,824.64

    Oscar Circle Plus Bronze $4500 (No DP) 74289NY2790007 $643.49 $1,286.97 $1,093.92 $1,833.94

    Oscar Circle Plus Bronze $4500 (No FP) 74289NY2790008 $640.23 $1,280.45 $1,088.38 $1,824.64

    Oscar Circle Plus Bronze $6650 HSA 74289NY2790009 $655.25 $1,310.50 $1,113.93 $1,867.47

    Oscar Insurance Corporation

  • Premium RatesNew York City Area (Rating Area 4) & Long Island Area (Rating Area 8)

    Small Group Q2 Premium Rates Effective April 1, 2020

    Product Name Plan ID

    Premium Per Contract

    SingleSingle Plus

    SpouseSingle PlusChild(ren)

    Single PlusSpouse PlusChild(ren)

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP, No FP) 74289NY2790010 $653.26 $1,306.51 $1,110.54 $1,861.79

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No DP) 74289NY2790011 $657.24 $1,314.48 $1,117.31 $1,873.14

    Oscar Circle Plus Bronze $6650 HSA (Dep 29, No FP) 74289NY2790012 $653.26 $1,306.51 $1,110.54 $1,861.79

    Oscar Circle Plus Bronze $6650 HSA (Dep 29) 74289NY2790013 $657.24 $1,314.48 $1,117.31 $1,873.14

    Oscar Circle Plus Bronze $6650 HSA (No DP, No FP) 74289NY2790014 $651.93 $1,303.86 $1,108.28 $1,858.00

    Oscar Circle Plus Bronze $6650 HSA (No DP) 74289NY2790015 $655.25 $1,310.50 $1,113.93 $1,867.47

    Oscar Circle Plus Bronze $6650 HSA (No FP) 74289NY2790016 $651.93 $1,303.86 $1,108.28 $1,858.00

    Oscar Circle Plus Bronze $8150 74289NY2790017 $616.40 $1,232.82 $1,047.89 $1,756.76

    Oscar Circle Plus Bronze $8150 (Dep 29, No DP, No FP) 74289NY2790018 $614.53 $1,229.07 $1,044.70 $1,751.42

    Oscar Circle Plus Bronze $8150 (Dep 29, No DP) 74289NY2790019 $618.28 $1,236.57 $1,051.08 $1,762.10

    Oscar Circle Plus Bronze $8150 (Dep 29, No FP) 74289NY2790020 $614.53 $1,229.07 $1,044.70 $1,751.42

    Oscar Circle Plus Bronze $8150 (Dep 29) 74289NY2790021 $618.28 $1,236.57 $1,051.08 $1,762.10

    Oscar Circle Plus Bronze $8150 (No DP, No FP) 74289NY2790022 $613.28 $1,226.57 $1,042.58 $1,747.86

    Oscar Circle Plus Bronze $8150 (No DP) 74289NY2790023 $616.40 $1,232.82 $1,047.89 $1,756.76

    Oscar Circle Plus Bronze $8150 (No FP) 74289NY2790024 $613.28 $1,226.57 $1,042.58 $1,747.86

    Oscar Circle Plus Gold $0 74289NY2790025 $953.17 $1,906.34 $1,620.39 $2,716.54

    Oscar Circle Plus Gold $0 (Dep 29, No DP, No FP) 74289NY2790026 $950.27 $1,900.55 $1,615.47 $2,708.27

    Oscar Circle Plus Gold $0 (Dep 29, No DP) 74289NY2790027 $956.07 $1,912.13 $1,625.31 $2,724.79

    Oscar Circle Plus Gold $0 (Dep 29, No FP) 74289NY2790028 $950.27 $1,900.55 $1,615.47 $2,708.27

    Oscar Circle Plus Gold $0 (Dep 29) 74289NY2790029 $956.07 $1,912.13 $1,625.31 $2,724.79

    Oscar Circle Plus Gold $0 (No DP, No FP) 74289NY2790030 $948.34 $1,896.68 $1,612.18 $2,702.77

    Oscar Circle Plus Gold $0 (No DP) 74289NY2790031 $953.17 $1,906.34 $1,620.39 $2,716.54

    Oscar Circle Plus Gold $0 (No FP) 74289NY2790032 $948.34 $1,896.68 $1,612.18 $2,702.77

    Oscar Circle Plus Gold $2000 74289NY2790033 $873.41 $1,746.83 $1,484.79 $2,489.22

    Oscar Circle Plus Gold $2000 (Dep 29, No DP, No FP) 74289NY2790034 $870.76 $1,741.52 $1,480.28 $2,481.65

    Oscar Circle Plus Gold $2000 (Dep 29, No DP) 74289NY2790035 $876.07 $1,752.14 $1,489.31 $2,496.78

    Oscar Circle Plus Gold $2000 (Dep 29, No FP) 74289NY2790036 $870.76 $1,741.52 $1,480.28 $2,481.65

    Oscar Circle Plus Gold $2000 (Dep 29) 74289NY2790037 $876.