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    Healthcare Plan Information

    2018 Plan Information for Illinois

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    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    Health Alliance HMO K84 Non-Postal Standard Self Monthly $156.70
    Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly $788.52
    Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly $388.10
    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 CDHP and Aetna Value Plan H41 Non-Postal CDHP Self Monthly $326.13
    Aetna HealthFund CDHP and Aetna Value Plan H42 Non-Postal CDHP Self & Family Monthly $745.55
    Aetna HealthFund CDHP and Aetna Value Plan H43 Non-Postal CDHP Self Plus One Monthly $793.24
    Aetna HealthFund CDHP and Aetna Value Plan H44 Non-Postal Value Self Monthly $143.93
    Aetna HealthFund CDHP and Aetna Value Plan H45 Non-Postal Value Self & Family Monthly $330.34
    Aetna HealthFund CDHP and Aetna Value Plan H46 Non-Postal Value Self Plus One Monthly $323.86
    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
    Blue Preferred 9G1 Non-Postal High Self Monthly $237.21
    Blue Preferred 9G2 Non-Postal High Self & Family Monthly $458.84
    Blue Preferred 9G3 Non-Postal High Self Plus One Monthly $440.70
    Blue Preferred 9G4 Non-Postal Standard Self Monthly $133.03
    Blue Preferred 9G5 Non-Postal Standard Self & Family Monthly $399.69
    Blue Preferred 9G6 Non-Postal Standard Self Plus One Monthly $345.86
    Dean Health Plan WD1 Non-Postal High Self Monthly $570.72
    Dean Health Plan WD2 Non-Postal High Self & Family Monthly $1324.96
    Dean Health Plan WD3 Non-Postal High Self Plus One Monthly $1177.74
    Dean Health Plan WD4 Non-Postal Standard Self Monthly $160.75
    Dean Health Plan WD5 Non-Postal Standard Self & Family Monthly $413.12
    Dean Health Plan WD6 Non-Postal Standard Self Plus One Monthly $353.65
    Humana CoverageFirst/Value Plan GB1 Non-Postal CDHP Self Monthly $376.46
    Humana CoverageFirst/Value Plan GB2 Non-Postal CDHP Self & Family Monthly $834.51
    Humana CoverageFirst/Value Plan GB3 Non-Postal CDHP Self Plus One Monthly $813.46
    Humana CoverageFirst/Value Plan GB4 Non-Postal Value Self Monthly $129.13
    Humana CoverageFirst/Value Plan GB5 Non-Postal Value Self & Family Monthly $290.53
    Humana CoverageFirst/Value Plan GB6 Non-Postal Value Self Plus One Monthly $277.63
    Humana CoverageFirst/Value Plan MW1 Non-Postal CDHP Self Monthly $215.50
    Humana CoverageFirst/Value Plan MW2 Non-Postal CDHP Self & Family Monthly $472.42
    Humana CoverageFirst/Value Plan MW3 Non-Postal CDHP Self Plus One Monthly $467.44
    Humana CoverageFirst/Value Plan MW4 Non-Postal Value Self Monthly $139.25
    Humana CoverageFirst/Value Plan MW5 Non-Postal Value Self & Family Monthly $313.29
    Humana CoverageFirst/Value Plan MW6 Non-Postal Value Self Plus One Monthly $299.37
    Humana Health Plan, Inc. 751 Non-Postal High Self Monthly $764.96
    Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly $1708.63
    Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly $1648.73
    Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly $384.78
    Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly $853.26
    Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly $831.33
    Humana Health Plan, Inc. 9F1 Non-Postal High Self Monthly $1073.67
    Humana Health Plan, Inc. 9F2 Non-Postal High Self & Family Monthly $2403.29
    Humana Health Plan, Inc. 9F3 Non-Postal High Self Plus One Monthly $2312.49
    Humana Health Plan, Inc. AB1 Non-Postal Basic Self Monthly $146.02
    Humana Health Plan, Inc. AB2 Non-Postal Basic Self & Family Monthly $328.54
    Humana Health Plan, Inc. AB3 Non-Postal Basic Self Plus One Monthly $313.93
    Humana Health Plan, Inc. AB4 Non-Postal Standard Self Monthly $523.90
    Humana Health Plan, Inc. AB5 Non-Postal Standard Self & Family Monthly $1166.30
    Humana Health Plan, Inc. AB6 Non-Postal Standard Self Plus One Monthly $1130.48
    Humana Health Plan, Inc. RW1 Non-Postal Basic Self Monthly $148.00
    Humana Health Plan, Inc. RW2 Non-Postal Basic Self & Family Monthly $333.01
    Humana Health Plan, Inc. RW3 Non-Postal Basic Self Plus One Monthly $318.21
    MercyCare HMO EY1 Non-Postal High Self Monthly $269.77
    MercyCare HMO EY2 Non-Postal High Self & Family Monthly $870.18
    MercyCare HMO EY3 Non-Postal High Self Plus One Monthly $584.12
    Union Health Service 761 Non-Postal High Self Monthly $174.39
    Union Health Service 762 Non-Postal High Self & Family Monthly $550.88
    Union Health Service 763 Non-Postal High Self Plus One Monthly $410.33
    UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced L91 Non-Postal Value Self Monthly $115.83
    UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced L92 Non-Postal Value Self & Family Monthly $324.79
    UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced L93 Non-Postal Value Self Plus One Monthly $226.22
    UnitedHealthcare of California CY1 Non-Postal High Self Monthly $217.42
    UnitedHealthcare of California CY2 Non-Postal High Self & Family Monthly $872.24
    UnitedHealthcare of California CY3 Non-Postal High Self Plus One Monthly $348.65
    UnitedHealthcare Plan of the River Valley Inc. YH1 Non-Postal High Self Monthly $209.41
    UnitedHealthcare Plan of the River Valley Inc. YH2 Non-Postal High Self & Family Monthly $849.90
    UnitedHealthcare Plan of the River Valley Inc. YH3 Non-Postal High Self Plus One Monthly $344.77
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