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Healthcare Plan Information

2016 Plan Information for Ohio

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Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 130.08
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 286.94
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 281.31
Aetna Direct N61 Non-Postal CDHP Self Monthly 118.33
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 298.42
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 259.5
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 412.06
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 934.7
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 974.5
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Basic Self Monthly 190.54
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Basic Self & Family Monthly 431.94
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Basic Self Plus One Monthly 476.71
AultCare Insurance Company 3A1 Non-Postal High Self Monthly 226.03
AultCare Insurance Company 3A2 Non-Postal High Self & Family Monthly 1144.17
AultCare Insurance Company 3A3 Non-Postal High Self Plus One Monthly 326.95
AultCare Insurance Company 3A4 Non-Postal HDHP Self Monthly 78.81
AultCare Insurance Company 3A5 Non-Postal HDHP Self & Family Monthly 252.16
AultCare Insurance Company 3A6 Non-Postal HDHP Self Plus One Monthly 149.72
Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly 293.91
Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly 643.06
Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly 626.99
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 176.28
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 378.38
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 374.05
Medical Mutual of Ohio 641 Non-Postal High Self Monthly 326.45
Medical Mutual of Ohio 642 Non-Postal High Self & Family Monthly 834.58
Medical Mutual of Ohio 643 Non-Postal High Self Plus One Monthly 736.38
Medical Mutual of Ohio 644 Non-Postal Standard Self Monthly 144.05
Medical Mutual of Ohio 645 Non-Postal Standard Self & Family Monthly 345.72
Medical Mutual of Ohio 646 Non-Postal Standard Self Plus One Monthly 316.91
Paramount Health Care N81 Non-Postal Standard Self Monthly 144.87
Paramount Health Care N82 Non-Postal Standard Self & Family Monthly 465.59
Paramount Health Care N83 Non-Postal Standard Self Plus One Monthly 289.74
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