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    Healthcare Plan Information

    2018 Plan Information for Arizona

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    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    Health Net of Arizona, Inc. A74 Non-Postal Standard Self Monthly $283.53
    Health Net of Arizona, Inc. A75 Non-Postal Standard Self & Family Monthly $845.50
    Health Net of Arizona, Inc. A76 Non-Postal Standard Self Plus One Monthly $911.76
    UnitedHealthcare Insurance Company, Inc. (Choice HMO) KT1 Non-Postal High Self Monthly $152.67
    UnitedHealthcare Insurance Company, Inc. (Choice HMO) KT2 Non-Postal High Self & Family Monthly $396.61
    UnitedHealthcare Insurance Company, Inc. (Choice HMO) KT3 Non-Postal High Self Plus One Monthly $328.24
    UnitedHealthcare Insurance Company, Inc. (Choice HDHP) LU1 Non-Postal HDHP Self Monthly $120.73
    UnitedHealthcare Insurance Company, Inc. (Choice HDHP) LU2 Non-Postal HDHP Self & Family Monthly $301.81
    UnitedHealthcare Insurance Company, Inc. (Choice HDHP) LU3 Non-Postal HDHP Self Plus One Monthly $259.56
    Aetna Open Access WQ1 Non-Postal High Self Monthly $635.89
    Aetna Open Access WQ2 Non-Postal High Self & Family Monthly $1619.78
    Aetna Open Access WQ3 Non-Postal High Self Plus One Monthly $1658.80
    Aetna Direct N61 Non-Postal CDHP Self Monthly $131.92
    Aetna Direct N62 Non-Postal CDHP Self & Family Monthly $332.67
    Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly $289.29
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $151.86
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $334.98
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $328.41
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