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    Healthcare Plan Information

    2016 Plan Information for Illinois

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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 H41 Non-Postal CDHP Self Monthly $215.17
    Aetna HealthFund CDHP and Value Plan H42 Non-Postal CDHP Self & Family Monthly $485.89
    Aetna HealthFund CDHP and Value Plan H43 Non-Postal CDHP Self Plus One Monthly $530.14
    Aetna HealthFund CDHP and Value Plan H44 Non-Postal Basic Self Monthly $134.18
    Aetna HealthFund CDHP and Value Plan H45 Non-Postal Basic Self & Family Monthly $307.96
    Aetna HealthFund CDHP and Value Plan H46 Non-Postal Basic Self Plus One Monthly $301.92
    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
    Blue Cross and Blue Shield of Illinois A21 Non-Postal High Self Monthly $268.32
    Blue Cross and Blue Shield of Illinois A22 Non-Postal High Self & Family Monthly $752.96
    Blue Cross and Blue Shield of Illinois A23 Non-Postal High Self Plus One Monthly $580.38
    Blue Preferred Plus POS 9G1 Non-Postal High Self Monthly $213.66
    Blue Preferred Plus POS 9G2 Non-Postal High Self & Family Monthly $382.63
    Blue Preferred Plus POS 9G3 Non-Postal High Self Plus One Monthly $353.06
    Dean Health Plan WD1 Non-Postal High Self Monthly $380.14
    Dean Health Plan WD2 Non-Postal High Self & Family Monthly $879.25
    Dean Health Plan WD3 Non-Postal High Self Plus One Monthly $770.31
    Dean Health Plan WD4 Non-Postal Standard Self Monthly $146.41
    Dean Health Plan WD5 Non-Postal Standard Self & Family Monthly $351.38
    Dean Health Plan WD6 Non-Postal Standard Self Plus One Monthly $322.10
    Health Alliance HMO FX1 Non-Postal High Self Monthly $299.18
    Health Alliance HMO FX2 Non-Postal High Self & Family Monthly $1096.35
    Health Alliance HMO FX3 Non-Postal High Self Plus One Monthly $600.21
    Health Alliance HMO K84 Non-Postal Standard Self Monthly $162.61
    Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly $675.69
    Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly $328.08
    Humana CoverageFirst and Value Plan GB1 Non-Postal CDHP Self Monthly $170.30
    Humana CoverageFirst and Value Plan GB2 Non-Postal CDHP Self & Family Monthly $364.91
    Humana CoverageFirst and Value Plan GB3 Non-Postal CDHP Self Plus One Monthly $361.18
    Humana CoverageFirst and Value Plan GB4 Non-Postal Value Self Monthly $116.61
    Humana CoverageFirst and Value Plan GB5 Non-Postal Value Self & Family Monthly $262.37
    Humana CoverageFirst and Value Plan GB6 Non-Postal Value Self Plus One Monthly $250.70
    Humana CoverageFirst and Value Plan MW1 Non-Postal CDHP Self Monthly $206.75
    Humana CoverageFirst and Value Plan MW2 Non-Postal CDHP Self & Family Monthly $446.92
    Humana CoverageFirst and Value Plan MW3 Non-Postal CDHP Self Plus One Monthly $439.55
    Humana CoverageFirst and Value Plan MW4 Non-Postal Value Self Monthly $116.61
    Humana CoverageFirst and Value Plan MW5 Non-Postal Value Self & Family Monthly $262.37
    Humana CoverageFirst and Value Plan MW6 Non-Postal Value Self Plus One Monthly $250.70
    Humana Health Plan, Inc. 751 Non-Postal High Self Monthly $738.47
    Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly $1643.33
    Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly $1582.77
    Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly $284.92
    Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly $622.83
    Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly $607.66
    Humana Health Plan, Inc. 9F1 Non-Postal High Self Monthly $1028.41
    Humana Health Plan, Inc. 9F2 Non-Postal High Self & Family Monthly $2295.71
    Humana Health Plan, Inc. 9F3 Non-Postal High Self Plus One Monthly $2206.16
    Humana Health Plan, Inc. AB4 Non-Postal Standard Self Monthly $321.69
    Humana Health Plan, Inc. AB5 Non-Postal Standard Self & Family Monthly $705.57
    Humana Health Plan, Inc. AB6 Non-Postal Standard Self Plus One Monthly $686.68
    Union Health Service 761 Non-Postal High Self Monthly $149.46
    Union Health Service 762 Non-Postal High Self & Family Monthly $427.39
    Union Health Service 763 Non-Postal High Self Plus One Monthly $326.88
    UnitedHealthcare Insurance Company L91 Non-Postal Value Self Monthly $115.22
    UnitedHealthcare Insurance Company L92 Non-Postal Value Self & Family Monthly $323.08
    UnitedHealthcare Insurance Company L93 Non-Postal Value Self Plus One Monthly $225.02
    UnitedHealthcare Plan of the River Valley Inc. YH1 Non-Postal High Self Monthly $162.07
    UnitedHealthcare Plan of the River Valley Inc. YH2 Non-Postal High Self & Family Monthly $692.33
    UnitedHealthcare Plan of the River Valley Inc. YH3 Non-Postal High Self Plus One Monthly $304.85
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