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A few states set their own standards when it comes to age factors for health insurance rates.

The federal age factor curve is the widest age curve that states can permit health insurers to use in calculating premiums.

The following states have more restrictive regulations, meaning that there is less variation in health insurance costs between the youngest and the oldest policyholders. New York does not permit any use of age as a factor when determining health insurance rates. In fact health insurance premiums in the Empire State cannot discriminate whatsoever and have the same price regardless of any policyholder characteristics. This typically leads to higher premiums for those who are ages 21-50, and lower premiums for those who are older when compared to other states. Vermont also does not permit the use of age as a factor when calculating health insurance premiums. Insurers must charge the same premiums regardless of health status, age or gender in the state. Like New York, younger citizens of Vermont typically see higher relatively premiums, while those older consumers will see lower premiums in comparison to other states. Utah has the same 3:1 range when it comes to health insurance premiums but the scaling in the different age groups tends to be more aggressive. For instance consumers 30-36 pay almost 40% more than the base rate in the state where as the same group would pay anywhere from 13 - 27% more under the federal guidelines. Children under the age of 21 are also more expensive with costs fixed at 79% of the base rate.