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    Healthcare Plan Information

    2017 Plan Information for Missouri

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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 $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 Value Plan G51 Non-Postal CDHP Self Monthly $218.59
    Aetna HealthFund CDHP and Value Plan G52 Non-Postal CDHP Self & Family Monthly $499.44
    Aetna HealthFund CDHP and Value Plan G53 Non-Postal CDHP Self Plus One Monthly $547.43
    Aetna HealthFund CDHP and Value Plan G54 Non-Postal Value Self Monthly $133.71
    Aetna HealthFund CDHP and Value Plan G55 Non-Postal Value Self & Family Monthly $306.25
    Aetna HealthFund CDHP and Value Plan G56 Non-Postal Value Self Plus One Monthly $300.24
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $138.70
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $305.95
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $299.95
    Aetna Open Access HA1 Non-Postal High Self Monthly $223.21
    Aetna Open Access HA2 Non-Postal High Self & Family Monthly $567.15
    Aetna Open Access HA3 Non-Postal High Self Plus One Monthly $614.49
    Aetna Open Access HA4 Non-Postal Standard Self Monthly $151.30
    Aetna Open Access HA5 Non-Postal Standard Self & Family Monthly $357.15
    Aetna Open Access HA6 Non-Postal Standard Self Plus One Monthly $383.59
    Blue Preferred Plus POS 9G1 Non-Postal High Self Monthly $218.20
    Blue Preferred Plus POS 9G2 Non-Postal High Self & Family Monthly $417.61
    Blue Preferred Plus POS 9G3 Non-Postal High Self Plus One Monthly $380.10
    Blue Preferred Plus POS 9G4 Non-Postal Standard Self Monthly $129.78
    Blue Preferred Plus POS 9G5 Non-Postal Standard Self & Family Monthly $374.51
    Blue Preferred Plus POS 9G6 Non-Postal Standard Self Plus One Monthly $337.44
    Humana CoverageFirst and Value Plan PH1 Non-Postal CDHP Self Monthly $151.58
    Humana CoverageFirst and Value Plan PH2 Non-Postal CDHP Self & Family Monthly $341.08
    Humana CoverageFirst and Value Plan PH3 Non-Postal CDHP Self Plus One Monthly $325.91
    Humana CoverageFirst and Value Plan PH4 Non-Postal Value Self Monthly $116.33
    Humana CoverageFirst and Value Plan PH5 Non-Postal Value Self & Family Monthly $261.73
    Humana CoverageFirst and Value Plan PH6 Non-Postal Value Self Plus One Monthly $250.10
    Humana Health Plan, Inc. MS1 Non-Postal High Self Monthly $1125.28
    Humana Health Plan, Inc. MS2 Non-Postal High Self & Family Monthly $2517.89
    Humana Health Plan, Inc. MS3 Non-Postal High Self Plus One Monthly $2421.08
    Humana Health Plan, Inc. MS4 Non-Postal Standard Self Monthly $349.67
    Humana Health Plan, Inc. MS5 Non-Postal Standard Self & Family Monthly $772.81
    Humana Health Plan, Inc. MS6 Non-Postal Standard Self Plus One Monthly $753.59
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