2018 Plan Information for Utah
Choose a Location, Employee Type, & Payment Period
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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 | 151.86 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 334.98 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 328.41 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 131.92 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 332.67 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 289.29 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 253.56 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 581.25 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 630.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 137.4 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 314.68 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 308.52 |
| Altius Health Plans | 9K1 | Non-Postal | High Self | Monthly | 351.37 |
| Altius Health Plans | 9K2 | Non-Postal | High Self & Family | Monthly | 745.38 |
| Altius Health Plans | 9K3 | Non-Postal | High Self Plus One | Monthly | 793.07 |
| Altius Health Plans | 9K4 | Non-Postal | HDHP Self | Monthly | 105.17 |
| Altius Health Plans | 9K5 | Non-Postal | HDHP Self & Family | Monthly | 219.81 |
| Altius Health Plans | 9K6 | Non-Postal | HDHP Self Plus One | Monthly | 215.5 |
| Altius Health Plans | DK4 | Non-Postal | Standard Self | Monthly | 148.4 |
| Altius Health Plans | DK5 | Non-Postal | Standard Self & Family | Monthly | 327.7 |
| Altius Health Plans | DK6 | Non-Postal | Standard Self Plus One | Monthly | 324.46 |
| SelectHealth, Inc. | SF1 | Non-Postal | High Self | Monthly | 476.97 |
| SelectHealth, Inc. | SF2 | Non-Postal | High Self & Family | Monthly | 1089.12 |
| SelectHealth, Inc. | SF3 | Non-Postal | High Self Plus One | Monthly | 1155.38 |
| SelectHealth, Inc. | SF4 | Non-Postal | Standard Self | Monthly | 148.85 |
| SelectHealth, Inc. | SF5 | Non-Postal | Standard Self & Family | Monthly | 339.26 |
| SelectHealth, Inc. | SF6 | Non-Postal | Standard Self Plus One | Monthly | 339.26 |