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    Healthcare Plan Information

    2018 Plan Information for Ohio

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    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    Medical Mutual UX1 Non-Postal Basic Self Monthly $148.39
    Medical Mutual UX2 Non-Postal Basic Self & Family Monthly $356.16
    Medical Mutual UX3 Non-Postal Basic Self Plus One Monthly $326.48
    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
    AultCare HMO 3A1 Non-Postal High Self Monthly $252.61
    AultCare HMO 3A2 Non-Postal High Self & Family Monthly $720.76
    AultCare HMO 3A3 Non-Postal High Self Plus One Monthly $509.73
    AultCare HMO 3A4 Non-Postal HDHP Self Monthly $89.92
    AultCare HMO 3A5 Non-Postal HDHP Self & Family Monthly $289.17
    AultCare HMO 3A6 Non-Postal HDHP Self Plus One Monthly $170.43
    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 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
    Medical Mutual 641 Non-Postal High Self Monthly $417.04
    Medical Mutual 642 Non-Postal High Self & Family Monthly $1062.86
    Medical Mutual 643 Non-Postal High Self Plus One Monthly $946.36
    Medical Mutual 644 Non-Postal Standard Self Monthly $264.74
    Medical Mutual 645 Non-Postal Standard Self & Family Monthly $697.41
    Medical Mutual 646 Non-Postal Standard Self Plus One Monthly $611.42
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