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Healthcare

Temporary Continuation of Coverage (TCC) Premium Rates and Former Spouse Premiums

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2019 TCC Premium 2020 TCC Monthly Premiums - Total Premium 2020 TCC Monthly Premiums - Government Pays 2020 TCC Monthly Premiums - Employee Pays 2020 TCC Monthly Premiums - Change in Employee Payment 2019 Former Spouse Premium 2020 Former Spouse Monthly Premiums - Total Premium 2020 Former Spouse Monthly Premiums - Government Pays 2020 Former Spouse Monthly Premiums - Employee Pays 2020 Former Spouse Monthly Premiums - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Alabama Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Alabama Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Alabama Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Alabama Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Alabama Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
Alabama Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 427.08 463.83 0.00 463.83 36.75 418.71 454.74 0.00 454.74 36.03
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 982.34 1066.84 0.00 1066.84 84.50 963.08 1045.92 0.00 1045.92 82.84
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 918.26 997.26 0.00 997.26 79.00 900.25 977.71 0.00 977.71 77.46
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 692.61 728.15 0.00 728.15 35.54 679.03 713.87 0.00 713.87 34.84
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1731.58 1820.40 0.00 1820.40 88.82 1697.63 1784.71 0.00 1784.71 87.08
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1489.14 1565.57 0.00 1565.57 76.43 1459.94 1534.87 0.00 1534.87 74.93
Alabama UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Alaska Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Alaska Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Alaska Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Alaska Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Alaska Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Alaska Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 820.07 1094.95 0.00 1094.95 274.88 803.99 1073.48 0.00 1073.48 269.49
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1872.12 2499.60 0.00 2499.60 627.48 1835.41 2450.59 0.00 2450.59 615.18
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1853.60 2474.85 0.00 2474.85 621.25 1817.25 2426.32 0.00 2426.32 609.07
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1070.02 1024.07 0.00 1024.07 -45.95 1049.04 1003.99 0.00 1003.99 -45.05
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2439.18 2334.42 0.00 2334.42 -104.76 2391.35 2288.65 0.00 2288.65 -102.70
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2415.04 2311.31 0.00 2311.31 -103.73 2367.69 2265.99 0.00 2265.99 -101.70
Alaska Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Arizona Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Arizona Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Arizona Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Arizona Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Arizona Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Arizona Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
Arizona Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Arizona Aetna Open Access - High Self WQ1 1147.52 1184.38 0.00 1184.38 36.86 1125.02 1161.16 0.00 1161.16 36.14
Arizona Aetna Open Access - High Self & Family WQ2 2786.15 2875.66 0.00 2875.66 89.51 2731.52 2819.27 0.00 2819.27 87.75
Arizona Aetna Open Access - High Self Plus One WQ3 2758.55 2847.17 0.00 2847.17 88.62 2704.46 2791.34 0.00 2791.34 86.88
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 691.66 733.17 0.00 733.17 41.51 678.10 718.79 0.00 718.79 40.69
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 1556.21 1649.62 0.00 1649.62 93.41 1525.70 1617.27 0.00 1617.27 91.57
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 1487.07 1576.29 0.00 1576.29 89.22 1457.91 1545.38 0.00 1545.38 87.47
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 552.85 586.03 0.00 586.03 33.18 542.01 574.54 0.00 574.54 32.53
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 1243.90 1318.53 0.00 1318.53 74.63 1219.51 1292.68 0.00 1292.68 73.17
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 1188.63 1259.94 0.00 1259.94 71.31 1165.32 1235.24 0.00 1235.24 69.92
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 504.03 534.29 0.00 534.29 30.26 494.15 523.81 0.00 523.81 29.66
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 1134.09 1202.13 0.00 1202.13 68.04 1111.85 1178.56 0.00 1178.56 66.71
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 1083.70 1148.71 0.00 1148.71 65.01 1062.45 1126.19 0.00 1126.19 63.74
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 633.05 671.05 0.00 671.05 38.00 620.64 657.89 0.00 657.89 37.25
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 1424.35 1509.80 0.00 1509.80 85.45 1396.42 1480.20 0.00 1480.20 83.78
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 1361.03 1442.69 0.00 1442.69 81.66 1334.34 1414.40 0.00 1414.40 80.06
Arizona Humana Health Plan, Inc. - Standard Self C74 741.10 799.78 0.00 799.78 58.68 726.57 784.10 0.00 784.10 57.53
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 1667.42 1799.47 0.00 1799.47 132.05 1634.73 1764.19 0.00 1764.19 129.46
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 1593.30 1719.44 0.00 1719.44 126.14 1562.06 1685.73 0.00 1685.73 123.67
Arizona Humana Health Plan, Inc. - High Self C71 879.84 1038.24 0.00 1038.24 158.40 862.59 1017.88 0.00 1017.88 155.29
Arizona Humana Health Plan, Inc. - High Self & Family C72 1979.66 2335.99 0.00 2335.99 356.33 1940.84 2290.19 0.00 2290.19 349.35
Arizona Humana Health Plan, Inc. - High Self Plus One C73 1891.67 2232.17 0.00 2232.17 340.50 1854.58 2188.40 0.00 2188.40 333.82
Arizona Humana Health Plan, Inc. - High Self BF1 1388.66 1458.09 0.00 1458.09 69.43 1361.43 1429.50 0.00 1429.50 68.07
Arizona Humana Health Plan, Inc. - High Self & Family BF2 3124.41 3280.60 0.00 3280.60 156.19 3063.15 3216.27 0.00 3216.27 153.12
Arizona Humana Health Plan, Inc. - High Self Plus One BF3 2985.53 3134.82 0.00 3134.82 149.29 2926.99 3073.35 0.00 3073.35 146.36
Arizona Humana Health Plan, Inc. - Standard Self BF4 934.39 1177.34 0.00 1177.34 242.95 916.07 1154.25 0.00 1154.25 238.18
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 2102.39 2649.02 0.00 2649.02 546.63 2061.17 2597.08 0.00 2597.08 535.91
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 2008.96 2531.29 0.00 2531.29 522.33 1969.57 2481.66 0.00 2481.66 512.09
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 459.33 452.72 0.00 452.72 -6.61 450.32 443.84 0.00 443.84 -6.48
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1056.44 1041.27 0.00 1041.27 -15.17 1035.73 1020.85 0.00 1020.85 -14.88
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 987.56 973.36 0.00 973.36 -14.20 968.20 954.27 0.00 954.27 -13.93
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 692.77 739.27 0.00 739.27 46.50 679.19 724.77 0.00 724.77 45.58
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1731.91 1848.14 0.00 1848.14 116.23 1697.95 1811.90 0.00 1811.90 113.95
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1489.43 1589.42 0.00 1589.42 99.99 1460.23 1558.25 0.00 1558.25 98.02
Arizona UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 New Plan 533.32 0.00 533.32 New Plan New Plan 522.86 0.00 522.86 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family WF2 New Plan 1261.12 0.00 1261.12 New Plan New Plan 1236.39 0.00 1236.39 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 1146.53 0.00 1146.53 New Plan New Plan 1124.05 0.00 1124.05 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 532.46 0.00 532.46 New Plan New Plan 522.02 0.00 522.02 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 New Plan 1259.06 0.00 1259.06 New Plan New Plan 1234.37 0.00 1234.37 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One VD3 New Plan 1144.67 0.00 1144.67 New Plan New Plan 1122.23 0.00 1122.23 New Plan
Arkansas Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Arkansas Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Arkansas Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Arkansas Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Arkansas Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Arkansas Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
Arkansas Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Arkansas QualChoice - High Self DH1 730.70 767.24 0.00 767.24 36.54 716.37 752.20 0.00 752.20 35.83
Arkansas QualChoice - High Self & Family DH2 1905.86 2001.20 0.00 2001.20 95.34 1868.49 1961.96 0.00 1961.96 93.47
Arkansas QualChoice - High Self Plus One DH3 1419.39 1490.40 0.00 1490.40 71.01 1391.56 1461.18 0.00 1461.18 69.62
Arkansas QualChoice - Standard Self DH4 570.49 599.00 0.00 599.00 28.51 559.30 587.25 0.00 587.25 27.95
Arkansas QualChoice - Standard Self & Family DH5 1488.00 1562.39 0.00 1562.39 74.39 1458.82 1531.75 0.00 1531.75 72.93
Arkansas QualChoice - Standard Self Plus One DH6 1108.18 1163.59 0.00 1163.59 55.41 1086.45 1140.77 0.00 1140.77 54.32
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 427.08 463.83 0.00 463.83 36.75 418.71 454.74 0.00 454.74 36.03
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 982.34 1066.84 0.00 1066.84 84.50 963.08 1045.92 0.00 1045.92 82.84
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 918.26 997.26 0.00 997.26 79.00 900.25 977.71 0.00 977.71 77.46
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 692.61 728.15 0.00 728.15 35.54 679.03 713.87 0.00 713.87 34.84
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1731.58 1820.40 0.00 1820.40 88.82 1697.63 1784.71 0.00 1784.71 87.08
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1489.14 1565.57 0.00 1565.57 76.43 1459.94 1534.87 0.00 1534.87 74.93
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
California Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
California Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
California Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
California Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
California Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
California Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 820.07 1094.95 0.00 1094.95 274.88 803.99 1073.48 0.00 1073.48 269.49
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1872.12 2499.60 0.00 2499.60 627.48 1835.41 2450.59 0.00 2450.59 615.18
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1853.60 2474.85 0.00 2474.85 621.25 1817.25 2426.32 0.00 2426.32 609.07
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1070.02 1024.07 0.00 1024.07 -45.95 1049.04 1003.99 0.00 1003.99 -45.05
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2439.18 2334.42 0.00 2334.42 -104.76 2391.35 2288.65 0.00 2288.65 -102.70
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2415.04 2311.31 0.00 2311.31 -103.73 2367.69 2265.99 0.00 2265.99 -101.70
California Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
California Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
California Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
California Aetna Open Access - High Self 2X1 779.20 898.14 0.00 898.14 118.94 763.92 880.53 0.00 880.53 116.61
California Aetna Open Access - High Self & Family 2X2 1829.31 2108.58 0.00 2108.58 279.27 1793.44 2067.24 0.00 2067.24 273.80
California Aetna Open Access - High Self Plus One 2X3 1793.44 2067.23 0.00 2067.23 273.79 1758.27 2026.70 0.00 2026.70 268.43
California Anthem Blue Cross Select HMO - High Self B31 785.70 789.61 0.00 789.61 3.91 770.29 774.13 0.00 774.13 3.84
California Anthem Blue Cross Select HMO - High Self & Family B32 1767.84 1804.29 0.00 1804.29 36.45 1733.18 1768.91 0.00 1768.91 35.73
California Anthem Blue Cross Select HMO - High Self Plus One B33 1642.14 1673.98 0.00 1673.98 31.84 1609.94 1641.16 0.00 1641.16 31.22
California Blue Shield of California - Access + HMO Self SI1 794.88 850.52 0.00 850.52 55.64 779.29 833.84 0.00 833.84 54.55
California Blue Shield of California - Access + HMO Self & Family SI2 1828.25 1956.21 0.00 1956.21 127.96 1792.40 1917.85 0.00 1917.85 125.45
California Blue Shield of California - Access + HMO Self Plus One SI3 1748.73 1871.14 0.00 1871.14 122.41 1714.44 1834.45 0.00 1834.45 120.01
California Blue Shield of California - TRIO HMO Self SI4 719.18 755.14 0.00 755.14 35.96 705.08 740.33 0.00 740.33 35.25
California Blue Shield of California - TRIO HMO Self & Family SI5 1654.12 1736.82 0.00 1736.82 82.70 1621.69 1702.76 0.00 1702.76 81.07
California Blue Shield of California - TRIO HMO Self Plus One SI6 1582.20 1661.30 0.00 1661.30 79.10 1551.18 1628.73 0.00 1628.73 77.55
California Health Net of California - Basic Self P61 339.02 330.86 0.00 330.86 -8.16 332.37 324.37 0.00 324.37 -8.00
California Health Net of California - Basic Self & Family P62 813.65 794.03 0.00 794.03 -19.62 797.70 778.46 0.00 778.46 -19.24
California Health Net of California - Basic Self Plus One P63 745.85 727.86 0.00 727.86 -17.99 731.23 713.59 0.00 713.59 -17.64
California Health Net of California - Standard Self LP4 964.55 1033.58 0.00 1033.58 69.03 945.64 1013.31 0.00 1013.31 67.67
California Health Net of California - Standard Self & Family LP5 2314.93 2480.59 0.00 2480.59 165.66 2269.54 2431.95 0.00 2431.95 162.41
California Health Net of California - Standard Self Plus One LP6 2122.02 2273.87 0.00 2273.87 151.85 2080.41 2229.28 0.00 2229.28 148.87
California Health Net of California - High Self LP1 1012.91 1069.33 0.00 1069.33 56.42 993.05 1048.36 0.00 1048.36 55.31
California Health Net of California - High Self & Family LP2 2431.00 2566.38 0.00 2566.38 135.38 2383.33 2516.06 0.00 2516.06 132.73
California Health Net of California - High Self Plus One LP3 2228.41 2352.53 0.00 2352.53 124.12 2184.72 2306.40 0.00 2306.40 121.68
California Health Net of California - High Self LB1 1388.63 1540.77 0.00 1540.77 152.14 1361.40 1510.56 0.00 1510.56 149.16
California Health Net of California - High Self & Family LB2 3332.73 3697.89 0.00 3697.89 365.16 3267.38 3625.38 0.00 3625.38 358.00
California Health Net of California - High Self Plus One LB3 3054.99 3389.73 0.00 3389.73 334.74 2995.09 3323.26 0.00 3323.26 328.17
California Health Net of California - Standard Self LB4 1315.20 1367.35 0.00 1367.35 52.15 1289.41 1340.54 0.00 1340.54 51.13
California Health Net of California - Standard Self & Family LB5 3156.48 3281.63 0.00 3281.63 125.15 3094.59 3217.28 0.00 3217.28 122.69
California Health Net of California - Standard Self Plus One LB6 2893.44 3008.16 0.00 3008.16 114.72 2836.71 2949.18 0.00 2949.18 112.47
California Health Net of California - Basic Self T41 806.10 899.47 0.00 899.47 93.37 790.29 881.83 0.00 881.83 91.54
California Health Net of California - Basic Self & Family T42 1934.63 2158.73 0.00 2158.73 224.10 1896.70 2116.40 0.00 2116.40 219.70
California Health Net of California - Basic Self Plus One T43 1773.39 1978.86 0.00 1978.86 205.47 1738.62 1940.06 0.00 1940.06 201.44
California Kaiser Foundation Health Plan, Inc. Northern California Region - Basic Self KC1 653.63 665.12 0.00 665.12 11.49 640.81 652.08 0.00 652.08 11.27
California Kaiser Foundation Health Plan, Inc. Northern California Region - Basic Self & Family KC2 1529.43 1556.37 0.00 1556.37 26.94 1499.44 1525.85 0.00 1525.85 26.41
California Kaiser Foundation Health Plan, Inc. Northern California Region - Basic Self Plus One KC3 1529.43 1556.37 0.00 1556.37 26.94 1499.44 1525.85 0.00 1525.85 26.41
California Kaiser Foundation Health Plan, Inc. Northern California Region - High Self 591 1012.34 1020.47 0.00 1020.47 8.13 992.49 1000.46 0.00 1000.46 7.97
California Kaiser Foundation Health Plan, Inc. Northern California Region - High Self & Family 592 2416.52 2435.97 0.00 2435.97 19.45 2369.14 2388.21 0.00 2388.21 19.07
California Kaiser Foundation Health Plan, Inc. Northern California Region - High Self Plus One 593 2416.52 2435.97 0.00 2435.97 19.45 2369.14 2388.21 0.00 2388.21 19.07
California Kaiser Foundation Health Plan, Inc. Northern California Region - Standard Self 594 813.52 826.08 0.00 826.08 12.56 797.57 809.88 0.00 809.88 12.31
California Kaiser Foundation Health Plan, Inc. Northern California Region - Standard Self & Family 595 1903.61 1932.98 0.00 1932.98 29.37 1866.28 1895.08 0.00 1895.08 28.80
California Kaiser Foundation Health Plan, Inc. Northern California Region - Standard Self Plus One 596 1903.61 1932.98 0.00 1932.98 29.37 1866.28 1895.08 0.00 1895.08 28.80
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - Standard Self NZ4 545.36 578.14 0.00 578.14 32.78 534.67 566.80 0.00 566.80 32.13
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - Standard Self & Family NZ5 1260.43 1336.15 0.00 1336.15 75.72 1235.72 1309.95 0.00 1309.95 74.23
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - Standard Self Plus One NZ6 1260.43 1336.15 0.00 1336.15 75.72 1235.72 1309.95 0.00 1309.95 74.23
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - High Self NZ1 745.65 792.46 0.00 792.46 46.81 731.03 776.92 0.00 776.92 45.89
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - High Self & Family NZ2 1723.34 1831.58 0.00 1831.58 108.24 1689.55 1795.67 0.00 1795.67 106.12
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - High Self Plus One NZ3 1723.34 1831.58 0.00 1831.58 108.24 1689.55 1795.67 0.00 1795.67 106.12
California Kaiser Foundation Health Plan, Inc. Southern California Region - Standard Self 624 439.99 475.64 0.00 475.64 35.65 431.36 466.31 0.00 466.31 34.95
California Kaiser Foundation Health Plan, Inc. Southern California Region - Standard Self & Family 625 1016.87 1099.25 0.00 1099.25 82.38 996.93 1077.70 0.00 1077.70 80.77
California Kaiser Foundation Health Plan, Inc. Southern California Region - Standard Self Plus One 626 1016.87 1099.25 0.00 1099.25 82.38 996.93 1077.70 0.00 1077.70 80.77
California Kaiser Foundation Health Plan, Inc. Southern California Region - High Self 621 700.94 750.12 0.00 750.12 49.18 687.20 735.41 0.00 735.41 48.21
California Kaiser Foundation Health Plan, Inc. Southern California Region - High Self & Family 622 1620.02 1733.65 0.00 1733.65 113.63 1588.25 1699.66 0.00 1699.66 111.41
California Kaiser Foundation Health Plan, Inc. Southern California Region - High Self Plus One 623 1620.02 1733.65 0.00 1733.65 113.63 1588.25 1699.66 0.00 1699.66 111.41
Colorado Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Colorado Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Colorado Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Colorado Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Colorado Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Colorado Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
Colorado Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self WW1 606.60 649.08 0.00 649.08 42.48 594.71 636.35 0.00 636.35 41.64
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self & Family WW2 1477.07 1580.48 0.00 1580.48 103.41 1448.11 1549.49 0.00 1549.49 101.38
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self Plus One WW3 1380.01 1476.61 0.00 1476.61 96.60 1352.95 1447.66 0.00 1447.66 94.71
Colorado Humana Health Plan, Inc. - High Self NR1 710.14 837.94 0.00 837.94 127.80 696.22 821.51 0.00 821.51 125.29
Colorado Humana Health Plan, Inc. - High Self & Family NR2 1597.79 1885.38 0.00 1885.38 287.59 1566.46 1848.41 0.00 1848.41 281.95
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 1526.78 1801.60 0.00 1801.60 274.82 1496.84 1766.27 0.00 1766.27 269.43
Colorado Humana Health Plan, Inc. - Standard Self NR4 532.75 580.70 0.00 580.70 47.95 522.30 569.31 0.00 569.31 47.01
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 1198.70 1306.60 0.00 1306.60 107.90 1175.20 1280.98 0.00 1280.98 105.78
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 1145.40 1248.50 0.00 1248.50 103.10 1122.94 1224.02 0.00 1224.02 101.08
Colorado Humana Health Plan, Inc. - Basic Self RZ1 506.89 532.24 0.00 532.24 25.35 496.95 521.80 0.00 521.80 24.85
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 1140.49 1197.51 0.00 1197.51 57.02 1118.13 1174.03 0.00 1174.03 55.90
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 1089.84 1144.34 0.00 1144.34 54.50 1068.47 1121.90 0.00 1121.90 53.43
Colorado Humana Health Plan, Inc. - High Self NT1 639.40 780.07 0.00 780.07 140.67 626.86 764.77 0.00 764.77 137.91
Colorado Humana Health Plan, Inc. - High Self & Family NT2 1438.69 1755.21 0.00 1755.21 316.52 1410.48 1720.79 0.00 1720.79 310.31
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 1374.71 1677.17 0.00 1677.17 302.46 1347.75 1644.28 0.00 1644.28 296.53
Colorado Humana Health Plan, Inc. - Standard Self NT4 511.44 552.35 0.00 552.35 40.91 501.41 541.52 0.00 541.52 40.11
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 1150.77 1242.82 0.00 1242.82 92.05 1128.21 1218.45 0.00 1218.45 90.24
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 1099.65 1187.64 0.00 1187.64 87.99 1078.09 1164.35 0.00 1164.35 86.26
Colorado Humana Health Plan, Inc. - Basic Self R21 501.61 541.74 0.00 541.74 40.13 491.77 531.12 0.00 531.12 39.35
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 1128.63 1218.90 0.00 1218.90 90.27 1106.50 1195.00 0.00 1195.00 88.50
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 1078.46 1164.74 0.00 1164.74 86.28 1057.31 1141.90 0.00 1141.90 84.59
Colorado Kaiser Foundation Health Plan of Colorado - Standard Self 654 598.40 684.73 0.00 684.73 86.33 586.67 671.30 0.00 671.30 84.63
Colorado Kaiser Foundation Health Plan of Colorado - Standard Self & Family 655 1352.43 1547.46 0.00 1547.46 195.03 1325.91 1517.12 0.00 1517.12 191.21
Colorado Kaiser Foundation Health Plan of Colorado - Standard Self Plus One 656 1352.43 1547.46 0.00 1547.46 195.03 1325.91 1517.12 0.00 1517.12 191.21
Colorado Kaiser Foundation Health Plan of Colorado - High Self 651 753.72 804.95 0.00 804.95 51.23 738.94 789.17 0.00 789.17 50.23
Colorado Kaiser Foundation Health Plan of Colorado - High Self & Family 652 1703.45 1819.18 0.00 1819.18 115.73 1670.05 1783.51 0.00 1783.51 113.46
Colorado Kaiser Foundation Health Plan of Colorado - High Self Plus One 653 1703.45 1819.18 0.00 1819.18 115.73 1670.05 1783.51 0.00 1783.51 113.46
Colorado Kaiser Foundation Health Plan of Colorado - Basic Self N41 438.45 494.47 0.00 494.47 56.02 429.85 484.77 0.00 484.77 54.92
Colorado Kaiser Foundation Health Plan of Colorado - Basic Self & Family N42 990.86 1117.51 0.00 1117.51 126.65 971.43 1095.60 0.00 1095.60 124.17
Colorado Kaiser Foundation Health Plan of Colorado - Basic Self Plus One N43 990.86 1117.51 0.00 1117.51 126.65 971.43 1095.60 0.00 1095.60 124.17
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 459.33 452.72 0.00 452.72 -6.61 450.32 443.84 0.00 443.84 -6.48
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1056.44 1041.27 0.00 1041.27 -15.17 1035.73 1020.85 0.00 1020.85 -14.88
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 987.56 973.36 0.00 973.36 -14.20 968.20 954.27 0.00 954.27 -13.93
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 692.77 739.27 0.00 739.27 46.50 679.19 724.77 0.00 724.77 45.58
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1731.91 1848.14 0.00 1848.14 116.23 1697.95 1811.90 0.00 1811.90 113.95
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1489.43 1589.42 0.00 1589.42 99.99 1460.23 1558.25 0.00 1558.25 98.02
Connecticut Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Connecticut Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Connecticut Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Connecticut Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Connecticut Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Connecticut Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 631.46 774.80 0.00 774.80 143.34 619.08 759.61 0.00 759.61 140.53
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1446.00 1774.30 0.00 1774.30 328.30 1417.65 1739.51 0.00 1739.51 321.86
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1417.65 1739.49 0.00 1739.49 321.84 1389.85 1705.38 0.00 1705.38 315.53
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 935.14 1097.27 0.00 1097.27 162.13 916.80 1075.75 0.00 1075.75 158.95
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2132.65 2502.39 0.00 2502.39 369.74 2090.83 2453.32 0.00 2453.32 362.49
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2111.52 2477.61 0.00 2477.61 366.09 2070.12 2429.03 0.00 2429.03 358.91
Connecticut Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Delaware Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Delaware Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Delaware Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Delaware Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Delaware Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Delaware Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 631.46 774.80 0.00 774.80 143.34 619.08 759.61 0.00 759.61 140.53
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1446.00 1774.30 0.00 1774.30 328.30 1417.65 1739.51 0.00 1739.51 321.86
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1417.65 1739.49 0.00 1739.49 321.84 1389.85 1705.38 0.00 1705.38 315.53
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 935.14 1097.27 0.00 1097.27 162.13 916.80 1075.75 0.00 1075.75 158.95
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2132.65 2502.39 0.00 2502.39 369.74 2090.83 2453.32 0.00 2453.32 362.49
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2111.52 2477.61 0.00 2477.61 366.09 2070.12 2429.03 0.00 2429.03 358.91
Delaware Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Delaware Aetna Open Access - Basic Self P34 1324.43 1336.28 0.00 1336.28 11.85 1298.46 1310.08 0.00 1310.08 11.62
Delaware Aetna Open Access - Basic Self & Family P35 3074.03 3101.49 0.00 3101.49 27.46 3013.75 3040.68 0.00 3040.68 26.93
Delaware Aetna Open Access - Basic Self Plus One P36 3043.57 3070.75 0.00 3070.75 27.18 2983.89 3010.54 0.00 3010.54 26.65
Delaware Aetna Open Access - High Self P31 1514.91 1485.74 0.00 1485.74 -29.17 1485.21 1456.61 0.00 1456.61 -28.60
Delaware Aetna Open Access - High Self & Family P32 3672.93 3602.17 0.00 3602.17 -70.76 3600.91 3531.54 0.00 3531.54 -69.37
Delaware Aetna Open Access - High Self Plus One P33 3636.56 3566.48 0.00 3566.48 -70.08 3565.25 3496.55 0.00 3496.55 -68.70
District Of Columbia Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
District Of Columbia Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
District Of Columbia Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
District Of Columbia Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
District Of Columbia Aetna Open Access - High Self JN1 1141.51 1160.32 0.00 1160.32 18.81 1119.13 1137.57 0.00 1137.57 18.44
District Of Columbia Aetna Open Access - High Self & Family JN2 2566.30 2608.58 0.00 2608.58 42.28 2515.98 2557.43 0.00 2557.43 41.45
District Of Columbia Aetna Open Access - High Self Plus One JN3 2540.86 2582.74 0.00 2582.74 41.88 2491.04 2532.10 0.00 2532.10 41.06
District Of Columbia Aetna Open Access - Basic Self JN4 694.07 711.04 0.00 711.04 16.97 680.46 697.10 0.00 697.10 16.64
District Of Columbia Aetna Open Access - Basic Self & Family JN5 1588.40 1627.25 0.00 1627.25 38.85 1557.25 1595.34 0.00 1595.34 38.09
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 1458.60 1494.29 0.00 1494.29 35.69 1430.00 1464.99 0.00 1464.99 34.99
District Of Columbia Aetna Saver - Saver Self QQ4 New Plan 607.11 0.00 607.11 New Plan New Plan 595.21 0.00 595.21 New Plan
District Of Columbia Aetna Saver - Saver Self & Family QQ5 New Plan 1389.38 0.00 1389.38 New Plan New Plan 1362.14 0.00 1362.14 New Plan
District Of Columbia Aetna Saver - Saver Self Plus One QQ6 New Plan 1275.84 0.00 1275.84 New Plan New Plan 1250.82 0.00 1250.82 New Plan
District Of Columbia CareFirst BlueChoice - Standard Self 2G4 813.63 862.45 0.00 862.45 48.82 797.68 845.54 0.00 845.54 47.86
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 1933.16 2049.14 0.00 2049.14 115.98 1895.25 2008.96 0.00 2008.96 113.71
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 1627.25 1724.88 0.00 1724.88 97.63 1595.34 1691.06 0.00 1691.06 95.72
District Of Columbia CareFirst BlueChoice - HDHP Self B61 528.64 581.49 0.00 581.49 52.85 518.27 570.09 0.00 570.09 51.82
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 1256.01 1381.60 0.00 1381.60 125.59 1231.38 1354.51 0.00 1354.51 123.13
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 1057.24 1162.97 0.00 1162.97 105.73 1036.51 1140.17 0.00 1140.17 103.66
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 New Plan 720.11 0.00 720.11 New Plan New Plan 705.99 0.00 705.99 New Plan
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 New Plan 1711.01 0.00 1711.01 New Plan New Plan 1677.46 0.00 1677.46 New Plan
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 New Plan 1440.26 0.00 1440.26 New Plan New Plan 1412.02 0.00 1412.02 New Plan
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self T71 428.52 428.52 0.00 428.52 0.00 420.12 420.12 0.00 420.12 0.00
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self & Family T72 1046.68 1046.68 0.00 1046.68 0.00 1026.16 1026.16 0.00 1026.16 0.00
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self Plus One T73 953.60 953.60 0.00 953.60 0.00 934.90 934.90 0.00 934.90 0.00
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self E34 532.20 582.98 0.00 582.98 50.78 521.76 571.55 0.00 571.55 49.79
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self & Family E35 1223.99 1340.79 0.00 1340.79 116.80 1199.99 1314.50 0.00 1314.50 114.51
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self Plus One E36 1223.99 1340.79 0.00 1340.79 116.80 1199.99 1314.50 0.00 1314.50 114.51
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self E31 706.53 737.28 0.00 737.28 30.75 692.68 722.82 0.00 722.82 30.14
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self & Family E32 1625.01 1695.78 0.00 1695.78 70.77 1593.15 1662.53 0.00 1662.53 69.38
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self Plus One E33 1625.01 1695.78 0.00 1695.78 70.77 1593.15 1662.53 0.00 1662.53 69.38
District Of Columbia M.D. IPA - High Self JP1 806.68 894.14 0.00 894.14 87.46 790.86 876.61 0.00 876.61 85.75
District Of Columbia M.D. IPA - High Self & Family JP2 2261.89 2507.20 0.00 2507.20 245.31 2217.54 2458.04 0.00 2458.04 240.50
District Of Columbia M.D. IPA - High Self Plus One JP3 1575.42 1746.28 0.00 1746.28 170.86 1544.53 1712.04 0.00 1712.04 167.51
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 505.60 496.30 0.00 496.30 -9.30 495.69 486.57 0.00 486.57 -9.12
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1162.86 1141.49 0.00 1141.49 -21.37 1140.06 1119.11 0.00 1119.11 -20.95
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1087.03 1067.05 0.00 1067.05 -19.98 1065.72 1046.13 0.00 1046.13 -19.59
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 681.30 729.19 0.00 729.19 47.89 667.94 714.89 0.00 714.89 46.95
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1614.65 1728.18 0.00 1728.18 113.53 1582.99 1694.29 0.00 1694.29 111.30
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1464.77 1567.73 0.00 1567.73 102.96 1436.05 1536.99 0.00 1536.99 100.94
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 445.80 531.93 0.00 531.93 86.13 437.06 521.50 0.00 521.50 84.44
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1250.00 1491.51 0.00 1491.51 241.51 1225.49 1462.26 0.00 1462.26 236.77
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 870.63 1038.83 0.00 1038.83 168.20 853.56 1018.46 0.00 1018.46 164.90
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Florida Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Florida Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Florida Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Florida Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Florida Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Florida Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
Florida Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Florida AvMed - HDHP Self WZ1 829.57 821.26 0.00 821.26 -8.31 813.30 805.16 0.00 805.16 -8.14
Florida AvMed - HDHP Self & Family WZ2 2043.39 1908.78 0.00 1908.78 -134.61 2003.32 1871.35 0.00 1871.35 -131.97
Florida AvMed - HDHP Self Plus One WZ3 1592.83 1654.79 0.00 1654.79 61.96 1561.60 1622.34 0.00 1622.34 60.74
Florida AvMed - Standard Self ML4 723.40 723.42 0.00 723.42 0.02 709.22 709.24 0.00 709.24 0.02
Florida AvMed - Standard Self & Family ML5 1873.79 1761.35 0.00 1761.35 -112.44 1837.05 1726.81 0.00 1726.81 -110.24
Florida AvMed - Standard Self Plus One ML6 1446.80 1519.16 0.00 1519.16 72.36 1418.43 1489.37 0.00 1489.37 70.94
Florida Capital Health Plan - High Self EA1 704.22 694.23 0.00 694.23 -9.99 690.41 680.62 0.00 680.62 -9.79
Florida Capital Health Plan - High Self & Family EA2 1760.60 1608.88 0.00 1608.88 -151.72 1726.08 1577.33 0.00 1577.33 -148.75
Florida Capital Health Plan - High Self Plus One EA3 1514.10 1518.18 0.00 1518.18 4.08 1484.41 1488.41 0.00 1488.41 4.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 494.93 523.86 0.00 523.86 28.93 485.23 513.59 0.00 513.59 28.36
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 1113.62 1178.68 0.00 1178.68 65.06 1091.78 1155.57 0.00 1155.57 63.79
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 1064.12 1126.28 0.00 1126.28 62.16 1043.25 1104.20 0.00 1104.20 60.95
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 585.05 619.24 0.00 619.24 34.19 573.58 607.10 0.00 607.10 33.52
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 1316.39 1393.27 0.00 1393.27 76.88 1290.58 1365.95 0.00 1365.95 75.37
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 1257.86 1331.38 0.00 1331.38 73.52 1233.20 1305.27 0.00 1305.27 72.07
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 697.70 739.55 0.00 739.55 41.85 684.02 725.05 0.00 725.05 41.03
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 1571.91 1666.21 0.00 1666.21 94.30 1541.09 1633.54 0.00 1633.54 92.45
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 1502.03 1592.15 0.00 1592.15 90.12 1472.58 1560.93 0.00 1560.93 88.35
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 499.75 529.74 0.00 529.74 29.99 489.95 519.35 0.00 519.35 29.40
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 1124.41 1191.85 0.00 1191.85 67.44 1102.36 1168.48 0.00 1168.48 66.12
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 1074.44 1138.90 0.00 1138.90 64.46 1053.37 1116.57 0.00 1116.57 63.20
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 514.58 530.00 0.00 530.00 15.42 504.49 519.61 0.00 519.61 15.12
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 1157.80 1192.51 0.00 1192.51 34.71 1135.10 1169.13 0.00 1169.13 34.03
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 1106.32 1139.52 0.00 1139.52 33.20 1084.63 1117.18 0.00 1117.18 32.55
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 871.18 967.03 0.00 967.03 95.85 854.10 948.07 0.00 948.07 93.97
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 1960.19 2175.81 0.00 2175.81 215.62 1921.75 2133.15 0.00 2133.15 211.40
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 1873.09 2079.13 0.00 2079.13 206.04 1836.36 2038.36 0.00 2038.36 202.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 479.71 503.04 0.00 503.04 23.33 470.30 493.18 0.00 493.18 22.88
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 1079.32 1131.85 0.00 1131.85 52.53 1058.16 1109.66 0.00 1109.66 51.50
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 1031.36 1081.56 0.00 1081.56 50.20 1011.14 1060.35 0.00 1060.35 49.21
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 567.04 594.65 0.00 594.65 27.61 555.92 582.99 0.00 582.99 27.07
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 1275.84 1337.97 0.00 1337.97 62.13 1250.82 1311.74 0.00 1311.74 60.92
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 1219.14 1278.51 0.00 1278.51 59.37 1195.24 1253.44 0.00 1253.44 58.20
Florida Humana Medical Plan, Inc. - Standard Self LL4 884.25 1096.45 0.00 1096.45 212.20 866.91 1074.95 0.00 1074.95 208.04
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 1989.49 2466.98 0.00 2466.98 477.49 1950.48 2418.61 0.00 2418.61 468.13
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 1901.09 2357.34 0.00 2357.34 456.25 1863.81 2311.12 0.00 2311.12 447.31
Florida Humana Medical Plan, Inc. - High Self LL1 1643.03 1692.33 0.00 1692.33 49.30 1610.81 1659.15 0.00 1659.15 48.34
Florida Humana Medical Plan, Inc. - High Self & Family LL2 3696.80 3807.72 0.00 3807.72 110.92 3624.31 3733.06 0.00 3733.06 108.75
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 3532.50 3638.48 0.00 3638.48 105.98 3463.24 3567.14 0.00 3567.14 103.90
Florida Humana Medical Plan, Inc. - High Self EE1 932.33 1137.44 0.00 1137.44 205.11 914.05 1115.14 0.00 1115.14 201.09
Florida Humana Medical Plan, Inc. - High Self & Family EE2 2097.75 2559.25 0.00 2559.25 461.50 2056.62 2509.07 0.00 2509.07 452.45
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 2004.56 2445.54 0.00 2445.54 440.98 1965.25 2397.59 0.00 2397.59 432.34
Florida Humana Medical Plan, Inc. - Standard Self EE4 833.66 1017.06 0.00 1017.06 183.40 817.31 997.12 0.00 997.12 179.81
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 1875.70 2288.37 0.00 2288.37 412.67 1838.92 2243.50 0.00 2243.50 404.58
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 1792.33 2186.67 0.00 2186.67 394.34 1757.19 2143.79 0.00 2143.79 386.60
Florida Humana Medical Plan, Inc. - Standard Self E24 646.31 730.34 0.00 730.34 84.03 633.64 716.02 0.00 716.02 82.38
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 1454.18 1643.22 0.00 1643.22 189.04 1425.67 1611.00 0.00 1611.00 185.33
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 1389.54 1570.19 0.00 1570.19 180.65 1362.29 1539.40 0.00 1539.40 177.11
Florida Humana Medical Plan, Inc. - High Self E21 1005.49 1226.70 0.00 1226.70 221.21 985.77 1202.65 0.00 1202.65 216.88
Florida Humana Medical Plan, Inc. - High Self & Family E22 2262.29 2759.98 0.00 2759.98 497.69 2217.93 2705.86 0.00 2705.86 487.93
Florida Humana Medical Plan, Inc. - High Self Plus One E23 2161.74 2637.32 0.00 2637.32 475.58 2119.35 2585.61 0.00 2585.61 466.26
Florida Humana Medical Plan, Inc. - High Self EX1 759.40 911.27 0.00 911.27 151.87 744.51 893.40 0.00 893.40 148.89
Florida Humana Medical Plan, Inc. - High Self & Family EX2 1708.59 2050.30 0.00 2050.30 341.71 1675.09 2010.10 0.00 2010.10 335.01
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 1632.64 1959.19 0.00 1959.19 326.55 1600.63 1920.77 0.00 1920.77 320.14
Florida Humana Medical Plan, Inc. - Standard Self EX4 666.85 746.87 0.00 746.87 80.02 653.77 732.23 0.00 732.23 78.46
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 1500.39 1680.46 0.00 1680.46 180.07 1470.97 1647.51 0.00 1647.51 176.54
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 1433.71 1605.77 0.00 1605.77 172.06 1405.60 1574.28 0.00 1574.28 168.68
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 427.08 463.83 0.00 463.83 36.75 418.71 454.74 0.00 454.74 36.03
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 982.34 1066.84 0.00 1066.84 84.50 963.08 1045.92 0.00 1045.92 82.84
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 918.26 997.26 0.00 997.26 79.00 900.25 977.71 0.00 977.71 77.46
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 692.61 728.15 0.00 728.15 35.54 679.03 713.87 0.00 713.87 34.84
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1731.58 1820.40 0.00 1820.40 88.82 1697.63 1784.71 0.00 1784.71 87.08
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1489.14 1565.57 0.00 1565.57 76.43 1459.94 1534.87 0.00 1534.87 74.93
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 675.27 715.47 0.00 715.47 40.20 662.03 701.44 0.00 701.44 39.41
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 2025.82 2146.38 0.00 2146.38 120.56 1986.10 2104.29 0.00 2104.29 118.19
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1451.84 1538.23 0.00 1538.23 86.39 1423.37 1508.07 0.00 1508.07 84.70
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Georgia Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Georgia Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Georgia Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Georgia Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Georgia Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Georgia Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
Georgia Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Georgia Aetna Open Access - High Self 2U1 1615.98 1768.03 0.00 1768.03 152.05 1584.29 1733.36 0.00 1733.36 149.07
Georgia Aetna Open Access - High Self & Family 2U2 3722.35 4072.54 0.00 4072.54 350.19 3649.36 3992.69 0.00 3992.69 343.33
Georgia Aetna Open Access - High Self Plus One 2U3 3685.48 4032.21 0.00 4032.21 346.73 3613.22 3953.15 0.00 3953.15 339.93
Georgia Blue Open Access POS - High Self QM1 607.31 637.67 0.00 637.67 30.36 595.40 625.17 0.00 625.17 29.77
Georgia Blue Open Access POS - High Self & Family QM2 1608.93 1673.28 0.00 1673.28 64.35 1577.38 1640.47 0.00 1640.47 63.09
Georgia Blue Open Access POS - High Self Plus One QM3 1344.77 1405.29 0.00 1405.29 60.52 1318.40 1377.74 0.00 1377.74 59.34
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 531.06 562.93 0.00 562.93 31.87 520.65 551.89 0.00 551.89 31.24
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 1194.90 1266.57 0.00 1266.57 71.67 1171.47 1241.74 0.00 1241.74 70.27
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 1141.80 1210.31 0.00 1210.31 68.51 1119.41 1186.58 0.00 1186.58 67.17
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 667.00 707.00 0.00 707.00 40.00 653.92 693.14 0.00 693.14 39.22
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 1500.75 1590.80 0.00 1590.80 90.05 1471.32 1559.61 0.00 1559.61 88.29
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 1434.05 1520.09 0.00 1520.09 86.04 1405.93 1490.28 0.00 1490.28 84.35
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 671.69 752.28 0.00 752.28 80.59 658.52 737.53 0.00 737.53 79.01
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 1511.24 1692.60 0.00 1692.60 181.36 1481.61 1659.41 0.00 1659.41 177.80
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 1444.09 1617.39 0.00 1617.39 173.30 1415.77 1585.68 0.00 1585.68 169.91
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 813.79 992.85 0.00 992.85 179.06 797.83 973.38 0.00 973.38 175.55
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 1831.03 2233.87 0.00 2233.87 402.84 1795.13 2190.07 0.00 2190.07 394.94
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 1749.66 2134.59 0.00 2134.59 384.93 1715.35 2092.74 0.00 2092.74 377.39
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 644.34 692.81 0.00 692.81 48.47 631.71 679.23 0.00 679.23 47.52
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 1449.85 1558.87 0.00 1558.87 109.02 1421.42 1528.30 0.00 1528.30 106.88
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 1385.40 1489.57 0.00 1489.57 104.17 1358.24 1460.36 0.00 1460.36 102.12
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 524.30 655.40 0.00 655.40 131.10 514.02 642.55 0.00 642.55 128.53
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 1179.70 1474.62 0.00 1474.62 294.92 1156.57 1445.71 0.00 1445.71 289.14
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 1127.27 1409.10 0.00 1409.10 281.83 1105.17 1381.47 0.00 1381.47 276.30
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 606.89 661.50 0.00 661.50 54.61 594.99 648.53 0.00 648.53 53.54
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 1365.51 1488.41 0.00 1488.41 122.90 1338.74 1459.23 0.00 1459.23 120.49
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 1304.82 1422.25 0.00 1422.25 117.43 1279.24 1394.36 0.00 1394.36 115.12
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 698.63 740.55 0.00 740.55 41.92 684.93 726.03 0.00 726.03 41.10
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 1571.88 1666.19 0.00 1666.19 94.31 1541.06 1633.52 0.00 1633.52 92.46
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 1502.03 1592.15 0.00 1592.15 90.12 1472.58 1560.93 0.00 1560.93 88.35
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DN1 751.14 796.22 0.00 796.22 45.08 736.41 780.61 0.00 780.61 44.20
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DN2 1690.08 1791.50 0.00 1791.50 101.42 1656.94 1756.37 0.00 1756.37 99.43
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DN3 1614.98 1711.87 0.00 1711.87 96.89 1583.31 1678.30 0.00 1678.30 94.99
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 575.52 610.05 0.00 610.05 34.53 564.24 598.09 0.00 598.09 33.85
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 1294.95 1372.63 0.00 1372.63 77.68 1269.56 1345.72 0.00 1345.72 76.16
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 1237.38 1311.64 0.00 1311.64 74.26 1213.12 1285.92 0.00 1285.92 72.80
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 632.57 778.06 0.00 778.06 145.49 620.17 762.80 0.00 762.80 142.63
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 1423.29 1750.66 0.00 1750.66 327.37 1395.38 1716.33 0.00 1716.33 320.95
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 1360.02 1672.82 0.00 1672.82 312.80 1333.35 1640.02 0.00 1640.02 306.67
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 996.45 1275.46 0.00 1275.46 279.01 976.91 1250.45 0.00 1250.45 273.54
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 2242.02 2869.77 0.00 2869.77 627.75 2198.06 2813.50 0.00 2813.50 615.44
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 2142.38 2742.24 0.00 2742.24 599.86 2100.37 2688.47 0.00 2688.47 588.10
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self CB1 1010.17 1171.54 0.00 1171.54 161.37 990.36 1148.57 0.00 1148.57 158.21
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family CB2 2272.99 2636.09 0.00 2636.09 363.10 2228.42 2584.40 0.00 2584.40 355.98
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One CB3 2171.93 2519.00 0.00 2519.00 347.07 2129.34 2469.61 0.00 2469.61 340.27
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DG1 1309.10 1348.37 0.00 1348.37 39.27 1283.43 1321.93 0.00 1321.93 38.50
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DG2 2945.46 3033.83 0.00 3033.83 88.37 2887.71 2974.34 0.00 2974.34 86.63
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DG3 2814.59 2899.03 0.00 2899.03 84.44 2759.40 2842.19 0.00 2842.19 82.79
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 956.67 1195.28 0.00 1195.28 238.61 937.91 1171.84 0.00 1171.84 233.93
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 2152.50 2689.43 0.00 2689.43 536.93 2110.29 2636.70 0.00 2636.70 526.41
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 2056.83 2569.96 0.00 2569.96 513.13 2016.50 2519.57 0.00 2519.57 503.07
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - High Self F81 710.01 744.64 0.00 744.64 34.63 696.09 730.04 0.00 730.04 33.95
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - High Self & Family F82 1604.61 1682.87 0.00 1682.87 78.26 1573.15 1649.87 0.00 1649.87 76.72
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - High Self Plus One F83 1604.61 1682.87 0.00 1682.87 78.26 1573.15 1649.87 0.00 1649.87 76.72
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Standard Self F84 536.72 563.38 0.00 563.38 26.66 526.20 552.33 0.00 552.33 26.13
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Standard Self & Family F85 1213.00 1273.23 0.00 1273.23 60.23 1189.22 1248.26 0.00 1248.26 59.04
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Standard Self Plus One F86 1213.00 1273.23 0.00 1273.23 60.23 1189.22 1248.26 0.00 1248.26 59.04
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Basic Self LA1 New Plan 401.23 0.00 401.23 New Plan New Plan 393.36 0.00 393.36 New Plan
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Basic Self & Family LA2 New Plan 906.76 0.00 906.76 New Plan New Plan 888.98 0.00 888.98 New Plan
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Basic Self Plus One LA3 New Plan 906.76 0.00 906.76 New Plan New Plan 888.98 0.00 888.98 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 675.27 715.47 0.00 715.47 40.20 662.03 701.44 0.00 701.44 39.41
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 2025.82 2146.38 0.00 2146.38 120.56 1986.10 2104.29 0.00 2104.29 118.19
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1451.84 1538.23 0.00 1538.23 86.39 1423.37 1508.07 0.00 1508.07 84.70
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Guam Calvo's SelectCare - Standard Self B44 411.57 404.67 0.00 404.67 -6.90 403.50 396.74 0.00 396.74 -6.76
Guam Calvo's SelectCare - Standard Self & Family B45 1195.81 1175.78 0.00 1175.78 -20.03 1172.36 1152.73 0.00 1152.73 -19.63
Guam Calvo's SelectCare - Standard Self Plus One B46 811.34 797.74 0.00 797.74 -13.60 795.43 782.10 0.00 782.10 -13.33
Guam Calvo's SelectCare - High Self B41 528.45 501.38 0.00 501.38 -27.07 518.09 491.55 0.00 491.55 -26.54
Guam Calvo's SelectCare - High Self & Family B42 1399.66 1327.93 0.00 1327.93 -71.73 1372.22 1301.89 0.00 1301.89 -70.33
Guam Calvo's SelectCare - High Self Plus One B43 1031.25 978.41 0.00 978.41 -52.84 1011.03 959.23 0.00 959.23 -51.80
Guam TakeCare - HDHP Self KX1 105.79 126.72 0.00 126.72 20.93 103.72 124.24 0.00 124.24 20.52
Guam TakeCare - HDHP Self & Family KX2 283.61 346.11 0.00 346.11 62.50 278.05 339.32 0.00 339.32 61.27
Guam TakeCare - HDHP Self Plus One KX3 255.46 312.23 0.00 312.23 56.77 250.45 306.11 0.00 306.11 55.66
Guam TakeCare - Standard Self JK4 397.61 397.02 0.00 397.02 -0.59 389.81 389.24 0.00 389.24 -0.57
Guam TakeCare - Standard Self & Family JK5 1125.95 1124.36 0.00 1124.36 -1.59 1103.87 1102.31 0.00 1102.31 -1.56
Guam TakeCare - Standard Self Plus One JK6 783.60 782.49 0.00 782.49 -1.11 768.24 767.15 0.00 767.15 -1.09
Guam TakeCare - High Self JK1 481.30 502.20 0.00 502.20 20.90 471.86 492.35 0.00 492.35 20.49
Guam TakeCare - High Self & Family JK2 1148.03 1197.89 0.00 1197.89 49.86 1125.52 1174.40 0.00 1174.40 48.88
Guam TakeCare - High Self Plus One JK3 950.87 992.18 0.00 992.18 41.31 932.23 972.73 0.00 972.73 40.50
Hawaii Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Hawaii Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Hawaii Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Hawaii Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Hawaii Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Hawaii Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 820.07 1094.95 0.00 1094.95 274.88 803.99 1073.48 0.00 1073.48 269.49
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1872.12 2499.60 0.00 2499.60 627.48 1835.41 2450.59 0.00 2450.59 615.18
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1853.60 2474.85 0.00 2474.85 621.25 1817.25 2426.32 0.00 2426.32 609.07
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1070.02 1024.07 0.00 1024.07 -45.95 1049.04 1003.99 0.00 1003.99 -45.05
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2439.18 2334.42 0.00 2334.42 -104.76 2391.35 2288.65 0.00 2288.65 -102.70
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2415.04 2311.31 0.00 2311.31 -103.73 2367.69 2265.99 0.00 2265.99 -101.70
Hawaii Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Hawaii HMSA Plan - High Self 871 619.09 643.86 0.00 643.86 24.77 606.95 631.24 0.00 631.24 24.29
Hawaii HMSA Plan - High Self & Family 872 1391.73 1447.40 0.00 1447.40 55.67 1364.44 1419.02 0.00 1419.02 54.58
Hawaii HMSA Plan - High Self Plus One 873 1356.48 1410.73 0.00 1410.73 54.25 1329.88 1383.07 0.00 1383.07 53.19
Hawaii HMSA Plan - Standard Self 874 New Plan 439.59 0.00 439.59 New Plan New Plan 430.97 0.00 430.97 New Plan
Hawaii HMSA Plan - Standard Self & Family 875 New Plan 988.21 0.00 988.21 New Plan New Plan 968.83 0.00 968.83 New Plan
Hawaii HMSA Plan - Standard Self Plus One 876 New Plan 963.11 0.00 963.11 New Plan New Plan 944.23 0.00 944.23 New Plan
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - High Self 631 671.75 689.06 0.00 689.06 17.31 658.58 675.55 0.00 675.55 16.97
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - High Self & Family 632 1498.00 1536.64 0.00 1536.64 38.64 1468.63 1506.51 0.00 1506.51 37.88
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - High Self Plus One 633 1498.00 1536.64 0.00 1536.64 38.64 1468.63 1506.51 0.00 1506.51 37.88
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - Standard Self 634 453.58 490.77 0.00 490.77 37.19 444.69 481.15 0.00 481.15 36.46
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - Standard Self & Family 635 1011.47 1094.44 0.00 1094.44 82.97 991.64 1072.98 0.00 1072.98 81.34
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - Standard Self Plus One 636 1011.47 1094.44 0.00 1094.44 82.97 991.64 1072.98 0.00 1072.98 81.34
Idaho Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Idaho Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Idaho Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Idaho Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Idaho Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Idaho Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Idaho Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Idaho Altius Health Plan - High Self 9K1 953.94 1029.24 0.00 1029.24 75.30 935.24 1009.06 0.00 1009.06 73.82
Idaho Altius Health Plan - High Self & Family 9K2 2109.63 2276.15 0.00 2276.15 166.52 2068.26 2231.52 0.00 2231.52 163.26
Idaho Altius Health Plan - High Self Plus One 9K3 2088.74 2253.61 0.00 2253.61 164.87 2047.78 2209.42 0.00 2209.42 161.64
Idaho Altius Health Plan - HDHP Self 9K4 517.05 539.81 0.00 539.81 22.76 506.91 529.23 0.00 529.23 22.32
Idaho Altius Health Plan - HDHP Self & Family 9K5 1080.60 1128.16 0.00 1128.16 47.56 1059.41 1106.04 0.00 1106.04 46.63
Idaho Altius Health Plan - HDHP Self Plus One 9K6 1059.41 1106.06 0.00 1106.06 46.65 1038.64 1084.37 0.00 1084.37 45.73
Idaho Altius Health Plan - Standard Self DK4 726.69 776.53 0.00 776.53 49.84 712.44 761.30 0.00 761.30 48.86
Idaho Altius Health Plan - Standard Self & Family DK5 1604.77 1714.85 0.00 1714.85 110.08 1573.30 1681.23 0.00 1681.23 107.93
Idaho Altius Health Plan - Standard Self Plus One DK6 1588.85 1697.85 0.00 1697.85 109.00 1557.70 1664.56 0.00 1664.56 106.86
Idaho Kaiser Foundation Health Plan of Washington - Standard Self 544 596.87 616.21 0.00 616.21 19.34 585.17 604.13 0.00 604.13 18.96
Idaho Kaiser Foundation Health Plan of Washington - Standard Self & Family 545 1372.83 1417.32 0.00 1417.32 44.49 1345.91 1389.53 0.00 1389.53 43.62
Idaho Kaiser Foundation Health Plan of Washington - Standard Self Plus One 546 1372.83 1417.32 0.00 1417.32 44.49 1345.91 1389.53 0.00 1389.53 43.62
Idaho Kaiser Foundation Health Plan of Washington - High Self 541 831.71 862.65 0.00 862.65 30.94 815.40 845.74 0.00 845.74 30.34
Idaho Kaiser Foundation Health Plan of Washington - High Self & Family 542 1829.79 1897.86 0.00 1897.86 68.07 1793.91 1860.65 0.00 1860.65 66.74
Idaho Kaiser Foundation Health Plan of Washington - High Self Plus One 543 1829.79 1897.86 0.00 1897.86 68.07 1793.91 1860.65 0.00 1860.65 66.74
Illinois Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Illinois Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Illinois Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Illinois Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Illinois Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Illinois Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Illinois Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Illinois Blue Preferred - High Self 9G1 798.01 849.87 0.00 849.87 51.86 782.36 833.21 0.00 833.21 50.85
Illinois Blue Preferred - High Self & Family 9G2 1714.69 1896.05 0.00 1896.05 181.36 1681.07 1858.87 0.00 1858.87 177.80
Illinois Blue Preferred - High Self Plus One 9G3 1623.65 1795.80 0.00 1795.80 172.15 1591.81 1760.59 0.00 1760.59 168.78
Illinois Blue Preferred - Standard Self 9G4 569.89 612.63 0.00 612.63 42.74 558.72 600.62 0.00 600.62 41.90
Illinois Blue Preferred - Standard Self & Family 9G5 1619.67 1741.15 0.00 1741.15 121.48 1587.91 1707.01 0.00 1707.01 119.10
Illinois Blue Preferred - Standard Self Plus One 9G6 1464.74 1574.58 0.00 1574.58 109.84 1436.02 1543.71 0.00 1543.71 107.69
Illinois Health Alliance HMO - Standard Self K84 655.29 681.50 0.00 681.50 26.21 642.44 668.14 0.00 668.14 25.70
Illinois Health Alliance HMO - Standard Self & Family K85 1769.30 1840.07 0.00 1840.07 70.77 1734.61 1803.99 0.00 1803.99 69.38
Illinois Health Alliance HMO - Standard Self Plus One K86 1518.00 1578.74 0.00 1578.74 60.74 1488.24 1547.78 0.00 1547.78 59.54
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 628.70 773.30 0.00 773.30 144.60 616.37 758.14 0.00 758.14 141.77
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 1414.56 1739.89 0.00 1739.89 325.33 1386.82 1705.77 0.00 1705.77 318.95
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 1351.68 1662.56 0.00 1662.56 310.88 1325.18 1629.96 0.00 1629.96 304.78
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 955.65 1204.14 0.00 1204.14 248.49 936.91 1180.53 0.00 1180.53 243.62
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 2150.20 2709.26 0.00 2709.26 559.06 2108.04 2656.14 0.00 2656.14 548.10
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 2054.66 2588.88 0.00 2588.88 534.22 2014.37 2538.12 0.00 2538.12 523.75
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 620.99 770.01 0.00 770.01 149.02 608.81 754.91 0.00 754.91 146.10
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1397.19 1732.49 0.00 1732.49 335.30 1369.79 1698.52 0.00 1698.52 328.73
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1335.11 1655.51 0.00 1655.51 320.40 1308.93 1623.05 0.00 1623.05 314.12
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 772.20 934.34 0.00 934.34 162.14 757.06 916.02 0.00 916.02 158.96
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 1737.48 2102.37 0.00 2102.37 364.89 1703.41 2061.15 0.00 2061.15 357.74
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 1660.22 2008.89 0.00 2008.89 348.67 1627.67 1969.50 0.00 1969.50 341.83
Illinois Humana Health Plan, Inc. - Standard Self 754 872.77 970.94 0.00 970.94 98.17 855.66 951.90 0.00 951.90 96.24
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 1963.74 2184.61 0.00 2184.61 220.87 1925.24 2141.77 0.00 2141.77 216.53
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 1876.46 2087.52 0.00 2087.52 211.06 1839.67 2046.59 0.00 2046.59 206.92
Illinois Humana Health Plan, Inc. - High Self 751 1236.30 1263.72 0.00 1263.72 27.42 1212.06 1238.94 0.00 1238.94 26.88
Illinois Humana Health Plan, Inc. - High Self & Family 752 2781.68 2843.36 0.00 2843.36 61.68 2727.14 2787.61 0.00 2787.61 60.47
Illinois Humana Health Plan, Inc. - High Self Plus One 753 2658.04 2717.01 0.00 2717.01 58.97 2605.92 2663.74 0.00 2663.74 57.82
Illinois Humana Health Plan, Inc. - High Self 9F1 1734.28 1977.09 0.00 1977.09 242.81 1700.27 1938.32 0.00 1938.32 238.05
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 3902.11 4448.42 0.00 4448.42 546.31 3825.60 4361.20 0.00 4361.20 535.60
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 3728.67 4250.70 0.00 4250.70 522.03 3655.56 4167.35 0.00 4167.35 511.79
Illinois Humana Health Plan, Inc. - Standard Self AB4 1116.67 1172.52 0.00 1172.52 55.85 1094.77 1149.53 0.00 1149.53 54.76
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 2512.55 2638.17 0.00 2638.17 125.62 2463.28 2586.44 0.00 2586.44 123.16
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 2400.86 2520.93 0.00 2520.93 120.07 2353.78 2471.50 0.00 2471.50 117.72
Illinois Humana Health Plan, Inc. - Basic Self AB1 627.46 771.77 0.00 771.77 144.31 615.16 756.64 0.00 756.64 141.48
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 1411.83 1736.55 0.00 1736.55 324.72 1384.15 1702.50 0.00 1702.50 318.35
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 1349.09 1659.38 0.00 1659.38 310.29 1322.64 1626.84 0.00 1626.84 304.20
Illinois Humana Health Plan, Inc. - Basic Self RW1 636.02 763.20 0.00 763.20 127.18 623.55 748.24 0.00 748.24 124.69
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 1431.02 1717.21 0.00 1717.21 286.19 1402.96 1683.54 0.00 1683.54 280.58
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 1367.44 1640.90 0.00 1640.90 273.46 1340.63 1608.73 0.00 1608.73 268.10
Illinois MercyCare Health Plans - High Self EY1 779.33 801.64 0.00 801.64 22.31 764.05 785.92 0.00 785.92 21.87
Illinois MercyCare Health Plans - High Self & Family EY2 2033.89 2092.01 0.00 2092.01 58.12 1994.01 2050.99 0.00 2050.99 56.98
Illinois MercyCare Health Plans - High Self Plus One EY3 1675.67 1723.58 0.00 1723.58 47.91 1642.81 1689.78 0.00 1689.78 46.97
Illinois MercyCare Health Plans - Standard Self EY4 New Plan 621.78 0.00 621.78 New Plan New Plan 609.59 0.00 609.59 New Plan
Illinois MercyCare Health Plans - Standard Self & Family EY5 New Plan 1622.67 0.00 1622.67 New Plan New Plan 1590.85 0.00 1590.85 New Plan
Illinois MercyCare Health Plans - Standard Self Plus One EY6 New Plan 1336.89 0.00 1336.89 New Plan New Plan 1310.68 0.00 1310.68 New Plan
Illinois Union Health Service - High Self 761 695.37 758.96 0.00 758.96 63.59 681.74 744.08 0.00 744.08 62.34
Illinois Union Health Service - High Self & Family 762 1745.94 1939.67 0.00 1939.67 193.73 1711.71 1901.64 0.00 1901.64 189.93
Illinois Union Health Service - High Self Plus One 763 1541.45 1701.70 0.00 1701.70 160.25 1511.23 1668.33 0.00 1668.33 157.10
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 445.80 531.93 0.00 531.93 86.13 437.06 521.50 0.00 521.50 84.44
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1250.00 1491.51 0.00 1491.51 241.51 1225.49 1462.26 0.00 1462.26 236.77
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 870.63 1038.83 0.00 1038.83 168.20 853.56 1018.46 0.00 1018.46 164.90
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Indiana Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Indiana Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Indiana Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Indiana Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Indiana Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Indiana Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 820.07 1094.95 0.00 1094.95 274.88 803.99 1073.48 0.00 1073.48 269.49
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1872.12 2499.60 0.00 2499.60 627.48 1835.41 2450.59 0.00 2450.59 615.18
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1853.60 2474.85 0.00 2474.85 621.25 1817.25 2426.32 0.00 2426.32 609.07
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1070.02 1024.07 0.00 1024.07 -45.95 1049.04 1003.99 0.00 1003.99 -45.05
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2439.18 2334.42 0.00 2334.42 -104.76 2391.35 2288.65 0.00 2288.65 -102.70
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2415.04 2311.31 0.00 2311.31 -103.73 2367.69 2265.99 0.00 2265.99 -101.70
Indiana Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Indiana Health Alliance HMO - Standard Self K84 655.29 681.50 0.00 681.50 26.21 642.44 668.14 0.00 668.14 25.70
Indiana Health Alliance HMO - Standard Self & Family K85 1769.30 1840.07 0.00 1840.07 70.77 1734.61 1803.99 0.00 1803.99 69.38
Indiana Health Alliance HMO - Standard Self Plus One K86 1518.00 1578.74 0.00 1578.74 60.74 1488.24 1547.78 0.00 1547.78 59.54
Indiana Humana CoverageFirst - CDHP Self TC1 634.56 672.66 0.00 672.66 38.10 622.12 659.47 0.00 659.47 37.35
Indiana Humana CoverageFirst - CDHP Self & Family TC2 1427.75 1513.40 0.00 1513.40 85.65 1399.75 1483.73 0.00 1483.73 83.98
Indiana Humana CoverageFirst - CDHP Self Plus One TC3 1364.30 1446.18 0.00 1446.18 81.88 1337.55 1417.82 0.00 1417.82 80.27
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 620.99 770.01 0.00 770.01 149.02 608.81 754.91 0.00 754.91 146.10
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1397.19 1732.49 0.00 1732.49 335.30 1369.79 1698.52 0.00 1698.52 328.73
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1335.11 1655.51 0.00 1655.51 320.40 1308.93 1623.05 0.00 1623.05 314.12
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 772.20 934.34 0.00 934.34 162.14 757.06 916.02 0.00 916.02 158.96
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 1737.48 2102.37 0.00 2102.37 364.89 1703.41 2061.15 0.00 2061.15 357.74
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 1660.22 2008.89 0.00 2008.89 348.67 1627.67 1969.50 0.00 1969.50 341.83
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 581.68 627.42 0.00 627.42 45.74 570.27 615.12 0.00 615.12 44.85
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1308.78 1411.73 0.00 1411.73 102.95 1283.12 1384.05 0.00 1384.05 100.93
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1250.59 1348.98 0.00 1348.98 98.39 1226.07 1322.53 0.00 1322.53 96.46
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 698.34 815.43 0.00 815.43 117.09 684.65 799.44 0.00 799.44 114.79
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1571.29 1834.75 0.00 1834.75 263.46 1540.48 1798.77 0.00 1798.77 258.29
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1501.45 1753.20 0.00 1753.20 251.75 1472.01 1718.82 0.00 1718.82 246.81
Indiana Humana Health Plan of Ohio, Inc. - High Self A61 1196.09 1531.00 0.00 1531.00 334.91 1172.64 1500.98 0.00 1500.98 328.34
Indiana Humana Health Plan of Ohio, Inc. - High Self & Family A62 2691.25 3444.77 0.00 3444.77 753.52 2638.48 3377.23 0.00 3377.23 738.75
Indiana Humana Health Plan of Ohio, Inc. - High Self Plus One A63 2571.64 3291.68 0.00 3291.68 720.04 2521.22 3227.14 0.00 3227.14 705.92
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 948.89 1195.61 0.00 1195.61 246.72 930.28 1172.17 0.00 1172.17 241.89
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2135.03 2690.17 0.00 2690.17 555.14 2093.17 2637.42 0.00 2637.42 544.25
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2040.16 2570.60 0.00 2570.60 530.44 2000.16 2520.20 0.00 2520.20 520.04
Indiana Humana Health Plan, Inc. - Standard Self 754 872.77 970.94 0.00 970.94 98.17 855.66 951.90 0.00 951.90 96.24
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 1963.74 2184.61 0.00 2184.61 220.87 1925.24 2141.77 0.00 2141.77 216.53
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 1876.46 2087.52 0.00 2087.52 211.06 1839.67 2046.59 0.00 2046.59 206.92
Indiana Humana Health Plan, Inc. - High Self 751 1236.30 1263.72 0.00 1263.72 27.42 1212.06 1238.94 0.00 1238.94 26.88
Indiana Humana Health Plan, Inc. - High Self & Family 752 2781.68 2843.36 0.00 2843.36 61.68 2727.14 2787.61 0.00 2787.61 60.47
Indiana Humana Health Plan, Inc. - High Self Plus One 753 2658.04 2717.01 0.00 2717.01 58.97 2605.92 2663.74 0.00 2663.74 57.82
Indiana Humana Health Plan, Inc. - High Self MH1 901.66 1127.06 0.00 1127.06 225.40 883.98 1104.96 0.00 1104.96 220.98
Indiana Humana Health Plan, Inc. - High Self & Family MH2 2028.74 2535.91 0.00 2535.91 507.17 1988.96 2486.19 0.00 2486.19 497.23
Indiana Humana Health Plan, Inc. - High Self Plus One MH3 1938.57 2423.20 0.00 2423.20 484.63 1900.56 2375.69 0.00 2375.69 475.13
Indiana Humana Health Plan, Inc. - Standard Self MH4 736.84 876.84 0.00 876.84 140.00 722.39 859.65 0.00 859.65 137.26
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 1657.88 1972.86 0.00 1972.86 314.98 1625.37 1934.18 0.00 1934.18 308.81
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 1584.19 1885.19 0.00 1885.19 301.00 1553.13 1848.23 0.00 1848.23 295.10
Iowa Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Iowa Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Iowa Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Iowa Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Iowa Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Iowa Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Iowa Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Iowa Health Alliance HMO - Standard Self K84 655.29 681.50 0.00 681.50 26.21 642.44 668.14 0.00 668.14 25.70
Iowa Health Alliance HMO - Standard Self & Family K85 1769.30 1840.07 0.00 1840.07 70.77 1734.61 1803.99 0.00 1803.99 69.38
Iowa Health Alliance HMO - Standard Self Plus One K86 1518.00 1578.74 0.00 1578.74 60.74 1488.24 1547.78 0.00 1547.78 59.54
Iowa HealthPartners - Standard Self V34 436.65 469.12 0.00 469.12 32.47 428.09 459.92 0.00 459.92 31.83
Iowa HealthPartners - Standard Self & Family V35 1063.68 1142.82 0.00 1142.82 79.14 1042.82 1120.41 0.00 1120.41 77.59
Iowa HealthPartners - Standard Self Plus One V36 965.00 1036.78 0.00 1036.78 71.78 946.08 1016.45 0.00 1016.45 70.37
Iowa HealthPartners - High Self V31 806.12 726.56 0.00 726.56 -79.56 790.31 712.31 0.00 712.31 -78.00
Iowa HealthPartners - High Self & Family V32 1963.71 1769.90 0.00 1769.90 -193.81 1925.21 1735.20 0.00 1735.20 -190.01
Iowa HealthPartners - High Self Plus One V33 1781.50 1605.69 0.00 1605.69 -175.81 1746.57 1574.21 0.00 1574.21 -172.36
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 542.80 622.63 0.00 622.63 79.83 532.16 610.42 0.00 610.42 78.26
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1248.41 1432.06 0.00 1432.06 183.65 1223.93 1403.98 0.00 1403.98 180.05
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1166.99 1338.67 0.00 1338.67 171.68 1144.11 1312.42 0.00 1312.42 168.31
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 685.39 734.58 0.00 734.58 49.19 671.95 720.18 0.00 720.18 48.23
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1713.46 1836.49 0.00 1836.49 123.03 1679.86 1800.48 0.00 1800.48 120.62
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1473.58 1579.38 0.00 1579.38 105.80 1444.69 1548.41 0.00 1548.41 103.72
Iowa UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Kansas Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Kansas Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Kansas Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Kansas Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Kansas Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Kansas Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
Kansas Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Kansas Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Kansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Kansas Aetna Open Access - High Self HA1 898.63 1121.93 0.00 1121.93 223.30 881.01 1099.93 0.00 1099.93 218.92
Kansas Aetna Open Access - High Self & Family HA2 2122.73 2650.14 0.00 2650.14 527.41 2081.11 2598.18 0.00 2598.18 517.07
Kansas Aetna Open Access - High Self Plus One HA3 2101.75 2623.98 0.00 2623.98 522.23 2060.54 2572.53 0.00 2572.53 511.99
Kansas Aetna Open Access - Standard Self HA4 722.01 730.70 0.00 730.70 8.69 707.85 716.37 0.00 716.37 8.52
Kansas Aetna Open Access - Standard Self & Family HA5 1704.20 1724.71 0.00 1724.71 20.51 1670.78 1690.89 0.00 1690.89 20.11
Kansas Aetna Open Access - Standard Self Plus One HA6 1687.34 1707.64 0.00 1707.64 20.30 1654.25 1674.16 0.00 1674.16 19.91
Kansas Humana CoverageFirst and Humana Value Plan - Value Self PH4 436.92 493.71 0.00 493.71 56.79 428.35 484.03 0.00 484.03 55.68
Kansas Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 983.10 1110.88 0.00 1110.88 127.78 963.82 1089.10 0.00 1089.10 125.28
Kansas Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 939.38 1061.48 0.00 1061.48 122.10 920.96 1040.67 0.00 1040.67 119.71
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 612.97 729.41 0.00 729.41 116.44 600.95 715.11 0.00 715.11 114.16
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1379.17 1641.21 0.00 1641.21 262.04 1352.13 1609.03 0.00 1609.03 256.90
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1317.89 1568.26 0.00 1568.26 250.37 1292.05 1537.51 0.00 1537.51 245.46
Kansas Humana Health Plan, Inc. - High Self MS1 1658.14 1757.63 0.00 1757.63 99.49 1625.63 1723.17 0.00 1723.17 97.54
Kansas Humana Health Plan, Inc. - High Self & Family MS2 3730.81 3954.66 0.00 3954.66 223.85 3657.66 3877.12 0.00 3877.12 219.46
Kansas Humana Health Plan, Inc. - High Self Plus One MS3 3564.99 3778.91 0.00 3778.91 213.92 3495.09 3704.81 0.00 3704.81 209.72
Kansas Humana Health Plan, Inc. - Standard Self MS4 971.83 1088.34 0.00 1088.34 116.51 952.77 1067.00 0.00 1067.00 114.23
Kansas Humana Health Plan, Inc. - Standard Self & Family MS5 2186.67 2448.80 0.00 2448.80 262.13 2143.79 2400.78 0.00 2400.78 256.99
Kansas Humana Health Plan, Inc. - Standard Self Plus One MS6 2089.47 2339.97 0.00 2339.97 250.50 2048.50 2294.09 0.00 2294.09 245.59
Kentucky Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Kentucky Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Kentucky Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Kentucky Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Kentucky Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Kentucky Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Kentucky Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Kentucky Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Kentucky Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Kentucky Humana CoverageFirst - CDHP Self TC1 634.56 672.66 0.00 672.66 38.10 622.12 659.47 0.00 659.47 37.35
Kentucky Humana CoverageFirst - CDHP Self & Family TC2 1427.75 1513.40 0.00 1513.40 85.65 1399.75 1483.73 0.00 1483.73 83.98
Kentucky Humana CoverageFirst - CDHP Self Plus One TC3 1364.30 1446.18 0.00 1446.18 81.88 1337.55 1417.82 0.00 1417.82 80.27
Kentucky Humana CoverageFirst - CDHP Self 6N1 646.31 782.03 0.00 782.03 135.72 633.64 766.70 0.00 766.70 133.06
Kentucky Humana CoverageFirst - CDHP Self & Family 6N2 1454.20 1759.58 0.00 1759.58 305.38 1425.69 1725.08 0.00 1725.08 299.39
Kentucky Humana CoverageFirst - CDHP Self Plus One 6N3 1389.56 1681.37 0.00 1681.37 291.81 1362.31 1648.40 0.00 1648.40 286.09
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self X34 581.68 627.42 0.00 627.42 45.74 570.27 615.12 0.00 615.12 44.85
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1308.78 1411.73 0.00 1411.73 102.95 1283.12 1384.05 0.00 1384.05 100.93
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1250.59 1348.98 0.00 1348.98 98.39 1226.07 1322.53 0.00 1322.53 96.46
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self X31 698.34 815.43 0.00 815.43 117.09 684.65 799.44 0.00 799.44 114.79
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1571.29 1834.75 0.00 1834.75 263.46 1540.48 1798.77 0.00 1798.77 258.29
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1501.45 1753.20 0.00 1753.20 251.75 1472.01 1718.82 0.00 1718.82 246.81
Kentucky Humana Health Plan of Ohio, Inc. - High Self A61 1196.09 1531.00 0.00 1531.00 334.91 1172.64 1500.98 0.00 1500.98 328.34
Kentucky Humana Health Plan of Ohio, Inc. - High Self & Family A62 2691.25 3444.77 0.00 3444.77 753.52 2638.48 3377.23 0.00 3377.23 738.75
Kentucky Humana Health Plan of Ohio, Inc. - High Self Plus One A63 2571.64 3291.68 0.00 3291.68 720.04 2521.22 3227.14 0.00 3227.14 705.92
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self A64 948.89 1195.61 0.00 1195.61 246.72 930.28 1172.17 0.00 1172.17 241.89
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2135.03 2690.17 0.00 2690.17 555.14 2093.17 2637.42 0.00 2637.42 544.25
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2040.16 2570.60 0.00 2570.60 530.44 2000.16 2520.20 0.00 2520.20 520.04
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self W61 597.50 620.79 0.00 620.79 23.29 585.78 608.62 0.00 608.62 22.84
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 1344.37 1396.83 0.00 1396.83 52.46 1318.01 1369.44 0.00 1369.44 51.43
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 1284.61 1334.75 0.00 1334.75 50.14 1259.42 1308.58 0.00 1308.58 49.16
Kentucky Humana Health Plan, Inc. - High Self MI1 1145.60 1409.08 0.00 1409.08 263.48 1123.14 1381.45 0.00 1381.45 258.31
Kentucky Humana Health Plan, Inc. - High Self & Family MI2 2577.57 3170.40 0.00 3170.40 592.83 2527.03 3108.24 0.00 3108.24 581.21
Kentucky Humana Health Plan, Inc. - High Self Plus One MI3 2463.00 3029.49 0.00 3029.49 566.49 2414.71 2970.09 0.00 2970.09 555.38
Kentucky Humana Health Plan, Inc. - Standard Self MI4 828.16 902.70 0.00 902.70 74.54 811.92 885.00 0.00 885.00 73.08
Kentucky Humana Health Plan, Inc. - Standard Self & Family MI5 1863.34 2031.03 0.00 2031.03 167.69 1826.80 1991.21 0.00 1991.21 164.41
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MI6 1780.53 1940.81 0.00 1940.81 160.28 1745.62 1902.75 0.00 1902.75 157.13
Kentucky Humana Health Plan, Inc. - High Self MH1 901.66 1127.06 0.00 1127.06 225.40 883.98 1104.96 0.00 1104.96 220.98
Kentucky Humana Health Plan, Inc. - High Self & Family MH2 2028.74 2535.91 0.00 2535.91 507.17 1988.96 2486.19 0.00 2486.19 497.23
Kentucky Humana Health Plan, Inc. - High Self Plus One MH3 1938.57 2423.20 0.00 2423.20 484.63 1900.56 2375.69 0.00 2375.69 475.13
Kentucky Humana Health Plan, Inc. - Standard Self MH4 736.84 876.84 0.00 876.84 140.00 722.39 859.65 0.00 859.65 137.26
Kentucky Humana Health Plan, Inc. - Standard Self & Family MH5 1657.88 1972.86 0.00 1972.86 314.98 1625.37 1934.18 0.00 1934.18 308.81
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MH6 1584.19 1885.19 0.00 1885.19 301.00 1553.13 1848.23 0.00 1848.23 295.10
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 542.80 622.63 0.00 622.63 79.83 532.16 610.42 0.00 610.42 78.26
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1248.41 1432.06 0.00 1432.06 183.65 1223.93 1403.98 0.00 1403.98 180.05
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1166.99 1338.67 0.00 1338.67 171.68 1144.11 1312.42 0.00 1312.42 168.31
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 685.39 734.58 0.00 734.58 49.19 671.95 720.18 0.00 720.18 48.23
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1713.46 1836.49 0.00 1836.49 123.03 1679.86 1800.48 0.00 1800.48 120.62
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1473.58 1579.38 0.00 1579.38 105.80 1444.69 1548.41 0.00 1548.41 103.72
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Louisiana Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Louisiana Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Louisiana Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Louisiana Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Louisiana Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Louisiana Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
Louisiana Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Louisiana Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Louisiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self BC4 608.50 687.62 0.00 687.62 79.12 596.57 674.14 0.00 674.14 77.57
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family BC5 1369.14 1547.14 0.00 1547.14 178.00 1342.29 1516.80 0.00 1516.80 174.51
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One BC6 1308.27 1478.36 0.00 1478.36 170.09 1282.62 1449.37 0.00 1449.37 166.75
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self BC1 766.12 919.36 0.00 919.36 153.24 751.10 901.33 0.00 901.33 150.23
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family BC2 1723.82 2068.58 0.00 2068.58 344.76 1690.02 2028.02 0.00 2028.02 338.00
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One BC3 1647.20 1976.65 0.00 1976.65 329.45 1614.90 1937.89 0.00 1937.89 322.99
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self AE1 881.33 1092.85 0.00 1092.85 211.52 864.05 1071.42 0.00 1071.42 207.37
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family AE2 1982.94 2458.84 0.00 2458.84 475.90 1944.06 2410.63 0.00 2410.63 466.57
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One AE3 1894.83 2349.58 0.00 2349.58 454.75 1857.68 2303.51 0.00 2303.51 445.83
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self AE4 748.73 823.60 0.00 823.60 74.87 734.05 807.45 0.00 807.45 73.40
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family AE5 1684.66 1853.13 0.00 1853.13 168.47 1651.63 1816.79 0.00 1816.79 165.16
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One AE6 1609.78 1770.76 0.00 1770.76 160.98 1578.22 1736.04 0.00 1736.04 157.82
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 427.08 463.83 0.00 463.83 36.75 418.71 454.74 0.00 454.74 36.03
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 982.34 1066.84 0.00 1066.84 84.50 963.08 1045.92 0.00 1045.92 82.84
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 918.26 997.26 0.00 997.26 79.00 900.25 977.71 0.00 977.71 77.46
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 692.61 728.15 0.00 728.15 35.54 679.03 713.87 0.00 713.87 34.84
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1731.58 1820.40 0.00 1820.40 88.82 1697.63 1784.71 0.00 1784.71 87.08
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1489.14 1565.57 0.00 1565.57 76.43 1459.94 1534.87 0.00 1534.87 74.93
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Maine Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Maine Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Maine Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Maine Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Maine Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Maine Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 631.46 774.80 0.00 774.80 143.34 619.08 759.61 0.00 759.61 140.53
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1446.00 1774.30 0.00 1774.30 328.30 1417.65 1739.51 0.00 1739.51 321.86
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1417.65 1739.49 0.00 1739.49 321.84 1389.85 1705.38 0.00 1705.38 315.53
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 935.14 1097.27 0.00 1097.27 162.13 916.80 1075.75 0.00 1075.75 158.95
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2132.65 2502.39 0.00 2502.39 369.74 2090.83 2453.32 0.00 2453.32 362.49
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2111.52 2477.61 0.00 2477.61 366.09 2070.12 2429.03 0.00 2429.03 358.91
Maine Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Maine Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Maine Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Maryland Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Maryland Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Maryland Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Maryland Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Maryland Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Maryland Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
Maryland Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Maryland Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Maryland Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Maryland Aetna Open Access - High Self JN1 1141.51 1160.32 0.00 1160.32 18.81 1119.13 1137.57 0.00 1137.57 18.44
Maryland Aetna Open Access - High Self & Family JN2 2566.30 2608.58 0.00 2608.58 42.28 2515.98 2557.43 0.00 2557.43 41.45
Maryland Aetna Open Access - High Self Plus One JN3 2540.86 2582.74 0.00 2582.74 41.88 2491.04 2532.10 0.00 2532.10 41.06
Maryland Aetna Open Access - Basic Self JN4 694.07 711.04 0.00 711.04 16.97 680.46 697.10 0.00 697.10 16.64
Maryland Aetna Open Access - Basic Self & Family JN5 1588.40 1627.25 0.00 1627.25 38.85 1557.25 1595.34 0.00 1595.34 38.09
Maryland Aetna Open Access - Basic Self Plus One JN6 1458.60 1494.29 0.00 1494.29 35.69 1430.00 1464.99 0.00 1464.99 34.99
Maryland Aetna Saver - Saver Self QQ4 New Plan 607.11 0.00 607.11 New Plan New Plan 595.21 0.00 595.21 New Plan
Maryland Aetna Saver - Saver Self & Family QQ5 New Plan 1389.38 0.00 1389.38 New Plan New Plan 1362.14 0.00 1362.14 New Plan
Maryland Aetna Saver - Saver Self Plus One QQ6 New Plan 1275.84 0.00 1275.84 New Plan New Plan 1250.82 0.00 1250.82 New Plan
Maryland CareFirst BlueChoice - Standard Self 2G4 813.63 862.45 0.00 862.45 48.82 797.68 845.54 0.00 845.54 47.86
Maryland CareFirst BlueChoice - Standard Self & Family 2G5 1933.16 2049.14 0.00 2049.14 115.98 1895.25 2008.96 0.00 2008.96 113.71
Maryland CareFirst BlueChoice - Standard Self Plus One 2G6 1627.25 1724.88 0.00 1724.88 97.63 1595.34 1691.06 0.00 1691.06 95.72
Maryland CareFirst BlueChoice - HDHP Self B61 528.64 581.49 0.00 581.49 52.85 518.27 570.09 0.00 570.09 51.82
Maryland CareFirst BlueChoice - HDHP Self & Family B62 1256.01 1381.60 0.00 1381.60 125.59 1231.38 1354.51 0.00 1354.51 123.13
Maryland CareFirst BlueChoice - HDHP Self Plus One B63 1057.24 1162.97 0.00 1162.97 105.73 1036.51 1140.17 0.00 1140.17 103.66
Maryland CareFirst BlueChoice - Blue Value Plus Self B64 New Plan 720.11 0.00 720.11 New Plan New Plan 705.99 0.00 705.99 New Plan
Maryland CareFirst BlueChoice - Blue Value Plus Self & Family B65 New Plan 1711.01 0.00 1711.01 New Plan New Plan 1677.46 0.00 1677.46 New Plan
Maryland CareFirst BlueChoice - Blue Value Plus Self Plus One B66 New Plan 1440.26 0.00 1440.26 New Plan New Plan 1412.02 0.00 1412.02 New Plan
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self T71 428.52 428.52 0.00 428.52 0.00 420.12 420.12 0.00 420.12 0.00
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self & Family T72 1046.68 1046.68 0.00 1046.68 0.00 1026.16 1026.16 0.00 1026.16 0.00
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self Plus One T73 953.60 953.60 0.00 953.60 0.00 934.90 934.90 0.00 934.90 0.00
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self E34 532.20 582.98 0.00 582.98 50.78 521.76 571.55 0.00 571.55 49.79
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self & Family E35 1223.99 1340.79 0.00 1340.79 116.80 1199.99 1314.50 0.00 1314.50 114.51
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self Plus One E36 1223.99 1340.79 0.00 1340.79 116.80 1199.99 1314.50 0.00 1314.50 114.51
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self E31 706.53 737.28 0.00 737.28 30.75 692.68 722.82 0.00 722.82 30.14
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self & Family E32 1625.01 1695.78 0.00 1695.78 70.77 1593.15 1662.53 0.00 1662.53 69.38
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self Plus One E33 1625.01 1695.78 0.00 1695.78 70.77 1593.15 1662.53 0.00 1662.53 69.38
Maryland M.D. IPA - High Self JP1 806.68 894.14 0.00 894.14 87.46 790.86 876.61 0.00 876.61 85.75
Maryland M.D. IPA - High Self & Family JP2 2261.89 2507.20 0.00 2507.20 245.31 2217.54 2458.04 0.00 2458.04 240.50
Maryland M.D. IPA - High Self Plus One JP3 1575.42 1746.28 0.00 1746.28 170.86 1544.53 1712.04 0.00 1712.04 167.51
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 505.60 496.30 0.00 496.30 -9.30 495.69 486.57 0.00 486.57 -9.12
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1162.86 1141.49 0.00 1141.49 -21.37 1140.06 1119.11 0.00 1119.11 -20.95
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1087.03 1067.05 0.00 1067.05 -19.98 1065.72 1046.13 0.00 1046.13 -19.59
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 681.30 729.19 0.00 729.19 47.89 667.94 714.89 0.00 714.89 46.95
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1614.65 1728.18 0.00 1728.18 113.53 1582.99 1694.29 0.00 1694.29 111.30
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1464.77 1567.73 0.00 1567.73 102.96 1436.05 1536.99 0.00 1536.99 100.94
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 445.80 531.93 0.00 531.93 86.13 437.06 521.50 0.00 521.50 84.44
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1250.00 1491.51 0.00 1491.51 241.51 1225.49 1462.26 0.00 1462.26 236.77
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 870.63 1038.83 0.00 1038.83 168.20 853.56 1018.46 0.00 1018.46 164.90
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Massachusetts Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Massachusetts Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Massachusetts Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Massachusetts Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Massachusetts Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Massachusetts Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 631.46 774.80 0.00 774.80 143.34 619.08 759.61 0.00 759.61 140.53
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1446.00 1774.30 0.00 1774.30 328.30 1417.65 1739.51 0.00 1739.51 321.86
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1417.65 1739.49 0.00 1739.49 321.84 1389.85 1705.38 0.00 1705.38 315.53
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 935.14 1097.27 0.00 1097.27 162.13 916.80 1075.75 0.00 1075.75 158.95
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2132.65 2502.39 0.00 2502.39 369.74 2090.83 2453.32 0.00 2453.32 362.49
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2111.52 2477.61 0.00 2477.61 366.09 2070.12 2429.03 0.00 2429.03 358.91
Massachusetts Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Massachusetts Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Massachusetts Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Michigan Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Michigan Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Michigan Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Michigan Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Michigan Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Michigan Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
Michigan Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Michigan Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Michigan Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Michigan Blue Care Network of Michigan - High Self LX1 749.41 757.72 0.00 757.72 8.31 734.72 742.86 0.00 742.86 8.14
Michigan Blue Care Network of Michigan - High Self & Family LX2 1828.49 1848.84 0.00 1848.84 20.35 1792.64 1812.59 0.00 1812.59 19.95
Michigan Blue Care Network of Michigan - High Self Plus One LX3 1723.61 1742.74 0.00 1742.74 19.13 1689.81 1708.57 0.00 1708.57 18.76
Michigan Blue Care Network of Michigan - High Self K51 962.32 976.88 0.00 976.88 14.56 943.45 957.73 0.00 957.73 14.28
Michigan Blue Care Network of Michigan - High Self & Family K52 2347.99 2383.56 0.00 2383.56 35.57 2301.95 2336.82 0.00 2336.82 34.87
Michigan Blue Care Network of Michigan - High Self Plus One K53 2213.30 2246.77 0.00 2246.77 33.47 2169.90 2202.72 0.00 2202.72 32.82
Michigan Health Alliance Plan - High Self 521 779.12 803.65 0.00 803.65 24.53 763.84 787.89 0.00 787.89 24.05
Michigan Health Alliance Plan - High Self & Family 522 1900.99 1960.89 0.00 1960.89 59.90 1863.72 1922.44 0.00 1922.44 58.72
Michigan Health Alliance Plan - High Self Plus One 523 1791.96 1848.38 0.00 1848.38 56.42 1756.82 1812.14 0.00 1812.14 55.32
Michigan Health Alliance Plan - Standard Self GY4 610.32 626.51 0.00 626.51 16.19 598.35 614.23 0.00 614.23 15.88
Michigan Health Alliance Plan - Standard Self & Family GY5 1489.21 1528.75 0.00 1528.75 39.54 1460.01 1498.77 0.00 1498.77 38.76
Michigan Health Alliance Plan - Standard Self Plus One GY6 1403.74 1441.04 0.00 1441.04 37.30 1376.22 1412.78 0.00 1412.78 36.56
Michigan Priority Health - High Self LE1 930.34 937.97 0.00 937.97 7.63 912.10 919.58 0.00 919.58 7.48
Michigan Priority Health - High Self & Family LE2 2186.31 2204.23 0.00 2204.23 17.92 2143.44 2161.01 0.00 2161.01 17.57
Michigan Priority Health - High Self Plus One LE3 2046.77 2063.52 0.00 2063.52 16.75 2006.64 2023.06 0.00 2023.06 16.42
Michigan Priority Health - Standard Self LE4 514.53 550.12 0.00 550.12 35.59 504.44 539.33 0.00 539.33 34.89
Michigan Priority Health - Standard Self & Family LE5 1209.16 1292.79 0.00 1292.79 83.63 1185.45 1267.44 0.00 1267.44 81.99
Michigan Priority Health - Standard Self Plus One LE6 1131.99 1210.26 0.00 1210.26 78.27 1109.79 1186.53 0.00 1186.53 76.74
Michigan Priority Health - Value Self Y41 New Plan 482.70 0.00 482.70 New Plan New Plan 473.24 0.00 473.24 New Plan
Michigan Priority Health - Value Self & Family Y42 New Plan 1134.37 0.00 1134.37 New Plan New Plan 1112.13 0.00 1112.13 New Plan
Michigan Priority Health - Value Self Plus One Y43 New Plan 1061.95 0.00 1061.95 New Plan New Plan 1041.13 0.00 1041.13 New Plan
Minnesota Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Minnesota Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Minnesota Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Minnesota Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Minnesota Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Minnesota Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Minnesota Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Minnesota Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Minnesota Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Minnesota HealthPartners - Standard Self V34 436.65 469.12 0.00 469.12 32.47 428.09 459.92 0.00 459.92 31.83
Minnesota HealthPartners - Standard Self & Family V35 1063.68 1142.82 0.00 1142.82 79.14 1042.82 1120.41 0.00 1120.41 77.59
Minnesota HealthPartners - Standard Self Plus One V36 965.00 1036.78 0.00 1036.78 71.78 946.08 1016.45 0.00 1016.45 70.37
Minnesota HealthPartners - High Self V31 806.12 726.56 0.00 726.56 -79.56 790.31 712.31 0.00 712.31 -78.00
Minnesota HealthPartners - High Self & Family V32 1963.71 1769.90 0.00 1769.90 -193.81 1925.21 1735.20 0.00 1735.20 -190.01
Minnesota HealthPartners - High Self Plus One V33 1781.50 1605.69 0.00 1605.69 -175.81 1746.57 1574.21 0.00 1574.21 -172.36
Mississippi Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Mississippi Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Mississippi Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Mississippi Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Mississippi Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Mississippi Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Mississippi Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Mississippi Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Mississippi Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 427.08 463.83 0.00 463.83 36.75 418.71 454.74 0.00 454.74 36.03
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 982.34 1066.84 0.00 1066.84 84.50 963.08 1045.92 0.00 1045.92 82.84
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 918.26 997.26 0.00 997.26 79.00 900.25 977.71 0.00 977.71 77.46
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 692.61 728.15 0.00 728.15 35.54 679.03 713.87 0.00 713.87 34.84
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1731.58 1820.40 0.00 1820.40 88.82 1697.63 1784.71 0.00 1784.71 87.08
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1489.14 1565.57 0.00 1565.57 76.43 1459.94 1534.87 0.00 1534.87 74.93
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Missouri Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Missouri Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Missouri Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Missouri Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Missouri Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Missouri Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
Missouri Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Missouri Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Missouri Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Missouri Aetna Open Access - High Self HA1 898.63 1121.93 0.00 1121.93 223.30 881.01 1099.93 0.00 1099.93 218.92
Missouri Aetna Open Access - High Self & Family HA2 2122.73 2650.14 0.00 2650.14 527.41 2081.11 2598.18 0.00 2598.18 517.07
Missouri Aetna Open Access - High Self Plus One HA3 2101.75 2623.98 0.00 2623.98 522.23 2060.54 2572.53 0.00 2572.53 511.99
Missouri Aetna Open Access - Standard Self HA4 722.01 730.70 0.00 730.70 8.69 707.85 716.37 0.00 716.37 8.52
Missouri Aetna Open Access - Standard Self & Family HA5 1704.20 1724.71 0.00 1724.71 20.51 1670.78 1690.89 0.00 1690.89 20.11
Missouri Aetna Open Access - Standard Self Plus One HA6 1687.34 1707.64 0.00 1707.64 20.30 1654.25 1674.16 0.00 1674.16 19.91
Missouri Blue Preferred - High Self 9G1 798.01 849.87 0.00 849.87 51.86 782.36 833.21 0.00 833.21 50.85
Missouri Blue Preferred - High Self & Family 9G2 1714.69 1896.05 0.00 1896.05 181.36 1681.07 1858.87 0.00 1858.87 177.80
Missouri Blue Preferred - High Self Plus One 9G3 1623.65 1795.80 0.00 1795.80 172.15 1591.81 1760.59 0.00 1760.59 168.78
Missouri Blue Preferred - Standard Self 9G4 569.89 612.63 0.00 612.63 42.74 558.72 600.62 0.00 600.62 41.90
Missouri Blue Preferred - Standard Self & Family 9G5 1619.67 1741.15 0.00 1741.15 121.48 1587.91 1707.01 0.00 1707.01 119.10
Missouri Blue Preferred - Standard Self Plus One 9G6 1464.74 1574.58 0.00 1574.58 109.84 1436.02 1543.71 0.00 1543.71 107.69
Missouri Humana CoverageFirst and Humana Value Plan - Value Self PH4 436.92 493.71 0.00 493.71 56.79 428.35 484.03 0.00 484.03 55.68
Missouri Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 983.10 1110.88 0.00 1110.88 127.78 963.82 1089.10 0.00 1089.10 125.28
Missouri Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 939.38 1061.48 0.00 1061.48 122.10 920.96 1040.67 0.00 1040.67 119.71
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 612.97 729.41 0.00 729.41 116.44 600.95 715.11 0.00 715.11 114.16
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1379.17 1641.21 0.00 1641.21 262.04 1352.13 1609.03 0.00 1609.03 256.90
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1317.89 1568.26 0.00 1568.26 250.37 1292.05 1537.51 0.00 1537.51 245.46
Missouri Humana Health Plan, Inc. - High Self MS1 1658.14 1757.63 0.00 1757.63 99.49 1625.63 1723.17 0.00 1723.17 97.54
Missouri Humana Health Plan, Inc. - High Self & Family MS2 3730.81 3954.66 0.00 3954.66 223.85 3657.66 3877.12 0.00 3877.12 219.46
Missouri Humana Health Plan, Inc. - High Self Plus One MS3 3564.99 3778.91 0.00 3778.91 213.92 3495.09 3704.81 0.00 3704.81 209.72
Missouri Humana Health Plan, Inc. - Standard Self MS4 971.83 1088.34 0.00 1088.34 116.51 952.77 1067.00 0.00 1067.00 114.23
Missouri Humana Health Plan, Inc. - Standard Self & Family MS5 2186.67 2448.80 0.00 2448.80 262.13 2143.79 2400.78 0.00 2400.78 256.99
Missouri Humana Health Plan, Inc. - Standard Self Plus One MS6 2089.47 2339.97 0.00 2339.97 250.50 2048.50 2294.09 0.00 2294.09 245.59
Missouri UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Montana Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Montana Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Montana Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Montana Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Montana Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Montana Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Montana Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Montana Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Montana Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Nebraska Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Nebraska Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Nebraska Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Nebraska Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Nebraska Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Nebraska Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Nebraska Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Nebraska Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Nebraska Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Nevada Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Nevada Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Nevada Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Nevada Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Nevada Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Nevada Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
Nevada Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Nevada Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Nevada Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Nevada Health Plan of Nevada, Inc. - High Self NM1 671.71 721.12 0.00 721.12 49.41 658.54 706.98 0.00 706.98 48.44
Nevada Health Plan of Nevada, Inc. - High Self & Family NM2 1591.88 1708.99 0.00 1708.99 117.11 1560.67 1675.48 0.00 1675.48 114.81
Nevada Health Plan of Nevada, Inc. - High Self Plus One NM3 1276.28 1370.16 0.00 1370.16 93.88 1251.25 1343.29 0.00 1343.29 92.04
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 459.33 452.72 0.00 452.72 -6.61 450.32 443.84 0.00 443.84 -6.48
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1056.44 1041.27 0.00 1041.27 -15.17 1035.73 1020.85 0.00 1020.85 -14.88
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 987.56 973.36 0.00 973.36 -14.20 968.20 954.27 0.00 954.27 -13.93
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 692.77 739.27 0.00 739.27 46.50 679.19 724.77 0.00 724.77 45.58
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1731.91 1848.14 0.00 1848.14 116.23 1697.95 1811.90 0.00 1811.90 113.95
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1489.43 1589.42 0.00 1589.42 99.99 1460.23 1558.25 0.00 1558.25 98.02
Nevada UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 New Plan 533.32 0.00 533.32 New Plan New Plan 522.86 0.00 522.86 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family WF2 New Plan 1261.12 0.00 1261.12 New Plan New Plan 1236.39 0.00 1236.39 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 1146.53 0.00 1146.53 New Plan New Plan 1124.05 0.00 1124.05 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 532.46 0.00 532.46 New Plan New Plan 522.02 0.00 522.02 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 New Plan 1259.06 0.00 1259.06 New Plan New Plan 1234.37 0.00 1234.37 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One VD3 New Plan 1144.67 0.00 1144.67 New Plan New Plan 1122.23 0.00 1122.23 New Plan
New Hampshire Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
New Hampshire Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
New Hampshire Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
New Hampshire Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
New Hampshire Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
New Hampshire Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 631.46 774.80 0.00 774.80 143.34 619.08 759.61 0.00 759.61 140.53
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1446.00 1774.30 0.00 1774.30 328.30 1417.65 1739.51 0.00 1739.51 321.86
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1417.65 1739.49 0.00 1739.49 321.84 1389.85 1705.38 0.00 1705.38 315.53
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 935.14 1097.27 0.00 1097.27 162.13 916.80 1075.75 0.00 1075.75 158.95
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2132.65 2502.39 0.00 2502.39 369.74 2090.83 2453.32 0.00 2453.32 362.49
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2111.52 2477.61 0.00 2477.61 366.09 2070.12 2429.03 0.00 2429.03 358.91
New Hampshire Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
New Hampshire Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
New Hampshire Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
New Jersey Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
New Jersey Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
New Jersey Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
New Jersey Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
New Jersey Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
New Jersey Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 631.46 774.80 0.00 774.80 143.34 619.08 759.61 0.00 759.61 140.53
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1446.00 1774.30 0.00 1774.30 328.30 1417.65 1739.51 0.00 1739.51 321.86
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1417.65 1739.49 0.00 1739.49 321.84 1389.85 1705.38 0.00 1705.38 315.53
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 935.14 1097.27 0.00 1097.27 162.13 916.80 1075.75 0.00 1075.75 158.95
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2132.65 2502.39 0.00 2502.39 369.74 2090.83 2453.32 0.00 2453.32 362.49
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2111.52 2477.61 0.00 2477.61 366.09 2070.12 2429.03 0.00 2429.03 358.91
New Jersey Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
New Jersey Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
New Jersey Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
New Jersey Aetna Open Access - High Self JR1 1437.99 1575.65 0.00 1575.65 137.66 1409.79 1544.75 0.00 1544.75 134.96
New Jersey Aetna Open Access - High Self & Family JR2 3321.59 3639.56 0.00 3639.56 317.97 3256.46 3568.20 0.00 3568.20 311.74
New Jersey Aetna Open Access - High Self Plus One JR3 3288.68 3603.50 0.00 3603.50 314.82 3224.20 3532.84 0.00 3532.84 308.64
New Jersey Aetna Open Access - Basic Self JR4 1186.68 1400.75 0.00 1400.75 214.07 1163.41 1373.28 0.00 1373.28 209.87
New Jersey Aetna Open Access - Basic Self & Family JR5 2750.26 3246.33 0.00 3246.33 496.07 2696.33 3182.68 0.00 3182.68 486.35
New Jersey Aetna Open Access - Basic Self Plus One JR6 2723.01 3214.18 0.00 3214.18 491.17 2669.62 3151.16 0.00 3151.16 481.54
New Jersey Aetna Open Access - Basic Self P34 1324.43 1336.28 0.00 1336.28 11.85 1298.46 1310.08 0.00 1310.08 11.62
New Jersey Aetna Open Access - Basic Self & Family P35 3074.03 3101.49 0.00 3101.49 27.46 3013.75 3040.68 0.00 3040.68 26.93
New Jersey Aetna Open Access - Basic Self Plus One P36 3043.57 3070.75 0.00 3070.75 27.18 2983.89 3010.54 0.00 3010.54 26.65
New Jersey Aetna Open Access - High Self P31 1514.91 1485.74 0.00 1485.74 -29.17 1485.21 1456.61 0.00 1456.61 -28.60
New Jersey Aetna Open Access - High Self & Family P32 3672.93 3602.17 0.00 3602.17 -70.76 3600.91 3531.54 0.00 3531.54 -69.37
New Jersey Aetna Open Access - High Self Plus One P33 3636.56 3566.48 0.00 3566.48 -70.08 3565.25 3496.55 0.00 3496.55 -68.70
New Jersey GHI Health Plan - Standard Self 804 944.49 1024.75 0.00 1024.75 80.26 925.97 1004.66 0.00 1004.66 78.69
New Jersey GHI Health Plan - Standard Self & Family 805 2291.40 2486.16 0.00 2486.16 194.76 2246.47 2437.41 0.00 2437.41 190.94
New Jersey GHI Health Plan - Standard Self Plus One 806 2196.92 2383.66 0.00 2383.66 186.74 2153.84 2336.92 0.00 2336.92 183.08
New Jersey GHI Health Plan - HDHP Self 811 New Plan 689.88 0.00 689.88 New Plan New Plan 676.35 0.00 676.35 New Plan
New Jersey GHI Health Plan - HDHP Self & Family 812 New Plan 1508.28 0.00 1508.28 New Plan New Plan 1478.71 0.00 1478.71 New Plan
New Jersey GHI Health Plan - HDHP Self Plus One 813 New Plan 1479.09 0.00 1479.09 New Plan New Plan 1450.09 0.00 1450.09 New Plan
New Mexico Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
New Mexico Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
New Mexico Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
New Mexico Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
New Mexico Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
New Mexico Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
New Mexico Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
New Mexico Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
New Mexico Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
New Mexico Presbyterian Health Plan - High Self P21 755.12 857.81 0.00 857.81 102.69 740.31 840.99 0.00 840.99 100.68
New Mexico Presbyterian Health Plan - High Self & Family P22 1774.55 2015.83 0.00 2015.83 241.28 1739.75 1976.30 0.00 1976.30 236.55
New Mexico Presbyterian Health Plan - High Self Plus One P23 1714.14 1947.21 0.00 1947.21 233.07 1680.53 1909.03 0.00 1909.03 228.50
New Mexico Presbyterian Health Plan - Standard Self PS4 635.11 724.49 0.00 724.49 89.38 622.66 710.28 0.00 710.28 87.62
New Mexico Presbyterian Health Plan - Standard Self & Family PS5 1492.55 1702.54 0.00 1702.54 209.99 1463.28 1669.16 0.00 1669.16 205.88
New Mexico Presbyterian Health Plan - Standard Self Plus One PS6 1441.72 1644.60 0.00 1644.60 202.88 1413.45 1612.35 0.00 1612.35 198.90
New Mexico Presbyterian Health Plan - Wellness Self PS1 New Plan 632.28 0.00 632.28 New Plan New Plan 619.88 0.00 619.88 New Plan
New Mexico Presbyterian Health Plan - Wellness Self & Family PS2 New Plan 1485.90 0.00 1485.90 New Plan New Plan 1456.76 0.00 1456.76 New Plan
New Mexico Presbyterian Health Plan - Wellness Self Plus One PS3 New Plan 1435.33 0.00 1435.33 New Plan New Plan 1407.19 0.00 1407.19 New Plan
New Mexico True Health New Mexico - High Self EL1 New Plan 632.57 0.00 632.57 New Plan New Plan 620.17 0.00 620.17 New Plan
New Mexico True Health New Mexico - High Self & Family EL2 New Plan 1493.76 0.00 1493.76 New Plan New Plan 1464.47 0.00 1464.47 New Plan
New Mexico True Health New Mexico - High Self Plus One EL3 New Plan 1415.79 0.00 1415.79 New Plan New Plan 1388.03 0.00 1388.03 New Plan
New York Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
New York Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
New York Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
New York Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
New York Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
New York Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 631.46 774.80 0.00 774.80 143.34 619.08 759.61 0.00 759.61 140.53
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1446.00 1774.30 0.00 1774.30 328.30 1417.65 1739.51 0.00 1739.51 321.86
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1417.65 1739.49 0.00 1739.49 321.84 1389.85 1705.38 0.00 1705.38 315.53
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 935.14 1097.27 0.00 1097.27 162.13 916.80 1075.75 0.00 1075.75 158.95
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2132.65 2502.39 0.00 2502.39 369.74 2090.83 2453.32 0.00 2453.32 362.49
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2111.52 2477.61 0.00 2477.61 366.09 2070.12 2429.03 0.00 2429.03 358.91
New York Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
New York Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
New York Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
New York Aetna Open Access - High Self JC1 1329.12 1346.78 0.00 1346.78 17.66 1303.06 1320.37 0.00 1320.37 17.31
New York Aetna Open Access - High Self & Family JC2 3284.24 3327.82 0.00 3327.82 43.58 3219.84 3262.57 0.00 3262.57 42.73
New York Aetna Open Access - High Self Plus One JC3 3251.75 3294.87 0.00 3294.87 43.12 3187.99 3230.26 0.00 3230.26 42.27
New York Aetna Open Access - Basic Self JC4 1084.47 1124.47 0.00 1124.47 40.00 1063.21 1102.42 0.00 1102.42 39.21
New York Aetna Open Access - Basic Self & Family JC5 2645.24 2742.81 0.00 2742.81 97.57 2593.37 2689.03 0.00 2689.03 95.66
New York Aetna Open Access - Basic Self Plus One JC6 2619.07 2715.69 0.00 2715.69 96.62 2567.72 2662.44 0.00 2662.44 94.72
New York CDPHP - Standard Self SG4 589.12 642.20 0.00 642.20 53.08 577.57 629.61 0.00 629.61 52.04
New York CDPHP - Standard Self & Family SG5 1767.31 1828.49 0.00 1828.49 61.18 1732.66 1792.64 0.00 1792.64 59.98
New York CDPHP - Standard Self Plus One SG6 1178.24 1329.32 0.00 1329.32 151.08 1155.14 1303.25 0.00 1303.25 148.11
New York CDPHP - High Self SG1 887.70 1011.08 0.00 1011.08 123.38 870.29 991.25 0.00 991.25 120.96
New York CDPHP - High Self & Family SG2 2662.76 2881.55 0.00 2881.55 218.79 2610.55 2825.05 0.00 2825.05 214.50
New York CDPHP - High Self Plus One SG3 1775.36 2092.92 0.00 2092.92 317.56 1740.55 2051.88 0.00 2051.88 311.33
New York GHI Health Plan - Standard Self 804 944.49 1024.75 0.00 1024.75 80.26 925.97 1004.66 0.00 1004.66 78.69
New York GHI Health Plan - Standard Self & Family 805 2291.40 2486.16 0.00 2486.16 194.76 2246.47 2437.41 0.00 2437.41 190.94
New York GHI Health Plan - Standard Self Plus One 806 2196.92 2383.66 0.00 2383.66 186.74 2153.84 2336.92 0.00 2336.92 183.08
New York GHI Health Plan - HDHP Self 811 New Plan 689.88 0.00 689.88 New Plan New Plan 676.35 0.00 676.35 New Plan
New York GHI Health Plan - HDHP Self & Family 812 New Plan 1508.28 0.00 1508.28 New Plan New Plan 1478.71 0.00 1478.71 New Plan
New York GHI Health Plan - HDHP Self Plus One 813 New Plan 1479.09 0.00 1479.09 New Plan New Plan 1450.09 0.00 1450.09 New Plan
New York HIP of Greater NY - Standard Self YL4 671.77 830.15 0.00 830.15 158.38 658.60 813.87 0.00 813.87 155.27
New York HIP of Greater NY - Standard Self & Family YL5 1922.37 2386.78 0.00 2386.78 464.41 1884.68 2339.98 0.00 2339.98 455.30
New York HIP of Greater NY - Standard Self Plus One YL6 1192.60 1509.86 0.00 1509.86 317.26 1169.22 1480.25 0.00 1480.25 311.03
New York HIP of Greater NY - High Self 511 1005.07 1092.47 0.00 1092.47 87.40 985.36 1071.05 0.00 1071.05 85.69
New York HIP of Greater NY - High Self & Family 512 2877.82 3143.62 0.00 3143.62 265.80 2821.39 3081.98 0.00 3081.98 260.59
New York HIP of Greater NY - High Self Plus One 513 1790.57 1987.52 0.00 1987.52 196.95 1755.46 1948.55 0.00 1948.55 193.09
New York Independent Health - Standard Self C54 715.87 725.85 0.00 725.85 9.98 701.83 711.62 0.00 711.62 9.79
New York Independent Health - Standard Self & Family C55 1932.85 1959.81 0.00 1959.81 26.96 1894.95 1921.38 0.00 1921.38 26.43
New York Independent Health - Standard Self Plus One C56 1825.44 1850.90 0.00 1850.90 25.46 1789.65 1814.61 0.00 1814.61 24.96
New York Independent Health - High Self QA1 742.18 777.92 0.00 777.92 35.74 727.63 762.67 0.00 762.67 35.04
New York Independent Health - High Self & Family QA2 2003.85 2100.36 0.00 2100.36 96.51 1964.56 2059.18 0.00 2059.18 94.62
New York Independent Health - High Self Plus One QA3 1892.54 1983.70 0.00 1983.70 91.16 1855.43 1944.80 0.00 1944.80 89.37
New York Independent Health - HDHP Self QA4 602.38 604.73 0.00 604.73 2.35 590.57 592.87 0.00 592.87 2.30
New York Independent Health - HDHP Self & Family QA5 1555.34 1563.79 0.00 1563.79 8.45 1524.84 1533.13 0.00 1533.13 8.29
New York Independent Health - HDHP Self Plus One QA6 1449.62 1458.20 0.00 1458.20 8.58 1421.20 1429.61 0.00 1429.61 8.41
North Carolina Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
North Carolina Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
North Carolina Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
North Carolina Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
North Carolina Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
North Carolina Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
North Carolina Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
North Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
North Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 427.08 463.83 0.00 463.83 36.75 418.71 454.74 0.00 454.74 36.03
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 982.34 1066.84 0.00 1066.84 84.50 963.08 1045.92 0.00 1045.92 82.84
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 918.26 997.26 0.00 997.26 79.00 900.25 977.71 0.00 977.71 77.46
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 692.61 728.15 0.00 728.15 35.54 679.03 713.87 0.00 713.87 34.84
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1731.58 1820.40 0.00 1820.40 88.82 1697.63 1784.71 0.00 1784.71 87.08
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1489.14 1565.57 0.00 1565.57 76.43 1459.94 1534.87 0.00 1534.87 74.93
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
North Dakota Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
North Dakota Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
North Dakota Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
North Dakota Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
North Dakota Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
North Dakota Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
North Dakota Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
North Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
North Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
North Dakota HealthPartners - Standard Self V34 436.65 469.12 0.00 469.12 32.47 428.09 459.92 0.00 459.92 31.83
North Dakota HealthPartners - Standard Self & Family V35 1063.68 1142.82 0.00 1142.82 79.14 1042.82 1120.41 0.00 1120.41 77.59
North Dakota HealthPartners - Standard Self Plus One V36 965.00 1036.78 0.00 1036.78 71.78 946.08 1016.45 0.00 1016.45 70.37
North Dakota HealthPartners - High Self V31 806.12 726.56 0.00 726.56 -79.56 790.31 712.31 0.00 712.31 -78.00
North Dakota HealthPartners - High Self & Family V32 1963.71 1769.90 0.00 1769.90 -193.81 1925.21 1735.20 0.00 1735.20 -190.01
North Dakota HealthPartners - High Self Plus One V33 1781.50 1605.69 0.00 1605.69 -175.81 1746.57 1574.21 0.00 1574.21 -172.36
Ohio Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Ohio Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Ohio Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Ohio Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Ohio Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Ohio Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 820.07 1094.95 0.00 1094.95 274.88 803.99 1073.48 0.00 1073.48 269.49
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1872.12 2499.60 0.00 2499.60 627.48 1835.41 2450.59 0.00 2450.59 615.18
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1853.60 2474.85 0.00 2474.85 621.25 1817.25 2426.32 0.00 2426.32 609.07
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1070.02 1024.07 0.00 1024.07 -45.95 1049.04 1003.99 0.00 1003.99 -45.05
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2439.18 2334.42 0.00 2334.42 -104.76 2391.35 2288.65 0.00 2288.65 -102.70
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2415.04 2311.31 0.00 2311.31 -103.73 2367.69 2265.99 0.00 2265.99 -101.70
Ohio Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Ohio Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Ohio Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Ohio AultCare Insurance Company - High Self 3A1 784.88 858.87 0.00 858.87 73.99 769.49 842.03 0.00 842.03 72.54
Ohio AultCare Insurance Company - High Self & Family 3A2 1938.68 2121.38 0.00 2121.38 182.70 1900.67 2079.78 0.00 2079.78 179.11
Ohio AultCare Insurance Company - High Self Plus One 3A3 1648.26 1803.60 0.00 1803.60 155.34 1615.94 1768.24 0.00 1768.24 152.30
Ohio AultCare Insurance Company - HDHP Self 3A4 380.72 446.37 0.00 446.37 65.65 373.25 437.62 0.00 437.62 64.37
Ohio AultCare Insurance Company - HDHP Self & Family 3A5 1218.22 1429.28 0.00 1429.28 211.06 1194.33 1401.25 0.00 1401.25 206.92
Ohio AultCare Insurance Company - HDHP Self Plus One 3A6 723.31 848.60 0.00 848.60 125.29 709.13 831.96 0.00 831.96 122.83
Ohio Humana CoverageFirst and Humana Value Plan - Value Self X34 581.68 627.42 0.00 627.42 45.74 570.27 615.12 0.00 615.12 44.85
Ohio Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1308.78 1411.73 0.00 1411.73 102.95 1283.12 1384.05 0.00 1384.05 100.93
Ohio Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1250.59 1348.98 0.00 1348.98 98.39 1226.07 1322.53 0.00 1322.53 96.46
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self X31 698.34 815.43 0.00 815.43 117.09 684.65 799.44 0.00 799.44 114.79
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1571.29 1834.75 0.00 1834.75 263.46 1540.48 1798.77 0.00 1798.77 258.29
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1501.45 1753.20 0.00 1753.20 251.75 1472.01 1718.82 0.00 1718.82 246.81
Ohio Humana Health Plan of Ohio, Inc. - High Self A61 1196.09 1531.00 0.00 1531.00 334.91 1172.64 1500.98 0.00 1500.98 328.34
Ohio Humana Health Plan of Ohio, Inc. - High Self & Family A62 2691.25 3444.77 0.00 3444.77 753.52 2638.48 3377.23 0.00 3377.23 738.75
Ohio Humana Health Plan of Ohio, Inc. - High Self Plus One A63 2571.64 3291.68 0.00 3291.68 720.04 2521.22 3227.14 0.00 3227.14 705.92
Ohio Humana Health Plan of Ohio, Inc. - Standard Self A64 948.89 1195.61 0.00 1195.61 246.72 930.28 1172.17 0.00 1172.17 241.89
Ohio Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2135.03 2690.17 0.00 2690.17 555.14 2093.17 2637.42 0.00 2637.42 544.25
Ohio Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2040.16 2570.60 0.00 2570.60 530.44 2000.16 2520.20 0.00 2520.20 520.04
Ohio Humana Health Plan of Ohio, Inc. - Basic Self W61 597.50 620.79 0.00 620.79 23.29 585.78 608.62 0.00 608.62 22.84
Ohio Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 1344.37 1396.83 0.00 1396.83 52.46 1318.01 1369.44 0.00 1369.44 51.43
Ohio Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 1284.61 1334.75 0.00 1334.75 50.14 1259.42 1308.58 0.00 1308.58 49.16
Ohio Medical Mutual of Ohio - Standard Self 644 874.92 1048.34 0.00 1048.34 173.42 857.76 1027.78 0.00 1027.78 170.02
Ohio Medical Mutual of Ohio - Standard Self & Family 645 2099.79 2516.04 0.00 2516.04 416.25 2058.62 2466.71 0.00 2466.71 408.09
Ohio Medical Mutual of Ohio - Standard Self Plus One 646 1924.78 2306.38 0.00 2306.38 381.60 1887.04 2261.16 0.00 2261.16 374.12
Ohio Medical Mutual of Ohio - Standard Self X64 822.08 866.41 0.00 866.41 44.33 805.96 849.42 0.00 849.42 43.46
Ohio Medical Mutual of Ohio - Standard Self & Family X65 1972.98 2079.37 0.00 2079.37 106.39 1934.29 2038.60 0.00 2038.60 104.31
Ohio Medical Mutual of Ohio - Standard Self Plus One X66 1808.53 1906.08 0.00 1906.08 97.55 1773.07 1868.71 0.00 1868.71 95.64
Ohio Medical Mutual of Ohio - Basic Self X61 470.95 448.79 0.00 448.79 -22.16 461.72 439.99 0.00 439.99 -21.73
Ohio Medical Mutual of Ohio - Basic Self & Family X62 1130.28 1077.07 0.00 1077.07 -53.21 1108.12 1055.95 0.00 1055.95 -52.17
Ohio Medical Mutual of Ohio - Basic Self Plus One X63 1036.10 987.32 0.00 987.32 -48.78 1015.78 967.96 0.00 967.96 -47.82
Ohio Medical Mutual of Ohio - Basic Self UX1 492.21 448.94 0.00 448.94 -43.27 482.56 440.14 0.00 440.14 -42.42
Ohio Medical Mutual of Ohio - Basic Self & Family UX2 1181.31 1077.47 0.00 1077.47 -103.84 1158.15 1056.34 0.00 1056.34 -101.81
Ohio Medical Mutual of Ohio - Basic Self Plus One UX3 1082.88 987.70 0.00 987.70 -95.18 1061.65 968.33 0.00 968.33 -93.32
Ohio Medical Mutual of Ohio - Basic Self YF1 500.37 448.94 0.00 448.94 -51.43 490.56 440.14 0.00 440.14 -50.42
Ohio Medical Mutual of Ohio - Basic Self & Family YF2 1200.92 1077.47 0.00 1077.47 -123.45 1177.37 1056.34 0.00 1056.34 -121.03
Ohio Medical Mutual of Ohio - Basic Self Plus One YF3 1100.85 987.70 0.00 987.70 -113.15 1079.26 968.33 0.00 968.33 -110.93
Ohio Medical Mutual of Ohio - Standard Self YF4 938.24 988.36 0.00 988.36 50.12 919.84 968.98 0.00 968.98 49.14
Ohio Medical Mutual of Ohio - Standard Self & Family YF5 2251.75 2372.06 0.00 2372.06 120.31 2207.60 2325.55 0.00 2325.55 117.95
Ohio Medical Mutual of Ohio - Standard Self Plus One YF6 2064.07 2174.37 0.00 2174.37 110.30 2023.60 2131.74 0.00 2131.74 108.14
Oklahoma Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Oklahoma Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Oklahoma Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Oklahoma Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Oklahoma Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Oklahoma Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 820.07 1094.95 0.00 1094.95 274.88 803.99 1073.48 0.00 1073.48 269.49
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1872.12 2499.60 0.00 2499.60 627.48 1835.41 2450.59 0.00 2450.59 615.18
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1853.60 2474.85 0.00 2474.85 621.25 1817.25 2426.32 0.00 2426.32 609.07
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1070.02 1024.07 0.00 1024.07 -45.95 1049.04 1003.99 0.00 1003.99 -45.05
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2439.18 2334.42 0.00 2334.42 -104.76 2391.35 2288.65 0.00 2288.65 -102.70
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2415.04 2311.31 0.00 2311.31 -103.73 2367.69 2265.99 0.00 2265.99 -101.70
Oklahoma Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Oklahoma Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Oklahoma Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Oklahoma GlobalHealth - Standard Self IM4 614.20 635.40 0.00 635.40 21.20 602.16 622.94 0.00 622.94 20.78
Oklahoma GlobalHealth - Standard Self & Family IM5 1535.51 1588.53 0.00 1588.53 53.02 1505.40 1557.38 0.00 1557.38 51.98
Oklahoma GlobalHealth - Standard Self Plus One IM6 1228.41 1270.82 0.00 1270.82 42.41 1204.32 1245.90 0.00 1245.90 41.58
Oklahoma GlobalHealth - High Self IM1 631.38 672.46 0.00 672.46 41.08 619.00 659.27 0.00 659.27 40.27
Oklahoma GlobalHealth - High Self & Family IM2 1578.47 1681.12 0.00 1681.12 102.65 1547.52 1648.16 0.00 1648.16 100.64
Oklahoma GlobalHealth - High Self Plus One IM3 1262.77 1344.90 0.00 1344.90 82.13 1238.01 1318.53 0.00 1318.53 80.52
Oregon Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Oregon Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Oregon Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Oregon Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Oregon Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Oregon Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Oregon Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Oregon Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Oregon Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Oregon Kaiser Foundation Health Plan of the Northwest - Standard Self 574 632.71 660.92 0.00 660.92 28.21 620.30 647.96 0.00 647.96 27.66
Oregon Kaiser Foundation Health Plan of the Northwest - Standard Self & Family 575 1453.50 1518.31 0.00 1518.31 64.81 1425.00 1488.54 0.00 1488.54 63.54
Oregon Kaiser Foundation Health Plan of the Northwest - Standard Self Plus One 576 1453.50 1518.31 0.00 1518.31 64.81 1425.00 1488.54 0.00 1488.54 63.54
Oregon Kaiser Foundation Health Plan of the Northwest - High Self 571 720.81 744.53 0.00 744.53 23.72 706.68 729.93 0.00 729.93 23.25
Oregon Kaiser Foundation Health Plan of the Northwest - High Self & Family 572 1628.08 1681.67 0.00 1681.67 53.59 1596.16 1648.70 0.00 1648.70 52.54
Oregon Kaiser Foundation Health Plan of the Northwest - High Self Plus One 573 1628.08 1681.67 0.00 1681.67 53.59 1596.16 1648.70 0.00 1648.70 52.54
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 459.33 452.72 0.00 452.72 -6.61 450.32 443.84 0.00 443.84 -6.48
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1056.44 1041.27 0.00 1041.27 -15.17 1035.73 1020.85 0.00 1020.85 -14.88
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 987.56 973.36 0.00 973.36 -14.20 968.20 954.27 0.00 954.27 -13.93
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 692.77 739.27 0.00 739.27 46.50 679.19 724.77 0.00 724.77 45.58
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1731.91 1848.14 0.00 1848.14 116.23 1697.95 1811.90 0.00 1811.90 113.95
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1489.43 1589.42 0.00 1589.42 99.99 1460.23 1558.25 0.00 1558.25 98.02
Oregon UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 New Plan 533.32 0.00 533.32 New Plan New Plan 522.86 0.00 522.86 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family WF2 New Plan 1261.12 0.00 1261.12 New Plan New Plan 1236.39 0.00 1236.39 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 1146.53 0.00 1146.53 New Plan New Plan 1124.05 0.00 1124.05 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 532.46 0.00 532.46 New Plan New Plan 522.02 0.00 522.02 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 New Plan 1259.06 0.00 1259.06 New Plan New Plan 1234.37 0.00 1234.37 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One VD3 New Plan 1144.67 0.00 1144.67 New Plan New Plan 1122.23 0.00 1122.23 New Plan
Pennsylvania Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Pennsylvania Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Pennsylvania Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Pennsylvania Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Pennsylvania Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Pennsylvania Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Pennsylvania Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Pennsylvania Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Pennsylvania Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Pennsylvania Aetna Open Access - High Self YE1 956.88 1239.43 0.00 1239.43 282.55 938.12 1215.13 0.00 1215.13 277.01
Pennsylvania Aetna Open Access - High Self & Family YE2 2402.73 3112.21 0.00 3112.21 709.48 2355.62 3051.19 0.00 3051.19 695.57
Pennsylvania Aetna Open Access - High Self Plus One YE3 2378.94 3081.40 0.00 3081.40 702.46 2332.29 3020.98 0.00 3020.98 688.69
Pennsylvania Aetna Open Access - Basic Self P34 1324.43 1336.28 0.00 1336.28 11.85 1298.46 1310.08 0.00 1310.08 11.62
Pennsylvania Aetna Open Access - Basic Self & Family P35 3074.03 3101.49 0.00 3101.49 27.46 3013.75 3040.68 0.00 3040.68 26.93
Pennsylvania Aetna Open Access - Basic Self Plus One P36 3043.57 3070.75 0.00 3070.75 27.18 2983.89 3010.54 0.00 3010.54 26.65
Pennsylvania Aetna Open Access - High Self P31 1514.91 1485.74 0.00 1485.74 -29.17 1485.21 1456.61 0.00 1456.61 -28.60
Pennsylvania Aetna Open Access - High Self & Family P32 3672.93 3602.17 0.00 3602.17 -70.76 3600.91 3531.54 0.00 3531.54 -69.37
Pennsylvania Aetna Open Access - High Self Plus One P33 3636.56 3566.48 0.00 3566.48 -70.08 3565.25 3496.55 0.00 3496.55 -68.70
Pennsylvania Geisinger Health Plan - Standard Self GG4 743.75 839.18 0.00 839.18 95.43 729.17 822.73 0.00 822.73 93.56
Pennsylvania Geisinger Health Plan - Standard Self & Family GG5 1702.85 1921.35 0.00 1921.35 218.50 1669.46 1883.68 0.00 1883.68 214.22
Pennsylvania Geisinger Health Plan - Standard Self Plus One GG6 1607.05 1813.26 0.00 1813.26 206.21 1575.54 1777.71 0.00 1777.71 202.17
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 505.60 496.30 0.00 496.30 -9.30 495.69 486.57 0.00 486.57 -9.12
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1162.86 1141.49 0.00 1141.49 -21.37 1140.06 1119.11 0.00 1119.11 -20.95
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1087.03 1067.05 0.00 1067.05 -19.98 1065.72 1046.13 0.00 1046.13 -19.59
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 681.30 729.19 0.00 729.19 47.89 667.94 714.89 0.00 714.89 46.95
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1614.65 1728.18 0.00 1728.18 113.53 1582.99 1694.29 0.00 1694.29 111.30
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1464.77 1567.73 0.00 1567.73 102.96 1436.05 1536.99 0.00 1536.99 100.94
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Pennsylvania UPMC Health Plan - Standard Self YT4 New Plan 922.17 0.00 922.17 New Plan New Plan 904.09 0.00 904.09 New Plan
Pennsylvania UPMC Health Plan - Standard Self & Family YT5 New Plan 2164.41 0.00 2164.41 New Plan New Plan 2121.97 0.00 2121.97 New Plan
Pennsylvania UPMC Health Plan - Standard Self Plus One YT6 New Plan 2073.11 0.00 2073.11 New Plan New Plan 2032.46 0.00 2032.46 New Plan
Pennsylvania UPMC Health Plan - HDHP Self YS4 New Plan 791.32 0.00 791.32 New Plan New Plan 775.80 0.00 775.80 New Plan
Pennsylvania UPMC Health Plan - HDHP Self & Family YS5 New Plan 1826.87 0.00 1826.87 New Plan New Plan 1791.05 0.00 1791.05 New Plan
Pennsylvania UPMC Health Plan - HDHP Self Plus One YS6 New Plan 1756.15 0.00 1756.15 New Plan New Plan 1721.72 0.00 1721.72 New Plan
Pennsylvania UPMC Health Plan - High Self YS1 New Plan 1165.20 0.00 1165.20 New Plan New Plan 1142.35 0.00 1142.35 New Plan
Pennsylvania UPMC Health Plan - High Self & Family YS2 New Plan 2738.57 0.00 2738.57 New Plan New Plan 2684.87 0.00 2684.87 New Plan
Pennsylvania UPMC Health Plan - High Self Plus One YS3 New Plan 2622.10 0.00 2622.10 New Plan New Plan 2570.69 0.00 2570.69 New Plan
Pennsylvania UPMC Health Plan - HDHP Self 8W4 585.05 622.84 0.00 622.84 37.79 573.58 610.63 0.00 610.63 37.05
Pennsylvania UPMC Health Plan - HDHP Self & Family 8W5 1343.94 1433.10 0.00 1433.10 89.16 1317.59 1405.00 0.00 1405.00 87.41
Pennsylvania UPMC Health Plan - HDHP Self Plus One 8W6 1293.40 1378.66 0.00 1378.66 85.26 1268.04 1351.63 0.00 1351.63 83.59
Pennsylvania UPMC Health Plan - High Self 8W1 890.24 955.12 0.00 955.12 64.88 872.78 936.39 0.00 936.39 63.61
Pennsylvania UPMC Health Plan - High Self & Family 8W2 2092.34 2244.86 0.00 2244.86 152.52 2051.31 2200.84 0.00 2200.84 149.53
Pennsylvania UPMC Health Plan - High Self Plus One 8W3 2003.41 2149.43 0.00 2149.43 146.02 1964.13 2107.28 0.00 2107.28 143.15
Pennsylvania UPMC Health Plan - Standard Self UW4 664.90 687.15 0.00 687.15 22.25 651.86 673.68 0.00 673.68 21.82
Pennsylvania UPMC Health Plan - Standard Self & Family UW5 1554.28 1612.35 0.00 1612.35 58.07 1523.80 1580.74 0.00 1580.74 56.94
Pennsylvania UPMC Health Plan - Standard Self Plus One UW6 1488.46 1544.48 0.00 1544.48 56.02 1459.27 1514.20 0.00 1514.20 54.93
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self ZJ1 372.41 398.04 0.00 398.04 25.63 365.11 390.24 0.00 390.24 25.13
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self & Family ZJ2 837.92 895.62 0.00 895.62 57.70 821.49 878.06 0.00 878.06 56.57
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self Plus One ZJ3 800.68 855.80 0.00 855.80 55.12 784.98 839.02 0.00 839.02 54.04
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self 891 415.53 397.84 0.00 397.84 -17.69 407.38 390.04 0.00 390.04 -17.34
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self & Family 892 951.54 911.07 0.00 911.07 -40.47 932.88 893.21 0.00 893.21 -39.67
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self Plus One 893 932.99 893.31 0.00 893.31 -39.68 914.70 875.79 0.00 875.79 -38.91
Rhode Island Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Rhode Island Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Rhode Island Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Rhode Island Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Rhode Island Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Rhode Island Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 631.46 774.80 0.00 774.80 143.34 619.08 759.61 0.00 759.61 140.53
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1446.00 1774.30 0.00 1774.30 328.30 1417.65 1739.51 0.00 1739.51 321.86
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1417.65 1739.49 0.00 1739.49 321.84 1389.85 1705.38 0.00 1705.38 315.53
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 935.14 1097.27 0.00 1097.27 162.13 916.80 1075.75 0.00 1075.75 158.95
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2132.65 2502.39 0.00 2502.39 369.74 2090.83 2453.32 0.00 2453.32 362.49
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2111.52 2477.61 0.00 2477.61 366.09 2070.12 2429.03 0.00 2429.03 358.91
Rhode Island Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Rhode Island Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Rhode Island Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
South Carolina Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
South Carolina Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
South Carolina Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
South Carolina Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
South Carolina Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
South Carolina Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 820.07 1094.95 0.00 1094.95 274.88 803.99 1073.48 0.00 1073.48 269.49
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1872.12 2499.60 0.00 2499.60 627.48 1835.41 2450.59 0.00 2450.59 615.18
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1853.60 2474.85 0.00 2474.85 621.25 1817.25 2426.32 0.00 2426.32 609.07
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1070.02 1024.07 0.00 1024.07 -45.95 1049.04 1003.99 0.00 1003.99 -45.05
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2439.18 2334.42 0.00 2334.42 -104.76 2391.35 2288.65 0.00 2288.65 -102.70
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2415.04 2311.31 0.00 2311.31 -103.73 2367.69 2265.99 0.00 2265.99 -101.70
South Carolina Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
South Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
South Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
South Dakota Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
South Dakota Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
South Dakota Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
South Dakota Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
South Dakota Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
South Dakota Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
South Dakota Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
South Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
South Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
South Dakota HealthPartners - Standard Self V34 436.65 469.12 0.00 469.12 32.47 428.09 459.92 0.00 459.92 31.83
South Dakota HealthPartners - Standard Self & Family V35 1063.68 1142.82 0.00 1142.82 79.14 1042.82 1120.41 0.00 1120.41 77.59
South Dakota HealthPartners - Standard Self Plus One V36 965.00 1036.78 0.00 1036.78 71.78 946.08 1016.45 0.00 1016.45 70.37
South Dakota HealthPartners - High Self V31 806.12 726.56 0.00 726.56 -79.56 790.31 712.31 0.00 712.31 -78.00
South Dakota HealthPartners - High Self & Family V32 1963.71 1769.90 0.00 1769.90 -193.81 1925.21 1735.20 0.00 1735.20 -190.01
South Dakota HealthPartners - High Self Plus One V33 1781.50 1605.69 0.00 1605.69 -175.81 1746.57 1574.21 0.00 1574.21 -172.36
Tennessee Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Tennessee Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Tennessee Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Tennessee Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Tennessee Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Tennessee Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
Tennessee Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Tennessee Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Tennessee Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Tennessee Aetna Open Access - High Self UB1 1014.73 1082.41 0.00 1082.41 67.68 994.83 1061.19 0.00 1061.19 66.36
Tennessee Aetna Open Access - High Self & Family UB2 2600.25 2773.69 0.00 2773.69 173.44 2549.26 2719.30 0.00 2719.30 170.04
Tennessee Aetna Open Access - High Self Plus One UB3 2574.54 2746.26 0.00 2746.26 171.72 2524.06 2692.41 0.00 2692.41 168.35
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self TT1 678.76 760.22 0.00 760.22 81.46 665.45 745.31 0.00 745.31 79.86
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TT2 1527.25 1710.52 0.00 1710.52 183.27 1497.30 1676.98 0.00 1676.98 179.68
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TT3 1459.38 1634.50 0.00 1634.50 175.12 1430.76 1602.45 0.00 1602.45 171.69
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self TT4 548.53 696.62 0.00 696.62 148.09 537.77 682.96 0.00 682.96 145.19
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self & Family TT5 1234.13 1567.35 0.00 1567.35 333.22 1209.93 1536.62 0.00 1536.62 326.69
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self Plus One TT6 1179.28 1497.68 0.00 1497.68 318.40 1156.16 1468.31 0.00 1468.31 312.15
Tennessee Humana Health Plan, Inc. - High Self GJ1 983.04 1199.31 0.00 1199.31 216.27 963.76 1175.79 0.00 1175.79 212.03
Tennessee Humana Health Plan, Inc. - High Self & Family GJ2 2211.75 2698.35 0.00 2698.35 486.60 2168.38 2645.44 0.00 2645.44 477.06
Tennessee Humana Health Plan, Inc. - High Self Plus One GJ3 2113.45 2578.41 0.00 2578.41 464.96 2072.01 2527.85 0.00 2527.85 455.84
Tennessee Humana Health Plan, Inc. - Standard Self GJ4 831.93 887.53 0.00 887.53 55.60 815.62 870.13 0.00 870.13 54.51
Tennessee Humana Health Plan, Inc. - Standard Self & Family GJ5 1871.82 1996.94 0.00 1996.94 125.12 1835.12 1957.78 0.00 1957.78 122.66
Tennessee Humana Health Plan, Inc. - Standard Self Plus One GJ6 1788.62 1908.19 0.00 1908.19 119.57 1753.55 1870.77 0.00 1870.77 117.22
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 427.08 463.83 0.00 463.83 36.75 418.71 454.74 0.00 454.74 36.03
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 982.34 1066.84 0.00 1066.84 84.50 963.08 1045.92 0.00 1045.92 82.84
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 918.26 997.26 0.00 997.26 79.00 900.25 977.71 0.00 977.71 77.46
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 692.61 728.15 0.00 728.15 35.54 679.03 713.87 0.00 713.87 34.84
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1731.58 1820.40 0.00 1820.40 88.82 1697.63 1784.71 0.00 1784.71 87.08
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1489.14 1565.57 0.00 1565.57 76.43 1459.94 1534.87 0.00 1534.87 74.93
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Texas Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Texas Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Texas Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Texas Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Texas Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Texas Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 820.07 1094.95 0.00 1094.95 274.88 803.99 1073.48 0.00 1073.48 269.49
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1872.12 2499.60 0.00 2499.60 627.48 1835.41 2450.59 0.00 2450.59 615.18
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1853.60 2474.85 0.00 2474.85 621.25 1817.25 2426.32 0.00 2426.32 609.07
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1070.02 1024.07 0.00 1024.07 -45.95 1049.04 1003.99 0.00 1003.99 -45.05
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2439.18 2334.42 0.00 2334.42 -104.76 2391.35 2288.65 0.00 2288.65 -102.70
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2415.04 2311.31 0.00 2311.31 -103.73 2367.69 2265.99 0.00 2265.99 -101.70
Texas Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Texas Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Texas Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Texas Humana CoverageFirst and Humana Value Plan - Value Self T34 508.22 538.73 0.00 538.73 30.51 498.25 528.17 0.00 528.17 29.92
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family T35 1143.50 1212.10 0.00 1212.10 68.60 1121.08 1188.33 0.00 1188.33 67.25
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One T36 1092.70 1158.24 0.00 1158.24 65.54 1071.27 1135.53 0.00 1135.53 64.26
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self T31 667.18 773.93 0.00 773.93 106.75 654.10 758.75 0.00 758.75 104.65
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family T32 1501.12 1741.30 0.00 1741.30 240.18 1471.69 1707.16 0.00 1707.16 235.47
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One T33 1434.43 1663.96 0.00 1663.96 229.53 1406.30 1631.33 0.00 1631.33 225.03
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TV1 721.74 858.87 0.00 858.87 137.13 707.59 842.03 0.00 842.03 134.44
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TV2 1623.93 1932.49 0.00 1932.49 308.56 1592.09 1894.60 0.00 1894.60 302.51
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TV3 1551.78 1846.61 0.00 1846.61 294.83 1521.35 1810.40 0.00 1810.40 289.05
Texas Humana CoverageFirst and Humana Value Plan - Value Self TV4 590.71 679.31 0.00 679.31 88.60 579.13 665.99 0.00 665.99 86.86
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TV5 1329.12 1528.48 0.00 1528.48 199.36 1303.06 1498.51 0.00 1498.51 195.45
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TV6 1270.04 1460.57 0.00 1460.57 190.53 1245.14 1431.93 0.00 1431.93 186.79
Texas Humana CoverageFirst and Humana Value Plan - Value Self TU4 518.80 538.26 0.00 538.26 19.46 508.63 527.71 0.00 527.71 19.08
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TU5 1167.28 1211.13 0.00 1211.13 43.85 1144.39 1187.38 0.00 1187.38 42.99
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TU6 1115.43 1157.31 0.00 1157.31 41.88 1093.56 1134.62 0.00 1134.62 41.06
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TU1 652.17 658.70 0.00 658.70 6.53 639.38 645.78 0.00 645.78 6.40
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TU2 1467.42 1482.07 0.00 1482.07 14.65 1438.65 1453.01 0.00 1453.01 14.36
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TU3 1402.18 1416.21 0.00 1416.21 14.03 1374.69 1388.44 0.00 1388.44 13.75
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TP1 603.31 736.04 0.00 736.04 132.73 591.48 721.61 0.00 721.61 130.13
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TP2 1357.45 1656.08 0.00 1656.08 298.63 1330.83 1623.61 0.00 1623.61 292.78
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TP3 1297.13 1582.52 0.00 1582.52 285.39 1271.70 1551.49 0.00 1551.49 279.79
Texas Humana CoverageFirst and Humana Value Plan - Value Self TP4 406.91 431.33 0.00 431.33 24.42 398.93 422.87 0.00 422.87 23.94
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TP5 915.54 970.48 0.00 970.48 54.94 897.59 951.45 0.00 951.45 53.86
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TP6 874.87 927.36 0.00 927.36 52.49 857.72 909.18 0.00 909.18 51.46
Texas Humana Health Plan of Texas - Standard Self UC4 815.87 856.67 0.00 856.67 40.80 799.87 839.87 0.00 839.87 40.00
Texas Humana Health Plan of Texas - Standard Self & Family UC5 1835.69 1927.45 0.00 1927.45 91.76 1799.70 1889.66 0.00 1889.66 89.96
Texas Humana Health Plan of Texas - Standard Self Plus One UC6 1754.10 1841.79 0.00 1841.79 87.69 1719.71 1805.68 0.00 1805.68 85.97
Texas Humana Health Plan of Texas - High Self UC1 997.49 1117.18 0.00 1117.18 119.69 977.93 1095.27 0.00 1095.27 117.34
Texas Humana Health Plan of Texas - High Self & Family UC2 2244.37 2513.70 0.00 2513.70 269.33 2200.36 2464.41 0.00 2464.41 264.05
Texas Humana Health Plan of Texas - High Self Plus One UC3 2144.61 2401.96 0.00 2401.96 257.35 2102.56 2354.86 0.00 2354.86 252.30
Texas Humana Health Plan of Texas - Basic Self QX1 631.59 764.25 0.00 764.25 132.66 619.21 749.26 0.00 749.26 130.05
Texas Humana Health Plan of Texas - Basic Self & Family QX2 1421.07 1719.56 0.00 1719.56 298.49 1393.21 1685.84 0.00 1685.84 292.63
Texas Humana Health Plan of Texas - Basic Self Plus One QX3 1357.92 1643.14 0.00 1643.14 285.22 1331.29 1610.92 0.00 1610.92 279.63
Texas Humana Health Plan of Texas - Standard Self EW4 789.48 852.64 0.00 852.64 63.16 774.00 835.92 0.00 835.92 61.92
Texas Humana Health Plan of Texas - Standard Self & Family EW5 1776.31 1918.44 0.00 1918.44 142.13 1741.48 1880.82 0.00 1880.82 139.34
Texas Humana Health Plan of Texas - Standard Self Plus One EW6 1697.37 1833.15 0.00 1833.15 135.78 1664.09 1797.21 0.00 1797.21 133.12
Texas Humana Health Plan of Texas - High Self EW1 1049.64 1154.59 0.00 1154.59 104.95 1029.06 1131.95 0.00 1131.95 102.89
Texas Humana Health Plan of Texas - High Self & Family EW2 2361.72 2597.88 0.00 2597.88 236.16 2315.41 2546.94 0.00 2546.94 231.53
Texas Humana Health Plan of Texas - High Self Plus One EW3 2256.76 2482.43 0.00 2482.43 225.67 2212.51 2433.75 0.00 2433.75 221.24
Texas Humana Health Plan of Texas - Basic Self QY1 625.94 776.18 0.00 776.18 150.24 613.67 760.96 0.00 760.96 147.29
Texas Humana Health Plan of Texas - Basic Self & Family QY2 1408.37 1746.36 0.00 1746.36 337.99 1380.75 1712.12 0.00 1712.12 331.37
Texas Humana Health Plan of Texas - Basic Self Plus One QY3 1345.78 1668.77 0.00 1668.77 322.99 1319.39 1636.05 0.00 1636.05 316.66
Texas Humana Health Plan of Texas - Basic Self Q21 609.45 749.63 0.00 749.63 140.18 597.50 734.93 0.00 734.93 137.43
Texas Humana Health Plan of Texas - Basic Self & Family Q22 1371.24 1686.63 0.00 1686.63 315.39 1344.35 1653.56 0.00 1653.56 309.21
Texas Humana Health Plan of Texas - Basic Self Plus One Q23 1310.26 1611.64 0.00 1611.64 301.38 1284.57 1580.04 0.00 1580.04 295.47
Texas Humana Health Plan of Texas - Basic Self Q61 600.70 636.75 0.00 636.75 36.05 588.92 624.26 0.00 624.26 35.34
Texas Humana Health Plan of Texas - Basic Self & Family Q62 1351.61 1432.70 0.00 1432.70 81.09 1325.11 1404.61 0.00 1404.61 79.50
Texas Humana Health Plan of Texas - Basic Self Plus One Q63 1291.52 1369.03 0.00 1369.03 77.51 1266.20 1342.19 0.00 1342.19 75.99
Texas Humana Health Plan of Texas - Standard Self UU4 1323.42 1693.99 0.00 1693.99 370.57 1297.47 1660.77 0.00 1660.77 363.30
Texas Humana Health Plan of Texas - Standard Self & Family UU5 2977.71 3811.45 0.00 3811.45 833.74 2919.32 3736.72 0.00 3736.72 817.40
Texas Humana Health Plan of Texas - Standard Self Plus One UU6 2845.35 3642.03 0.00 3642.03 796.68 2789.56 3570.62 0.00 3570.62 781.06
Texas Humana Health Plan of Texas - High Self UU1 1500.63 1575.65 0.00 1575.65 75.02 1471.21 1544.75 0.00 1544.75 73.54
Texas Humana Health Plan of Texas - High Self & Family UU2 3376.35 3545.17 0.00 3545.17 168.82 3310.15 3475.66 0.00 3475.66 165.51
Texas Humana Health Plan of Texas - High Self Plus One UU3 3226.31 3387.62 0.00 3387.62 161.31 3163.05 3321.20 0.00 3321.20 158.15
Texas Humana Health Plan of Texas - Standard Self UR4 908.71 999.61 0.00 999.61 90.90 890.89 980.01 0.00 980.01 89.12
Texas Humana Health Plan of Texas - Standard Self & Family UR5 2044.63 2249.10 0.00 2249.10 204.47 2004.54 2205.00 0.00 2205.00 200.46
Texas Humana Health Plan of Texas - Standard Self Plus One UR6 1953.75 2149.14 0.00 2149.14 195.39 1915.44 2107.00 0.00 2107.00 191.56
Texas Humana Health Plan of Texas - High Self UR1 1317.67 1409.94 0.00 1409.94 92.27 1291.83 1382.29 0.00 1382.29 90.46
Texas Humana Health Plan of Texas - High Self & Family UR2 2964.78 3172.32 0.00 3172.32 207.54 2906.65 3110.12 0.00 3110.12 203.47
Texas Humana Health Plan of Texas - High Self Plus One UR3 2833.00 3031.35 0.00 3031.35 198.35 2777.45 2971.91 0.00 2971.91 194.46
Texas Scott and White Health Plan - Basic Self A81 618.01 671.26 0.00 671.26 53.25 605.89 658.10 0.00 658.10 52.21
Texas Scott and White Health Plan - Basic Self & Family A82 1449.96 1575.09 0.00 1575.09 125.13 1421.53 1544.21 0.00 1544.21 122.68
Texas Scott and White Health Plan - Basic Self Plus One A83 1369.87 1488.06 0.00 1488.06 118.19 1343.01 1458.88 0.00 1458.88 115.87
Texas Scott and White Health Plan - Standard Self A84 753.45 801.13 0.00 801.13 47.68 738.68 785.42 0.00 785.42 46.74
Texas Scott and White Health Plan - Standard Self & Family A85 1768.31 1880.36 0.00 1880.36 112.05 1733.64 1843.49 0.00 1843.49 109.85
Texas Scott and White Health Plan - Standard Self Plus One A86 1670.59 1776.42 0.00 1776.42 105.83 1637.83 1741.59 0.00 1741.59 103.76
Texas Scott and White Health Plan - Basic Self P81 693.54 691.93 0.00 691.93 -1.61 679.94 678.36 0.00 678.36 -1.58
Texas Scott and White Health Plan - Basic Self & Family P82 1627.51 1623.73 0.00 1623.73 -3.78 1595.60 1591.89 0.00 1591.89 -3.71
Texas Scott and White Health Plan - Basic Self Plus One P83 1537.57 1534.01 0.00 1534.01 -3.56 1507.42 1503.93 0.00 1503.93 -3.49
Texas Scott and White Health Plan - Standard Self P84 843.41 841.44 0.00 841.44 -1.97 826.87 824.94 0.00 824.94 -1.93
Texas Scott and White Health Plan - Standard Self & Family P85 1979.66 1975.04 0.00 1975.04 -4.62 1940.84 1936.31 0.00 1936.31 -4.53
Texas Scott and White Health Plan - Standard Self Plus One P86 1870.26 1865.89 0.00 1865.89 -4.37 1833.59 1829.30 0.00 1829.30 -4.29
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 445.80 531.93 0.00 531.93 86.13 437.06 521.50 0.00 521.50 84.44
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1250.00 1491.51 0.00 1491.51 241.51 1225.49 1462.26 0.00 1462.26 236.77
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 870.63 1038.83 0.00 1038.83 168.20 853.56 1018.46 0.00 1018.46 164.90
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Utah Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Utah Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Utah Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Utah Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Utah Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Utah Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
Utah Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Utah Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Utah Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Utah Altius Health Plan - High Self 9K1 953.94 1029.24 0.00 1029.24 75.30 935.24 1009.06 0.00 1009.06 73.82
Utah Altius Health Plan - High Self & Family 9K2 2109.63 2276.15 0.00 2276.15 166.52 2068.26 2231.52 0.00 2231.52 163.26
Utah Altius Health Plan - High Self Plus One 9K3 2088.74 2253.61 0.00 2253.61 164.87 2047.78 2209.42 0.00 2209.42 161.64
Utah Altius Health Plan - HDHP Self 9K4 517.05 539.81 0.00 539.81 22.76 506.91 529.23 0.00 529.23 22.32
Utah Altius Health Plan - HDHP Self & Family 9K5 1080.60 1128.16 0.00 1128.16 47.56 1059.41 1106.04 0.00 1106.04 46.63
Utah Altius Health Plan - HDHP Self Plus One 9K6 1059.41 1106.06 0.00 1106.06 46.65 1038.64 1084.37 0.00 1084.37 45.73
Utah Altius Health Plan - Standard Self DK4 726.69 776.53 0.00 776.53 49.84 712.44 761.30 0.00 761.30 48.86
Utah Altius Health Plan - Standard Self & Family DK5 1604.77 1714.85 0.00 1714.85 110.08 1573.30 1681.23 0.00 1681.23 107.93
Utah Altius Health Plan - Standard Self Plus One DK6 1588.85 1697.85 0.00 1697.85 109.00 1557.70 1664.56 0.00 1664.56 106.86
Utah SelectHealth Plan - Standard Self SF4 631.59 617.10 0.00 617.10 -14.49 619.21 605.00 0.00 605.00 -14.21
Utah SelectHealth Plan - Standard Self & Family SF5 1439.49 1406.45 0.00 1406.45 -33.04 1411.26 1378.87 0.00 1378.87 -32.39
Utah SelectHealth Plan - Standard Self Plus One SF6 1439.49 1406.45 0.00 1406.45 -33.04 1411.26 1378.87 0.00 1378.87 -32.39
Utah SelectHealth Plan - HDHP Self WX1 517.05 537.73 0.00 537.73 20.68 506.91 527.19 0.00 527.19 20.28
Utah SelectHealth Plan - HDHP Self & Family WX2 1178.42 1225.56 0.00 1225.56 47.14 1155.31 1201.53 0.00 1201.53 46.22
Utah SelectHealth Plan - HDHP Self Plus One WX3 1178.42 1225.56 0.00 1225.56 47.14 1155.31 1201.53 0.00 1201.53 46.22
Vermont Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Vermont Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Vermont Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Vermont Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Vermont Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Vermont Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 631.46 774.80 0.00 774.80 143.34 619.08 759.61 0.00 759.61 140.53
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1446.00 1774.30 0.00 1774.30 328.30 1417.65 1739.51 0.00 1739.51 321.86
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1417.65 1739.49 0.00 1739.49 321.84 1389.85 1705.38 0.00 1705.38 315.53
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 935.14 1097.27 0.00 1097.27 162.13 916.80 1075.75 0.00 1075.75 158.95
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2132.65 2502.39 0.00 2502.39 369.74 2090.83 2453.32 0.00 2453.32 362.49
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2111.52 2477.61 0.00 2477.61 366.09 2070.12 2429.03 0.00 2429.03 358.91
Vermont Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Vermont Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Vermont Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self 851 672.44 692.61 0.00 692.61 20.17 659.25 679.03 0.00 679.03 19.78
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self & Family 852 1539.90 1586.12 0.00 1586.12 46.22 1509.71 1555.02 0.00 1555.02 45.31
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self Plus One 853 1509.88 1555.17 0.00 1555.17 45.29 1480.27 1524.68 0.00 1524.68 44.41
Virginia Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Virginia Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Virginia Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Virginia Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Virginia Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Virginia Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
Virginia Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Virginia Aetna Open Access - High Self JN1 1141.51 1160.32 0.00 1160.32 18.81 1119.13 1137.57 0.00 1137.57 18.44
Virginia Aetna Open Access - High Self & Family JN2 2566.30 2608.58 0.00 2608.58 42.28 2515.98 2557.43 0.00 2557.43 41.45
Virginia Aetna Open Access - High Self Plus One JN3 2540.86 2582.74 0.00 2582.74 41.88 2491.04 2532.10 0.00 2532.10 41.06
Virginia Aetna Open Access - Basic Self JN4 694.07 711.04 0.00 711.04 16.97 680.46 697.10 0.00 697.10 16.64
Virginia Aetna Open Access - Basic Self & Family JN5 1588.40 1627.25 0.00 1627.25 38.85 1557.25 1595.34 0.00 1595.34 38.09
Virginia Aetna Open Access - Basic Self Plus One JN6 1458.60 1494.29 0.00 1494.29 35.69 1430.00 1464.99 0.00 1464.99 34.99
Virginia Aetna Saver - Saver Self QQ4 New Plan 607.11 0.00 607.11 New Plan New Plan 595.21 0.00 595.21 New Plan
Virginia Aetna Saver - Saver Self & Family QQ5 New Plan 1389.38 0.00 1389.38 New Plan New Plan 1362.14 0.00 1362.14 New Plan
Virginia Aetna Saver - Saver Self Plus One QQ6 New Plan 1275.84 0.00 1275.84 New Plan New Plan 1250.82 0.00 1250.82 New Plan
Virginia CareFirst BlueChoice - Standard Self 2G4 813.63 862.45 0.00 862.45 48.82 797.68 845.54 0.00 845.54 47.86
Virginia CareFirst BlueChoice - Standard Self & Family 2G5 1933.16 2049.14 0.00 2049.14 115.98 1895.25 2008.96 0.00 2008.96 113.71
Virginia CareFirst BlueChoice - Standard Self Plus One 2G6 1627.25 1724.88 0.00 1724.88 97.63 1595.34 1691.06 0.00 1691.06 95.72
Virginia CareFirst BlueChoice - HDHP Self B61 528.64 581.49 0.00 581.49 52.85 518.27 570.09 0.00 570.09 51.82
Virginia CareFirst BlueChoice - HDHP Self & Family B62 1256.01 1381.60 0.00 1381.60 125.59 1231.38 1354.51 0.00 1354.51 123.13
Virginia CareFirst BlueChoice - HDHP Self Plus One B63 1057.24 1162.97 0.00 1162.97 105.73 1036.51 1140.17 0.00 1140.17 103.66
Virginia CareFirst BlueChoice - Blue Value Plus Self B64 New Plan 720.11 0.00 720.11 New Plan New Plan 705.99 0.00 705.99 New Plan
Virginia CareFirst BlueChoice - Blue Value Plus Self & Family B65 New Plan 1711.01 0.00 1711.01 New Plan New Plan 1677.46 0.00 1677.46 New Plan
Virginia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 New Plan 1440.26 0.00 1440.26 New Plan New Plan 1412.02 0.00 1412.02 New Plan
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self T71 428.52 428.52 0.00 428.52 0.00 420.12 420.12 0.00 420.12 0.00
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self & Family T72 1046.68 1046.68 0.00 1046.68 0.00 1026.16 1026.16 0.00 1026.16 0.00
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self Plus One T73 953.60 953.60 0.00 953.60 0.00 934.90 934.90 0.00 934.90 0.00
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self E34 532.20 582.98 0.00 582.98 50.78 521.76 571.55 0.00 571.55 49.79
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self & Family E35 1223.99 1340.79 0.00 1340.79 116.80 1199.99 1314.50 0.00 1314.50 114.51
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self Plus One E36 1223.99 1340.79 0.00 1340.79 116.80 1199.99 1314.50 0.00 1314.50 114.51
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self E31 706.53 737.28 0.00 737.28 30.75 692.68 722.82 0.00 722.82 30.14
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self & Family E32 1625.01 1695.78 0.00 1695.78 70.77 1593.15 1662.53 0.00 1662.53 69.38
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self Plus One E33 1625.01 1695.78 0.00 1695.78 70.77 1593.15 1662.53 0.00 1662.53 69.38
Virginia M.D. IPA - High Self JP1 806.68 894.14 0.00 894.14 87.46 790.86 876.61 0.00 876.61 85.75
Virginia M.D. IPA - High Self & Family JP2 2261.89 2507.20 0.00 2507.20 245.31 2217.54 2458.04 0.00 2458.04 240.50
Virginia M.D. IPA - High Self Plus One JP3 1575.42 1746.28 0.00 1746.28 170.86 1544.53 1712.04 0.00 1712.04 167.51
Virginia Optima Health - HDHP Self PG4 617.29 657.30 0.00 657.30 40.01 605.19 644.41 0.00 644.41 39.22
Virginia Optima Health - HDHP Self & Family PG5 1361.69 1449.92 0.00 1449.92 88.23 1334.99 1421.49 0.00 1421.49 86.50
Virginia Optima Health - HDHP Self Plus One PG6 1334.98 1421.49 0.00 1421.49 86.51 1308.80 1393.62 0.00 1393.62 84.82
Virginia Optima Health - High Self PG1 692.04 705.94 0.00 705.94 13.90 678.47 692.10 0.00 692.10 13.63
Virginia Optima Health - High Self & Family PG2 1672.26 1705.81 0.00 1705.81 33.55 1639.47 1672.36 0.00 1672.36 32.89
Virginia Optima Health - High Self Plus One PG3 1672.16 1705.67 0.00 1705.67 33.51 1639.37 1672.23 0.00 1672.23 32.86
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 505.60 496.30 0.00 496.30 -9.30 495.69 486.57 0.00 486.57 -9.12
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1162.86 1141.49 0.00 1141.49 -21.37 1140.06 1119.11 0.00 1119.11 -20.95
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1087.03 1067.05 0.00 1067.05 -19.98 1065.72 1046.13 0.00 1046.13 -19.59
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 681.30 729.19 0.00 729.19 47.89 667.94 714.89 0.00 714.89 46.95
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1614.65 1728.18 0.00 1728.18 113.53 1582.99 1694.29 0.00 1694.29 111.30
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1464.77 1567.73 0.00 1567.73 102.96 1436.05 1536.99 0.00 1536.99 100.94
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 445.80 531.93 0.00 531.93 86.13 437.06 521.50 0.00 521.50 84.44
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1250.00 1491.51 0.00 1491.51 241.51 1225.49 1462.26 0.00 1462.26 236.77
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 870.63 1038.83 0.00 1038.83 168.20 853.56 1018.46 0.00 1018.46 164.90
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 536.33 0.00 536.33 New Plan New Plan 525.81 0.00 525.81 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1268.23 0.00 1268.23 New Plan New Plan 1243.36 0.00 1243.36 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1153.03 0.00 1153.03 New Plan New Plan 1130.42 0.00 1130.42 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 516.87 0.00 516.87 New Plan New Plan 506.74 0.00 506.74 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1222.19 0.00 1222.19 New Plan New Plan 1198.23 0.00 1198.23 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1111.17 0.00 1111.17 New Plan New Plan 1089.38 0.00 1089.38 New Plan
Washington Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Washington Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Washington Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Washington Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Washington Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Washington Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 683.99 726.98 0.00 726.98 42.99 670.58 712.73 0.00 712.73 42.15
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1566.58 1665.02 0.00 1665.02 98.44 1535.86 1632.37 0.00 1632.37 96.51
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1535.89 1632.38 0.00 1632.38 96.49 1505.77 1600.37 0.00 1600.37 94.60
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 800.84 922.59 0.00 922.59 121.75 785.14 904.50 0.00 904.50 119.36
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1826.70 2104.36 0.00 2104.36 277.66 1790.88 2063.10 0.00 2063.10 272.22
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1808.64 2083.56 0.00 2083.56 274.92 1773.18 2042.71 0.00 2042.71 269.53
Washington Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Washington Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Washington Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Washington Kaiser Foundation Health Plan of the Northwest - Standard Self 574 632.71 660.92 0.00 660.92 28.21 620.30 647.96 0.00 647.96 27.66
Washington Kaiser Foundation Health Plan of the Northwest - Standard Self & Family 575 1453.50 1518.31 0.00 1518.31 64.81 1425.00 1488.54 0.00 1488.54 63.54
Washington Kaiser Foundation Health Plan of the Northwest - Standard Self Plus One 576 1453.50 1518.31 0.00 1518.31 64.81 1425.00 1488.54 0.00 1488.54 63.54
Washington Kaiser Foundation Health Plan of the Northwest - High Self 571 720.81 744.53 0.00 744.53 23.72 706.68 729.93 0.00 729.93 23.25
Washington Kaiser Foundation Health Plan of the Northwest - High Self & Family 572 1628.08 1681.67 0.00 1681.67 53.59 1596.16 1648.70 0.00 1648.70 52.54
Washington Kaiser Foundation Health Plan of the Northwest - High Self Plus One 573 1628.08 1681.67 0.00 1681.67 53.59 1596.16 1648.70 0.00 1648.70 52.54
Washington Kaiser Foundation Health Plan of Washington - Standard Self 544 596.87 616.21 0.00 616.21 19.34 585.17 604.13 0.00 604.13 18.96
Washington Kaiser Foundation Health Plan of Washington - Standard Self & Family 545 1372.83 1417.32 0.00 1417.32 44.49 1345.91 1389.53 0.00 1389.53 43.62
Washington Kaiser Foundation Health Plan of Washington - Standard Self Plus One 546 1372.83 1417.32 0.00 1417.32 44.49 1345.91 1389.53 0.00 1389.53 43.62
Washington Kaiser Foundation Health Plan of Washington - High Self 541 831.71 862.65 0.00 862.65 30.94 815.40 845.74 0.00 845.74 30.34
Washington Kaiser Foundation Health Plan of Washington - High Self & Family 542 1829.79 1897.86 0.00 1897.86 68.07 1793.91 1860.65 0.00 1860.65 66.74
Washington Kaiser Foundation Health Plan of Washington - High Self Plus One 543 1829.79 1897.86 0.00 1897.86 68.07 1793.91 1860.65 0.00 1860.65 66.74
Washington Kaiser Permanente Washington Options Federal - Standard Self L11 711.78 742.45 0.00 742.45 30.67 697.82 727.89 0.00 727.89 30.07
Washington Kaiser Permanente Washington Options Federal - Standard Self & Family L12 1580.10 1648.22 0.00 1648.22 68.12 1549.12 1615.90 0.00 1615.90 66.78
Washington Kaiser Permanente Washington Options Federal - Standard Self Plus One L13 1580.10 1648.22 0.00 1648.22 68.12 1549.12 1615.90 0.00 1615.90 66.78
Washington Kaiser Permanente Washington Options Federal - HDHP Self L14 598.91 658.49 0.00 658.49 59.58 587.17 645.58 0.00 645.58 58.41
Washington Kaiser Permanente Washington Options Federal - HDHP Self & Family L15 1329.56 1461.80 0.00 1461.80 132.24 1303.49 1433.14 0.00 1433.14 129.65
Washington Kaiser Permanente Washington Options Federal - HDHP Self Plus One L16 1329.56 1461.80 0.00 1461.80 132.24 1303.49 1433.14 0.00 1433.14 129.65
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 459.33 452.72 0.00 452.72 -6.61 450.32 443.84 0.00 443.84 -6.48
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1056.44 1041.27 0.00 1041.27 -15.17 1035.73 1020.85 0.00 1020.85 -14.88
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 987.56 973.36 0.00 973.36 -14.20 968.20 954.27 0.00 954.27 -13.93
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 692.77 739.27 0.00 739.27 46.50 679.19 724.77 0.00 724.77 45.58
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1731.91 1848.14 0.00 1848.14 116.23 1697.95 1811.90 0.00 1811.90 113.95
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1489.43 1589.42 0.00 1589.42 99.99 1460.23 1558.25 0.00 1558.25 98.02
Washington UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 New Plan 533.32 0.00 533.32 New Plan New Plan 522.86 0.00 522.86 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family WF2 New Plan 1261.12 0.00 1261.12 New Plan New Plan 1236.39 0.00 1236.39 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 1146.53 0.00 1146.53 New Plan New Plan 1124.05 0.00 1124.05 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 532.46 0.00 532.46 New Plan New Plan 522.02 0.00 522.02 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 New Plan 1259.06 0.00 1259.06 New Plan New Plan 1234.37 0.00 1234.37 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One VD3 New Plan 1144.67 0.00 1144.67 New Plan New Plan 1122.23 0.00 1122.23 New Plan
West Virginia Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
West Virginia Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
West Virginia Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
West Virginia Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
West Virginia Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
West Virginia Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 827.01 845.81 0.00 845.81 18.80 810.79 829.23 0.00 829.23 18.44
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1885.68 1928.53 0.00 1928.53 42.85 1848.71 1890.72 0.00 1890.72 42.01
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1867.01 1909.44 0.00 1909.44 42.43 1830.40 1872.00 0.00 1872.00 41.60
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 722.61 836.38 0.00 836.38 113.77 708.44 819.98 0.00 819.98 111.54
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1654.70 1915.16 0.00 1915.16 260.46 1622.25 1877.61 0.00 1877.61 255.36
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1622.23 1877.60 0.00 1877.60 255.37 1590.42 1840.78 0.00 1840.78 250.36
West Virginia Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
West Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
West Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Wisconsin Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Wisconsin Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Wisconsin Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Wisconsin Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Wisconsin Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Wisconsin Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 820.07 1094.95 0.00 1094.95 274.88 803.99 1073.48 0.00 1073.48 269.49
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1872.12 2499.60 0.00 2499.60 627.48 1835.41 2450.59 0.00 2450.59 615.18
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1853.60 2474.85 0.00 2474.85 621.25 1817.25 2426.32 0.00 2426.32 609.07
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1070.02 1024.07 0.00 1024.07 -45.95 1049.04 1003.99 0.00 1003.99 -45.05
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2439.18 2334.42 0.00 2334.42 -104.76 2391.35 2288.65 0.00 2288.65 -102.70
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2415.04 2311.31 0.00 2311.31 -103.73 2367.69 2265.99 0.00 2265.99 -101.70
Wisconsin Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Wisconsin Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Wisconsin Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Wisconsin Dean Health Plan, Inc. - High Self WD1 1119.08 1170.02 0.00 1170.02 50.94 1097.14 1147.08 0.00 1147.08 49.94
Wisconsin Dean Health Plan, Inc. - High Self & Family WD2 2573.86 2691.03 0.00 2691.03 117.17 2523.39 2638.26 0.00 2638.26 114.87
Wisconsin Dean Health Plan, Inc. - High Self Plus One WD3 2350.05 2457.04 0.00 2457.04 106.99 2303.97 2408.86 0.00 2408.86 104.89
Wisconsin Dean Health Plan, Inc. - Standard Self WD4 658.58 695.20 0.00 695.20 36.62 645.67 681.57 0.00 681.57 35.90
Wisconsin Dean Health Plan, Inc. - Standard Self & Family WD5 1580.61 1668.49 0.00 1668.49 87.88 1549.62 1635.77 0.00 1635.77 86.15
Wisconsin Dean Health Plan, Inc. - Standard Self Plus One WD6 1448.92 1529.45 0.00 1529.45 80.53 1420.51 1499.46 0.00 1499.46 78.95
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self WJ1 745.65 875.12 0.00 875.12 129.47 731.03 857.96 0.00 857.96 126.93
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self & Family WJ2 1938.70 2275.38 0.00 2275.38 336.68 1900.69 2230.76 0.00 2230.76 330.07
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self Plus One WJ3 1640.44 1925.31 0.00 1925.31 284.87 1608.27 1887.56 0.00 1887.56 279.29
Wisconsin HealthPartners - Standard Self V34 436.65 469.12 0.00 469.12 32.47 428.09 459.92 0.00 459.92 31.83
Wisconsin HealthPartners - Standard Self & Family V35 1063.68 1142.82 0.00 1142.82 79.14 1042.82 1120.41 0.00 1120.41 77.59
Wisconsin HealthPartners - Standard Self Plus One V36 965.00 1036.78 0.00 1036.78 71.78 946.08 1016.45 0.00 1016.45 70.37
Wisconsin HealthPartners - High Self V31 806.12 726.56 0.00 726.56 -79.56 790.31 712.31 0.00 712.31 -78.00
Wisconsin HealthPartners - High Self & Family V32 1963.71 1769.90 0.00 1769.90 -193.81 1925.21 1735.20 0.00 1735.20 -190.01
Wisconsin HealthPartners - High Self Plus One V33 1781.50 1605.69 0.00 1605.69 -175.81 1746.57 1574.21 0.00 1574.21 -172.36
Wisconsin MercyCare Health Plans - High Self EY1 779.33 801.64 0.00 801.64 22.31 764.05 785.92 0.00 785.92 21.87
Wisconsin MercyCare Health Plans - High Self & Family EY2 2033.89 2092.01 0.00 2092.01 58.12 1994.01 2050.99 0.00 2050.99 56.98
Wisconsin MercyCare Health Plans - High Self Plus One EY3 1675.67 1723.58 0.00 1723.58 47.91 1642.81 1689.78 0.00 1689.78 46.97
Wisconsin MercyCare Health Plans - Standard Self EY4 New Plan 621.78 0.00 621.78 New Plan New Plan 609.59 0.00 609.59 New Plan
Wisconsin MercyCare Health Plans - Standard Self & Family EY5 New Plan 1622.67 0.00 1622.67 New Plan New Plan 1590.85 0.00 1590.85 New Plan
Wisconsin MercyCare Health Plans - Standard Self Plus One EY6 New Plan 1336.89 0.00 1336.89 New Plan New Plan 1310.68 0.00 1310.68 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - High Self TF1 New Plan 1030.57 0.00 1030.57 New Plan New Plan 1010.36 0.00 1010.36 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - High Self & Family TF2 New Plan 2473.39 0.00 2473.39 New Plan New Plan 2424.89 0.00 2424.89 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - High Self Plus One TF3 New Plan 2318.82 0.00 2318.82 New Plan New Plan 2273.35 0.00 2273.35 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - Standard Self TF4 New Plan 626.56 0.00 626.56 New Plan New Plan 614.27 0.00 614.27 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - Standard Self & Family TF5 New Plan 1503.78 0.00 1503.78 New Plan New Plan 1474.29 0.00 1474.29 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - Standard Self Plus One TF6 New Plan 1378.47 0.00 1378.47 New Plan New Plan 1351.44 0.00 1351.44 New Plan
Wyoming Aetna Advantage - Advantage Self Z24 New Plan 473.12 0.00 473.12 New Plan New Plan 463.84 0.00 463.84 New Plan
Wyoming Aetna Advantage - Advantage Self & Family Z25 New Plan 1253.75 0.00 1253.75 New Plan New Plan 1229.17 0.00 1229.17 New Plan
Wyoming Aetna Advantage - Advantage Self Plus One Z26 New Plan 1040.85 0.00 1040.85 New Plan New Plan 1020.44 0.00 1020.44 New Plan
Wyoming Aetna Direct - CDHP Self N61 568.48 624.90 0.00 624.90 56.42 557.33 612.65 0.00 612.65 55.32
Wyoming Aetna Direct - CDHP Self & Family N62 1433.65 1575.91 0.00 1575.91 142.26 1405.54 1545.01 0.00 1545.01 139.47
Wyoming Aetna Direct - CDHP Self Plus One N63 1246.71 1370.42 0.00 1370.42 123.71 1222.26 1343.55 0.00 1343.55 121.29
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.44 845.04 0.00 845.04 -0.40 828.86 828.47 0.00 828.47 -0.39
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1927.17 1926.22 0.00 1926.22 -0.95 1889.38 1888.45 0.00 1888.45 -0.93
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1908.09 1907.32 0.00 1907.32 -0.77 1870.68 1869.92 0.00 1869.92 -0.76
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 628.86 823.18 0.00 823.18 194.32 616.53 807.04 0.00 807.04 190.51
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1443.29 1889.22 0.00 1889.22 445.93 1414.99 1852.18 0.00 1852.18 437.19
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1415.00 1852.18 0.00 1852.18 437.18 1387.25 1815.86 0.00 1815.86 428.61
Wyoming Aetna HealthFund HDHP - HDHP Self 224 672.90 743.38 0.00 743.38 70.48 659.71 728.80 0.00 728.80 69.09
Wyoming Aetna HealthFund HDHP - HDHP Self & Family 225 1484.30 1639.75 0.00 1639.75 155.45 1455.20 1607.60 0.00 1607.60 152.40
Wyoming Aetna HealthFund HDHP - HDHP Self Plus One 226 1455.22 1607.62 0.00 1607.62 152.40 1426.69 1576.10 0.00 1576.10 149.41
Wyoming Altius Health Plan - High Self 9K1 953.94 1029.24 0.00 1029.24 75.30 935.24 1009.06 0.00 1009.06 73.82
Wyoming Altius Health Plan - High Self & Family 9K2 2109.63 2276.15 0.00 2276.15 166.52 2068.26 2231.52 0.00 2231.52 163.26
Wyoming Altius Health Plan - High Self Plus One 9K3 2088.74 2253.61 0.00 2253.61 164.87 2047.78 2209.42 0.00 2209.42 161.64
Wyoming Altius Health Plan - HDHP Self 9K4 517.05 539.81 0.00 539.81 22.76 506.91 529.23 0.00 529.23 22.32
Wyoming Altius Health Plan - HDHP Self & Family 9K5 1080.60 1128.16 0.00 1128.16 47.56 1059.41 1106.04 0.00 1106.04 46.63
Wyoming Altius Health Plan - HDHP Self Plus One 9K6 1059.41 1106.06 0.00 1106.06 46.65 1038.64 1084.37 0.00 1084.37 45.73
Wyoming Altius Health Plan - Standard Self DK4 726.69 776.53 0.00 776.53 49.84 712.44 761.30 0.00 761.30 48.86
Wyoming Altius Health Plan - Standard Self & Family DK5 1604.77 1714.85 0.00 1714.85 110.08 1573.30 1681.23 0.00 1681.23 107.93
Wyoming Altius Health Plan - Standard Self Plus One DK6 1588.85 1697.85 0.00 1697.85 109.00 1557.70 1664.56 0.00 1664.56 106.86
Control Panel