2017 Plan Information for Arkansas
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 | 138.7 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 305.95 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 299.95 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 120.05 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 302.77 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 263.29 |
| Aetna HealthFund CDHP and Aetna Value Plan | F51 | Non-Postal | CDHP Self | Monthly | 236.68 |
| Aetna HealthFund CDHP and Aetna Value Plan | F52 | Non-Postal | CDHP Self & Family | Monthly | 540.15 |
| Aetna HealthFund CDHP and Aetna Value Plan | F53 | Non-Postal | CDHP Self Plus One | Monthly | 587.71 |
| Aetna HealthFund CDHP and Aetna Value Plan | F54 | Non-Postal | Value Self | Monthly | 139.84 |
| Aetna HealthFund CDHP and Aetna Value Plan | F55 | Non-Postal | Value Self & Family | Monthly | 320.21 |
| Aetna HealthFund CDHP and Aetna Value Plan | F56 | Non-Postal | Value Self Plus One | Monthly | 313.93 |
| QualChoice | DH1 | Non-Postal | High Self | Monthly | 232.8 |
| QualChoice | DH2 | Non-Postal | High Self & Family | Monthly | 765.31 |
| QualChoice | DH3 | Non-Postal | High Self Plus One | Monthly | 354.31 |
| QualChoice | DH4 | Non-Postal | Standard Self | Monthly | 139.04 |
| QualChoice | DH5 | Non-Postal | Standard Self & Family | Monthly | 362.67 |
| QualChoice | DH6 | Non-Postal | Standard Self Plus One | Monthly | 270.1 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LS1 | Non-Postal | HDHP Self | Monthly | 115.28 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LS2 | Non-Postal | HDHP Self & Family | Monthly | 288.2 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LS3 | Non-Postal | HDHP Self Plus One | Monthly | 247.85 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KK1 | Non-Postal | High Self | Monthly | 139.64 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KK2 | Non-Postal | High Self & Family | Monthly | 349.1 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KK3 | Non-Postal | High Self Plus One | Monthly | 300.22 |