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    Healthcare Plan Information

    2018 Plan Information for Indiana

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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 JS1 Non-Postal CDHP Self Monthly $546.24
    Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly $1247.37
    Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly $1290.12
    Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly $267.63
    Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly $614.79
    Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly $663.78
    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
    Highmark Choice Company NP1 Non-Postal High Self Monthly $193.05
    Highmark Choice Company NP2 Non-Postal High Self & Family Monthly $438.10
    Highmark Choice Company NP3 Non-Postal High Self Plus One Monthly $347.29
    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 CoverageFirst/Value Plan TC1 Non-Postal CDHP Self Monthly $150.58
    Humana CoverageFirst/Value Plan TC2 Non-Postal CDHP Self & Family Monthly $338.81
    Humana CoverageFirst/Value Plan TC3 Non-Postal CDHP Self Plus One Monthly $323.75
    Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly $547.69
    Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly $1219.81
    Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly $1181.64
    Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly $339.17
    Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly $750.64
    Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly $733.31
    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. MH1 Non-Postal High Self Monthly $304.91
    Humana Health Plan, Inc. MH2 Non-Postal High Self & Family Monthly $673.55
    Humana Health Plan, Inc. MH3 Non-Postal High Self Plus One Monthly $659.62
    Humana Health Plan, Inc. MH4 Non-Postal Standard Self Monthly $176.34
    Humana Health Plan, Inc. MH5 Non-Postal Standard Self & Family Monthly $384.26
    Humana Health Plan, Inc. MH6 Non-Postal Standard Self Plus One Monthly $383.22
    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
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