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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
    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 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
    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
    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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