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    Healthcare Plan Information

    2018 Plan Information for Wisconsin

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    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    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
    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
    Group Health Cooperative WJ1 Non-Postal High Self Monthly $200.46
    Group Health Cooperative WJ2 Non-Postal High Self & Family Monthly $947.46
    Group Health Cooperative WJ3 Non-Postal High Self Plus One Monthly $345.09
    HealthPartners V31 Non-Postal High Self Monthly $276.62
    HealthPartners V32 Non-Postal High Self & Family Monthly $753.74
    HealthPartners V33 Non-Postal High Self Plus One Monthly $645.22
    HealthPartners V34 Non-Postal Standard Self Monthly $114.37
    HealthPartners V35 Non-Postal Standard Self & Family Monthly $278.62
    HealthPartners V36 Non-Postal Standard Self Plus One Monthly $252.77
    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
    Physicians Plus LW1 Non-Postal High Self Monthly $204.62
    Physicians Plus LW2 Non-Postal High Self & Family Monthly $989.82
    Physicians Plus LW3 Non-Postal High Self Plus One Monthly $577.90
    Physicians Plus LW4 Non-Postal Standard Self Monthly $189.54
    Physicians Plus LW5 Non-Postal Standard Self & Family Monthly $516.92
    Physicians Plus LW6 Non-Postal Standard Self Plus One Monthly $445.93
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