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Healthcare Plan Information

2021 Plan Information for Utah

Choose a Location, Employee Type, & Payment Period  

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Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 262.6
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 515.62
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 578.72
Aetna Direct N61 Non-Postal CDHP Self Monthly 153.96
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 388.27
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 337.64
Aetna Direct Z24 Non-Postal Advantage Self Monthly 125
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 331.25
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 275
Aetna HealthFund CDHP and Aetna Value Plan G51 Non-Postal CDHP Self Monthly 535.34
Aetna HealthFund CDHP and Aetna Value Plan G52 Non-Postal CDHP Self & Family Monthly 1196.87
Aetna HealthFund CDHP and Aetna Value Plan G53 Non-Postal CDHP Self Plus One Monthly 1270.04
Aetna HealthFund CDHP and Aetna Value Plan G54 Non-Postal Value Self Monthly 193.62
Aetna HealthFund CDHP and Aetna Value Plan G55 Non-Postal Value Self & Family Monthly 424.06
Aetna HealthFund CDHP and Aetna Value Plan G56 Non-Postal Value Self Plus One Monthly 488.93
Altius Health Plans 9K1 Non-Postal High Self Monthly 524.94
Altius Health Plans 9K2 Non-Postal High Self & Family Monthly 1100.25
Altius Health Plans 9K3 Non-Postal High Self Plus One Monthly 1174.34
Altius Health Plans 9K4 Non-Postal HDHP Self Monthly 168.12
Altius Health Plans 9K5 Non-Postal HDHP Self & Family Monthly 351.36
Altius Health Plans 9K6 Non-Postal HDHP Self Plus One Monthly 344.46
Altius Health Plans DK4 Non-Postal Standard Self Monthly 359.69
Altius Health Plans DK5 Non-Postal Standard Self & Family Monthly 731.99
Altius Health Plans DK6 Non-Postal Standard Self Plus One Monthly 809.71
SelectHealth Plan SF4 Non-Postal Standard Self Monthly 157.15
SelectHealth Plan SF5 Non-Postal Standard Self & Family Monthly 392.89
SelectHealth Plan SF6 Non-Postal Standard Self Plus One Monthly 345.74
SelectHealth Plan WX1 Non-Postal HDHP Self Monthly 134.87
SelectHealth Plan WX2 Non-Postal HDHP Self & Family Monthly 337.17
SelectHealth Plan WX3 Non-Postal HDHP Self Plus One Monthly 296.71
UnitedHealthcare Advantage Plan Y51 Non-Postal High Self Monthly 102.93
UnitedHealthcare Advantage Plan Y52 Non-Postal High Self & Family Monthly 272.77
UnitedHealthcare Advantage Plan Y53 Non-Postal High Self Plus One Monthly 226.45
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