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    Healthcare Plan Information

    2019 Plan Information for Ohio

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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 $139.33
    Aetna Direct N62 Non-Postal CDHP Self & Family Monthly $351.38
    Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly $305.56
    Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly $550.32
    Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly $1253.16
    Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly $1301.10
    Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly $305.27
    Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly $697.22
    Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly $750.66
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $164.93
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $363.80
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $360.10
    AultCare Insurance Company 3A1 Non-Postal High Self Monthly $270.77
    AultCare Insurance Company 3A2 Non-Postal High Self & Family Monthly $762.48
    AultCare Insurance Company 3A3 Non-Postal High Self Plus One Monthly $549.35
    AultCare Insurance Company 3A4 Non-Postal HDHP Self Monthly $93.31
    AultCare Insurance Company 3A5 Non-Postal HDHP Self & Family Monthly $298.58
    AultCare Insurance Company 3A6 Non-Postal HDHP Self Plus One Monthly $177.28
    Highmark Choice Company NP1 Non-Postal High Self Monthly $279.01
    Highmark Choice Company NP2 Non-Postal High Self & Family Monthly $629.59
    Highmark Choice Company NP3 Non-Postal High Self Plus One Monthly $497.40
    Humana CoverageFirst and Humana Value Plan X31 Non-Postal CDHP Self Monthly $185.93
    Humana CoverageFirst and Humana Value Plan X32 Non-Postal CDHP Self & Family Monthly $402.29
    Humana CoverageFirst and Humana Value Plan X33 Non-Postal CDHP Self Plus One Monthly $405.42
    Humana CoverageFirst and Humana Value Plan X34 Non-Postal Value Self Monthly $142.57
    Humana CoverageFirst and Humana Value Plan X35 Non-Postal Value Self & Family Monthly $320.78
    Humana CoverageFirst and Humana Value Plan X36 Non-Postal Value Self Plus One Monthly $306.52
    Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly $673.92
    Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly $1500.29
    Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly $1454.63
    Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly $431.56
    Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly $954.98
    Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly $933.57
    Humana Health Plan of Ohio, Inc. W61 Non-Postal Basic Self Monthly $146.44
    Humana Health Plan of Ohio, Inc. W62 Non-Postal Basic Self & Family Monthly $329.50
    Humana Health Plan of Ohio, Inc. W63 Non-Postal Basic Self Plus One Monthly $314.85
    Medical Mutual of Ohio 644 Non-Postal Standard Self Monthly $359.04
    Medical Mutual of Ohio 645 Non-Postal Standard Self & Family Monthly $920.43
    Medical Mutual of Ohio 646 Non-Postal Standard Self Plus One Monthly $820.45
    Medical Mutual of Ohio UX1 Non-Postal Basic Self Monthly $120.64
    Medical Mutual of Ohio UX2 Non-Postal Basic Self & Family Monthly $289.54
    Medical Mutual of Ohio UX3 Non-Postal Basic Self Plus One Monthly $265.41
    Medical Mutual of Ohio X61 Non-Postal Basic Self Monthly $115.43
    Medical Mutual of Ohio X62 Non-Postal Basic Self & Family Monthly $277.03
    Medical Mutual of Ohio X63 Non-Postal Basic Self Plus One Monthly $253.94
    Medical Mutual of Ohio X64 Non-Postal Standard Self Monthly $307.24
    Medical Mutual of Ohio X65 Non-Postal Standard Self & Family Monthly $796.10
    Medical Mutual of Ohio X66 Non-Postal Standard Self Plus One Monthly $706.48
    Medical Mutual of Ohio YF1 Non-Postal Basic Self Monthly $122.64
    Medical Mutual of Ohio YF2 Non-Postal Basic Self & Family Monthly $294.34
    Medical Mutual of Ohio YF3 Non-Postal Basic Self Plus One Monthly $269.81
    Medical Mutual of Ohio YF4 Non-Postal Standard Self Monthly $421.12
    Medical Mutual of Ohio YF5 Non-Postal Standard Self & Family Monthly $1069.41
    Medical Mutual of Ohio YF6 Non-Postal Standard Self Plus One Monthly $957.01
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