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    Healthcare Plan Information

    2016 Plan Information for Georgia

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    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    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 $259.50
    Aetna HealthFund CDHP and Value Plan F51 Non-Postal CDHP Self Monthly $185.27
    Aetna HealthFund CDHP and Value Plan F52 Non-Postal CDHP Self & Family Monthly $418.10
    Aetna HealthFund CDHP and Value Plan F53 Non-Postal CDHP Self Plus One Monthly $463.01
    Aetna HealthFund CDHP and Value Plan F54 Non-Postal Basic Self Monthly $135.76
    Aetna HealthFund CDHP and Value Plan F55 Non-Postal Basic Self & Family Monthly $310.88
    Aetna HealthFund CDHP and Value Plan F56 Non-Postal Basic Self Plus One Monthly $304.78
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $130.08
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $286.94
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $281.31
    Aetna Open Access 2U1 Non-Postal High Self Monthly $632.84
    Aetna Open Access 2U2 Non-Postal High Self & Family Monthly $1464.17
    Aetna Open Access 2U3 Non-Postal High Self Plus One Monthly $1498.72
    Humana CoverageFirst and Value Plan AD1 Non-Postal CDHP Self Monthly $153.52
    Humana CoverageFirst and Value Plan AD2 Non-Postal CDHP Self & Family Monthly $345.43
    Humana CoverageFirst and Value Plan AD3 Non-Postal CDHP Self Plus One Monthly $330.07
    Humana CoverageFirst and Value Plan AD4 Non-Postal Value Self Monthly $116.61
    Humana CoverageFirst and Value Plan AD5 Non-Postal Value Self & Family Monthly $262.37
    Humana CoverageFirst and Value Plan AD6 Non-Postal Value Self Plus One Monthly $250.70
    Humana CoverageFirst and Value Plan LM1 Non-Postal CDHP Self Monthly $147.41
    Humana CoverageFirst and Value Plan LM2 Non-Postal CDHP Self & Family Monthly $331.68
    Humana CoverageFirst and Value Plan LM3 Non-Postal CDHP Self Plus One Monthly $316.93
    Humana CoverageFirst and Value Plan LM4 Non-Postal Value Self Monthly $116.61
    Humana CoverageFirst and Value Plan LM5 Non-Postal Value Self & Family Monthly $262.37
    Humana CoverageFirst and Value Plan LM6 Non-Postal Value Self Plus One Monthly $250.70
    Humana Employers Health of Georgia, Inc. CB1 Non-Postal High Self Monthly $218.68
    Humana Employers Health of Georgia, Inc. CB2 Non-Postal High Self & Family Monthly $473.78
    Humana Employers Health of Georgia, Inc. CB3 Non-Postal High Self Plus One Monthly $465.22
    Humana Employers Health of Georgia, Inc. CB4 Non-Postal Standard Self Monthly $184.15
    Humana Employers Health of Georgia, Inc. CB5 Non-Postal Standard Self & Family Monthly $396.09
    Humana Employers Health of Georgia, Inc. CB6 Non-Postal Standard Self Plus One Monthly $390.97
    Humana Employers Health of Georgia, Inc. DG1 Non-Postal High Self Monthly $348.29
    Humana Employers Health of Georgia, Inc. DG2 Non-Postal High Self & Family Monthly $765.44
    Humana Employers Health of Georgia, Inc. DG3 Non-Postal High Self Plus One Monthly $743.88
    Humana Employers Health of Georgia, Inc. DG4 Non-Postal Standard Self Monthly $213.77
    Humana Employers Health of Georgia, Inc. DG5 Non-Postal Standard Self & Family Monthly $462.73
    Humana Employers Health of Georgia, Inc. DG6 Non-Postal Standard Self Plus One Monthly $454.67
    Humana Employers Health of Georgia, Inc. DN1 Non-Postal High Self Monthly $211.60
    Humana Employers Health of Georgia, Inc. DN2 Non-Postal High Self & Family Monthly $457.90
    Humana Employers Health of Georgia, Inc. DN3 Non-Postal High Self Plus One Monthly $450.04
    Humana Employers Health of Georgia, Inc. DN4 Non-Postal Standard Self Monthly $182.93
    Humana Employers Health of Georgia, Inc. DN5 Non-Postal Standard Self & Family Monthly $393.36
    Humana Employers Health of Georgia, Inc. DN6 Non-Postal Standard Self Plus One Monthly $388.37
    Kaiser Foundation Health Plan of Georgia F81 Non-Postal High Self Monthly $159.86
    Kaiser Foundation Health Plan of Georgia F82 Non-Postal High Self & Family Monthly $363.28
    Kaiser Foundation Health Plan of Georgia F83 Non-Postal High Self Plus One Monthly $382.39
    Kaiser Foundation Health Plan of Georgia F84 Non-Postal Standard Self Monthly $116.31
    Kaiser Foundation Health Plan of Georgia F85 Non-Postal Standard Self & Family Monthly $267.49
    Kaiser Foundation Health Plan of Georgia F86 Non-Postal Standard Self Plus One Monthly $259.35
    UnitedHealthcare Insurance Company LV1 Non-Postal Value Self Monthly $131.52
    UnitedHealthcare Insurance Company LV2 Non-Postal Value Self & Family Monthly $416.71
    UnitedHealthcare Insurance Company LV3 Non-Postal Value Self Plus One Monthly $256.86
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