2019 Plan Information for Wisconsin
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 | 164.93 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 363.8 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 360.1 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 139.33 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 351.38 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 305.56 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS1 | Non-Postal | CDHP Self | Monthly | 550.32 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1253.16 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1301.1 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 305.27 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 697.22 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 750.66 |
| Dean Health Plan | WD1 | Non-Postal | High Self | Monthly | 598.42 |
| Dean Health Plan | WD2 | Non-Postal | High Self & Family | Monthly | 1385.2 |
| Dean Health Plan | WD3 | Non-Postal | High Self Plus One | Monthly | 1237.38 |
| Dean Health Plan | WD4 | Non-Postal | Standard Self | Monthly | 161.42 |
| Dean Health Plan | WD5 | Non-Postal | Standard Self & Family | Monthly | 411.43 |
| Dean Health Plan | WD6 | Non-Postal | Standard Self Plus One | Monthly | 355.13 |
| Group Health Cooperative | WJ1 | Non-Postal | High Self | Monthly | 232.31 |
| Group Health Cooperative | WJ2 | Non-Postal | High Self & Family | Monthly | 762.5 |
| Group Health Cooperative | WJ3 | Non-Postal | High Self Plus One | Monthly | 541.68 |
| HealthPartners | V31 | Non-Postal | High Self | Monthly | 291.59 |
| HealthPartners | V32 | Non-Postal | High Self & Family | Monthly | 787.02 |
| HealthPartners | V33 | Non-Postal | High Self Plus One | Monthly | 679.98 |
| HealthPartners | V34 | Non-Postal | Standard Self | Monthly | 107.02 |
| HealthPartners | V35 | Non-Postal | Standard Self & Family | Monthly | 260.7 |
| HealthPartners | V36 | Non-Postal | Standard Self Plus One | Monthly | 236.52 |
| MercyCare Health Plans | EY1 | Non-Postal | High Self | Monthly | 265.33 |
| MercyCare Health Plans | EY2 | Non-Postal | High Self & Family | Monthly | 855.82 |
| MercyCare Health Plans | EY3 | Non-Postal | High Self Plus One | Monthly | 576.22 |