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Healthcare

Postal Premium Rates for the Federal Employees Health Benefits Program

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2020 Total Biweekly Premium 2021 Biweekly Postal Premium Rates - Category 1 Total Premium 2021 Biweekly Postal Premium Rates - Category 1 Government Pays 2021 Biweekly Postal Premium Rates - Category 1 Employee Pays 2021 Biweekly Postal Premium Rates - Category 1 Change in Employee Payment 2020 Total Biweekly Premium 2021 Biweekly Postal Premium Rates - Category 2 Total Premium 2021 Biweekly Postal Premium Rates - Category 2 Government Pays 2021 Biweekly Postal Premium Rates - Category 2 Employee Pays 2021 Biweekly Postal Premium Rates - Category 2 Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Alabama Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Alabama Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Alabama Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Alabama Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Alabama Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 244.94 148.17 4.50 382.72 393.11 255.00 138.11 4.26
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 570.06 326.26 7.68 872.64 896.32 593.48 302.84 7.02
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 524.65 362.80 9.92 864.00 887.45 546.21 341.24 9.37
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 244.94 134.36 -5.04 378.45 379.30 255.00 124.30 -5.28
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 570.06 298.50 -14.03 866.59 868.56 593.48 275.08 -14.69
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 524.65 326.87 -11.60 849.59 851.52 546.21 305.31 -12.15
Alabama Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 210.28 66.40 8.16 242.68 276.68 219.27 57.41 7.05
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 497.31 157.04 19.31 573.86 654.35 518.57 135.78 16.70
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 452.10 142.77 17.55 521.73 594.87 471.43 123.44 15.18
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 209.88 224.24 170.42 53.82 3.45 209.88 224.24 177.71 46.53 2.98
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 482.73 515.77 391.99 123.78 7.92 482.73 515.77 408.75 107.02 6.85
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 451.25 482.12 366.41 115.71 7.41 451.25 482.12 382.08 100.04 6.41
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 329.48 354.94 244.94 110.00 19.57 329.48 354.94 255.00 99.94 19.33
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 823.71 887.37 570.06 317.31 47.66 823.71 887.37 593.48 293.89 47.00
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 708.40 763.14 524.65 238.49 41.21 708.40 763.14 546.21 216.93 40.66
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 202.30 63.88 7.75 233.88 266.18 210.95 55.23 6.70
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 478.43 151.08 18.35 553.03 629.51 498.89 130.62 15.87
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 434.93 137.35 16.68 502.79 572.28 453.53 118.75 14.42
Alabama UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Alaska Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Alaska Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Alaska Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Alaska Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Alaska Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Alaska Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 495.45 505.19 244.94 260.25 3.85 495.45 505.19 255.00 250.19 3.61
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1131.04 1153.29 570.06 583.23 6.25 1131.04 1153.29 593.48 559.81 5.59
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1119.84 1141.88 524.65 617.23 8.51 1119.84 1141.88 546.21 595.67 7.96
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 463.38 466.12 244.94 221.18 -3.15 463.38 466.12 255.00 211.12 -3.39
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1056.30 1062.53 570.06 492.47 -9.77 1056.30 1062.53 593.48 469.05 -10.43
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1045.84 1052.00 524.65 527.35 -7.37 1045.84 1052.00 546.21 505.79 -7.92
Alaska Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Arizona Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Arizona Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Arizona Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Arizona Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Arizona Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Arizona Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 328.95 330.94 244.94 86.00 -3.90 328.95 330.94 255.00 75.94 -4.14
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 753.40 757.97 570.06 187.91 -11.43 753.40 757.97 593.48 164.49 -12.09
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 738.63 743.12 524.65 218.47 -9.04 738.63 743.12 546.21 196.91 -9.59
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 417.46 488.66 244.94 243.72 65.31 417.46 488.66 255.00 233.66 65.07
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 952.20 1114.65 570.06 544.59 146.45 952.20 1114.65 593.48 521.17 145.79
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 942.79 1103.63 524.65 578.98 147.31 942.79 1103.63 546.21 557.42 146.76
Arizona Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Arizona Aetna Open Access - High Self WQ1 535.92 621.08 244.94 376.14 79.27 535.92 621.08 255.00 366.08 79.03
Arizona Aetna Open Access - High Self & Family WQ2 1301.20 1507.96 570.06 937.90 190.76 1301.20 1507.96 593.48 914.48 190.10
Arizona Aetna Open Access - High Self Plus One WQ3 1288.31 1493.01 524.65 968.36 191.17 1288.31 1493.01 546.21 946.80 190.62
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 331.75 374.88 244.94 129.94 37.24 331.75 374.88 255.00 119.88 37.00
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 746.43 843.46 570.06 273.40 81.03 746.43 843.46 593.48 249.98 80.37
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 713.25 805.98 524.65 281.33 79.20 713.25 805.98 546.21 259.77 78.65
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 265.17 299.64 227.73 71.91 8.27 265.17 299.64 237.46 62.18 7.16
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 596.62 674.18 512.38 161.80 18.61 596.62 674.18 534.29 139.89 16.09
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 570.11 644.22 489.61 154.61 17.78 570.11 644.22 510.54 133.68 15.38
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 241.76 263.52 200.28 63.24 5.22 241.76 263.52 208.84 54.68 4.51
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 543.95 592.90 450.60 142.30 11.75 543.95 592.90 469.87 123.03 10.16
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 519.78 566.56 430.59 135.97 11.22 519.78 566.56 449.00 117.56 9.71
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 303.64 330.96 244.94 86.02 13.15 303.64 330.96 255.00 75.96 12.95
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 683.17 744.65 565.93 178.72 14.76 683.17 744.65 590.14 154.51 12.75
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 652.80 711.55 524.65 186.90 30.23 652.80 711.55 546.21 165.34 29.88
Arizona Humana Health Plan, Inc. - Standard Self C74 361.89 412.55 244.94 167.61 44.77 361.89 412.55 255.00 157.55 44.53
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 814.24 928.23 570.06 358.17 97.99 814.24 928.23 593.48 334.75 97.33
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 778.03 886.95 524.65 362.30 95.39 778.03 886.95 546.21 340.74 94.84
Arizona Humana Health Plan, Inc. - High Self C71 469.79 535.56 244.94 290.62 59.88 469.79 535.56 255.00 280.56 59.64
Arizona Humana Health Plan, Inc. - High Self & Family C72 1057.01 1205.00 570.06 634.94 131.99 1057.01 1205.00 593.48 611.52 131.33
Arizona Humana Health Plan, Inc. - High Self Plus One C73 1010.03 1151.44 524.65 626.79 127.88 1010.03 1151.44 546.21 605.23 127.33
Arizona Humana Health Plan, Inc. - High Self BF1 659.77 679.56 244.94 434.62 13.90 659.77 679.56 255.00 424.56 13.66
Arizona Humana Health Plan, Inc. - High Self & Family BF2 1484.43 1528.97 570.06 958.91 28.54 1484.43 1528.97 593.48 935.49 27.88
Arizona Humana Health Plan, Inc. - High Self Plus One BF3 1418.47 1461.01 524.65 936.36 29.01 1418.47 1461.01 546.21 914.80 28.46
Arizona Humana Health Plan, Inc. - Standard Self BF4 532.73 575.35 244.94 330.41 36.73 532.73 575.35 255.00 320.35 36.49
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 1198.65 1294.54 570.06 724.48 79.89 1198.65 1294.54 593.48 701.06 79.23
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 1145.38 1237.02 524.65 712.37 78.11 1145.38 1237.02 546.21 690.81 77.56
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 241.32 287.18 218.26 68.92 11.00 241.32 287.18 227.59 59.59 9.52
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 570.64 679.17 516.17 163.00 26.05 570.64 679.17 538.24 140.93 22.52
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 518.79 617.43 469.25 148.18 23.67 518.79 617.43 489.31 128.12 20.47
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 204.85 243.77 185.27 58.50 9.34 204.85 243.77 193.19 50.58 8.07
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 471.16 560.66 426.10 134.56 21.48 471.16 560.66 444.32 116.34 18.57
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 440.43 524.10 398.32 125.78 20.08 440.43 524.10 415.35 108.75 17.36
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 334.51 360.98 244.94 116.04 20.58 334.51 360.98 255.00 105.98 20.34
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 836.26 902.47 570.06 332.41 50.21 836.26 902.47 593.48 308.99 49.55
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 719.19 776.11 524.65 251.46 43.39 719.19 776.11 546.21 229.90 42.84
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 240.93 286.71 217.90 68.81 10.99 240.93 286.71 227.22 59.49 9.50
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 569.71 678.06 515.33 162.73 26.00 569.71 678.06 537.36 140.70 22.49
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 517.95 616.42 468.48 147.94 23.63 517.95 616.42 488.51 127.91 20.44
Arizona UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Arkansas Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Arkansas Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Arkansas Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Arkansas Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Arkansas Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Arkansas Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 244.94 148.17 4.50 382.72 393.11 255.00 138.11 4.26
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 570.06 326.26 7.68 872.64 896.32 593.48 302.84 7.02
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 524.65 362.80 9.92 864.00 887.45 546.21 341.24 9.37
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 244.94 134.36 -5.04 378.45 379.30 255.00 124.30 -5.28
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 570.06 298.50 -14.03 866.59 868.56 593.48 275.08 -14.69
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 524.65 326.87 -11.60 849.59 851.52 546.21 305.31 -12.15
Arkansas Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Arkansas QualChoice - High Self DH1 347.17 354.12 244.94 109.18 1.06 347.17 354.12 255.00 99.12 0.82
Arkansas QualChoice - High Self & Family DH2 905.52 923.63 570.06 353.57 2.11 905.52 923.63 593.48 330.15 1.45
Arkansas QualChoice - High Self Plus One DH3 674.39 687.89 522.80 165.09 1.82 674.39 687.89 545.15 142.74 0.48
Arkansas QualChoice - Standard Self DH4 271.04 276.46 210.11 66.35 1.30 271.04 276.46 219.09 57.37 1.13
Arkansas QualChoice - Standard Self & Family DH5 706.96 721.12 548.05 173.07 3.40 706.96 721.12 571.49 149.63 2.94
Arkansas QualChoice - Standard Self Plus One DH6 526.51 537.06 408.17 128.89 2.53 526.51 537.06 425.62 111.44 2.19
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 210.28 66.40 8.16 242.68 276.68 219.27 57.41 7.05
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 497.31 157.04 19.31 573.86 654.35 518.57 135.78 16.70
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 452.10 142.77 17.55 521.73 594.87 471.43 123.44 15.18
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 209.88 224.24 170.42 53.82 3.45 209.88 224.24 177.71 46.53 2.98
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 482.73 515.77 391.99 123.78 7.92 482.73 515.77 408.75 107.02 6.85
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 451.25 482.12 366.41 115.71 7.41 451.25 482.12 382.08 100.04 6.41
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 329.48 354.94 244.94 110.00 19.57 329.48 354.94 255.00 99.94 19.33
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 823.71 887.37 570.06 317.31 47.66 823.71 887.37 593.48 293.89 47.00
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 708.40 763.14 524.65 238.49 41.21 708.40 763.14 546.21 216.93 40.66
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 202.30 63.88 7.75 233.88 266.18 210.95 55.23 6.70
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 478.43 151.08 18.35 553.03 629.51 498.89 130.62 15.87
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 434.93 137.35 16.68 502.79 572.28 453.53 118.75 14.42
Arkansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
California Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
California Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
California Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
California Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
California Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
California Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 495.45 505.19 244.94 260.25 3.85 495.45 505.19 255.00 250.19 3.61
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1131.04 1153.29 570.06 583.23 6.25 1131.04 1153.29 593.48 559.81 5.59
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1119.84 1141.88 524.65 617.23 8.51 1119.84 1141.88 546.21 595.67 7.96
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 463.38 466.12 244.94 221.18 -3.15 463.38 466.12 255.00 211.12 -3.39
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1056.30 1062.53 570.06 492.47 -9.77 1056.30 1062.53 593.48 469.05 -10.43
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1045.84 1052.00 524.65 527.35 -7.37 1045.84 1052.00 546.21 505.79 -7.92
California Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
California Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
California Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
California Aetna Open Access - High Self 2X1 406.40 432.31 244.94 187.37 20.02 406.40 432.31 255.00 177.31 19.78
California Aetna Open Access - High Self & Family 2X2 954.11 1014.93 570.06 444.87 44.82 954.11 1014.93 593.48 421.45 44.16
California Aetna Open Access - High Self Plus One 2X3 935.40 995.03 524.65 470.38 46.10 935.40 995.03 546.21 448.82 45.55
California Anthem Blue Cross Select HMO - High Self B31 357.29 357.29 244.94 112.35 -5.89 357.29 357.29 255.00 102.29 -6.13
California Anthem Blue Cross Select HMO - High Self & Family B32 816.42 816.42 570.06 246.36 -16.00 816.42 816.42 593.48 222.94 -16.66
California Anthem Blue Cross Select HMO - High Self Plus One B33 757.46 757.46 524.65 232.81 -13.53 757.46 757.46 546.21 211.25 -14.08
California Blue Shield of California - Access + HMO Self SI1 384.85 396.40 244.94 151.46 5.66 384.85 396.40 255.00 141.40 5.42
California Blue Shield of California - Access + HMO Self & Family SI2 885.16 911.72 570.06 341.66 10.56 885.16 911.72 593.48 318.24 9.90
California Blue Shield of California - Access + HMO Self Plus One SI3 846.67 872.07 524.65 347.42 11.87 846.67 872.07 546.21 325.86 11.32
California Health Net of California - Basic Self P61 149.71 168.02 127.70 40.32 4.39 149.71 168.02 133.16 34.86 3.80
California Health Net of California - Basic Self & Family P62 359.29 403.26 306.48 96.78 10.55 359.29 403.26 319.58 83.68 9.13
California Health Net of California - Basic Self Plus One P63 329.35 369.66 280.94 88.72 9.68 329.35 369.66 292.96 76.70 8.36
California Health Net of California - High Self LP1 483.86 467.53 244.94 222.59 -22.22 483.86 467.53 255.00 212.53 -22.46
California Health Net of California - High Self & Family LP2 1161.26 1122.08 570.06 552.02 -55.18 1161.26 1122.08 593.48 528.60 -55.84
California Health Net of California - High Self Plus One LP3 1064.49 1028.57 524.65 503.92 -49.45 1064.49 1028.57 546.21 482.36 -50.00
California Health Net of California - High Self LB1 697.18 715.68 244.94 470.74 12.61 697.18 715.68 255.00 460.68 12.37
California Health Net of California - High Self & Family LB2 1673.25 1717.61 570.06 1147.55 28.36 1673.25 1717.61 593.48 1124.13 27.70
California Health Net of California - High Self Plus One LB3 1533.81 1574.47 524.65 1049.82 27.13 1533.81 1574.47 546.21 1028.26 26.58
California Health Net of California - Standard Self LB4 618.71 676.68 244.94 431.74 52.08 618.71 676.68 255.00 421.68 51.84
California Health Net of California - Standard Self & Family LB5 1484.90 1624.02 570.06 1053.96 123.12 1484.90 1624.02 593.48 1030.54 122.46
California Health Net of California - Standard Self Plus One LB6 1361.16 1488.69 524.65 964.04 114.00 1361.16 1488.69 546.21 942.48 113.45
California Health Net of California - Basic Self T41 407.00 412.70 244.94 167.76 -0.19 407.00 412.70 255.00 157.70 -0.43
California Health Net of California - Basic Self & Family T42 976.80 990.48 570.06 420.42 -2.32 976.80 990.48 593.48 397.00 -2.98
California Health Net of California - Basic Self Plus One T43 895.41 907.94 524.65 383.29 -1.00 895.41 907.94 546.21 361.73 -1.55
California Kaiser Permanente - Fresno California - Standard Self NZ4 261.60 272.36 206.99 65.37 2.59 261.60 272.36 215.85 56.51 2.23
California Kaiser Permanente - Fresno California - Standard Self & Family NZ5 604.59 629.48 478.40 151.08 5.98 604.59 629.48 498.86 130.62 5.17
California Kaiser Permanente - Fresno California - Standard Self Plus One NZ6 604.59 629.48 478.40 151.08 5.98 604.59 629.48 498.86 130.62 5.17
California Kaiser Permanente - Fresno California - High Self NZ1 358.58 370.61 244.94 125.67 6.14 358.58 370.61 255.00 115.61 5.90
California Kaiser Permanente - Fresno California - High Self & Family NZ2 828.77 856.55 570.06 286.49 11.78 828.77 856.55 593.48 263.07 11.12
California Kaiser Permanente - Fresno California - High Self Plus One NZ3 828.77 856.55 524.65 331.90 14.25 828.77 856.55 546.21 310.34 13.70
California Kaiser Permanente - Northern California - Basic Self KC1 300.96 300.96 228.73 72.23 0.00 300.96 300.96 238.51 62.45 0.00
California Kaiser Permanente - Northern California - Basic Self & Family KC2 704.24 704.24 535.22 169.02 0.00 704.24 704.24 558.11 146.13 0.00
California Kaiser Permanente - Northern California - Basic Self Plus One KC3 704.24 704.24 524.65 179.59 -13.53 704.24 704.24 546.21 158.03 -14.08
California Kaiser Permanente - Northern California - High Self 591 461.75 468.25 244.94 223.31 0.61 461.75 468.25 255.00 213.25 0.37
California Kaiser Permanente - Northern California - High Self & Family 592 1102.25 1117.78 570.06 547.72 -0.47 1102.25 1117.78 593.48 524.30 -1.13
California Kaiser Permanente - Northern California - High Self Plus One 593 1102.25 1117.78 524.65 593.13 2.00 1102.25 1117.78 546.21 571.57 1.45
California Kaiser Permanente - Northern California - Standard Self 594 373.79 379.70 244.94 134.76 0.02 373.79 379.70 255.00 124.70 -0.22
California Kaiser Permanente - Northern California - Standard Self & Family 595 874.65 888.51 570.06 318.45 -2.14 874.65 888.51 593.48 295.03 -2.80
California Kaiser Permanente - Northern California - Standard Self Plus One 596 874.65 888.51 524.65 363.86 0.33 874.65 888.51 546.21 342.30 -0.22
California Kaiser Permanente - Southern California - Standard Self 624 215.22 218.51 166.07 52.44 0.79 215.22 218.51 173.17 45.34 0.68
California Kaiser Permanente - Southern California - Standard Self & Family 625 497.40 505.02 383.82 121.20 1.82 497.40 505.02 400.23 104.79 1.58
California Kaiser Permanente - Southern California - Standard Self Plus One 626 497.40 505.02 383.82 121.20 1.82 497.40 505.02 400.23 104.79 1.58
California Kaiser Permanente - Southern California - High Self 621 339.42 346.24 244.94 101.30 0.93 339.42 346.24 255.00 91.24 0.69
California Kaiser Permanente - Southern California - High Self & Family 622 784.46 800.23 570.06 230.17 -0.23 784.46 800.23 593.48 206.75 -0.89
California Kaiser Permanente - Southern California - High Self Plus One 623 784.46 800.23 524.65 275.58 2.24 784.46 800.23 546.21 254.02 1.69
California UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
California UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
California UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Colorado Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Colorado Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Colorado Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Colorado Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Colorado Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Colorado Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 328.95 330.94 244.94 86.00 -3.90 328.95 330.94 255.00 75.94 -4.14
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 753.40 757.97 570.06 187.91 -11.43 753.40 757.97 593.48 164.49 -12.09
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 738.63 743.12 524.65 218.47 -9.04 738.63 743.12 546.21 196.91 -9.59
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 417.46 488.66 244.94 243.72 65.31 417.46 488.66 255.00 233.66 65.07
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 952.20 1114.65 570.06 544.59 146.45 952.20 1114.65 593.48 521.17 145.79
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 942.79 1103.63 524.65 578.98 147.31 942.79 1103.63 546.21 557.42 146.76
Colorado Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self WW1 293.70 293.70 223.21 70.49 0.00 293.70 293.70 232.76 60.94 0.00
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self & Family WW2 715.15 715.15 543.51 171.64 0.00 715.15 715.15 566.76 148.39 0.00
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self Plus One WW3 668.15 668.15 507.79 160.36 0.00 668.15 668.15 529.51 138.64 0.00
Colorado Humana Health Plan, Inc. - High Self NR1 379.16 443.62 244.94 198.68 58.57 379.16 443.62 255.00 188.62 58.33
Colorado Humana Health Plan, Inc. - High Self & Family NR2 853.11 998.14 570.06 428.08 129.03 853.11 998.14 593.48 404.66 128.37
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 815.20 953.78 524.65 429.13 125.05 815.20 953.78 546.21 407.57 124.50
Colorado Humana Health Plan, Inc. - Standard Self NR4 262.76 307.42 233.64 73.78 10.72 262.76 307.42 243.63 63.79 9.27
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 591.22 691.72 525.71 166.01 24.12 591.22 691.72 548.19 143.53 20.85
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 564.93 660.96 502.33 158.63 23.05 564.93 660.96 523.81 137.15 19.93
Colorado Humana Health Plan, Inc. - Basic Self RZ1 240.83 245.65 186.69 58.96 1.16 240.83 245.65 194.68 50.97 1.00
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 541.86 552.70 420.05 132.65 2.60 541.86 552.70 438.01 114.69 2.25
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 517.80 528.15 401.39 126.76 2.49 517.80 528.15 418.56 109.59 2.15
Colorado Humana Health Plan, Inc. - High Self NT1 352.97 384.74 244.94 139.80 25.88 352.97 384.74 255.00 129.74 25.64
Colorado Humana Health Plan, Inc. - High Self & Family NT2 794.21 865.69 570.06 295.63 55.48 794.21 865.69 593.48 272.21 54.82
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 758.90 827.20 524.65 302.55 54.77 758.90 827.20 546.21 280.99 54.22
Colorado Humana Health Plan, Inc. - Standard Self NT4 249.93 272.43 207.05 65.38 5.40 249.93 272.43 215.90 56.53 4.67
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 562.36 612.98 465.86 147.12 12.15 562.36 612.98 485.79 127.19 10.50
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 537.39 585.75 445.17 140.58 11.61 537.39 585.75 464.21 121.54 10.03
Colorado Humana Health Plan, Inc. - Basic Self R21 245.13 286.80 217.97 68.83 10.00 245.13 286.80 227.29 59.51 8.65
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 551.54 645.31 490.44 154.87 22.50 551.54 645.31 511.41 133.90 19.46
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 527.03 616.63 468.64 147.99 21.50 527.03 616.63 488.68 127.95 18.59
Colorado Kaiser Permanente - Colorado - Standard Self 654 309.83 305.00 231.80 73.20 -1.16 309.83 305.00 241.71 63.29 -1.00
Colorado Kaiser Permanente - Colorado - Standard Self & Family 655 700.21 689.29 523.86 165.43 -2.62 700.21 689.29 546.26 143.03 -2.26
Colorado Kaiser Permanente - Colorado - Standard Self Plus One 656 700.21 689.29 523.86 165.43 -23.66 700.21 689.29 546.21 143.08 -25.00
Colorado Kaiser Permanente - Colorado - High Self 651 364.23 356.72 244.94 111.78 -13.40 364.23 356.72 255.00 101.72 -13.64
Colorado Kaiser Permanente - Colorado - High Self & Family 652 823.16 806.19 570.06 236.13 -32.97 823.16 806.19 593.48 212.71 -33.63
Colorado Kaiser Permanente - Colorado - High Self Plus One 653 823.16 806.19 524.65 281.54 -30.50 823.16 806.19 546.21 259.98 -31.05
Colorado Kaiser Permanente - Colorado - Basic Self N41 223.74 205.62 156.27 49.35 -4.35 223.74 205.62 162.95 42.67 -3.76
Colorado Kaiser Permanente - Colorado - Basic Self & Family N42 505.66 505.82 384.42 121.40 0.04 505.66 505.82 400.86 104.96 0.04
Colorado Kaiser Permanente - Colorado - Basic Self Plus One N43 505.66 464.70 353.17 111.53 -9.83 505.66 464.70 368.27 96.43 -8.49
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 204.85 243.77 185.27 58.50 9.34 204.85 243.77 193.19 50.58 8.07
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 471.16 560.66 426.10 134.56 21.48 471.16 560.66 444.32 116.34 18.57
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 440.43 524.10 398.32 125.78 20.08 440.43 524.10 415.35 108.75 17.36
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 334.51 360.98 244.94 116.04 20.58 334.51 360.98 255.00 105.98 20.34
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 836.26 902.47 570.06 332.41 50.21 836.26 902.47 593.48 308.99 49.55
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 719.19 776.11 524.65 251.46 43.39 719.19 776.11 546.21 229.90 42.84
Colorado UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Colorado UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Colorado UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Connecticut Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Connecticut Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Connecticut Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Connecticut Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Connecticut Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Connecticut Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 350.59 387.52 244.94 142.58 31.04 350.59 387.52 255.00 132.52 30.80
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 802.85 887.39 570.06 317.33 68.54 802.85 887.39 593.48 293.91 67.88
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 787.10 869.98 524.65 345.33 69.35 787.10 869.98 546.21 323.77 68.80
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 496.50 519.07 244.94 274.13 16.68 496.50 519.07 255.00 264.07 16.44
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1132.30 1183.79 570.06 613.73 35.49 1132.30 1183.79 593.48 590.31 34.83
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1121.09 1172.06 524.65 647.41 37.44 1121.09 1172.06 546.21 625.85 36.89
Connecticut Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Connecticut UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Connecticut UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Connecticut UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Delaware Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Delaware Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Delaware Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Delaware Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Delaware Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Delaware Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 350.59 387.52 244.94 142.58 31.04 350.59 387.52 255.00 132.52 30.80
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 802.85 887.39 570.06 317.33 68.54 802.85 887.39 593.48 293.91 67.88
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 787.10 869.98 524.65 345.33 69.35 787.10 869.98 546.21 323.77 68.80
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 496.50 519.07 244.94 274.13 16.68 496.50 519.07 255.00 264.07 16.44
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1132.30 1183.79 570.06 613.73 35.49 1132.30 1183.79 593.48 590.31 34.83
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1121.09 1172.06 524.65 647.41 37.44 1121.09 1172.06 546.21 625.85 36.89
Delaware Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Delaware Aetna Open Access - Basic Self P34 604.65 694.86 244.94 449.92 84.32 604.65 694.86 255.00 439.86 84.08
Delaware Aetna Open Access - Basic Self & Family P35 1403.39 1612.77 570.06 1042.71 193.38 1403.39 1612.77 593.48 1019.29 192.72
Delaware Aetna Open Access - Basic Self Plus One P36 1389.48 1596.80 524.65 1072.15 193.79 1389.48 1596.80 546.21 1050.59 193.24
Delaware Aetna Open Access - High Self P31 672.28 733.03 244.94 488.09 54.86 672.28 733.03 255.00 478.03 54.62
Delaware Aetna Open Access - High Self & Family P32 1629.94 1777.25 570.06 1207.19 131.31 1629.94 1777.25 593.48 1183.77 130.65
Delaware Aetna Open Access - High Self Plus One P33 1613.79 1759.65 524.65 1235.00 132.33 1613.79 1759.65 546.21 1213.44 131.78
Delaware UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Delaware UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Delaware UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
District Of Columbia Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
District Of Columbia Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
District Of Columbia Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
District Of Columbia Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 244.94 148.17 4.50 382.72 393.11 255.00 138.11 4.26
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 570.06 326.26 7.68 872.64 896.32 593.48 302.84 7.02
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 524.65 362.80 9.92 864.00 887.45 546.21 341.24 9.37
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 244.94 134.36 -5.04 378.45 379.30 255.00 124.30 -5.28
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 570.06 298.50 -14.03 866.59 868.56 593.48 275.08 -14.69
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 524.65 326.87 -11.60 849.59 851.52 546.21 305.31 -12.15
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
District Of Columbia Aetna Open Access - High Self JN1 525.03 543.03 244.94 298.09 12.11 525.03 543.03 255.00 288.03 11.87
District Of Columbia Aetna Open Access - High Self & Family JN2 1180.35 1220.79 570.06 650.73 24.44 1180.35 1220.79 593.48 627.31 23.78
District Of Columbia Aetna Open Access - High Self Plus One JN3 1168.66 1208.70 524.65 684.05 26.51 1168.66 1208.70 546.21 662.49 25.96
District Of Columbia Aetna Open Access - Basic Self JN4 321.74 329.73 244.94 84.79 2.10 321.74 329.73 255.00 74.73 1.86
District Of Columbia Aetna Open Access - Basic Self & Family JN5 736.31 754.58 570.06 184.52 2.27 736.31 754.58 593.48 161.10 1.61
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 676.15 692.92 524.65 168.27 3.24 676.15 692.92 546.21 146.71 2.69
District Of Columbia Aetna Saver (Open Access) - Saver Self QQ4 274.71 274.71 208.78 65.93 0.00 274.71 274.71 217.71 57.00 0.00
District Of Columbia Aetna Saver (Open Access) - Saver Self & Family QQ5 628.68 628.67 477.79 150.88 0.00 628.68 628.67 498.22 130.45 0.00
District Of Columbia Aetna Saver (Open Access) - Saver Self Plus One QQ6 577.30 577.30 438.75 138.55 0.00 577.30 577.30 457.51 119.79 0.00
District Of Columbia CareFirst BlueChoice - Standard Self 2G4 390.25 409.76 244.94 164.82 13.62 390.25 409.76 255.00 154.76 13.38
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 927.21 973.58 570.06 403.52 30.37 927.21 973.58 593.48 380.10 29.71
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 780.49 819.51 524.65 294.86 25.49 780.49 819.51 546.21 273.30 24.94
District Of Columbia CareFirst BlueChoice - HDHP Self B61 263.12 263.12 199.97 63.15 0.00 263.12 263.12 208.52 54.60 0.00
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 625.16 625.16 475.12 150.04 0.00 625.16 625.16 495.44 129.72 0.00
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 526.23 526.23 399.93 126.30 0.00 526.23 526.23 417.04 109.19 0.00
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 325.84 334.00 244.94 89.06 2.27 325.84 334.00 255.00 79.00 2.03
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 774.21 793.56 570.06 223.50 3.35 774.21 793.56 593.48 200.08 2.69
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 651.70 667.98 507.66 160.32 3.91 651.70 667.98 529.37 138.61 3.38
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Basic Self T71 193.90 197.41 150.03 47.38 0.84 193.90 197.41 156.45 40.96 0.73
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Basic Self & Family T72 473.61 507.47 385.68 121.79 8.12 473.61 507.47 402.17 105.30 7.03
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Basic Self Plus One T73 431.49 439.31 333.88 105.43 1.87 431.49 439.31 348.15 91.16 1.63
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 263.79 276.13 209.86 66.27 2.96 263.79 276.13 218.83 57.30 2.56
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 606.69 635.10 482.68 152.42 6.81 606.69 635.10 503.32 131.78 5.89
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 606.69 635.10 482.68 152.42 6.81 606.69 635.10 503.32 131.78 5.89
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self E31 333.61 344.42 244.94 99.48 4.92 333.61 344.42 255.00 89.42 4.68
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 767.32 792.16 570.06 222.10 8.84 767.32 792.16 593.48 198.68 8.18
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 767.32 792.16 524.65 267.51 11.31 767.32 792.16 546.21 245.95 10.76
District Of Columbia M.D. IPA - High Self JP1 404.59 438.87 244.94 193.93 28.39 404.59 438.87 255.00 183.87 28.15
District Of Columbia M.D. IPA - High Self & Family JP2 1134.48 1230.59 570.06 660.53 80.11 1134.48 1230.59 593.48 637.11 79.45
District Of Columbia M.D. IPA - High Self Plus One JP3 790.17 857.12 524.65 332.47 53.42 790.17 857.12 546.21 310.91 52.87
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 210.28 66.40 8.16 242.68 276.68 219.27 57.41 7.05
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 497.31 157.04 19.31 573.86 654.35 518.57 135.78 16.70
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 452.10 142.77 17.55 521.73 594.87 471.43 123.44 15.18
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 224.57 239.96 182.37 57.59 3.69 224.57 239.96 190.17 49.79 3.19
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 516.51 551.91 419.45 132.46 8.50 516.51 551.91 437.39 114.52 7.34
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 482.83 515.91 392.09 123.82 7.94 482.83 515.91 408.86 107.05 6.86
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 329.95 355.57 244.94 110.63 19.73 329.95 355.57 255.00 100.57 19.49
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 781.98 842.69 570.06 272.63 44.71 781.98 842.69 593.48 249.21 44.05
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 709.38 764.46 524.65 239.81 41.55 709.38 764.46 546.21 218.25 41.00
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 240.69 255.98 194.54 61.44 3.67 240.69 255.98 202.86 53.12 3.18
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 674.89 717.76 545.50 172.26 10.29 674.89 717.76 568.82 148.94 8.90
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 470.06 499.93 379.95 119.98 7.17 470.06 499.93 396.19 103.74 6.20
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 202.30 63.88 7.75 233.88 266.18 210.95 55.23 6.70
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 478.43 151.08 18.35 553.03 629.51 498.89 130.62 15.87
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 434.93 137.35 16.68 502.79 572.28 453.53 118.75 14.42
District Of Columbia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Florida Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Florida Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Florida Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Florida Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Florida Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Florida Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 244.94 148.17 4.50 382.72 393.11 255.00 138.11 4.26
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 570.06 326.26 7.68 872.64 896.32 593.48 302.84 7.02
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 524.65 362.80 9.92 864.00 887.45 546.21 341.24 9.37
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 244.94 134.36 -5.04 378.45 379.30 255.00 124.30 -5.28
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 570.06 298.50 -14.03 866.59 868.56 593.48 275.08 -14.69
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 524.65 326.87 -11.60 849.59 851.52 546.21 305.31 -12.15
Florida Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Florida AvMed - HDHP Self WZ1 371.61 351.73 244.94 106.79 -25.77 371.61 351.73 255.00 96.73 -26.01
Florida AvMed - HDHP Self & Family WZ2 863.70 813.23 570.06 243.17 -66.47 863.70 813.23 593.48 219.75 -67.13
Florida AvMed - HDHP Self Plus One WZ3 748.77 705.54 524.65 180.89 -56.76 748.77 705.54 546.21 159.33 -57.31
Florida AvMed - Standard Self ML4 327.34 378.91 244.94 133.97 45.68 327.34 378.91 255.00 123.91 45.44
Florida AvMed - Standard Self & Family ML5 796.99 922.58 570.06 352.52 109.59 796.99 922.58 593.48 329.10 108.93
Florida AvMed - Standard Self Plus One ML6 687.40 795.72 524.65 271.07 94.79 687.40 795.72 546.21 249.51 94.24
Florida Capital Health Plan - High Self EA1 314.13 318.68 242.20 76.48 1.09 314.13 318.68 252.55 66.13 0.87
Florida Capital Health Plan - High Self & Family EA2 728.00 738.55 561.30 177.25 2.53 728.00 738.55 585.30 153.25 2.07
Florida Capital Health Plan - High Self Plus One EA3 686.96 696.92 524.65 172.27 -3.57 686.96 696.92 546.21 150.71 -4.12
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 237.04 270.22 205.37 64.85 7.96 237.04 270.22 214.15 56.07 6.88
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 533.34 608.00 462.08 145.92 17.92 533.34 608.00 481.84 126.16 15.49
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 509.63 580.98 441.54 139.44 17.13 509.63 580.98 460.43 120.55 14.80
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 280.20 319.43 242.77 76.66 9.41 280.20 319.43 253.15 66.28 8.14
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 630.44 718.70 546.21 172.49 21.18 630.44 718.70 569.57 149.13 18.31
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 602.43 686.76 521.94 164.82 20.24 602.43 686.76 544.26 142.50 17.50
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 334.64 354.72 244.94 109.78 14.19 334.64 354.72 255.00 99.72 13.95
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 753.94 799.18 570.06 229.12 29.24 753.94 799.18 593.48 205.70 28.58
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 720.43 763.65 524.65 239.00 29.69 720.43 763.65 546.21 217.44 29.14
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 239.70 254.08 193.10 60.98 3.45 239.70 254.08 201.36 52.72 2.98
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 539.30 571.66 434.46 137.20 7.77 539.30 571.66 453.04 118.62 6.72
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 515.34 546.26 415.16 131.10 7.42 515.34 546.26 432.91 113.35 6.42
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 239.82 259.01 196.85 62.16 4.60 239.82 259.01 205.27 53.74 3.98
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 539.60 582.77 442.91 139.86 10.36 539.60 582.77 461.85 120.92 8.95
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 515.62 556.87 423.22 133.65 9.90 515.62 556.87 441.32 115.55 8.56
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 437.57 472.58 244.94 227.64 29.12 437.57 472.58 255.00 217.58 28.88
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 984.53 1063.29 570.06 493.23 62.76 984.53 1063.29 593.48 469.81 62.10
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 940.78 1016.05 524.65 491.40 61.74 940.78 1016.05 546.21 469.84 61.19
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 227.62 236.72 179.91 56.81 2.18 227.62 236.72 187.60 49.12 1.89
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 512.15 532.64 404.81 127.83 4.91 512.15 532.64 422.12 110.52 4.25
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 489.39 508.97 386.82 122.15 4.70 489.39 508.97 403.36 105.61 4.06
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 269.07 279.83 212.67 67.16 2.58 269.07 279.83 221.77 58.06 2.23
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 605.42 629.64 478.53 151.11 5.81 605.42 629.64 498.99 130.65 5.03
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 578.51 601.65 457.25 144.40 5.56 578.51 601.65 476.81 124.84 4.80
Florida Humana Medical Plan, Inc. - Standard Self LL4 496.13 550.71 244.94 305.77 48.69 496.13 550.71 255.00 295.71 48.45
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 1116.28 1239.07 570.06 669.01 106.79 1116.28 1239.07 593.48 645.59 106.13
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 1066.67 1184.00 524.65 659.35 103.80 1066.67 1184.00 546.21 637.79 103.25
Florida Humana Medical Plan, Inc. - High Self LL1 765.76 788.74 244.94 543.80 17.09 765.76 788.74 255.00 533.74 16.85
Florida Humana Medical Plan, Inc. - High Self & Family LL2 1722.95 1774.64 570.06 1204.58 35.69 1722.95 1774.64 593.48 1181.16 35.03
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 1646.37 1695.76 524.65 1171.11 35.86 1646.37 1695.76 546.21 1149.55 35.31
Florida Humana Medical Plan, Inc. - High Self EE1 514.68 576.43 244.94 331.49 55.86 514.68 576.43 255.00 321.43 55.62
Florida Humana Medical Plan, Inc. - High Self & Family EE2 1158.03 1296.99 570.06 726.93 122.96 1158.03 1296.99 593.48 703.51 122.30
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 1106.58 1239.37 524.65 714.72 119.26 1106.58 1239.37 546.21 693.16 118.71
Florida Humana Medical Plan, Inc. - Standard Self EE4 460.21 515.43 244.94 270.49 49.33 460.21 515.43 255.00 260.43 49.09
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 1035.46 1159.71 570.06 589.65 108.25 1035.46 1159.71 593.48 566.23 107.59
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 989.44 1108.17 524.65 583.52 105.20 989.44 1108.17 546.21 561.96 104.65
Florida Humana Medical Plan, Inc. - Standard Self E24 330.47 353.60 244.94 108.66 17.24 330.47 353.60 255.00 98.60 17.00
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 743.54 795.59 570.06 225.53 36.05 743.54 795.59 593.48 202.11 35.39
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 710.49 760.22 524.65 235.57 36.20 710.49 760.22 546.21 214.01 35.65
Florida Humana Medical Plan, Inc. - High Self E21 555.07 593.92 244.94 348.98 32.96 555.07 593.92 255.00 338.92 32.72
Florida Humana Medical Plan, Inc. - High Self & Family E22 1248.86 1336.28 570.06 766.22 71.42 1248.86 1336.28 593.48 742.80 70.76
Florida Humana Medical Plan, Inc. - High Self Plus One E23 1193.36 1276.89 524.65 752.24 70.00 1193.36 1276.89 546.21 730.68 69.45
Florida Humana Medical Plan, Inc. - High Self EX1 412.34 470.07 244.94 225.13 51.84 412.34 470.07 255.00 215.07 51.60
Florida Humana Medical Plan, Inc. - High Self & Family EX2 927.74 1057.63 570.06 487.57 113.89 927.74 1057.63 593.48 464.15 113.23
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 886.51 1010.62 524.65 485.97 110.58 886.51 1010.62 546.21 464.41 110.03
Florida Humana Medical Plan, Inc. - Standard Self EX4 337.95 385.26 244.94 140.32 41.42 337.95 385.26 255.00 130.26 41.18
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 760.39 866.84 570.06 296.78 90.45 760.39 866.84 593.48 273.36 89.79
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 726.59 828.31 524.65 303.66 88.19 726.59 828.31 546.21 282.10 87.64
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 210.28 66.40 8.16 242.68 276.68 219.27 57.41 7.05
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 497.31 157.04 19.31 573.86 654.35 518.57 135.78 16.70
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 452.10 142.77 17.55 521.73 594.87 471.43 123.44 15.18
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 209.88 224.24 170.42 53.82 3.45 209.88 224.24 177.71 46.53 2.98
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 482.73 515.77 391.99 123.78 7.92 482.73 515.77 408.75 107.02 6.85
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 451.25 482.12 366.41 115.71 7.41 451.25 482.12 382.08 100.04 6.41
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 329.48 354.94 244.94 110.00 19.57 329.48 354.94 255.00 99.94 19.33
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 823.71 887.37 570.06 317.31 47.66 823.71 887.37 593.48 293.89 47.00
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 708.40 763.14 524.65 238.49 41.21 708.40 763.14 546.21 216.93 40.66
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 323.74 346.44 244.94 101.50 16.81 323.74 346.44 255.00 91.44 16.57
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 971.21 1039.34 570.06 469.28 52.13 971.21 1039.34 593.48 445.86 51.47
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 696.03 744.87 524.65 220.22 35.31 696.03 744.87 546.21 198.66 34.76
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 202.30 63.88 7.75 233.88 266.18 210.95 55.23 6.70
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 478.43 151.08 18.35 553.03 629.51 498.89 130.62 15.87
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 434.93 137.35 16.68 502.79 572.28 453.53 118.75 14.42
Florida UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Florida UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Florida UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Georgia Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Georgia Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Georgia Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Georgia Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Georgia Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Georgia Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 244.94 148.17 4.50 382.72 393.11 255.00 138.11 4.26
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 570.06 326.26 7.68 872.64 896.32 593.48 302.84 7.02
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 524.65 362.80 9.92 864.00 887.45 546.21 341.24 9.37
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 244.94 134.36 -5.04 378.45 379.30 255.00 124.30 -5.28
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 570.06 298.50 -14.03 866.59 868.56 593.48 275.08 -14.69
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 524.65 326.87 -11.60 849.59 851.52 546.21 305.31 -12.15
Georgia Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Georgia Aetna Open Access - High Self 2U1 800.01 833.47 244.94 588.53 27.57 800.01 833.47 255.00 578.47 27.33
Georgia Aetna Open Access - High Self & Family 2U2 1842.78 1919.87 570.06 1349.81 61.09 1842.78 1919.87 593.48 1326.39 60.43
Georgia Aetna Open Access - High Self Plus One 2U3 1824.53 1900.86 524.65 1376.21 62.80 1824.53 1900.86 546.21 1354.65 62.25
Georgia Blue Open Access POS - High Self QM1 288.54 302.96 230.25 72.71 3.46 288.54 302.96 240.10 62.86 2.99
Georgia Blue Open Access POS - High Self & Family QM2 757.14 779.85 570.06 209.79 6.71 757.14 779.85 593.48 186.37 6.05
Georgia Blue Open Access POS - High Self Plus One QM3 635.88 667.67 507.43 160.24 7.63 635.88 667.67 529.13 138.54 6.59
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 254.72 282.74 214.88 67.86 6.73 254.72 282.74 224.07 58.67 5.82
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 573.11 636.16 483.48 152.68 15.13 573.11 636.16 504.16 132.00 13.08
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 547.65 607.89 462.00 145.89 14.45 547.65 607.89 481.75 126.14 12.50
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 319.91 355.11 244.94 110.17 29.31 319.91 355.11 255.00 100.11 29.07
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 719.82 798.99 570.06 228.93 56.17 719.82 798.99 593.48 205.51 56.15
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 687.82 763.48 524.65 238.83 62.13 687.82 763.48 546.21 217.27 61.58
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 340.40 381.25 244.94 136.31 34.96 340.40 381.25 255.00 126.25 34.72
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 765.88 857.78 570.06 287.72 75.90 765.88 857.78 593.48 264.30 75.24
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 731.85 819.67 524.65 295.02 74.29 731.85 819.67 546.21 273.46 73.74
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 449.25 503.16 244.94 258.22 48.02 449.25 503.16 255.00 248.16 47.78
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 1010.80 1132.09 570.06 562.03 105.29 1010.80 1132.09 593.48 538.61 104.63
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 965.88 1081.78 524.65 557.13 102.37 965.88 1081.78 546.21 535.57 101.82
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 313.49 344.83 244.94 99.89 24.65 313.49 344.83 255.00 89.83 24.78
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 705.37 775.90 570.06 205.84 36.55 705.37 775.90 593.48 182.42 36.06
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 674.01 741.42 524.65 216.77 53.88 674.01 741.42 546.21 195.21 53.33
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 296.56 326.22 244.94 81.28 10.11 296.56 326.22 255.00 71.22 9.68
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 667.25 733.98 557.82 176.16 16.02 667.25 733.98 581.68 152.30 13.85
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 637.60 701.37 524.65 176.72 23.70 637.60 701.37 546.21 155.16 22.86
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 299.32 332.25 244.94 87.31 15.47 299.32 332.25 255.00 77.25 15.14
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 673.49 747.57 568.15 179.42 17.78 673.49 747.57 592.45 155.12 15.37
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 643.55 714.34 524.65 189.69 35.24 643.55 714.34 546.21 168.13 34.59
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 335.09 375.30 244.94 130.36 34.32 335.09 375.30 255.00 120.30 34.08
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 753.93 844.40 570.06 274.34 74.47 753.93 844.40 593.48 250.92 73.81
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 720.43 806.88 524.65 282.23 72.92 720.43 806.88 546.21 260.67 72.37
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DN1 360.28 403.51 244.94 158.57 37.34 360.28 403.51 255.00 148.51 37.10
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DN2 810.63 907.90 570.06 337.84 81.27 810.63 907.90 593.48 314.42 80.61
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DN3 774.60 867.56 524.65 342.91 79.43 774.60 867.56 546.21 321.35 78.88
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 276.04 309.16 234.96 74.20 7.95 276.04 309.16 245.01 64.15 6.87
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 621.10 695.64 528.69 166.95 17.89 621.10 695.64 551.29 144.35 15.47
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 593.50 664.72 505.19 159.53 17.09 593.50 664.72 526.79 137.93 14.78
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 352.06 390.79 244.94 145.85 32.84 352.06 390.79 255.00 135.79 32.60
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 792.15 879.28 570.06 309.22 71.13 792.15 879.28 593.48 285.80 70.47
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 756.93 840.20 524.65 315.55 69.74 756.93 840.20 546.21 293.99 69.19
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 577.13 525.18 244.94 280.24 -57.84 577.13 525.18 255.00 270.18 -58.08
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 1298.54 1181.68 570.06 611.62 -132.86 1298.54 1181.68 593.48 588.20 -133.52
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 1240.83 1129.16 524.65 604.51 -125.20 1240.83 1129.16 546.21 582.95 -125.75
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self CB1 530.11 588.41 244.94 343.47 52.41 530.11 588.41 255.00 333.41 52.17
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family CB2 1192.80 1324.00 570.06 753.94 115.20 1192.80 1324.00 593.48 730.52 114.54
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One CB3 1139.82 1265.20 524.65 740.55 111.85 1139.82 1265.20 546.21 718.99 111.30
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DG1 610.12 640.63 244.94 395.69 24.62 610.12 640.63 255.00 385.63 24.38
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DG2 1372.77 1441.41 570.06 871.35 52.64 1372.77 1441.41 593.48 847.93 51.98
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DG3 1311.78 1377.37 524.65 852.72 52.06 1311.78 1377.37 546.21 831.16 51.51
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 540.85 600.35 244.94 355.41 53.61 540.85 600.35 255.00 345.35 53.37
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 1216.94 1350.79 570.06 780.73 117.85 1216.94 1350.79 593.48 757.31 117.19
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 1162.88 1290.79 524.65 766.14 114.38 1162.88 1290.79 546.21 744.58 113.83
Georgia Kaiser Permanente - Georgia - High Self F81 336.94 346.66 244.94 101.72 3.83 336.94 346.66 255.00 91.66 3.59
Georgia Kaiser Permanente - Georgia - High Self & Family F82 761.48 783.46 570.06 213.40 5.98 761.48 783.46 593.48 189.98 5.32
Georgia Kaiser Permanente - Georgia - High Self Plus One F83 761.48 783.46 524.65 258.81 8.45 761.48 783.46 546.21 237.25 7.90
Georgia Kaiser Permanente - Georgia - Standard Self F84 254.92 268.20 203.83 64.37 3.19 254.92 268.20 212.55 55.65 2.75
Georgia Kaiser Permanente - Georgia - Standard Self & Family F85 576.12 606.12 460.65 145.47 7.20 576.12 606.12 480.35 125.77 6.23
Georgia Kaiser Permanente - Georgia - Standard Self Plus One F86 576.12 606.12 460.65 145.47 7.20 576.12 606.12 480.35 125.77 6.23
Georgia Kaiser Permanente - Georgia - Basic Self LA1 181.55 193.34 146.94 46.40 2.83 181.55 193.34 153.22 40.12 2.45
Georgia Kaiser Permanente - Georgia - Basic Self & Family LA2 410.30 436.92 332.06 104.86 6.39 410.30 436.92 346.26 90.66 5.52
Georgia Kaiser Permanente - Georgia - Basic Self Plus One LA3 410.30 436.92 332.06 104.86 6.39 410.30 436.92 346.26 90.66 5.52
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 210.28 66.40 8.16 242.68 276.68 219.27 57.41 7.05
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 497.31 157.04 19.31 573.86 654.35 518.57 135.78 16.70
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 452.10 142.77 17.55 521.73 594.87 471.43 123.44 15.18
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 323.74 346.44 244.94 101.50 16.81 323.74 346.44 255.00 91.44 16.57
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 971.21 1039.34 570.06 469.28 52.13 971.21 1039.34 593.48 445.86 51.47
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 696.03 744.87 524.65 220.22 35.31 696.03 744.87 546.21 198.66 34.76
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 202.30 63.88 7.75 233.88 266.18 210.95 55.23 6.70
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 478.43 151.08 18.35 553.03 629.51 498.89 130.62 15.87
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 434.93 137.35 16.68 502.79 572.28 453.53 118.75 14.42
Georgia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Guam Calvo's SelectCare - Standard Self B44 183.11 198.36 150.75 47.61 3.66 183.11 198.36 157.20 41.16 3.16
Guam Calvo's SelectCare - Standard Self & Family B45 532.03 576.33 438.01 138.32 10.63 532.03 576.33 456.74 119.59 9.19
Guam Calvo's SelectCare - Standard Self Plus One B46 360.97 391.02 297.18 93.84 7.21 360.97 391.02 309.88 81.14 6.24
Guam Calvo's SelectCare - High Self B41 226.87 240.78 182.99 57.79 3.34 226.87 240.78 190.82 49.96 2.88
Guam Calvo's SelectCare - High Self & Family B42 600.87 637.74 484.68 153.06 8.85 600.87 637.74 505.41 132.33 7.65
Guam Calvo's SelectCare - High Self Plus One B43 442.72 469.88 357.11 112.77 6.52 442.72 469.88 372.38 97.50 5.64
Guam TakeCare - HDHP Self KX1 57.34 55.63 42.28 13.35 -0.41 57.34 55.63 44.09 11.54 -0.36
Guam TakeCare - HDHP Self & Family KX2 156.61 149.15 113.35 35.80 -1.79 156.61 149.15 118.20 30.95 -1.55
Guam TakeCare - HDHP Self Plus One KX3 141.28 134.28 102.05 32.23 -1.68 141.28 134.28 106.42 27.86 -1.46
Guam TakeCare - Standard Self JK4 179.65 186.67 141.87 44.80 1.68 179.65 186.67 147.94 38.73 1.45
Guam TakeCare - Standard Self & Family JK5 508.76 528.64 401.77 126.87 4.77 508.76 528.64 418.95 109.69 4.12
Guam TakeCare - Standard Self Plus One JK6 354.07 367.91 279.61 88.30 3.32 354.07 367.91 291.57 76.34 2.87
Guam TakeCare - High Self JK1 227.24 229.76 174.62 55.14 0.60 227.24 229.76 182.08 47.68 0.53
Guam TakeCare - High Self & Family JK2 542.03 548.02 416.50 131.52 1.43 542.03 548.02 434.31 113.71 1.24
Guam TakeCare - High Self Plus One JK3 448.95 453.92 344.98 108.94 1.19 448.95 453.92 359.73 94.19 1.03
Hawaii Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Hawaii Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Hawaii Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Hawaii Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Hawaii Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Hawaii Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 495.45 505.19 244.94 260.25 3.85 495.45 505.19 255.00 250.19 3.61
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1131.04 1153.29 570.06 583.23 6.25 1131.04 1153.29 593.48 559.81 5.59
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1119.84 1141.88 524.65 617.23 8.51 1119.84 1141.88 546.21 595.67 7.96
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 463.38 466.12 244.94 221.18 -3.15 463.38 466.12 255.00 211.12 -3.39
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1056.30 1062.53 570.06 492.47 -9.77 1056.30 1062.53 593.48 469.05 -10.43
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1045.84 1052.00 524.65 527.35 -7.37 1045.84 1052.00 546.21 505.79 -7.92
Hawaii Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Hawaii HMSA Plan - High Self 871 291.34 291.34 221.42 69.92 0.00 291.34 291.34 230.89 60.45 0.00
Hawaii HMSA Plan - High Self & Family 872 654.93 654.93 497.75 157.18 0.00 654.93 654.93 519.03 135.90 0.00
Hawaii HMSA Plan - High Self Plus One 873 638.34 638.34 485.14 153.20 0.00 638.34 638.34 505.88 132.46 0.00
Hawaii HMSA Plan - Standard Self 874 198.91 209.46 159.19 50.27 2.53 198.91 209.46 166.00 43.46 2.19
Hawaii HMSA Plan - Standard Self & Family 875 447.15 470.85 357.85 113.00 5.68 447.15 470.85 373.15 97.70 4.92
Hawaii HMSA Plan - Standard Self Plus One 876 435.80 458.90 348.76 110.14 5.55 435.80 458.90 363.68 95.22 4.79
Hawaii Kaiser Permanente - Hawaii - High Self 631 311.79 311.79 236.96 74.83 0.00 311.79 311.79 247.09 64.70 0.00
Hawaii Kaiser Permanente - Hawaii - High Self & Family 632 695.31 695.31 528.44 166.87 0.00 695.31 695.31 551.03 144.28 0.00
Hawaii Kaiser Permanente - Hawaii - High Self Plus One 633 695.31 695.31 524.65 170.66 -13.53 695.31 695.31 546.21 149.10 -14.08
Hawaii Kaiser Permanente - Hawaii - Standard Self 634 222.07 233.16 177.20 55.96 2.66 222.07 233.16 184.78 48.38 2.30
Hawaii Kaiser Permanente - Hawaii - Standard Self & Family 635 495.22 519.93 395.15 124.78 5.93 495.22 519.93 412.04 107.89 5.13
Hawaii Kaiser Permanente - Hawaii - Standard Self Plus One 636 495.22 519.93 395.15 124.78 5.93 495.22 519.93 412.04 107.89 5.13
Idaho Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Idaho Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Idaho Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Idaho Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Idaho Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Idaho Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.37 381.62 244.94 136.68 -6.64 382.37 381.62 255.00 126.62 -6.88
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 871.59 869.88 570.06 299.82 -17.71 871.59 869.88 593.48 276.40 -18.37
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.04 861.43 524.65 336.78 -15.14 863.04 861.43 546.21 315.22 -15.69
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 372.48 377.30 244.94 132.36 -1.07 372.48 377.30 255.00 122.30 -1.31
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 854.85 865.92 570.06 295.86 -4.93 854.85 865.92 593.48 272.44 -5.59
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 838.09 848.95 524.65 324.30 -2.67 838.09 848.95 546.21 302.74 -3.22
Idaho Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Idaho Altius Health Plan - High Self 9K1 465.72 483.86 244.94 238.92 12.25 465.72 483.86 255.00 228.86 12.01
Idaho Altius Health Plan - High Self & Family 9K2 1029.93 1070.06 570.06 500.00 24.13 1029.93 1070.06 593.48 476.58 23.47
Idaho Altius Health Plan - High Self Plus One 9K3 1019.73 1059.46 524.65 534.81 26.20 1019.73 1059.46 546.21 513.25 25.65
Idaho Altius Health Plan - HDHP Self 9K4 244.26 310.38 235.89 74.49 15.87 244.26 310.38 245.98 64.40 13.72
Idaho Altius Health Plan - HDHP Self & Family 9K5 510.48 648.66 492.98 155.68 33.16 510.48 648.66 514.06 134.60 28.68
Idaho Altius Health Plan - HDHP Self Plus One 9K6 500.48 635.93 483.31 152.62 32.50 500.48 635.93 503.97 131.96 28.11
Idaho Altius Health Plan - Standard Self DK4 351.37 407.59 244.94 162.65 50.33 351.37 407.59 255.00 152.59 50.09
Idaho Altius Health Plan - Standard Self & Family DK5 775.95 900.09 570.06 330.03 108.14 775.95 900.09 593.48 306.61 107.48
Idaho Altius Health Plan - Standard Self Plus One DK6 768.26 891.17 524.65 366.52 109.38 768.26 891.17 546.21 344.96 108.83
Idaho Kaiser Permanente - Washington Core - Standard Self 544 278.83 285.24 216.78 68.46 1.54 278.83 285.24 226.05 59.19 1.33
Idaho Kaiser Permanente - Washington Core - Standard Self & Family 545 641.32 656.05 498.60 157.45 3.53 641.32 656.05 519.92 136.13 3.06
Idaho Kaiser Permanente - Washington Core - Standard Self Plus One 546 641.32 656.05 498.60 157.45 3.53 641.32 656.05 519.92 136.13 3.06
Idaho Kaiser Permanente - Washington Core - High Self 541 390.34 398.66 244.94 153.72 2.43 390.34 398.66 255.00 143.66 2.19
Idaho Kaiser Permanente - Washington Core - High Self & Family 542 858.76 877.04 570.06 306.98 2.28 858.76 877.04 593.48 283.56 1.62
Idaho Kaiser Permanente - Washington Core - High Self Plus One 543 858.76 877.04 524.65 352.39 4.75 858.76 877.04 546.21 330.83 4.20
Idaho Kaiser Permanente - Washington Core - Prosper Self PT4 New Plan 180.00 136.80 43.20 New Plan New Plan 180.00 142.65 37.35 New Plan
Idaho Kaiser Permanente - Washington Core - Prosper Self & Family PT5 New Plan 503.99 383.03 120.96 New Plan New Plan 503.99 399.41 104.58 New Plan
Idaho Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 New Plan 436.00 331.36 104.64 New Plan New Plan 436.00 345.53 90.47 New Plan
Idaho UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Idaho UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Idaho UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Illinois Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Illinois Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Illinois Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Illinois Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Illinois Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Illinois Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.37 381.62 244.94 136.68 -6.64 382.37 381.62 255.00 126.62 -6.88
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 871.59 869.88 570.06 299.82 -17.71 871.59 869.88 593.48 276.40 -18.37
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.04 861.43 524.65 336.78 -15.14 863.04 861.43 546.21 315.22 -15.69
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 372.48 377.30 244.94 132.36 -1.07 372.48 377.30 255.00 122.30 -1.31
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 854.85 865.92 570.06 295.86 -4.93 854.85 865.92 593.48 272.44 -5.59
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 838.09 848.95 524.65 324.30 -2.67 838.09 848.95 546.21 302.74 -3.22
Illinois Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Illinois Blue Preferred - High Self 9G1 384.56 403.49 244.94 158.55 13.04 384.56 403.49 255.00 148.49 12.80
Illinois Blue Preferred - High Self & Family 9G2 857.94 915.93 570.06 345.87 41.99 857.94 915.93 593.48 322.45 41.33
Illinois Blue Preferred - High Self Plus One 9G3 812.58 859.44 524.65 334.79 33.33 812.58 859.44 546.21 313.23 32.78
Illinois Blue Preferred - Standard Self 9G4 277.21 292.46 222.27 70.19 3.66 277.21 292.46 231.77 60.69 3.17
Illinois Blue Preferred - Standard Self & Family 9G5 787.85 811.49 570.06 241.43 7.64 787.85 811.49 593.48 218.01 6.98
Illinois Blue Preferred - Standard Self Plus One 9G6 712.48 726.73 524.65 202.08 0.72 712.48 726.73 546.21 180.52 0.17
Illinois Health Alliance HMO - Standard Self K84 308.37 315.49 239.77 75.72 1.71 308.37 315.49 250.03 65.46 1.47
Illinois Health Alliance HMO - Standard Self & Family K85 832.61 731.24 555.74 175.50 -103.05 832.61 731.24 579.51 151.73 -104.06
Illinois Health Alliance HMO - Standard Self Plus One K86 714.36 674.59 512.69 161.90 -41.34 714.36 674.59 534.61 139.98 -42.25
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 349.91 363.91 244.94 118.97 8.11 349.91 363.91 255.00 108.91 7.87
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 787.28 818.77 570.06 248.71 15.49 787.28 818.77 593.48 225.29 14.83
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 752.29 782.38 524.65 257.73 16.56 752.29 782.38 546.21 236.17 16.01
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 544.86 566.65 244.94 321.71 15.90 544.86 566.65 255.00 311.65 15.66
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 1225.91 1274.95 570.06 704.89 33.04 1225.91 1274.95 593.48 681.47 32.38
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 1171.44 1218.30 524.65 693.65 33.33 1171.44 1218.30 546.21 672.09 32.78
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 348.42 372.81 244.94 127.87 18.50 348.42 372.81 255.00 117.81 18.26
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 783.93 838.80 570.06 268.74 38.87 783.93 838.80 593.48 245.32 38.21
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 749.10 801.54 524.65 276.89 38.91 749.10 801.54 546.21 255.33 38.36
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 422.78 473.52 244.94 228.58 44.85 422.78 473.52 255.00 218.52 44.61
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 951.30 1065.45 570.06 495.39 98.15 951.30 1065.45 593.48 471.97 97.49
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 909.00 1018.09 524.65 493.44 95.56 909.00 1018.09 546.21 471.88 95.01
Illinois Humana Health Plan, Inc. - Standard Self 754 439.34 482.47 244.94 237.53 37.24 439.34 482.47 255.00 227.47 37.00
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 988.51 1085.55 570.06 515.49 81.04 988.51 1085.55 593.48 492.07 80.38
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 944.58 1037.32 524.65 512.67 79.21 944.58 1037.32 546.21 491.11 78.66
Illinois Humana Health Plan, Inc. - High Self 751 571.82 631.85 244.94 386.91 54.14 571.82 631.85 255.00 376.85 53.90
Illinois Humana Health Plan, Inc. - High Self & Family 752 1286.59 1421.69 570.06 851.63 119.10 1286.59 1421.69 593.48 828.21 118.44
Illinois Humana Health Plan, Inc. - High Self Plus One 753 1229.42 1358.50 524.65 833.85 115.55 1229.42 1358.50 546.21 812.29 115.00
Illinois Humana Health Plan, Inc. - High Self 9F1 894.61 930.39 244.94 685.45 29.89 894.61 930.39 255.00 675.39 29.65
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 2012.86 2093.37 570.06 1523.31 64.51 2012.86 2093.37 593.48 1499.89 63.85
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 1923.39 2000.32 524.65 1475.67 63.40 1923.39 2000.32 546.21 1454.11 62.85
Illinois Humana Health Plan, Inc. - Standard Self AB4 530.55 573.09 244.94 328.15 36.65 530.55 573.09 255.00 318.09 36.41
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 1193.74 1289.49 570.06 719.43 79.75 1193.74 1289.49 593.48 696.01 79.09
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 1140.69 1232.18 524.65 707.53 77.96 1140.69 1232.18 546.21 685.97 77.41
Illinois Humana Health Plan, Inc. - Basic Self AB1 349.22 363.19 244.94 118.25 8.08 349.22 363.19 255.00 108.19 7.84
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 785.77 817.20 570.06 247.14 15.43 785.77 817.20 593.48 223.72 14.77
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 750.85 780.88 524.65 256.23 16.50 750.85 780.88 546.21 234.67 15.95
Illinois Humana Health Plan, Inc. - Basic Self RW1 345.34 378.02 244.94 133.08 26.79 345.34 378.02 255.00 123.02 26.55
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 777.02 850.55 570.06 280.49 57.53 777.02 850.55 593.48 257.07 56.87
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 742.49 812.75 524.65 288.10 56.73 742.49 812.75 546.21 266.54 56.18
Illinois Union Health Service - High Self 761 343.42 360.95 244.94 116.01 11.64 343.42 360.95 255.00 105.95 11.40
Illinois Union Health Service - High Self & Family 762 877.68 905.96 570.06 335.90 12.28 877.68 905.96 593.48 312.48 11.62
Illinois Union Health Service - High Self Plus One 763 770.00 799.54 524.65 274.89 16.01 770.00 799.54 546.21 253.33 15.46
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 210.28 66.40 8.16 242.68 276.68 219.27 57.41 7.05
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 497.31 157.04 19.31 573.86 654.35 518.57 135.78 16.70
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 452.10 142.77 17.55 521.73 594.87 471.43 123.44 15.18
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 240.69 255.98 194.54 61.44 3.67 240.69 255.98 202.86 53.12 3.18
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 674.89 717.76 545.50 172.26 10.29 674.89 717.76 568.82 148.94 8.90
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 470.06 499.93 379.95 119.98 7.17 470.06 499.93 396.19 103.74 6.20
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 202.30 63.88 7.75 233.88 266.18 210.95 55.23 6.70
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 478.43 151.08 18.35 553.03 629.51 498.89 130.62 15.87
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 434.93 137.35 16.68 502.79 572.28 453.53 118.75 14.42
Illinois UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Indiana Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Indiana Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Indiana Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Indiana Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Indiana Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Indiana Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 495.45 505.19 244.94 260.25 3.85 495.45 505.19 255.00 250.19 3.61
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1131.04 1153.29 570.06 583.23 6.25 1131.04 1153.29 593.48 559.81 5.59
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1119.84 1141.88 524.65 617.23 8.51 1119.84 1141.88 546.21 595.67 7.96
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 463.38 466.12 244.94 221.18 -3.15 463.38 466.12 255.00 211.12 -3.39
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1056.30 1062.53 570.06 492.47 -9.77 1056.30 1062.53 593.48 469.05 -10.43
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1045.84 1052.00 524.65 527.35 -7.37 1045.84 1052.00 546.21 505.79 -7.92
Indiana Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Indiana Health Alliance HMO - Standard Self K84 308.37 315.49 239.77 75.72 1.71 308.37 315.49 250.03 65.46 1.47
Indiana Health Alliance HMO - Standard Self & Family K85 832.61 731.24 555.74 175.50 -103.05 832.61 731.24 579.51 151.73 -104.06
Indiana Health Alliance HMO - Standard Self Plus One K86 714.36 674.59 512.69 161.90 -41.34 714.36 674.59 534.61 139.98 -42.25
Indiana Humana CoverageFirst - CDHP Self TC1 304.37 340.88 244.94 95.94 22.89 304.37 340.88 255.00 85.88 22.72
Indiana Humana CoverageFirst - CDHP Self & Family TC2 684.80 766.98 570.06 196.92 32.57 684.80 766.98 593.48 173.50 31.40
Indiana Humana CoverageFirst - CDHP Self Plus One TC3 654.38 732.90 524.65 208.25 51.20 654.38 732.90 546.21 186.69 50.91
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 348.42 372.81 244.94 127.87 18.50 348.42 372.81 255.00 117.81 18.26
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 783.93 838.80 570.06 268.74 38.87 783.93 838.80 593.48 245.32 38.21
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 749.10 801.54 524.65 276.89 38.91 749.10 801.54 546.21 255.33 38.36
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 422.78 473.52 244.94 228.58 44.85 422.78 473.52 255.00 218.52 44.61
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 951.30 1065.45 570.06 495.39 98.15 951.30 1065.45 593.48 471.97 97.49
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 909.00 1018.09 524.65 493.44 95.56 909.00 1018.09 546.21 471.88 95.01
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 283.90 298.10 226.56 71.54 3.40 283.90 298.10 236.24 61.86 2.95
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 638.79 670.73 509.75 160.98 7.67 638.79 670.73 531.55 139.18 6.63
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 610.40 640.92 487.10 153.82 7.32 610.40 640.92 507.93 132.99 6.33
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 368.97 387.42 244.94 142.48 12.56 368.97 387.42 255.00 132.42 12.32
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 830.20 871.71 570.06 301.65 25.51 830.20 871.71 593.48 278.23 24.85
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 793.30 832.97 524.65 308.32 26.14 793.30 832.97 546.21 286.76 25.59
Indiana Humana Health Plan of Ohio, Inc. - High Self A61 692.76 727.40 244.94 482.46 28.75 692.76 727.40 255.00 472.40 28.51
Indiana Humana Health Plan of Ohio, Inc. - High Self & Family A62 1558.72 1636.66 570.06 1066.60 61.94 1558.72 1636.66 593.48 1043.18 61.28
Indiana Humana Health Plan of Ohio, Inc. - High Self Plus One A63 1489.45 1563.92 524.65 1039.27 60.94 1489.45 1563.92 546.21 1017.71 60.39
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 541.00 568.05 244.94 323.11 21.16 541.00 568.05 255.00 313.05 20.92
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 1217.27 1278.14 570.06 708.08 44.87 1217.27 1278.14 593.48 684.66 44.21
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 1163.17 1221.32 524.65 696.67 44.62 1163.17 1221.32 546.21 675.11 44.07
Indiana Humana Health Plan, Inc. - Standard Self 754 439.34 482.47 244.94 237.53 37.24 439.34 482.47 255.00 227.47 37.00
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 988.51 1085.55 570.06 515.49 81.04 988.51 1085.55 593.48 492.07 80.38
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 944.58 1037.32 524.65 512.67 79.21 944.58 1037.32 546.21 491.11 78.66
Indiana Humana Health Plan, Inc. - High Self 751 571.82 631.85 244.94 386.91 54.14 571.82 631.85 255.00 376.85 53.90
Indiana Humana Health Plan, Inc. - High Self & Family 752 1286.59 1421.69 570.06 851.63 119.10 1286.59 1421.69 593.48 828.21 118.44
Indiana Humana Health Plan, Inc. - High Self Plus One 753 1229.42 1358.50 524.65 833.85 115.55 1229.42 1358.50 546.21 812.29 115.00
Indiana Humana Health Plan, Inc. - High Self MH1 509.98 560.99 244.94 316.05 45.12 509.98 560.99 255.00 305.99 44.88
Indiana Humana Health Plan, Inc. - High Self & Family MH2 1147.47 1262.23 570.06 692.17 98.76 1147.47 1262.23 593.48 668.75 98.10
Indiana Humana Health Plan, Inc. - High Self Plus One MH3 1096.47 1206.12 524.65 681.47 96.12 1096.47 1206.12 546.21 659.91 95.57
Indiana Humana Health Plan, Inc. - Standard Self MH4 396.76 436.44 244.94 191.50 33.79 396.76 436.44 255.00 181.44 33.55
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 892.70 981.98 570.06 411.92 73.28 892.70 981.98 593.48 388.50 72.62
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 853.03 938.33 524.65 413.68 71.77 853.03 938.33 546.21 392.12 71.22
Indiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 144.42 45.61 New Plan New Plan 190.03 150.60 39.43 New Plan
Indiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 382.71 120.86 New Plan New Plan 503.57 399.08 104.49 New Plan
Indiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 317.73 100.33 New Plan New Plan 418.06 331.31 86.75 New Plan
Iowa Aetna Advantage - Advantage Self Z24 214.08 230.78 175.39 55.39 4.01 214.08 230.78 182.89 47.89 3.47
Iowa Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 464.77 146.77 10.62 567.31 611.54 484.65 126.89 9.17
Iowa Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 385.85 121.85 8.82 470.97 507.70 402.35 105.35 7.62
Iowa Aetna Direct - CDHP Self N61 282.76 284.23 216.01 68.22 0.36 282.76 284.23 225.25 58.98 0.31
Iowa Aetna Direct - CDHP Self & Family N62 713.08 716.80 544.77 172.03 0.89 713.08 716.80 568.06 148.74 0.78
Iowa Aetna Direct - CDHP Self Plus One N63 620.10 623.33 473.73 149.60 0.78 620.10 623.33 493.99 129.34 0.67
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.37 381.62 244.94 136.68 -6.64 382.37 381.62 255.00 126.62 -6.88
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 871.59 869.88 570.06 299.82 -17.71 871.59 869.88 593.48 276.40 -18.37
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.04 861.43 524.65 336.78 -15.14 863.04 861.43 546.21 315.22 -15.69
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 372.48 377.30 244.94 132.36 -1.07 372.48 377.30 255.00 122.30 -1.31
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 854.85 865.92 570.06 295.86 -4.93 854.85 865.92 593.48 272.44 -5.59
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 838.09 848.95 524.65 324.30 -2.67 838.09 848.95 546.21 302.74 -3.22
Iowa Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 244.94 117.84 20.52 336.37 362.78 255.00 107.78 20.28
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 570.06 230.17 42.26 741.97 800.23 593.48 206.75 41.60
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 524.65 259.91 43.60 727.43 784.56 546.21 238.35 43.05
Iowa Health Alliance HMO - Standard Self K84 308.37 315.49 239.77 75.72 1.71 308.37 315.49 250.03 65.46 1.47
Iowa Health Alliance HMO - Standard Self & Family K85 832.61 731.24 555.74 175.50 -103.05 832.61 731.24 579.51 151.73 -104.06
Iowa Health Alliance HMO - Standard Self Plus One K86 714.36 674.59 512.69 161.90 -41.34 714.36 674.59 534.61 139.98 -42.25
Iowa HealthPartners - Standard Self V34 212.27 235.11 178.68 56.43 5.49 212.27 235.11 186.32 48.79 4.74
Iowa HealthPartners - Standard Self & Family V35 517.11 572.74 435.28 137.46 13.35 517.11 572.74 453.90 118.84 11.54
Iowa HealthPartners - Standard Self Plus One V36 469.13 519.60 394.90 124.70 12.11 469.13 519.60 411.78 107.82 10.48
Iowa HealthPartners - High Self V31 328.76 308.34 234.34 74.00 -15.71 328.76 308.34 244.36 63.98 -15.91
Iowa HealthPartners - High Self & Family V32 800.86 751.10 570.06 181.04 -65.76 800.86 751.10 593.48 157.62 -66.42
Iowa HealthPartners - High Self Plus One V33 726.56 681.42 517.88 163.54 -51.90 726.56 681.42 540.03 141.