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Healthcare

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

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2020 TCC Premium 2021 TCC Monthly Premiums - Total Premium 2021 TCC Monthly Premiums - Government Pays 2021 TCC Monthly Premiums - Employee Pays 2021 TCC Monthly Premiums - Change in Employee Payment 2020 Former Spouse Premium 2021 Former Spouse Monthly Premiums - Total Premium 2021 Former Spouse Monthly Premiums - Government Pays 2021 Former Spouse Monthly Premiums - Employee Pays 2021 Former Spouse Monthly Premiums - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Alabama Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Alabama Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Alabama Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Alabama Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Alabama Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
Alabama Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 463.83 495.57 0.00 495.57 31.74 454.74 485.85 0.00 485.85 31.11
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1066.84 1139.85 0.00 1139.85 73.01 1045.92 1117.50 0.00 1117.50 71.58
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 997.26 1065.48 0.00 1065.48 68.22 977.71 1044.59 0.00 1044.59 66.88
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 728.15 784.42 0.00 784.42 56.27 713.87 769.04 0.00 769.04 55.17
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1820.40 1961.09 0.00 1961.09 140.69 1784.71 1922.64 0.00 1922.64 137.93
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1565.57 1686.54 0.00 1686.54 120.97 1534.87 1653.47 0.00 1653.47 118.60
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Alabama UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Alaska Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Alaska Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Alaska Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Alaska Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Alaska Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Alaska Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1094.95 1116.47 0.00 1116.47 21.52 1073.48 1094.58 0.00 1094.58 21.10
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2499.60 2548.78 0.00 2548.78 49.18 2450.59 2498.80 0.00 2498.80 48.21
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2474.85 2523.55 0.00 2523.55 48.70 2426.32 2474.07 0.00 2474.07 47.75
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1024.07 1030.13 0.00 1030.13 6.06 1003.99 1009.93 0.00 1009.93 5.94
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2334.42 2348.19 0.00 2348.19 13.77 2288.65 2302.15 0.00 2302.15 13.50
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2311.31 2324.92 0.00 2324.92 13.61 2265.99 2279.33 0.00 2279.33 13.34
Alaska Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Arizona Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Arizona Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Arizona Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Arizona Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Arizona Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Arizona Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
Arizona Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Arizona Aetna Open Access - High Self WQ1 1184.38 1372.58 0.00 1372.58 188.20 1161.16 1345.67 0.00 1345.67 184.51
Arizona Aetna Open Access - High Self & Family WQ2 2875.66 3332.60 0.00 3332.60 456.94 2819.27 3267.25 0.00 3267.25 447.98
Arizona Aetna Open Access - High Self Plus One WQ3 2847.17 3299.56 0.00 3299.56 452.39 2791.34 3234.86 0.00 3234.86 443.52
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 733.17 828.48 0.00 828.48 95.31 718.79 812.24 0.00 812.24 93.45
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 1649.62 1864.05 0.00 1864.05 214.43 1617.27 1827.50 0.00 1827.50 210.23
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 1576.29 1781.22 0.00 1781.22 204.93 1545.38 1746.29 0.00 1746.29 200.91
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 586.03 662.20 0.00 662.20 76.17 574.54 649.22 0.00 649.22 74.68
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 1318.53 1489.93 0.00 1489.93 171.40 1292.68 1460.72 0.00 1460.72 168.04
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 1259.94 1423.73 0.00 1423.73 163.79 1235.24 1395.81 0.00 1395.81 160.57
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 534.29 582.38 0.00 582.38 48.09 523.81 570.96 0.00 570.96 47.15
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 1202.13 1310.31 0.00 1310.31 108.18 1178.56 1284.62 0.00 1284.62 106.06
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 1148.71 1252.10 0.00 1252.10 103.39 1126.19 1227.55 0.00 1227.55 101.36
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 671.05 731.42 0.00 731.42 60.37 657.89 717.08 0.00 717.08 59.19
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 1509.80 1645.68 0.00 1645.68 135.88 1480.20 1613.41 0.00 1613.41 133.21
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 1442.69 1572.52 0.00 1572.52 129.83 1414.40 1541.69 0.00 1541.69 127.29
Arizona Humana Health Plan, Inc. - Standard Self C74 799.78 911.74 0.00 911.74 111.96 784.10 893.86 0.00 893.86 109.76
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 1799.47 2051.39 0.00 2051.39 251.92 1764.19 2011.17 0.00 2011.17 246.98
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 1719.44 1960.16 0.00 1960.16 240.72 1685.73 1921.73 0.00 1921.73 236.00
Arizona Humana Health Plan, Inc. - High Self C71 1038.24 1183.59 0.00 1183.59 145.35 1017.88 1160.38 0.00 1160.38 142.50
Arizona Humana Health Plan, Inc. - High Self & Family C72 2335.99 2663.05 0.00 2663.05 327.06 2290.19 2610.83 0.00 2610.83 320.64
Arizona Humana Health Plan, Inc. - High Self Plus One C73 2232.17 2544.69 0.00 2544.69 312.52 2188.40 2494.79 0.00 2494.79 306.39
Arizona Humana Health Plan, Inc. - High Self BF1 1458.09 1501.83 0.00 1501.83 43.74 1429.50 1472.38 0.00 1472.38 42.88
Arizona Humana Health Plan, Inc. - High Self & Family BF2 3280.60 3379.03 0.00 3379.03 98.43 3216.27 3312.77 0.00 3312.77 96.50
Arizona Humana Health Plan, Inc. - High Self Plus One BF3 3134.82 3228.83 0.00 3228.83 94.01 3073.35 3165.52 0.00 3165.52 92.17
Arizona Humana Health Plan, Inc. - Standard Self BF4 1177.34 1271.52 0.00 1271.52 94.18 1154.25 1246.59 0.00 1246.59 92.34
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 2649.02 2860.94 0.00 2860.94 211.92 2597.08 2804.84 0.00 2804.84 207.76
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 2531.29 2733.81 0.00 2733.81 202.52 2481.66 2680.21 0.00 2680.21 198.55
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 533.32 634.66 0.00 634.66 101.34 522.86 622.22 0.00 622.22 99.36
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1261.12 1500.97 0.00 1500.97 239.85 1236.39 1471.54 0.00 1471.54 235.15
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1146.53 1364.53 0.00 1364.53 218.00 1124.05 1337.77 0.00 1337.77 213.72
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 452.72 538.73 0.00 538.73 86.01 443.84 528.17 0.00 528.17 84.33
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1041.27 1239.06 0.00 1239.06 197.79 1020.85 1214.76 0.00 1214.76 193.91
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 973.36 1158.26 0.00 1158.26 184.90 954.27 1135.55 0.00 1135.55 181.28
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 739.27 797.76 0.00 797.76 58.49 724.77 782.12 0.00 782.12 57.35
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1848.14 1994.46 0.00 1994.46 146.32 1811.90 1955.35 0.00 1955.35 143.45
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1589.42 1715.20 0.00 1715.20 125.78 1558.25 1681.57 0.00 1681.57 123.32
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 532.46 633.63 0.00 633.63 101.17 522.02 621.21 0.00 621.21 99.19
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1259.06 1498.51 0.00 1498.51 239.45 1234.37 1469.13 0.00 1469.13 234.76
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1144.67 1362.29 0.00 1362.29 217.62 1122.23 1335.58 0.00 1335.58 213.35
Arizona UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Arkansas Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Arkansas Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Arkansas Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Arkansas Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Arkansas Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Arkansas Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
Arkansas Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Arkansas QualChoice - High Self DH1 767.24 782.61 0.00 782.61 15.37 752.20 767.26 0.00 767.26 15.06
Arkansas QualChoice - High Self & Family DH2 2001.20 2041.22 0.00 2041.22 40.02 1961.96 2001.20 0.00 2001.20 39.24
Arkansas QualChoice - High Self Plus One DH3 1490.40 1520.24 0.00 1520.24 29.84 1461.18 1490.43 0.00 1490.43 29.25
Arkansas QualChoice - Standard Self DH4 599.00 610.98 0.00 610.98 11.98 587.25 599.00 0.00 599.00 11.75
Arkansas QualChoice - Standard Self & Family DH5 1562.39 1593.68 0.00 1593.68 31.29 1531.75 1562.43 0.00 1562.43 30.68
Arkansas QualChoice - Standard Self Plus One DH6 1163.59 1186.90 0.00 1186.90 23.31 1140.77 1163.63 0.00 1163.63 22.86
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 463.83 495.57 0.00 495.57 31.74 454.74 485.85 0.00 485.85 31.11
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1066.84 1139.85 0.00 1139.85 73.01 1045.92 1117.50 0.00 1117.50 71.58
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 997.26 1065.48 0.00 1065.48 68.22 977.71 1044.59 0.00 1044.59 66.88
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 728.15 784.42 0.00 784.42 56.27 713.87 769.04 0.00 769.04 55.17
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1820.40 1961.09 0.00 1961.09 140.69 1784.71 1922.64 0.00 1922.64 137.93
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1565.57 1686.54 0.00 1686.54 120.97 1534.87 1653.47 0.00 1653.47 118.60
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Arkansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
California Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
California Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
California Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
California Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
California Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
California Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1094.95 1116.47 0.00 1116.47 21.52 1073.48 1094.58 0.00 1094.58 21.10
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2499.60 2548.78 0.00 2548.78 49.18 2450.59 2498.80 0.00 2498.80 48.21
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2474.85 2523.55 0.00 2523.55 48.70 2426.32 2474.07 0.00 2474.07 47.75
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1024.07 1030.13 0.00 1030.13 6.06 1003.99 1009.93 0.00 1009.93 5.94
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2334.42 2348.19 0.00 2348.19 13.77 2288.65 2302.15 0.00 2302.15 13.50
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2311.31 2324.92 0.00 2324.92 13.61 2265.99 2279.33 0.00 2279.33 13.34
California Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
California Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
California Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
California Aetna Open Access - High Self 2X1 898.14 955.40 0.00 955.40 57.26 880.53 936.67 0.00 936.67 56.14
California Aetna Open Access - High Self & Family 2X2 2108.58 2243.00 0.00 2243.00 134.42 2067.24 2199.02 0.00 2199.02 131.78
California Aetna Open Access - High Self Plus One 2X3 2067.23 2199.02 0.00 2199.02 131.79 2026.70 2155.90 0.00 2155.90 129.20
California Anthem Blue Cross Select HMO - High Self B31 789.61 789.61 0.00 789.61 0.00 774.13 774.13 0.00 774.13 0.00
California Anthem Blue Cross Select HMO - High Self & Family B32 1804.29 1804.29 0.00 1804.29 0.00 1768.91 1768.91 0.00 1768.91 0.00
California Anthem Blue Cross Select HMO - High Self Plus One B33 1673.98 1673.98 0.00 1673.98 0.00 1641.16 1641.16 0.00 1641.16 0.00
California Blue Shield of California - Access + HMO Self SI1 850.52 876.05 0.00 876.05 25.53 833.84 858.87 0.00 858.87 25.03
California Blue Shield of California - Access + HMO Self & Family SI2 1956.21 2014.90 0.00 2014.90 58.69 1917.85 1975.39 0.00 1975.39 57.54
California Blue Shield of California - Access + HMO Self Plus One SI3 1871.14 1927.28 0.00 1927.28 56.14 1834.45 1889.49 0.00 1889.49 55.04
California Health Net of California - Basic Self P61 330.86 371.32 0.00 371.32 40.46 324.37 364.04 0.00 364.04 39.67
California Health Net of California - Basic Self & Family P62 794.03 891.20 0.00 891.20 97.17 778.46 873.73 0.00 873.73 95.27
California Health Net of California - Basic Self Plus One P63 727.86 816.95 0.00 816.95 89.09 713.59 800.93 0.00 800.93 87.34
California Health Net of California - High Self LP1 1069.33 1033.24 0.00 1033.24 -36.09 1048.36 1012.98 0.00 1012.98 -35.38
California Health Net of California - High Self & Family LP2 2566.38 2479.79 0.00 2479.79 -86.59 2516.06 2431.17 0.00 2431.17 -84.89
California Health Net of California - High Self Plus One LP3 2352.53 2273.14 0.00 2273.14 -79.39 2306.40 2228.57 0.00 2228.57 -77.83
California Health Net of California - High Self LB1 1540.77 1581.65 0.00 1581.65 40.88 1510.56 1550.64 0.00 1550.64 40.08
California Health Net of California - High Self & Family LB2 3697.89 3795.92 0.00 3795.92 98.03 3625.38 3721.49 0.00 3721.49 96.11
California Health Net of California - High Self Plus One LB3 3389.73 3479.58 0.00 3479.58 89.85 3323.26 3411.35 0.00 3411.35 88.09
California Health Net of California - Standard Self LB4 1367.35 1495.46 0.00 1495.46 128.11 1340.54 1466.14 0.00 1466.14 125.60
California Health Net of California - Standard Self & Family LB5 3281.63 3589.08 0.00 3589.08 307.45 3217.28 3518.71 0.00 3518.71 301.43
California Health Net of California - Standard Self Plus One LB6 3008.16 3290.01 0.00 3290.01 281.85 2949.18 3225.50 0.00 3225.50 276.32
California Health Net of California - Basic Self T41 899.47 912.06 0.00 912.06 12.59 881.83 894.18 0.00 894.18 12.35
California Health Net of California - Basic Self & Family T42 2158.73 2188.96 0.00 2188.96 30.23 2116.40 2146.04 0.00 2146.04 29.64
California Health Net of California - Basic Self Plus One T43 1978.86 2006.54 0.00 2006.54 27.68 1940.06 1967.20 0.00 1967.20 27.14
California Kaiser Permanente - Fresno California - Standard Self NZ4 578.14 601.91 0.00 601.91 23.77 566.80 590.11 0.00 590.11 23.31
California Kaiser Permanente - Fresno California - Standard Self & Family NZ5 1336.15 1391.15 0.00 1391.15 55.00 1309.95 1363.87 0.00 1363.87 53.92
California Kaiser Permanente - Fresno California - Standard Self Plus One NZ6 1336.15 1391.15 0.00 1391.15 55.00 1309.95 1363.87 0.00 1363.87 53.92
California Kaiser Permanente - Fresno California - High Self NZ1 792.46 819.05 0.00 819.05 26.59 776.92 802.99 0.00 802.99 26.07
California Kaiser Permanente - Fresno California - High Self & Family NZ2 1831.58 1892.98 0.00 1892.98 61.40 1795.67 1855.86 0.00 1855.86 60.19
California Kaiser Permanente - Fresno California - High Self Plus One NZ3 1831.58 1892.98 0.00 1892.98 61.40 1795.67 1855.86 0.00 1855.86 60.19
California Kaiser Permanente - Northern California - Basic Self KC1 665.12 665.12 0.00 665.12 0.00 652.08 652.08 0.00 652.08 0.00
California Kaiser Permanente - Northern California - Basic Self & Family KC2 1556.37 1556.37 0.00 1556.37 0.00 1525.85 1525.85 0.00 1525.85 0.00
California Kaiser Permanente - Northern California - Basic Self Plus One KC3 1556.37 1556.37 0.00 1556.37 0.00 1525.85 1525.85 0.00 1525.85 0.00
California Kaiser Permanente - Northern California - High Self 591 1020.47 1034.83 0.00 1034.83 14.36 1000.46 1014.54 0.00 1014.54 14.08
California Kaiser Permanente - Northern California - High Self & Family 592 2435.97 2470.30 0.00 2470.30 34.33 2388.21 2421.86 0.00 2421.86 33.65
California Kaiser Permanente - Northern California - High Self Plus One 593 2435.97 2470.30 0.00 2470.30 34.33 2388.21 2421.86 0.00 2421.86 33.65
California Kaiser Permanente - Northern California - Standard Self 594 826.08 839.13 0.00 839.13 13.05 809.88 822.68 0.00 822.68 12.80
California Kaiser Permanente - Northern California - Standard Self & Family 595 1932.98 1963.61 0.00 1963.61 30.63 1895.08 1925.11 0.00 1925.11 30.03
California Kaiser Permanente - Northern California - Standard Self Plus One 596 1932.98 1963.61 0.00 1963.61 30.63 1895.08 1925.11 0.00 1925.11 30.03
California Kaiser Permanente - Southern California - Standard Self 624 475.64 482.91 0.00 482.91 7.27 466.31 473.44 0.00 473.44 7.13
California Kaiser Permanente - Southern California - Standard Self & Family 625 1099.25 1116.09 0.00 1116.09 16.84 1077.70 1094.21 0.00 1094.21 16.51
California Kaiser Permanente - Southern California - Standard Self Plus One 626 1099.25 1116.09 0.00 1116.09 16.84 1077.70 1094.21 0.00 1094.21 16.51
California Kaiser Permanente - Southern California - High Self 621 750.12 765.19 0.00 765.19 15.07 735.41 750.19 0.00 750.19 14.78
California Kaiser Permanente - Southern California - High Self & Family 622 1733.65 1768.51 0.00 1768.51 34.86 1699.66 1733.83 0.00 1733.83 34.17
California Kaiser Permanente - Southern California - High Self Plus One 623 1733.65 1768.51 0.00 1768.51 34.86 1699.66 1733.83 0.00 1733.83 34.17
California UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
California UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
California UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Colorado Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Colorado Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Colorado Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Colorado Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Colorado Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Colorado Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
Colorado Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self WW1 649.08 649.08 0.00 649.08 0.00 636.35 636.35 0.00 636.35 0.00
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self & Family WW2 1580.48 1580.48 0.00 1580.48 0.00 1549.49 1549.49 0.00 1549.49 0.00
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self Plus One WW3 1476.61 1476.61 0.00 1476.61 0.00 1447.66 1447.66 0.00 1447.66 0.00
Colorado Humana Health Plan, Inc. - High Self NR1 837.94 980.40 0.00 980.40 142.46 821.51 961.18 0.00 961.18 139.67
Colorado Humana Health Plan, Inc. - High Self & Family NR2 1885.38 2205.89 0.00 2205.89 320.51 1848.41 2162.64 0.00 2162.64 314.23
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 1801.60 2107.85 0.00 2107.85 306.25 1766.27 2066.52 0.00 2066.52 300.25
Colorado Humana Health Plan, Inc. - Standard Self NR4 580.70 679.40 0.00 679.40 98.70 569.31 666.08 0.00 666.08 96.77
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 1306.60 1528.70 0.00 1528.70 222.10 1280.98 1498.73 0.00 1498.73 217.75
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 1248.50 1460.72 0.00 1460.72 212.22 1224.02 1432.08 0.00 1432.08 208.06
Colorado Humana Health Plan, Inc. - Basic Self RZ1 532.24 542.88 0.00 542.88 10.64 521.80 532.24 0.00 532.24 10.44
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 1197.51 1221.47 0.00 1221.47 23.96 1174.03 1197.52 0.00 1197.52 23.49
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 1144.34 1167.22 0.00 1167.22 22.88 1121.90 1144.33 0.00 1144.33 22.43
Colorado Humana Health Plan, Inc. - High Self NT1 780.07 850.27 0.00 850.27 70.20 764.77 833.60 0.00 833.60 68.83
Colorado Humana Health Plan, Inc. - High Self & Family NT2 1755.21 1913.17 0.00 1913.17 157.96 1720.79 1875.66 0.00 1875.66 154.87
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 1677.17 1828.12 0.00 1828.12 150.95 1644.28 1792.27 0.00 1792.27 147.99
Colorado Humana Health Plan, Inc. - Standard Self NT4 552.35 602.08 0.00 602.08 49.73 541.52 590.27 0.00 590.27 48.75
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 1242.82 1354.68 0.00 1354.68 111.86 1218.45 1328.12 0.00 1328.12 109.67
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 1187.64 1294.51 0.00 1294.51 106.87 1164.35 1269.13 0.00 1269.13 104.78
Colorado Humana Health Plan, Inc. - Basic Self R21 541.74 633.83 0.00 633.83 92.09 531.12 621.40 0.00 621.40 90.28
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 1218.90 1426.13 0.00 1426.13 207.23 1195.00 1398.17 0.00 1398.17 203.17
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 1164.74 1362.75 0.00 1362.75 198.01 1141.90 1336.03 0.00 1336.03 194.13
Colorado Kaiser Permanente - Colorado - Standard Self 654 684.73 674.05 0.00 674.05 -10.68 671.30 660.83 0.00 660.83 -10.47
Colorado Kaiser Permanente - Colorado - Standard Self & Family 655 1547.46 1523.33 0.00 1523.33 -24.13 1517.12 1493.46 0.00 1493.46 -23.66
Colorado Kaiser Permanente - Colorado - Standard Self Plus One 656 1547.46 1523.33 0.00 1523.33 -24.13 1517.12 1493.46 0.00 1493.46 -23.66
Colorado Kaiser Permanente - Colorado - High Self 651 804.95 788.35 0.00 788.35 -16.60 789.17 772.89 0.00 772.89 -16.28
Colorado Kaiser Permanente - Colorado - High Self & Family 652 1819.18 1781.69 0.00 1781.69 -37.49 1783.51 1746.75 0.00 1746.75 -36.76
Colorado Kaiser Permanente - Colorado - High Self Plus One 653 1819.18 1781.69 0.00 1781.69 -37.49 1783.51 1746.75 0.00 1746.75 -36.76
Colorado Kaiser Permanente - Colorado - Basic Self N41 494.47 454.42 0.00 454.42 -40.05 484.77 445.51 0.00 445.51 -39.26
Colorado Kaiser Permanente - Colorado - Basic Self & Family N42 1117.51 1117.86 0.00 1117.86 0.35 1095.60 1095.94 0.00 1095.94 0.34
Colorado Kaiser Permanente - Colorado - Basic Self Plus One N43 1117.51 1026.99 0.00 1026.99 -90.52 1095.60 1006.85 0.00 1006.85 -88.75
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 452.72 538.73 0.00 538.73 86.01 443.84 528.17 0.00 528.17 84.33
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1041.27 1239.06 0.00 1239.06 197.79 1020.85 1214.76 0.00 1214.76 193.91
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 973.36 1158.26 0.00 1158.26 184.90 954.27 1135.55 0.00 1135.55 181.28
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 739.27 797.76 0.00 797.76 58.49 724.77 782.12 0.00 782.12 57.35
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1848.14 1994.46 0.00 1994.46 146.32 1811.90 1955.35 0.00 1955.35 143.45
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1589.42 1715.20 0.00 1715.20 125.78 1558.25 1681.57 0.00 1681.57 123.32
Colorado UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Colorado UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Colorado UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Connecticut Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Connecticut Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Connecticut Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Connecticut Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Connecticut Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Connecticut Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 774.80 856.42 0.00 856.42 81.62 759.61 839.63 0.00 839.63 80.02
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1774.30 1961.13 0.00 1961.13 186.83 1739.51 1922.68 0.00 1922.68 183.17
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1739.49 1922.66 0.00 1922.66 183.17 1705.38 1884.96 0.00 1884.96 179.58
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1097.27 1147.14 0.00 1147.14 49.87 1075.75 1124.65 0.00 1124.65 48.90
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2502.39 2616.18 0.00 2616.18 113.79 2453.32 2564.88 0.00 2564.88 111.56
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2477.61 2590.25 0.00 2590.25 112.64 2429.03 2539.46 0.00 2539.46 110.43
Connecticut Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Connecticut UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Connecticut UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Connecticut UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Delaware Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Delaware Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Delaware Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Delaware Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Delaware Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Delaware Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 774.80 856.42 0.00 856.42 81.62 759.61 839.63 0.00 839.63 80.02
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1774.30 1961.13 0.00 1961.13 186.83 1739.51 1922.68 0.00 1922.68 183.17
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1739.49 1922.66 0.00 1922.66 183.17 1705.38 1884.96 0.00 1884.96 179.58
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1097.27 1147.14 0.00 1147.14 49.87 1075.75 1124.65 0.00 1124.65 48.90
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2502.39 2616.18 0.00 2616.18 113.79 2453.32 2564.88 0.00 2564.88 111.56
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2477.61 2590.25 0.00 2590.25 112.64 2429.03 2539.46 0.00 2539.46 110.43
Delaware Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Delaware Aetna Open Access - Basic Self P34 1336.28 1535.64 0.00 1535.64 199.36 1310.08 1505.53 0.00 1505.53 195.45
Delaware Aetna Open Access - Basic Self & Family P35 3101.49 3564.23 0.00 3564.23 462.74 3040.68 3494.34 0.00 3494.34 453.66
Delaware Aetna Open Access - Basic Self Plus One P36 3070.75 3528.92 0.00 3528.92 458.17 3010.54 3459.73 0.00 3459.73 449.19
Delaware Aetna Open Access - High Self P31 1485.74 1619.99 0.00 1619.99 134.25 1456.61 1588.23 0.00 1588.23 131.62
Delaware Aetna Open Access - High Self & Family P32 3602.17 3927.72 0.00 3927.72 325.55 3531.54 3850.71 0.00 3850.71 319.17
Delaware Aetna Open Access - High Self Plus One P33 3566.48 3888.83 0.00 3888.83 322.35 3496.55 3812.58 0.00 3812.58 316.03
Delaware UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Delaware UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Delaware UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
District Of Columbia Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
District Of Columbia Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
District Of Columbia Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
District Of Columbia Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
District Of Columbia Aetna Open Access - High Self JN1 1160.32 1200.10 0.00 1200.10 39.78 1137.57 1176.57 0.00 1176.57 39.00
District Of Columbia Aetna Open Access - High Self & Family JN2 2608.58 2697.95 0.00 2697.95 89.37 2557.43 2645.05 0.00 2645.05 87.62
District Of Columbia Aetna Open Access - High Self Plus One JN3 2582.74 2671.23 0.00 2671.23 88.49 2532.10 2618.85 0.00 2618.85 86.75
District Of Columbia Aetna Open Access - Basic Self JN4 711.04 728.71 0.00 728.71 17.67 697.10 714.42 0.00 714.42 17.32
District Of Columbia Aetna Open Access - Basic Self & Family JN5 1627.25 1667.62 0.00 1667.62 40.37 1595.34 1634.92 0.00 1634.92 39.58
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 1494.29 1531.36 0.00 1531.36 37.07 1464.99 1501.33 0.00 1501.33 36.34
District Of Columbia Aetna Saver (Open Access) - Saver Self QQ4 607.11 607.11 0.00 607.11 0.00 595.21 595.21 0.00 595.21 0.00
District Of Columbia Aetna Saver (Open Access) - Saver Self & Family QQ5 1389.38 1389.36 0.00 1389.36 -0.02 1362.14 1362.12 0.00 1362.12 -0.02
District Of Columbia Aetna Saver (Open Access) - Saver Self Plus One QQ6 1275.84 1275.84 0.00 1275.84 0.00 1250.82 1250.82 0.00 1250.82 0.00
District Of Columbia CareFirst BlueChoice - Standard Self 2G4 862.45 905.57 0.00 905.57 43.12 845.54 887.81 0.00 887.81 42.27
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 2049.14 2151.61 0.00 2151.61 102.47 2008.96 2109.42 0.00 2109.42 100.46
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 1724.88 1811.12 0.00 1811.12 86.24 1691.06 1775.61 0.00 1775.61 84.55
District Of Columbia CareFirst BlueChoice - HDHP Self B61 581.49 581.49 0.00 581.49 0.00 570.09 570.09 0.00 570.09 0.00
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 1381.60 1381.60 0.00 1381.60 0.00 1354.51 1354.51 0.00 1354.51 0.00
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 1162.97 1162.97 0.00 1162.97 0.00 1140.17 1140.17 0.00 1140.17 0.00
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 720.11 738.14 0.00 738.14 18.03 705.99 723.67 0.00 723.67 17.68
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 1711.01 1753.77 0.00 1753.77 42.76 1677.46 1719.38 0.00 1719.38 41.92
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 1440.26 1476.24 0.00 1476.24 35.98 1412.02 1447.29 0.00 1447.29 35.27
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Basic Self T71 428.52 436.27 0.00 436.27 7.75 420.12 427.72 0.00 427.72 7.60
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Basic Self & Family T72 1046.68 1121.51 0.00 1121.51 74.83 1026.16 1099.52 0.00 1099.52 73.36
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Basic Self Plus One T73 953.60 970.88 0.00 970.88 17.28 934.90 951.84 0.00 951.84 16.94
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 582.98 610.25 0.00 610.25 27.27 571.55 598.28 0.00 598.28 26.73
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 1340.79 1403.57 0.00 1403.57 62.78 1314.50 1376.05 0.00 1376.05 61.55
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 1340.79 1403.57 0.00 1403.57 62.78 1314.50 1376.05 0.00 1376.05 61.55
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self E31 737.28 761.16 0.00 761.16 23.88 722.82 746.24 0.00 746.24 23.42
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 1695.78 1750.68 0.00 1750.68 54.90 1662.53 1716.35 0.00 1716.35 53.82
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 1695.78 1750.68 0.00 1750.68 54.90 1662.53 1716.35 0.00 1716.35 53.82
District Of Columbia M.D. IPA - High Self JP1 894.14 969.91 0.00 969.91 75.77 876.61 950.89 0.00 950.89 74.28
District Of Columbia M.D. IPA - High Self & Family JP2 2507.20 2719.61 0.00 2719.61 212.41 2458.04 2666.28 0.00 2666.28 208.24
District Of Columbia M.D. IPA - High Self Plus One JP3 1746.28 1894.23 0.00 1894.23 147.95 1712.04 1857.09 0.00 1857.09 145.05
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 496.30 530.31 0.00 530.31 34.01 486.57 519.91 0.00 519.91 33.34
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1141.49 1219.73 0.00 1219.73 78.24 1119.11 1195.81 0.00 1195.81 76.70
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1067.05 1140.17 0.00 1140.17 73.12 1046.13 1117.81 0.00 1117.81 71.68
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 729.19 785.81 0.00 785.81 56.62 714.89 770.40 0.00 770.40 55.51
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1728.18 1862.35 0.00 1862.35 134.17 1694.29 1825.83 0.00 1825.83 131.54
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1567.73 1689.46 0.00 1689.46 121.73 1536.99 1656.33 0.00 1656.33 119.34
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 531.93 565.71 0.00 565.71 33.78 521.50 554.62 0.00 554.62 33.12
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1491.51 1586.25 0.00 1586.25 94.74 1462.26 1555.15 0.00 1555.15 92.89
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1038.83 1104.84 0.00 1104.84 66.01 1018.46 1083.18 0.00 1083.18 64.72
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
District Of Columbia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Florida Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Florida Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Florida Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Florida Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Florida Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Florida Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
Florida Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Florida AvMed - HDHP Self WZ1 821.26 777.32 0.00 777.32 -43.94 805.16 762.08 0.00 762.08 -43.08
Florida AvMed - HDHP Self & Family WZ2 1908.78 1797.24 0.00 1797.24 -111.54 1871.35 1762.00 0.00 1762.00 -109.35
Florida AvMed - HDHP Self Plus One WZ3 1654.79 1559.24 0.00 1559.24 -95.55 1622.34 1528.67 0.00 1528.67 -93.67
Florida AvMed - Standard Self ML4 723.42 837.39 0.00 837.39 113.97 709.24 820.97 0.00 820.97 111.73
Florida AvMed - Standard Self & Family ML5 1761.35 2038.90 0.00 2038.90 277.55 1726.81 1998.92 0.00 1998.92 272.11
Florida AvMed - Standard Self Plus One ML6 1519.16 1758.54 0.00 1758.54 239.38 1489.37 1724.06 0.00 1724.06 234.69
Florida Capital Health Plan - High Self EA1 694.23 704.28 0.00 704.28 10.05 680.62 690.47 0.00 690.47 9.85
Florida Capital Health Plan - High Self & Family EA2 1608.88 1632.19 0.00 1632.19 23.31 1577.33 1600.19 0.00 1600.19 22.86
Florida Capital Health Plan - High Self Plus One EA3 1518.18 1540.19 0.00 1540.19 22.01 1488.41 1509.99 0.00 1509.99 21.58
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 523.86 597.19 0.00 597.19 73.33 513.59 585.48 0.00 585.48 71.89
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 1178.68 1343.68 0.00 1343.68 165.00 1155.57 1317.33 0.00 1317.33 161.76
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 1126.28 1283.97 0.00 1283.97 157.69 1104.20 1258.79 0.00 1258.79 154.59
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 619.24 705.94 0.00 705.94 86.70 607.10 692.10 0.00 692.10 85.00
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 1393.27 1588.32 0.00 1588.32 195.05 1365.95 1557.18 0.00 1557.18 191.23
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 1331.38 1517.74 0.00 1517.74 186.36 1305.27 1487.98 0.00 1487.98 182.71
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 739.55 783.93 0.00 783.93 44.38 725.05 768.56 0.00 768.56 43.51
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 1666.21 1766.19 0.00 1766.19 99.98 1633.54 1731.56 0.00 1731.56 98.02
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 1592.15 1687.67 0.00 1687.67 95.52 1560.93 1654.58 0.00 1654.58 93.65
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 529.74 561.52 0.00 561.52 31.78 519.35 550.51 0.00 550.51 31.16
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 1191.85 1263.37 0.00 1263.37 71.52 1168.48 1238.60 0.00 1238.60 70.12
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 1138.90 1207.23 0.00 1207.23 68.33 1116.57 1183.56 0.00 1183.56 66.99
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 530.00 572.41 0.00 572.41 42.41 519.61 561.19 0.00 561.19 41.58
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 1192.51 1287.92 0.00 1287.92 95.41 1169.13 1262.67 0.00 1262.67 93.54
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 1139.52 1230.68 0.00 1230.68 91.16 1117.18 1206.55 0.00 1206.55 89.37
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 967.03 1044.40 0.00 1044.40 77.37 948.07 1023.92 0.00 1023.92 75.85
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 2175.81 2349.88 0.00 2349.88 174.07 2133.15 2303.80 0.00 2303.80 170.65
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 2079.13 2245.47 0.00 2245.47 166.34 2038.36 2201.44 0.00 2201.44 163.08
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 503.04 523.15 0.00 523.15 20.11 493.18 512.89 0.00 512.89 19.71
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 1131.85 1177.13 0.00 1177.13 45.28 1109.66 1154.05 0.00 1154.05 44.39
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 1081.56 1124.83 0.00 1124.83 43.27 1060.35 1102.77 0.00 1102.77 42.42
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 594.65 618.43 0.00 618.43 23.78 582.99 606.30 0.00 606.30 23.31
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 1337.97 1391.50 0.00 1391.50 53.53 1311.74 1364.22 0.00 1364.22 52.48
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 1278.51 1329.65 0.00 1329.65 51.14 1253.44 1303.58 0.00 1303.58 50.14
Florida Humana Medical Plan, Inc. - Standard Self LL4 1096.45 1217.07 0.00 1217.07 120.62 1074.95 1193.21 0.00 1193.21 118.26
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 2466.98 2738.34 0.00 2738.34 271.36 2418.61 2684.65 0.00 2684.65 266.04
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 2357.34 2616.64 0.00 2616.64 259.30 2311.12 2565.33 0.00 2565.33 254.21
Florida Humana Medical Plan, Inc. - High Self LL1 1692.33 1743.12 0.00 1743.12 50.79 1659.15 1708.94 0.00 1708.94 49.79
Florida Humana Medical Plan, Inc. - High Self & Family LL2 3807.72 3921.95 0.00 3921.95 114.23 3733.06 3845.05 0.00 3845.05 111.99
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 3638.48 3747.63 0.00 3747.63 109.15 3567.14 3674.15 0.00 3674.15 107.01
Florida Humana Medical Plan, Inc. - High Self EE1 1137.44 1273.91 0.00 1273.91 136.47 1115.14 1248.93 0.00 1248.93 133.79
Florida Humana Medical Plan, Inc. - High Self & Family EE2 2559.25 2866.35 0.00 2866.35 307.10 2509.07 2810.15 0.00 2810.15 301.08
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 2445.54 2739.01 0.00 2739.01 293.47 2397.59 2685.30 0.00 2685.30 287.71
Florida Humana Medical Plan, Inc. - Standard Self EE4 1017.06 1139.11 0.00 1139.11 122.05 997.12 1116.77 0.00 1116.77 119.65
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 2288.37 2562.96 0.00 2562.96 274.59 2243.50 2512.71 0.00 2512.71 269.21
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 2186.67 2449.06 0.00 2449.06 262.39 2143.79 2401.04 0.00 2401.04 257.25
Florida Humana Medical Plan, Inc. - Standard Self E24 730.34 781.45 0.00 781.45 51.11 716.02 766.13 0.00 766.13 50.11
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 1643.22 1758.26 0.00 1758.26 115.04 1611.00 1723.78 0.00 1723.78 112.78
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 1570.19 1680.08 0.00 1680.08 109.89 1539.40 1647.14 0.00 1647.14 107.74
Florida Humana Medical Plan, Inc. - High Self E21 1226.70 1312.57 0.00 1312.57 85.87 1202.65 1286.83 0.00 1286.83 84.18
Florida Humana Medical Plan, Inc. - High Self & Family E22 2759.98 2953.18 0.00 2953.18 193.20 2705.86 2895.27 0.00 2895.27 189.41
Florida Humana Medical Plan, Inc. - High Self Plus One E23 2637.32 2821.93 0.00 2821.93 184.61 2585.61 2766.60 0.00 2766.60 180.99
Florida Humana Medical Plan, Inc. - High Self EX1 911.27 1038.86 0.00 1038.86 127.59 893.40 1018.49 0.00 1018.49 125.09
Florida Humana Medical Plan, Inc. - High Self & Family EX2 2050.30 2337.36 0.00 2337.36 287.06 2010.10 2291.53 0.00 2291.53 281.43
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 1959.19 2233.47 0.00 2233.47 274.28 1920.77 2189.68 0.00 2189.68 268.91
Florida Humana Medical Plan, Inc. - Standard Self EX4 746.87 851.42 0.00 851.42 104.55 732.23 834.73 0.00 834.73 102.50
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 1680.46 1915.71 0.00 1915.71 235.25 1647.51 1878.15 0.00 1878.15 230.64
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 1605.77 1830.56 0.00 1830.56 224.79 1574.28 1794.67 0.00 1794.67 220.39
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 463.83 495.57 0.00 495.57 31.74 454.74 485.85 0.00 485.85 31.11
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1066.84 1139.85 0.00 1139.85 73.01 1045.92 1117.50 0.00 1117.50 71.58
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 997.26 1065.48 0.00 1065.48 68.22 977.71 1044.59 0.00 1044.59 66.88
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 728.15 784.42 0.00 784.42 56.27 713.87 769.04 0.00 769.04 55.17
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1820.40 1961.09 0.00 1961.09 140.69 1784.71 1922.64 0.00 1922.64 137.93
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1565.57 1686.54 0.00 1686.54 120.97 1534.87 1653.47 0.00 1653.47 118.60
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 715.47 765.63 0.00 765.63 50.16 701.44 750.62 0.00 750.62 49.18
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 2146.38 2296.94 0.00 2296.94 150.56 2104.29 2251.90 0.00 2251.90 147.61
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1538.23 1646.17 0.00 1646.17 107.94 1508.07 1613.89 0.00 1613.89 105.82
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Florida UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Florida UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Florida UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Georgia Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Georgia Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Georgia Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Georgia Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Georgia Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Georgia Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
Georgia Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Georgia Aetna Open Access - High Self 2U1 1768.03 1841.97 0.00 1841.97 73.94 1733.36 1805.85 0.00 1805.85 72.49
Georgia Aetna Open Access - High Self & Family 2U2 4072.54 4242.91 0.00 4242.91 170.37 3992.69 4159.72 0.00 4159.72 167.03
Georgia Aetna Open Access - High Self Plus One 2U3 4032.21 4200.90 0.00 4200.90 168.69 3953.15 4118.53 0.00 4118.53 165.38
Georgia Blue Open Access POS - High Self QM1 637.67 669.54 0.00 669.54 31.87 625.17 656.41 0.00 656.41 31.24
Georgia Blue Open Access POS - High Self & Family QM2 1673.28 1723.47 0.00 1723.47 50.19 1640.47 1689.68 0.00 1689.68 49.21
Georgia Blue Open Access POS - High Self Plus One QM3 1405.29 1475.55 0.00 1475.55 70.26 1377.74 1446.62 0.00 1446.62 68.88
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 562.93 624.85 0.00 624.85 61.92 551.89 612.60 0.00 612.60 60.71
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 1266.57 1405.92 0.00 1405.92 139.35 1241.74 1378.35 0.00 1378.35 136.61
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 1210.31 1343.44 0.00 1343.44 133.13 1186.58 1317.10 0.00 1317.10 130.52
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 707.00 784.80 0.00 784.80 77.80 693.14 769.41 0.00 769.41 76.27
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 1590.80 1765.77 0.00 1765.77 174.97 1559.61 1731.15 0.00 1731.15 171.54
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 1520.09 1687.29 0.00 1687.29 167.20 1490.28 1654.21 0.00 1654.21 163.93
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 752.28 842.56 0.00 842.56 90.28 737.53 826.04 0.00 826.04 88.51
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 1692.60 1895.69 0.00 1895.69 203.09 1659.41 1858.52 0.00 1858.52 199.11
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 1617.39 1811.47 0.00 1811.47 194.08 1585.68 1775.95 0.00 1775.95 190.27
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 992.85 1111.98 0.00 1111.98 119.13 973.38 1090.18 0.00 1090.18 116.80
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 2233.87 2501.92 0.00 2501.92 268.05 2190.07 2452.86 0.00 2452.86 262.79
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 2134.59 2390.74 0.00 2390.74 256.15 2092.74 2343.86 0.00 2343.86 251.12
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 692.81 762.07 0.00 762.07 69.26 679.23 747.13 0.00 747.13 67.90
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 1558.87 1714.74 0.00 1714.74 155.87 1528.30 1681.12 0.00 1681.12 152.82
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 1489.57 1638.54 0.00 1638.54 148.97 1460.36 1606.41 0.00 1606.41 146.05
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 655.40 720.95 0.00 720.95 65.55 642.55 706.81 0.00 706.81 64.26
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 1474.62 1622.10 0.00 1622.10 147.48 1445.71 1590.29 0.00 1590.29 144.58
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 1409.10 1550.03 0.00 1550.03 140.93 1381.47 1519.64 0.00 1519.64 138.17
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 661.50 734.28 0.00 734.28 72.78 648.53 719.88 0.00 719.88 71.35
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 1488.41 1652.13 0.00 1652.13 163.72 1459.23 1619.74 0.00 1619.74 160.51
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 1422.25 1578.69 0.00 1578.69 156.44 1394.36 1547.74 0.00 1547.74 153.38
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 740.55 829.41 0.00 829.41 88.86 726.03 813.15 0.00 813.15 87.12
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 1666.19 1866.12 0.00 1866.12 199.93 1633.52 1829.53 0.00 1829.53 196.01
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 1592.15 1783.20 0.00 1783.20 191.05 1560.93 1748.24 0.00 1748.24 187.31
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DN1 796.22 891.76 0.00 891.76 95.54 780.61 874.27 0.00 874.27 93.66
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DN2 1791.50 2006.46 0.00 2006.46 214.96 1756.37 1967.12 0.00 1967.12 210.75
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DN3 1711.87 1917.30 0.00 1917.30 205.43 1678.30 1879.71 0.00 1879.71 201.41
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 610.05 683.25 0.00 683.25 73.20 598.09 669.85 0.00 669.85 71.76
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 1372.63 1537.36 0.00 1537.36 164.73 1345.72 1507.22 0.00 1507.22 161.50
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 1311.64 1469.03 0.00 1469.03 157.39 1285.92 1440.23 0.00 1440.23 154.31
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 778.06 863.64 0.00 863.64 85.58 762.80 846.71 0.00 846.71 83.91
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 1750.66 1943.21 0.00 1943.21 192.55 1716.33 1905.11 0.00 1905.11 188.78
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 1672.82 1856.84 0.00 1856.84 184.02 1640.02 1820.43 0.00 1820.43 180.41
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 1275.46 1160.65 0.00 1160.65 -114.81 1250.45 1137.89 0.00 1137.89 -112.56
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 2869.77 2611.52 0.00 2611.52 -258.25 2813.50 2560.31 0.00 2560.31 -253.19
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 2742.24 2495.44 0.00 2495.44 -246.80 2688.47 2446.51 0.00 2446.51 -241.96
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self CB1 1171.54 1300.39 0.00 1300.39 128.85 1148.57 1274.89 0.00 1274.89 126.32
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family CB2 2636.09 2926.04 0.00 2926.04 289.95 2584.40 2868.67 0.00 2868.67 284.27
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One CB3 2519.00 2796.10 0.00 2796.10 277.10 2469.61 2741.27 0.00 2741.27 271.66
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DG1 1348.37 1415.79 0.00 1415.79 67.42 1321.93 1388.03 0.00 1388.03 66.10
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DG2 3033.83 3185.52 0.00 3185.52 151.69 2974.34 3123.06 0.00 3123.06 148.72
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DG3 2899.03 3043.99 0.00 3043.99 144.96 2842.19 2984.30 0.00 2984.30 142.11
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 1195.28 1326.78 0.00 1326.78 131.50 1171.84 1300.76 0.00 1300.76 128.92
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 2689.43 2985.24 0.00 2985.24 295.81 2636.70 2926.71 0.00 2926.71 290.01
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 2569.96 2852.64 0.00 2852.64 282.68 2519.57 2796.71 0.00 2796.71 277.14
Georgia Kaiser Permanente - Georgia - High Self F81 744.64 766.12 0.00 766.12 21.48 730.04 751.10 0.00 751.10 21.06
Georgia Kaiser Permanente - Georgia - High Self & Family F82 1682.87 1731.45 0.00 1731.45 48.58 1649.87 1697.50 0.00 1697.50 47.63
Georgia Kaiser Permanente - Georgia - High Self Plus One F83 1682.87 1731.45 0.00 1731.45 48.58 1649.87 1697.50 0.00 1697.50 47.63
Georgia Kaiser Permanente - Georgia - Standard Self F84 563.38 592.72 0.00 592.72 29.34 552.33 581.10 0.00 581.10 28.77
Georgia Kaiser Permanente - Georgia - Standard Self & Family F85 1273.23 1339.53 0.00 1339.53 66.30 1248.26 1313.26 0.00 1313.26 65.00
Georgia Kaiser Permanente - Georgia - Standard Self Plus One F86 1273.23 1339.53 0.00 1339.53 66.30 1248.26 1313.26 0.00 1313.26 65.00
Georgia Kaiser Permanente - Georgia - Basic Self LA1 401.23 427.28 0.00 427.28 26.05 393.36 418.90 0.00 418.90 25.54
Georgia Kaiser Permanente - Georgia - Basic Self & Family LA2 906.76 965.59 0.00 965.59 58.83 888.98 946.66 0.00 946.66 57.68
Georgia Kaiser Permanente - Georgia - Basic Self Plus One LA3 906.76 965.59 0.00 965.59 58.83 888.98 946.66 0.00 946.66 57.68
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 715.47 765.63 0.00 765.63 50.16 701.44 750.62 0.00 750.62 49.18
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 2146.38 2296.94 0.00 2296.94 150.56 2104.29 2251.90 0.00 2251.90 147.61
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1538.23 1646.17 0.00 1646.17 107.94 1508.07 1613.89 0.00 1613.89 105.82
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Georgia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Guam Calvo's SelectCare - Standard Self B44 404.67 438.38 0.00 438.38 33.71 396.74 429.78 0.00 429.78 33.04
Guam Calvo's SelectCare - Standard Self & Family B45 1175.78 1273.69 0.00 1273.69 97.91 1152.73 1248.72 0.00 1248.72 95.99
Guam Calvo's SelectCare - Standard Self Plus One B46 797.74 864.15 0.00 864.15 66.41 782.10 847.21 0.00 847.21 65.11
Guam Calvo's SelectCare - High Self B41 501.38 532.12 0.00 532.12 30.74 491.55 521.69 0.00 521.69 30.14
Guam Calvo's SelectCare - High Self & Family B42 1327.93 1409.41 0.00 1409.41 81.48 1301.89 1381.77 0.00 1381.77 79.88
Guam Calvo's SelectCare - High Self Plus One B43 978.41 1038.43 0.00 1038.43 60.02 959.23 1018.07 0.00 1018.07 58.84
Guam TakeCare - HDHP Self KX1 126.72 122.94 0.00 122.94 -3.78 124.24 120.53 0.00 120.53 -3.71
Guam TakeCare - HDHP Self & Family KX2 346.11 329.62 0.00 329.62 -16.49 339.32 323.16 0.00 323.16 -16.16
Guam TakeCare - HDHP Self Plus One KX3 312.23 296.76 0.00 296.76 -15.47 306.11 290.94 0.00 290.94 -15.17
Guam TakeCare - Standard Self JK4 397.02 412.54 0.00 412.54 15.52 389.24 404.45 0.00 404.45 15.21
Guam TakeCare - Standard Self & Family JK5 1124.36 1168.30 0.00 1168.30 43.94 1102.31 1145.39 0.00 1145.39 43.08
Guam TakeCare - Standard Self Plus One JK6 782.49 813.08 0.00 813.08 30.59 767.15 797.14 0.00 797.14 29.99
Guam TakeCare - High Self JK1 502.20 507.77 0.00 507.77 5.57 492.35 497.81 0.00 497.81 5.46
Guam TakeCare - High Self & Family JK2 1197.89 1211.13 0.00 1211.13 13.24 1174.40 1187.38 0.00 1187.38 12.98
Guam TakeCare - High Self Plus One JK3 992.18 1003.16 0.00 1003.16 10.98 972.73 983.49 0.00 983.49 10.76
Hawaii Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Hawaii Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Hawaii Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Hawaii Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Hawaii Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Hawaii Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1094.95 1116.47 0.00 1116.47 21.52 1073.48 1094.58 0.00 1094.58 21.10
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2499.60 2548.78 0.00 2548.78 49.18 2450.59 2498.80 0.00 2498.80 48.21
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2474.85 2523.55 0.00 2523.55 48.70 2426.32 2474.07 0.00 2474.07 47.75
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1024.07 1030.13 0.00 1030.13 6.06 1003.99 1009.93 0.00 1009.93 5.94
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2334.42 2348.19 0.00 2348.19 13.77 2288.65 2302.15 0.00 2302.15 13.50
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2311.31 2324.92 0.00 2324.92 13.61 2265.99 2279.33 0.00 2279.33 13.34
Hawaii Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Hawaii HMSA Plan - High Self 871 643.86 643.86 0.00 643.86 0.00 631.24 631.24 0.00 631.24 0.00
Hawaii HMSA Plan - High Self & Family 872 1447.40 1447.40 0.00 1447.40 0.00 1419.02 1419.02 0.00 1419.02 0.00
Hawaii HMSA Plan - High Self Plus One 873 1410.73 1410.73 0.00 1410.73 0.00 1383.07 1383.07 0.00 1383.07 0.00
Hawaii HMSA Plan - Standard Self 874 439.59 462.91 0.00 462.91 23.32 430.97 453.83 0.00 453.83 22.86
Hawaii HMSA Plan - Standard Self & Family 875 988.21 1040.58 0.00 1040.58 52.37 968.83 1020.18 0.00 1020.18 51.35
Hawaii HMSA Plan - Standard Self Plus One 876 963.11 1014.17 0.00 1014.17 51.06 944.23 994.28 0.00 994.28 50.05
Hawaii Kaiser Permanente - Hawaii - High Self 631 689.06 689.06 0.00 689.06 0.00 675.55 675.55 0.00 675.55 0.00
Hawaii Kaiser Permanente - Hawaii - High Self & Family 632 1536.64 1536.64 0.00 1536.64 0.00 1506.51 1506.51 0.00 1506.51 0.00
Hawaii Kaiser Permanente - Hawaii - High Self Plus One 633 1536.64 1536.64 0.00 1536.64 0.00 1506.51 1506.51 0.00 1506.51 0.00
Hawaii Kaiser Permanente - Hawaii - Standard Self 634 490.77 515.28 0.00 515.28 24.51 481.15 505.18 0.00 505.18 24.03
Hawaii Kaiser Permanente - Hawaii - Standard Self & Family 635 1094.44 1149.05 0.00 1149.05 54.61 1072.98 1126.52 0.00 1126.52 53.54
Hawaii Kaiser Permanente - Hawaii - Standard Self Plus One 636 1094.44 1149.05 0.00 1149.05 54.61 1072.98 1126.52 0.00 1126.52 53.54
Idaho Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Idaho Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Idaho Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Idaho Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Idaho Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Idaho Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Idaho Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Idaho Altius Health Plan - High Self 9K1 1029.24 1069.33 0.00 1069.33 40.09 1009.06 1048.36 0.00 1048.36 39.30
Idaho Altius Health Plan - High Self & Family 9K2 2276.15 2364.83 0.00 2364.83 88.68 2231.52 2318.46 0.00 2318.46 86.94
Idaho Altius Health Plan - High Self Plus One 9K3 2253.61 2341.41 0.00 2341.41 87.80 2209.42 2295.50 0.00 2295.50 86.08
Idaho Altius Health Plan - HDHP Self 9K4 539.81 685.94 0.00 685.94 146.13 529.23 672.49 0.00 672.49 143.26
Idaho Altius Health Plan - HDHP Self & Family 9K5 1128.16 1433.54 0.00 1433.54 305.38 1106.04 1405.43 0.00 1405.43 299.39
Idaho Altius Health Plan - HDHP Self Plus One 9K6 1106.06 1405.41 0.00 1405.41 299.35 1084.37 1377.85 0.00 1377.85 293.48
Idaho Altius Health Plan - Standard Self DK4 776.53 900.77 0.00 900.77 124.24 761.30 883.11 0.00 883.11 121.81
Idaho Altius Health Plan - Standard Self & Family DK5 1714.85 1989.20 0.00 1989.20 274.35 1681.23 1950.20 0.00 1950.20 268.97
Idaho Altius Health Plan - Standard Self Plus One DK6 1697.85 1969.49 0.00 1969.49 271.64 1664.56 1930.87 0.00 1930.87 266.31
Idaho Kaiser Permanente - Washington Core - Standard Self 544 616.21 630.38 0.00 630.38 14.17 604.13 618.02 0.00 618.02 13.89
Idaho Kaiser Permanente - Washington Core - Standard Self & Family 545 1417.32 1449.87 0.00 1449.87 32.55 1389.53 1421.44 0.00 1421.44 31.91
Idaho Kaiser Permanente - Washington Core - Standard Self Plus One 546 1417.32 1449.87 0.00 1449.87 32.55 1389.53 1421.44 0.00 1421.44 31.91
Idaho Kaiser Permanente - Washington Core - High Self 541 862.65 881.04 0.00 881.04 18.39 845.74 863.76 0.00 863.76 18.02
Idaho Kaiser Permanente - Washington Core - High Self & Family 542 1897.86 1938.26 0.00 1938.26 40.40 1860.65 1900.25 0.00 1900.25 39.60
Idaho Kaiser Permanente - Washington Core - High Self Plus One 543 1897.86 1938.26 0.00 1938.26 40.40 1860.65 1900.25 0.00 1900.25 39.60
Idaho Kaiser Permanente - Washington Core - Prosper Self PT4 New Plan 397.80 0.00 397.80 New Plan New Plan 390.00 0.00 390.00 New Plan
Idaho Kaiser Permanente - Washington Core - Prosper Self & Family PT5 New Plan 1113.82 0.00 1113.82 New Plan New Plan 1091.98 0.00 1091.98 New Plan
Idaho Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 New Plan 963.56 0.00 963.56 New Plan New Plan 944.67 0.00 944.67 New Plan
Idaho UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Idaho UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Idaho UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Illinois Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Illinois Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Illinois Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Illinois Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Illinois Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Illinois Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Illinois Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Illinois Blue Preferred - High Self 9G1 849.87 891.71 0.00 891.71 41.84 833.21 874.23 0.00 874.23 41.02
Illinois Blue Preferred - High Self & Family 9G2 1896.05 2024.21 0.00 2024.21 128.16 1858.87 1984.52 0.00 1984.52 125.65
Illinois Blue Preferred - High Self Plus One 9G3 1795.80 1899.36 0.00 1899.36 103.56 1760.59 1862.12 0.00 1862.12 101.53
Illinois Blue Preferred - Standard Self 9G4 612.63 646.33 0.00 646.33 33.70 600.62 633.66 0.00 633.66 33.04
Illinois Blue Preferred - Standard Self & Family 9G5 1741.15 1793.39 0.00 1793.39 52.24 1707.01 1758.23 0.00 1758.23 51.22
Illinois Blue Preferred - Standard Self Plus One 9G6 1574.58 1606.07 0.00 1606.07 31.49 1543.71 1574.58 0.00 1574.58 30.87
Illinois Health Alliance HMO - Standard Self K84 681.50 697.23 0.00 697.23 15.73 668.14 683.56 0.00 683.56 15.42
Illinois Health Alliance HMO - Standard Self & Family K85 1840.07 1616.04 0.00 1616.04 -224.03 1803.99 1584.35 0.00 1584.35 -219.64
Illinois Health Alliance HMO - Standard Self Plus One K86 1578.74 1490.84 0.00 1490.84 -87.90 1547.78 1461.61 0.00 1461.61 -86.17
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 773.30 804.24 0.00 804.24 30.94 758.14 788.47 0.00 788.47 30.33
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 1739.89 1809.48 0.00 1809.48 69.59 1705.77 1774.00 0.00 1774.00 68.23
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 1662.56 1729.06 0.00 1729.06 66.50 1629.96 1695.16 0.00 1695.16 65.20
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 1204.14 1252.29 0.00 1252.29 48.15 1180.53 1227.74 0.00 1227.74 47.21
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 2709.26 2817.64 0.00 2817.64 108.38 2656.14 2762.39 0.00 2762.39 106.25
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 2588.88 2692.44 0.00 2692.44 103.56 2538.12 2639.65 0.00 2639.65 101.53
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 770.01 823.92 0.00 823.92 53.91 754.91 807.76 0.00 807.76 52.85
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1732.49 1853.75 0.00 1853.75 121.26 1698.52 1817.40 0.00 1817.40 118.88
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1655.51 1771.40 0.00 1771.40 115.89 1623.05 1736.67 0.00 1736.67 113.62
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 934.34 1046.48 0.00 1046.48 112.14 916.02 1025.96 0.00 1025.96 109.94
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 2102.37 2354.65 0.00 2354.65 252.28 2061.15 2308.48 0.00 2308.48 247.33
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 2008.89 2249.98 0.00 2249.98 241.09 1969.50 2205.86 0.00 2205.86 236.36
Illinois Humana Health Plan, Inc. - Standard Self 754 970.94 1066.26 0.00 1066.26 95.32 951.90 1045.35 0.00 1045.35 93.45
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 2184.61 2399.07 0.00 2399.07 214.46 2141.77 2352.03 0.00 2352.03 210.26
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 2087.52 2292.48 0.00 2292.48 204.96 2046.59 2247.53 0.00 2247.53 200.94
Illinois Humana Health Plan, Inc. - High Self 751 1263.72 1396.39 0.00 1396.39 132.67 1238.94 1369.01 0.00 1369.01 130.07
Illinois Humana Health Plan, Inc. - High Self & Family 752 2843.36 3141.94 0.00 3141.94 298.58 2787.61 3080.33 0.00 3080.33 292.72
Illinois Humana Health Plan, Inc. - High Self Plus One 753 2717.01 3002.29 0.00 3002.29 285.28 2663.74 2943.42 0.00 2943.42 279.68
Illinois Humana Health Plan, Inc. - High Self 9F1 1977.09 2056.17 0.00 2056.17 79.08 1938.32 2015.85 0.00 2015.85 77.53
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 4448.42 4626.35 0.00 4626.35 177.93 4361.20 4535.64 0.00 4535.64 174.44
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 4250.70 4420.71 0.00 4420.71 170.01 4167.35 4334.03 0.00 4334.03 166.68
Illinois Humana Health Plan, Inc. - Standard Self AB4 1172.52 1266.53 0.00 1266.53 94.01 1149.53 1241.70 0.00 1241.70 92.17
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 2638.17 2849.78 0.00 2849.78 211.61 2586.44 2793.90 0.00 2793.90 207.46
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 2520.93 2723.11 0.00 2723.11 202.18 2471.50 2669.72 0.00 2669.72 198.22
Illinois Humana Health Plan, Inc. - Basic Self AB1 771.77 802.65 0.00 802.65 30.88 756.64 786.91 0.00 786.91 30.27
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 1736.55 1806.01 0.00 1806.01 69.46 1702.50 1770.60 0.00 1770.60 68.10
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 1659.38 1725.75 0.00 1725.75 66.37 1626.84 1691.91 0.00 1691.91 65.07
Illinois Humana Health Plan, Inc. - Basic Self RW1 763.20 835.42 0.00 835.42 72.22 748.24 819.04 0.00 819.04 70.80
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 1717.21 1879.72 0.00 1879.72 162.51 1683.54 1842.86 0.00 1842.86 159.32
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 1640.90 1796.18 0.00 1796.18 155.28 1608.73 1760.96 0.00 1760.96 152.23
Illinois Union Health Service - High Self 761 758.96 797.70 0.00 797.70 38.74 744.08 782.06 0.00 782.06 37.98
Illinois Union Health Service - High Self & Family 762 1939.67 2002.17 0.00 2002.17 62.50 1901.64 1962.91 0.00 1962.91 61.27
Illinois Union Health Service - High Self Plus One 763 1701.70 1766.99 0.00 1766.99 65.29 1668.33 1732.34 0.00 1732.34 64.01
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 531.93 565.71 0.00 565.71 33.78 521.50 554.62 0.00 554.62 33.12
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1491.51 1586.25 0.00 1586.25 94.74 1462.26 1555.15 0.00 1555.15 92.89
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1038.83 1104.84 0.00 1104.84 66.01 1018.46 1083.18 0.00 1083.18 64.72
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Illinois UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Indiana Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Indiana Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Indiana Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Indiana Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Indiana Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Indiana Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1094.95 1116.47 0.00 1116.47 21.52 1073.48 1094.58 0.00 1094.58 21.10
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2499.60 2548.78 0.00 2548.78 49.18 2450.59 2498.80 0.00 2498.80 48.21
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2474.85 2523.55 0.00 2523.55 48.70 2426.32 2474.07 0.00 2474.07 47.75
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1024.07 1030.13 0.00 1030.13 6.06 1003.99 1009.93 0.00 1009.93 5.94
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2334.42 2348.19 0.00 2348.19 13.77 2288.65 2302.15 0.00 2302.15 13.50
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2311.31 2324.92 0.00 2324.92 13.61 2265.99 2279.33 0.00 2279.33 13.34
Indiana Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Indiana Health Alliance HMO - Standard Self K84 681.50 697.23 0.00 697.23 15.73 668.14 683.56 0.00 683.56 15.42
Indiana Health Alliance HMO - Standard Self & Family K85 1840.07 1616.04 0.00 1616.04 -224.03 1803.99 1584.35 0.00 1584.35 -219.64
Indiana Health Alliance HMO - Standard Self Plus One K86 1578.74 1490.84 0.00 1490.84 -87.90 1547.78 1461.61 0.00 1461.61 -86.17
Indiana Humana CoverageFirst - CDHP Self TC1 672.66 753.34 0.00 753.34 80.68 659.47 738.57 0.00 738.57 79.10
Indiana Humana CoverageFirst - CDHP Self & Family TC2 1513.40 1695.03 0.00 1695.03 181.63 1483.73 1661.79 0.00 1661.79 178.06
Indiana Humana CoverageFirst - CDHP Self Plus One TC3 1446.18 1619.71 0.00 1619.71 173.53 1417.82 1587.95 0.00 1587.95 170.13
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 770.01 823.92 0.00 823.92 53.91 754.91 807.76 0.00 807.76 52.85
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1732.49 1853.75 0.00 1853.75 121.26 1698.52 1817.40 0.00 1817.40 118.88
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1655.51 1771.40 0.00 1771.40 115.89 1623.05 1736.67 0.00 1736.67 113.62
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 934.34 1046.48 0.00 1046.48 112.14 916.02 1025.96 0.00 1025.96 109.94
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 2102.37 2354.65 0.00 2354.65 252.28 2061.15 2308.48 0.00 2308.48 247.33
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 2008.89 2249.98 0.00 2249.98 241.09 1969.50 2205.86 0.00 2205.86 236.36
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 627.42 658.80 0.00 658.80 31.38 615.12 645.88 0.00 645.88 30.76
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1411.73 1482.32 0.00 1482.32 70.59 1384.05 1453.25 0.00 1453.25 69.20
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1348.98 1416.43 0.00 1416.43 67.45 1322.53 1388.66 0.00 1388.66 66.13
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 815.43 856.20 0.00 856.20 40.77 799.44 839.41 0.00 839.41 39.97
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1834.75 1926.48 0.00 1926.48 91.73 1798.77 1888.71 0.00 1888.71 89.94
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1753.20 1840.87 0.00 1840.87 87.67 1718.82 1804.77 0.00 1804.77 85.95
Indiana Humana Health Plan of Ohio, Inc. - High Self A61 1531.00 1607.55 0.00 1607.55 76.55 1500.98 1576.03 0.00 1576.03 75.05
Indiana Humana Health Plan of Ohio, Inc. - High Self & Family A62 3444.77 3617.02 0.00 3617.02 172.25 3377.23 3546.10 0.00 3546.10 168.87
Indiana Humana Health Plan of Ohio, Inc. - High Self Plus One A63 3291.68 3456.26 0.00 3456.26 164.58 3227.14 3388.49 0.00 3388.49 161.35
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 1195.61 1255.40 0.00 1255.40 59.79 1172.17 1230.78 0.00 1230.78 58.61
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2690.17 2824.69 0.00 2824.69 134.52 2637.42 2769.30 0.00 2769.30 131.88
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2570.60 2699.11 0.00 2699.11 128.51 2520.20 2646.19 0.00 2646.19 125.99
Indiana Humana Health Plan, Inc. - Standard Self 754 970.94 1066.26 0.00 1066.26 95.32 951.90 1045.35 0.00 1045.35 93.45
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 2184.61 2399.07 0.00 2399.07 214.46 2141.77 2352.03 0.00 2352.03 210.26
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 2087.52 2292.48 0.00 2292.48 204.96 2046.59 2247.53 0.00 2247.53 200.94
Indiana Humana Health Plan, Inc. - High Self 751 1263.72 1396.39 0.00 1396.39 132.67 1238.94 1369.01 0.00 1369.01 130.07
Indiana Humana Health Plan, Inc. - High Self & Family 752 2843.36 3141.94 0.00 3141.94 298.58 2787.61 3080.33 0.00 3080.33 292.72
Indiana Humana Health Plan, Inc. - High Self Plus One 753 2717.01 3002.29 0.00 3002.29 285.28 2663.74 2943.42 0.00 2943.42 279.68
Indiana Humana Health Plan, Inc. - High Self MH1 1127.06 1239.79 0.00 1239.79 112.73 1104.96 1215.48 0.00 1215.48 110.52
Indiana Humana Health Plan, Inc. - High Self & Family MH2 2535.91 2789.53 0.00 2789.53 253.62 2486.19 2734.83 0.00 2734.83 248.64
Indiana Humana Health Plan, Inc. - High Self Plus One MH3 2423.20 2665.53 0.00 2665.53 242.33 2375.69 2613.26 0.00 2613.26 237.57
Indiana Humana Health Plan, Inc. - Standard Self MH4 876.84 964.53 0.00 964.53 87.69 859.65 945.62 0.00 945.62 85.97
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 1972.86 2170.17 0.00 2170.17 197.31 1934.18 2127.62 0.00 2127.62 193.44
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 1885.19 2073.71 0.00 2073.71 188.52 1848.23 2033.05 0.00 2033.05 184.82
Indiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Indiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Indiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Iowa Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Iowa Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Iowa Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Iowa Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Iowa Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Iowa Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Iowa Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Iowa Health Alliance HMO - Standard Self K84 681.50 697.23 0.00 697.23 15.73 668.14 683.56 0.00 683.56 15.42
Iowa Health Alliance HMO - Standard Self & Family K85 1840.07 1616.04 0.00 1616.04 -224.03 1803.99 1584.35 0.00 1584.35 -219.64
Iowa Health Alliance HMO - Standard Self Plus One K86 1578.74 1490.84 0.00 1490.84 -87.90 1547.78 1461.61 0.00 1461.61 -86.17
Iowa HealthPartners - Standard Self V34 469.12 519.60 0.00 519.60 50.48 459.92 509.41 0.00 509.41 49.49
Iowa HealthPartners - Standard Self & Family V35 1142.82 1265.76 0.00 1265.76 122.94 1120.41 1240.94 0.00 1240.94 120.53
Iowa HealthPartners - Standard Self Plus One V36 1036.78 1148.32 0.00 1148.32 111.54 1016.45 1125.80 0.00 1125.80 109.35
Iowa HealthPartners - High Self V31 726.56 681.43 0.00 681.43 -45.13 712.31 668.07 0.00 668.07 -44.24
Iowa HealthPartners - High Self & Family V32 1769.90 1659.93 0.00 1659.93 -109.97 1735.20 1627.38 0.00 1627.38 -107.82
Iowa HealthPartners - High Self Plus One V33 1605.69 1505.94 0.00 1505.94 -99.75 1574.21 1476.41 0.00 1476.41 -97.80
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 622.63 706.72 0.00 706.72 84.09 610.42 692.86 0.00 692.86 82.44
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1432.06 1625.43 0.00 1625.43 193.37 1403.98 1593.56 0.00 1593.56 189.58
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1338.67 1519.42 0.00 1519.42 180.75 1312.42 1489.63 0.00 1489.63 177.21
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 734.58 792.38 0.00 792.38 57.80 720.18 776.84 0.00 776.84 56.66
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1836.49 1980.95 0.00 1980.95 144.46 1800.48 1942.11 0.00 1942.11 141.63
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1579.38 1703.62 0.00 1703.62 124.24 1548.41 1670.22 0.00 1670.22 121.81
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Iowa UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Kansas Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Kansas Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Kansas Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Kansas Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Kansas Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Kansas Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
Kansas Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Kansas Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Kansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Kansas Aetna Open Access - High Self HA1 1121.93 1179.65 0.00 1179.65 57.72 1099.93 1156.52 0.00 1156.52 56.59
Kansas Aetna Open Access - High Self & Family HA2 2650.14 2786.55 0.00 2786.55 136.41 2598.18 2731.91 0.00 2731.91 133.73
Kansas Aetna Open Access - High Self Plus One HA3 2623.98 2758.99 0.00 2758.99 135.01 2572.53 2704.89 0.00 2704.89 132.36
Kansas Aetna Open Access - Standard Self HA4 730.70 919.39 0.00 919.39 188.69 716.37 901.36 0.00 901.36 184.99
Kansas Aetna Open Access - Standard Self & Family HA5 1724.71 2170.09 0.00 2170.09 445.38 1690.89 2127.54 0.00 2127.54 436.65
Kansas Aetna Open Access - Standard Self Plus One HA6 1707.64 2148.61 0.00 2148.61 440.97 1674.16 2106.48 0.00 2106.48 432.32
Kansas Humana CoverageFirst and Humana Value Plan - Value Self PH4 493.71 538.16 0.00 538.16 44.45 484.03 527.61 0.00 527.61 43.58
Kansas Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 1110.88 1210.86 0.00 1210.86 99.98 1089.10 1187.12 0.00 1187.12 98.02
Kansas Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 1061.48 1157.05 0.00 1157.05 95.57 1040.67 1134.36 0.00 1134.36 93.69
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 729.41 773.19 0.00 773.19 43.78 715.11 758.03 0.00 758.03 42.92
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1641.21 1739.69 0.00 1739.69 98.48 1609.03 1705.58 0.00 1705.58 96.55
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1568.26 1662.37 0.00 1662.37 94.11 1537.51 1629.77 0.00 1629.77 92.26
Kansas Humana Health Plan, Inc. - High Self MS1 1757.63 1832.78 0.00 1832.78 75.15 1723.17 1796.84 0.00 1796.84 73.67
Kansas Humana Health Plan, Inc. - High Self & Family MS2 3954.66 4123.75 0.00 4123.75 169.09 3877.12 4042.89 0.00 4042.89 165.77
Kansas Humana Health Plan, Inc. - High Self Plus One MS3 3778.91 3940.43 0.00 3940.43 161.52 3704.81 3863.17 0.00 3863.17 158.36
Kansas Humana Health Plan, Inc. - Standard Self MS4 1088.34 1224.60 0.00 1224.60 136.26 1067.00 1200.59 0.00 1200.59 133.59
Kansas Humana Health Plan, Inc. - Standard Self & Family MS5 2448.80 2755.37 0.00 2755.37 306.57 2400.78 2701.34 0.00 2701.34 300.56
Kansas Humana Health Plan, Inc. - Standard Self Plus One MS6 2339.97 2632.95 0.00 2632.95 292.98 2294.09 2581.32 0.00 2581.32 287.23
Kansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Kansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Kansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Kentucky Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Kentucky Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Kentucky Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Kentucky Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Kentucky Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Kentucky Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Kentucky Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Kentucky Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Kentucky Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Kentucky Humana CoverageFirst - CDHP Self TC1 672.66 753.34 0.00 753.34 80.68 659.47 738.57 0.00 738.57 79.10
Kentucky Humana CoverageFirst - CDHP Self & Family TC2 1513.40 1695.03 0.00 1695.03 181.63 1483.73 1661.79 0.00 1661.79 178.06
Kentucky Humana CoverageFirst - CDHP Self Plus One TC3 1446.18 1619.71 0.00 1619.71 173.53 1417.82 1587.95 0.00 1587.95 170.13
Kentucky Humana CoverageFirst - CDHP Self 6N1 782.03 844.60 0.00 844.60 62.57 766.70 828.04 0.00 828.04 61.34
Kentucky Humana CoverageFirst - CDHP Self & Family 6N2 1759.58 1900.33 0.00 1900.33 140.75 1725.08 1863.07 0.00 1863.07 137.99
Kentucky Humana CoverageFirst - CDHP Self Plus One 6N3 1681.37 1815.90 0.00 1815.90 134.53 1648.40 1780.29 0.00 1780.29 131.89
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self X34 627.42 658.80 0.00 658.80 31.38 615.12 645.88 0.00 645.88 30.76
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1411.73 1482.32 0.00 1482.32 70.59 1384.05 1453.25 0.00 1453.25 69.20
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1348.98 1416.43 0.00 1416.43 67.45 1322.53 1388.66 0.00 1388.66 66.13
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self X31 815.43 856.20 0.00 856.20 40.77 799.44 839.41 0.00 839.41 39.97
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1834.75 1926.48 0.00 1926.48 91.73 1798.77 1888.71 0.00 1888.71 89.94
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1753.20 1840.87 0.00 1840.87 87.67 1718.82 1804.77 0.00 1804.77 85.95
Kentucky Humana Health Plan of Ohio, Inc. - High Self A61 1531.00 1607.55 0.00 1607.55 76.55 1500.98 1576.03 0.00 1576.03 75.05
Kentucky Humana Health Plan of Ohio, Inc. - High Self & Family A62 3444.77 3617.02 0.00 3617.02 172.25 3377.23 3546.10 0.00 3546.10 168.87
Kentucky Humana Health Plan of Ohio, Inc. - High Self Plus One A63 3291.68 3456.26 0.00 3456.26 164.58 3227.14 3388.49 0.00 3388.49 161.35
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self A64 1195.61 1255.40 0.00 1255.40 59.79 1172.17 1230.78 0.00 1230.78 58.61
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2690.17 2824.69 0.00 2824.69 134.52 2637.42 2769.30 0.00 2769.30 131.88
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2570.60 2699.11 0.00 2699.11 128.51 2520.20 2646.19 0.00 2646.19 125.99
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self W61 620.79 651.84 0.00 651.84 31.05 608.62 639.06 0.00 639.06 30.44
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 1396.83 1466.69 0.00 1466.69 69.86 1369.44 1437.93 0.00 1437.93 68.49
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 1334.75 1401.49 0.00 1401.49 66.74 1308.58 1374.01 0.00 1374.01 65.43
Kentucky Humana Health Plan, Inc. - High Self MI1 1409.08 1465.45 0.00 1465.45 56.37 1381.45 1436.72 0.00 1436.72 55.27
Kentucky Humana Health Plan, Inc. - High Self & Family MI2 3170.40 3297.19 0.00 3297.19 126.79 3108.24 3232.54 0.00 3232.54 124.30
Kentucky Humana Health Plan, Inc. - High Self Plus One MI3 3029.49 3150.69 0.00 3150.69 121.20 2970.09 3088.91 0.00 3088.91 118.82
Kentucky Humana Health Plan, Inc. - Standard Self MI4 902.70 938.81 0.00 938.81 36.11 885.00 920.40 0.00 920.40 35.40
Kentucky Humana Health Plan, Inc. - Standard Self & Family MI5 2031.03 2112.28 0.00 2112.28 81.25 1991.21 2070.86 0.00 2070.86 79.65
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MI6 1940.81 2018.42 0.00 2018.42 77.61 1902.75 1978.84 0.00 1978.84 76.09
Kentucky Humana Health Plan, Inc. - High Self MH1 1127.06 1239.79 0.00 1239.79 112.73 1104.96 1215.48 0.00 1215.48 110.52
Kentucky Humana Health Plan, Inc. - High Self & Family MH2 2535.91 2789.53 0.00 2789.53 253.62 2486.19 2734.83 0.00 2734.83 248.64
Kentucky Humana Health Plan, Inc. - High Self Plus One MH3 2423.20 2665.53 0.00 2665.53 242.33 2375.69 2613.26 0.00 2613.26 237.57
Kentucky Humana Health Plan, Inc. - Standard Self MH4 876.84 964.53 0.00 964.53 87.69 859.65 945.62 0.00 945.62 85.97
Kentucky Humana Health Plan, Inc. - Standard Self & Family MH5 1972.86 2170.17 0.00 2170.17 197.31 1934.18 2127.62 0.00 2127.62 193.44
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MH6 1885.19 2073.71 0.00 2073.71 188.52 1848.23 2033.05 0.00 2033.05 184.82
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 622.63 706.72 0.00 706.72 84.09 610.42 692.86 0.00 692.86 82.44
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1432.06 1625.43 0.00 1625.43 193.37 1403.98 1593.56 0.00 1593.56 189.58
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1338.67 1519.42 0.00 1519.42 180.75 1312.42 1489.63 0.00 1489.63 177.21
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 734.58 792.38 0.00 792.38 57.80 720.18 776.84 0.00 776.84 56.66
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1836.49 1980.95 0.00 1980.95 144.46 1800.48 1942.11 0.00 1942.11 141.63
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1579.38 1703.62 0.00 1703.62 124.24 1548.41 1670.22 0.00 1670.22 121.81
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Kentucky UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Louisiana Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Louisiana Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Louisiana Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Louisiana Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Louisiana Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Louisiana Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
Louisiana Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Louisiana Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Louisiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self BC4 687.62 756.37 0.00 756.37 68.75 674.14 741.54 0.00 741.54 67.40
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family BC5 1547.14 1701.83 0.00 1701.83 154.69 1516.80 1668.46 0.00 1668.46 151.66
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One BC6 1478.36 1626.19 0.00 1626.19 147.83 1449.37 1594.30 0.00 1594.30 144.93
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self BC1 919.36 1011.30 0.00 1011.30 91.94 901.33 991.47 0.00 991.47 90.14
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family BC2 2068.58 2275.44 0.00 2275.44 206.86 2028.02 2230.82 0.00 2230.82 202.80
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One BC3 1976.65 2174.31 0.00 2174.31 197.66 1937.89 2131.68 0.00 2131.68 193.79
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self AE1 1092.85 1234.90 0.00 1234.90 142.05 1071.42 1210.69 0.00 1210.69 139.27
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family AE2 2458.84 2778.52 0.00 2778.52 319.68 2410.63 2724.04 0.00 2724.04 313.41
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One AE3 2349.58 2655.05 0.00 2655.05 305.47 2303.51 2602.99 0.00 2602.99 299.48
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self AE4 823.60 930.68 0.00 930.68 107.08 807.45 912.43 0.00 912.43 104.98
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family AE5 1853.13 2094.04 0.00 2094.04 240.91 1816.79 2052.98 0.00 2052.98 236.19
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One AE6 1770.76 2000.95 0.00 2000.95 230.19 1736.04 1961.72 0.00 1961.72 225.68
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 463.83 495.57 0.00 495.57 31.74 454.74 485.85 0.00 485.85 31.11
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1066.84 1139.85 0.00 1139.85 73.01 1045.92 1117.50 0.00 1117.50 71.58
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 997.26 1065.48 0.00 1065.48 68.22 977.71 1044.59 0.00 1044.59 66.88
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 728.15 784.42 0.00 784.42 56.27 713.87 769.04 0.00 769.04 55.17
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1820.40 1961.09 0.00 1961.09 140.69 1784.71 1922.64 0.00 1922.64 137.93
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1565.57 1686.54 0.00 1686.54 120.97 1534.87 1653.47 0.00 1653.47 118.60
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Louisiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Maine Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Maine Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Maine Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Maine Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Maine Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Maine Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 774.80 856.42 0.00 856.42 81.62 759.61 839.63 0.00 839.63 80.02
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1774.30 1961.13 0.00 1961.13 186.83 1739.51 1922.68 0.00 1922.68 183.17
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1739.49 1922.66 0.00 1922.66 183.17 1705.38 1884.96 0.00 1884.96 179.58
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1097.27 1147.14 0.00 1147.14 49.87 1075.75 1124.65 0.00 1124.65 48.90
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2502.39 2616.18 0.00 2616.18 113.79 2453.32 2564.88 0.00 2564.88 111.56
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2477.61 2590.25 0.00 2590.25 112.64 2429.03 2539.46 0.00 2539.46 110.43
Maine Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Maine Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Maine Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Maine UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Maine UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Maine UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Maryland Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Maryland Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Maryland Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Maryland Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Maryland Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Maryland Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
Maryland Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Maryland Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Maryland Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Maryland Aetna Open Access - High Self JN1 1160.32 1200.10 0.00 1200.10 39.78 1137.57 1176.57 0.00 1176.57 39.00
Maryland Aetna Open Access - High Self & Family JN2 2608.58 2697.95 0.00 2697.95 89.37 2557.43 2645.05 0.00 2645.05 87.62
Maryland Aetna Open Access - High Self Plus One JN3 2582.74 2671.23 0.00 2671.23 88.49 2532.10 2618.85 0.00 2618.85 86.75
Maryland Aetna Open Access - Basic Self JN4 711.04 728.71 0.00 728.71 17.67 697.10 714.42 0.00 714.42 17.32
Maryland Aetna Open Access - Basic Self & Family JN5 1627.25 1667.62 0.00 1667.62 40.37 1595.34 1634.92 0.00 1634.92 39.58
Maryland Aetna Open Access - Basic Self Plus One JN6 1494.29 1531.36 0.00 1531.36 37.07 1464.99 1501.33 0.00 1501.33 36.34
Maryland Aetna Saver (Open Access) - Saver Self QQ4 607.11 607.11 0.00 607.11 0.00 595.21 595.21 0.00 595.21 0.00
Maryland Aetna Saver (Open Access) - Saver Self & Family QQ5 1389.38 1389.36 0.00 1389.36 -0.02 1362.14 1362.12 0.00 1362.12 -0.02
Maryland Aetna Saver (Open Access) - Saver Self Plus One QQ6 1275.84 1275.84 0.00 1275.84 0.00 1250.82 1250.82 0.00 1250.82 0.00
Maryland CareFirst BlueChoice - Standard Self 2G4 862.45 905.57 0.00 905.57 43.12 845.54 887.81 0.00 887.81 42.27
Maryland CareFirst BlueChoice - Standard Self & Family 2G5 2049.14 2151.61 0.00 2151.61 102.47 2008.96 2109.42 0.00 2109.42 100.46
Maryland CareFirst BlueChoice - Standard Self Plus One 2G6 1724.88 1811.12 0.00 1811.12 86.24 1691.06 1775.61 0.00 1775.61 84.55
Maryland CareFirst BlueChoice - HDHP Self B61 581.49 581.49 0.00 581.49 0.00 570.09 570.09 0.00 570.09 0.00
Maryland CareFirst BlueChoice - HDHP Self & Family B62 1381.60 1381.60 0.00 1381.60 0.00 1354.51 1354.51 0.00 1354.51 0.00
Maryland CareFirst BlueChoice - HDHP Self Plus One B63 1162.97 1162.97 0.00 1162.97 0.00 1140.17 1140.17 0.00 1140.17 0.00
Maryland CareFirst BlueChoice - Blue Value Plus Self B64 720.11 738.14 0.00 738.14 18.03 705.99 723.67 0.00 723.67 17.68
Maryland CareFirst BlueChoice - Blue Value Plus Self & Family B65 1711.01 1753.77 0.00 1753.77 42.76 1677.46 1719.38 0.00 1719.38 41.92
Maryland CareFirst BlueChoice - Blue Value Plus Self Plus One B66 1440.26 1476.24 0.00 1476.24 35.98 1412.02 1447.29 0.00 1447.29 35.27
Maryland Kaiser Permanente - Mid-Atlantic States - Basic Self T71 428.52 436.27 0.00 436.27 7.75 420.12 427.72 0.00 427.72 7.60
Maryland Kaiser Permanente - Mid-Atlantic States - Basic Self & Family T72 1046.68 1121.51 0.00 1121.51 74.83 1026.16 1099.52 0.00 1099.52 73.36
Maryland Kaiser Permanente - Mid-Atlantic States - Basic Self Plus One T73 953.60 970.88 0.00 970.88 17.28 934.90 951.84 0.00 951.84 16.94
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self E34 582.98 610.25 0.00 610.25 27.27 571.55 598.28 0.00 598.28 26.73
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 1340.79 1403.57 0.00 1403.57 62.78 1314.50 1376.05 0.00 1376.05 61.55
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 1340.79 1403.57 0.00 1403.57 62.78 1314.50 1376.05 0.00 1376.05 61.55
Maryland Kaiser Permanente - Mid-Atlantic States - High Self E31 737.28 761.16 0.00 761.16 23.88 722.82 746.24 0.00 746.24 23.42
Maryland Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 1695.78 1750.68 0.00 1750.68 54.90 1662.53 1716.35 0.00 1716.35 53.82
Maryland Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 1695.78 1750.68 0.00 1750.68 54.90 1662.53 1716.35 0.00 1716.35 53.82
Maryland M.D. IPA - High Self JP1 894.14 969.91 0.00 969.91 75.77 876.61 950.89 0.00 950.89 74.28
Maryland M.D. IPA - High Self & Family JP2 2507.20 2719.61 0.00 2719.61 212.41 2458.04 2666.28 0.00 2666.28 208.24
Maryland M.D. IPA - High Self Plus One JP3 1746.28 1894.23 0.00 1894.23 147.95 1712.04 1857.09 0.00 1857.09 145.05
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 496.30 530.31 0.00 530.31 34.01 486.57 519.91 0.00 519.91 33.34
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1141.49 1219.73 0.00 1219.73 78.24 1119.11 1195.81 0.00 1195.81 76.70
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1067.05 1140.17 0.00 1140.17 73.12 1046.13 1117.81 0.00 1117.81 71.68
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 729.19 785.81 0.00 785.81 56.62 714.89 770.40 0.00 770.40 55.51
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1728.18 1862.35 0.00 1862.35 134.17 1694.29 1825.83 0.00 1825.83 131.54
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1567.73 1689.46 0.00 1689.46 121.73 1536.99 1656.33 0.00 1656.33 119.34
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 531.93 565.71 0.00 565.71 33.78 521.50 554.62 0.00 554.62 33.12
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1491.51 1586.25 0.00 1586.25 94.74 1462.26 1555.15 0.00 1555.15 92.89
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1038.83 1104.84 0.00 1104.84 66.01 1018.46 1083.18 0.00 1083.18 64.72
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Maryland UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Massachusetts Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Massachusetts Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Massachusetts Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Massachusetts Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Massachusetts Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Massachusetts Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 774.80 856.42 0.00 856.42 81.62 759.61 839.63 0.00 839.63 80.02
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1774.30 1961.13 0.00 1961.13 186.83 1739.51 1922.68 0.00 1922.68 183.17
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1739.49 1922.66 0.00 1922.66 183.17 1705.38 1884.96 0.00 1884.96 179.58
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1097.27 1147.14 0.00 1147.14 49.87 1075.75 1124.65 0.00 1124.65 48.90
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2502.39 2616.18 0.00 2616.18 113.79 2453.32 2564.88 0.00 2564.88 111.56
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2477.61 2590.25 0.00 2590.25 112.64 2429.03 2539.46 0.00 2539.46 110.43
Massachusetts Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Massachusetts Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Massachusetts Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Massachusetts UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Massachusetts UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Massachusetts UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Michigan Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Michigan Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Michigan Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Michigan Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Michigan Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Michigan Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
Michigan Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Michigan Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Michigan Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Michigan Blue Care Network of Michigan - High Self LX1 757.72 781.13 0.00 781.13 23.41 742.86 765.81 0.00 765.81 22.95
Michigan Blue Care Network of Michigan - High Self & Family LX2 1848.84 1905.95 0.00 1905.95 57.11 1812.59 1868.58 0.00 1868.58 55.99
Michigan Blue Care Network of Michigan - High Self Plus One LX3 1742.74 1796.62 0.00 1796.62 53.88 1708.57 1761.39 0.00 1761.39 52.82
Michigan Blue Care Network of Michigan - High Self K51 976.88 1016.42 0.00 1016.42 39.54 957.73 996.49 0.00 996.49 38.76
Michigan Blue Care Network of Michigan - High Self & Family K52 2383.56 2480.09 0.00 2480.09 96.53 2336.82 2431.46 0.00 2431.46 94.64
Michigan Blue Care Network of Michigan - High Self Plus One K53 2246.77 2337.81 0.00 2337.81 91.04 2202.72 2291.97 0.00 2291.97 89.25
Michigan Health Alliance Plan - High Self 521 803.65 859.02 0.00 859.02 55.37 787.89 842.18 0.00 842.18 54.29
Michigan Health Alliance Plan - High Self & Family 522 1960.89 2096.03 0.00 2096.03 135.14 1922.44 2054.93 0.00 2054.93 132.49
Michigan Health Alliance Plan - High Self Plus One 523 1848.38 1975.74 0.00 1975.74 127.36 1812.14 1937.00 0.00 1937.00 124.86
Michigan Health Alliance Plan - Standard Self GY4 626.51 568.70 0.00 568.70 -57.81 614.23 557.55 0.00 557.55 -56.68
Michigan Health Alliance Plan - Standard Self & Family GY5 1528.75 1387.62 0.00 1387.62 -141.13 1498.77 1360.41 0.00 1360.41 -138.36
Michigan Health Alliance Plan - Standard Self Plus One GY6 1441.04 1307.99 0.00 1307.99 -133.05 1412.78 1282.34 0.00 1282.34 -130.44
Michigan Priority Health - High Self LE1 937.97 1058.04 0.00 1058.04 120.07 919.58 1037.29 0.00 1037.29 117.71
Michigan Priority Health - High Self & Family LE2 2204.23 2486.38 0.00 2486.38 282.15 2161.01 2437.63 0.00 2437.63 276.62
Michigan Priority Health - High Self Plus One LE3 2063.52 2327.68 0.00 2327.68 264.16 2023.06 2282.04 0.00 2282.04 258.98
Michigan Priority Health - Standard Self LE4 550.12 599.13 0.00 599.13 49.01 539.33 587.38 0.00 587.38 48.05
Michigan Priority Health - Standard Self & Family LE5 1292.79 1407.93 0.00 1407.93 115.14 1267.44 1380.32 0.00 1380.32 112.88
Michigan Priority Health - Standard Self Plus One LE6 1210.26 1318.06 0.00 1318.06 107.80 1186.53 1292.22 0.00 1292.22 105.69
Michigan Priority Health - Value Self Y41 482.70 482.70 0.00 482.70 0.00 473.24 473.24 0.00 473.24 0.00
Michigan Priority Health - Value Self & Family Y42 1134.37 1134.37 0.00 1134.37 0.00 1112.13 1112.13 0.00 1112.13 0.00
Michigan Priority Health - Value Self Plus One Y43 1061.95 1061.95 0.00 1061.95 0.00 1041.13 1041.13 0.00 1041.13 0.00
Michigan UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Michigan UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Michigan UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Minnesota Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Minnesota Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Minnesota Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Minnesota Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Minnesota Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Minnesota Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Minnesota Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Minnesota Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Minnesota Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Minnesota HealthPartners - Standard Self V34 469.12 519.60 0.00 519.60 50.48 459.92 509.41 0.00 509.41 49.49
Minnesota HealthPartners - Standard Self & Family V35 1142.82 1265.76 0.00 1265.76 122.94 1120.41 1240.94 0.00 1240.94 120.53
Minnesota HealthPartners - Standard Self Plus One V36 1036.78 1148.32 0.00 1148.32 111.54 1016.45 1125.80 0.00 1125.80 109.35
Minnesota HealthPartners - High Self V31 726.56 681.43 0.00 681.43 -45.13 712.31 668.07 0.00 668.07 -44.24
Minnesota HealthPartners - High Self & Family V32 1769.90 1659.93 0.00 1659.93 -109.97 1735.20 1627.38 0.00 1627.38 -107.82
Minnesota HealthPartners - High Self Plus One V33 1605.69 1505.94 0.00 1505.94 -99.75 1574.21 1476.41 0.00 1476.41 -97.80
Minnesota UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Minnesota UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Minnesota UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Mississippi Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Mississippi Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Mississippi Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Mississippi Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Mississippi Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Mississippi Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Mississippi Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Mississippi Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Mississippi Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 463.83 495.57 0.00 495.57 31.74 454.74 485.85 0.00 485.85 31.11
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1066.84 1139.85 0.00 1139.85 73.01 1045.92 1117.50 0.00 1117.50 71.58
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 997.26 1065.48 0.00 1065.48 68.22 977.71 1044.59 0.00 1044.59 66.88
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 728.15 784.42 0.00 784.42 56.27 713.87 769.04 0.00 769.04 55.17
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1820.40 1961.09 0.00 1961.09 140.69 1784.71 1922.64 0.00 1922.64 137.93
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1565.57 1686.54 0.00 1686.54 120.97 1534.87 1653.47 0.00 1653.47 118.60
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Mississippi UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Missouri Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Missouri Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Missouri Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Missouri Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Missouri Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Missouri Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
Missouri Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Missouri Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Missouri Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Missouri Aetna Open Access - High Self HA1 1121.93 1179.65 0.00 1179.65 57.72 1099.93 1156.52 0.00 1156.52 56.59
Missouri Aetna Open Access - High Self & Family HA2 2650.14 2786.55 0.00 2786.55 136.41 2598.18 2731.91 0.00 2731.91 133.73
Missouri Aetna Open Access - High Self Plus One HA3 2623.98 2758.99 0.00 2758.99 135.01 2572.53 2704.89 0.00 2704.89 132.36
Missouri Aetna Open Access - Standard Self HA4 730.70 919.39 0.00 919.39 188.69 716.37 901.36 0.00 901.36 184.99
Missouri Aetna Open Access - Standard Self & Family HA5 1724.71 2170.09 0.00 2170.09 445.38 1690.89 2127.54 0.00 2127.54 436.65
Missouri Aetna Open Access - Standard Self Plus One HA6 1707.64 2148.61 0.00 2148.61 440.97 1674.16 2106.48 0.00 2106.48 432.32
Missouri Blue Preferred - High Self 9G1 849.87 891.71 0.00 891.71 41.84 833.21 874.23 0.00 874.23 41.02
Missouri Blue Preferred - High Self & Family 9G2 1896.05 2024.21 0.00 2024.21 128.16 1858.87 1984.52 0.00 1984.52 125.65
Missouri Blue Preferred - High Self Plus One 9G3 1795.80 1899.36 0.00 1899.36 103.56 1760.59 1862.12 0.00 1862.12 101.53
Missouri Blue Preferred - Standard Self 9G4 612.63 646.33 0.00 646.33 33.70 600.62 633.66 0.00 633.66 33.04
Missouri Blue Preferred - Standard Self & Family 9G5 1741.15 1793.39 0.00 1793.39 52.24 1707.01 1758.23 0.00 1758.23 51.22
Missouri Blue Preferred - Standard Self Plus One 9G6 1574.58 1606.07 0.00 1606.07 31.49 1543.71 1574.58 0.00 1574.58 30.87
Missouri Humana CoverageFirst and Humana Value Plan - Value Self PH4 493.71 538.16 0.00 538.16 44.45 484.03 527.61 0.00 527.61 43.58
Missouri Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 1110.88 1210.86 0.00 1210.86 99.98 1089.10 1187.12 0.00 1187.12 98.02
Missouri Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 1061.48 1157.05 0.00 1157.05 95.57 1040.67 1134.36 0.00 1134.36 93.69
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 729.41 773.19 0.00 773.19 43.78 715.11 758.03 0.00 758.03 42.92
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1641.21 1739.69 0.00 1739.69 98.48 1609.03 1705.58 0.00 1705.58 96.55
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1568.26 1662.37 0.00 1662.37 94.11 1537.51 1629.77 0.00 1629.77 92.26
Missouri Humana Health Plan, Inc. - High Self MS1 1757.63 1832.78 0.00 1832.78 75.15 1723.17 1796.84 0.00 1796.84 73.67
Missouri Humana Health Plan, Inc. - High Self & Family MS2 3954.66 4123.75 0.00 4123.75 169.09 3877.12 4042.89 0.00 4042.89 165.77
Missouri Humana Health Plan, Inc. - High Self Plus One MS3 3778.91 3940.43 0.00 3940.43 161.52 3704.81 3863.17 0.00 3863.17 158.36
Missouri Humana Health Plan, Inc. - Standard Self MS4 1088.34 1224.60 0.00 1224.60 136.26 1067.00 1200.59 0.00 1200.59 133.59
Missouri Humana Health Plan, Inc. - Standard Self & Family MS5 2448.80 2755.37 0.00 2755.37 306.57 2400.78 2701.34 0.00 2701.34 300.56
Missouri Humana Health Plan, Inc. - Standard Self Plus One MS6 2339.97 2632.95 0.00 2632.95 292.98 2294.09 2581.32 0.00 2581.32 287.23
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Missouri UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Montana Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Montana Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Montana Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Montana Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Montana Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Montana Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Montana Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Montana Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Montana Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Montana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Montana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Montana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Nebraska Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Nebraska Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Nebraska Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Nebraska Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Nebraska Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Nebraska Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Nebraska Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Nebraska Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Nebraska Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Nebraska UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Nebraska UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Nebraska UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Nevada Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Nevada Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Nevada Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Nevada Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Nevada Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Nevada Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
Nevada Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Nevada Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Nevada Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Nevada Health Plan of Nevada, Inc. - High Self NM1 721.12 755.99 0.00 755.99 34.87 706.98 741.17 0.00 741.17 34.19
Nevada Health Plan of Nevada, Inc. - High Self & Family NM2 1708.99 1791.63 0.00 1791.63 82.64 1675.48 1756.50 0.00 1756.50 81.02
Nevada Health Plan of Nevada, Inc. - High Self Plus One NM3 1370.16 1436.39 0.00 1436.39 66.23 1343.29 1408.23 0.00 1408.23 64.94
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 533.32 634.66 0.00 634.66 101.34 522.86 622.22 0.00 622.22 99.36
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1261.12 1500.97 0.00 1500.97 239.85 1236.39 1471.54 0.00 1471.54 235.15
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1146.53 1364.53 0.00 1364.53 218.00 1124.05 1337.77 0.00 1337.77 213.72
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 452.72 538.73 0.00 538.73 86.01 443.84 528.17 0.00 528.17 84.33
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1041.27 1239.06 0.00 1239.06 197.79 1020.85 1214.76 0.00 1214.76 193.91
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 973.36 1158.26 0.00 1158.26 184.90 954.27 1135.55 0.00 1135.55 181.28
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 739.27 797.76 0.00 797.76 58.49 724.77 782.12 0.00 782.12 57.35
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1848.14 1994.46 0.00 1994.46 146.32 1811.90 1955.35 0.00 1955.35 143.45
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1589.42 1715.20 0.00 1715.20 125.78 1558.25 1681.57 0.00 1681.57 123.32
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 532.46 633.63 0.00 633.63 101.17 522.02 621.21 0.00 621.21 99.19
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1259.06 1498.51 0.00 1498.51 239.45 1234.37 1469.13 0.00 1469.13 234.76
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1144.67 1362.29 0.00 1362.29 217.62 1122.23 1335.58 0.00 1335.58 213.35
Nevada UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
New Hampshire Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
New Hampshire Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
New Hampshire Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
New Hampshire Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
New Hampshire Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
New Hampshire Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 774.80 856.42 0.00 856.42 81.62 759.61 839.63 0.00 839.63 80.02
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1774.30 1961.13 0.00 1961.13 186.83 1739.51 1922.68 0.00 1922.68 183.17
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1739.49 1922.66 0.00 1922.66 183.17 1705.38 1884.96 0.00 1884.96 179.58
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1097.27 1147.14 0.00 1147.14 49.87 1075.75 1124.65 0.00 1124.65 48.90
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2502.39 2616.18 0.00 2616.18 113.79 2453.32 2564.88 0.00 2564.88 111.56
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2477.61 2590.25 0.00 2590.25 112.64 2429.03 2539.46 0.00 2539.46 110.43
New Hampshire Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
New Hampshire Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
New Hampshire Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
New Hampshire UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
New Hampshire UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
New Hampshire UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
New Jersey Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
New Jersey Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
New Jersey Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
New Jersey Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
New Jersey Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
New Jersey Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 774.80 856.42 0.00 856.42 81.62 759.61 839.63 0.00 839.63 80.02
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1774.30 1961.13 0.00 1961.13 186.83 1739.51 1922.68 0.00 1922.68 183.17
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1739.49 1922.66 0.00 1922.66 183.17 1705.38 1884.96 0.00 1884.96 179.58
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1097.27 1147.14 0.00 1147.14 49.87 1075.75 1124.65 0.00 1124.65 48.90
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2502.39 2616.18 0.00 2616.18 113.79 2453.32 2564.88 0.00 2564.88 111.56
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2477.61 2590.25 0.00 2590.25 112.64 2429.03 2539.46 0.00 2539.46 110.43
New Jersey Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
New Jersey Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
New Jersey Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
New Jersey Aetna Open Access - High Self JR1 1575.65 1689.95 0.00 1689.95 114.30 1544.75 1656.81 0.00 1656.81 112.06
New Jersey Aetna Open Access - High Self & Family JR2 3639.56 3903.57 0.00 3903.57 264.01 3568.20 3827.03 0.00 3827.03 258.83
New Jersey Aetna Open Access - High Self Plus One JR3 3603.50 3864.89 0.00 3864.89 261.39 3532.84 3789.11 0.00 3789.11 256.27
New Jersey Aetna Open Access - Basic Self JR4 1400.75 1457.94 0.00 1457.94 57.19 1373.28 1429.35 0.00 1429.35 56.07
New Jersey Aetna Open Access - Basic Self & Family JR5 3246.33 3378.95 0.00 3378.95 132.62 3182.68 3312.70 0.00 3312.70 130.02
New Jersey Aetna Open Access - Basic Self Plus One JR6 3214.18 3345.48 0.00 3345.48 131.30 3151.16 3279.88 0.00 3279.88 128.72
New Jersey Aetna Open Access - Basic Self P34 1336.28 1535.64 0.00 1535.64 199.36 1310.08 1505.53 0.00 1505.53 195.45
New Jersey Aetna Open Access - Basic Self & Family P35 3101.49 3564.23 0.00 3564.23 462.74 3040.68 3494.34 0.00 3494.34 453.66
New Jersey Aetna Open Access - Basic Self Plus One P36 3070.75 3528.92 0.00 3528.92 458.17 3010.54 3459.73 0.00 3459.73 449.19
New Jersey Aetna Open Access - High Self P31 1485.74 1619.99 0.00 1619.99 134.25 1456.61 1588.23 0.00 1588.23 131.62
New Jersey Aetna Open Access - High Self & Family P32 3602.17 3927.72 0.00 3927.72 325.55 3531.54 3850.71 0.00 3850.71 319.17
New Jersey Aetna Open Access - High Self Plus One P33 3566.48 3888.83 0.00 3888.83 322.35 3496.55 3812.58 0.00 3812.58 316.03
New Jersey GHI Health Plan - Standard Self 804 1024.75 1060.65 0.00 1060.65 35.90 1004.66 1039.85 0.00 1039.85 35.19
New Jersey GHI Health Plan - Standard Self & Family 805 2486.16 2573.17 0.00 2573.17 87.01 2437.41 2522.72 0.00 2522.72 85.31
New Jersey GHI Health Plan - Standard Self Plus One 806 2383.66 2467.11 0.00 2467.11 83.45 2336.92 2418.74 0.00 2418.74 81.82
New Jersey UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
New Jersey UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
New Jersey UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
New Mexico Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
New Mexico Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
New Mexico Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
New Mexico Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
New Mexico Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
New Mexico Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
New Mexico Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
New Mexico Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
New Mexico Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
New Mexico Presbyterian Health Plan - High Self P21 857.81 863.87 0.00 863.87 6.06 840.99 846.93 0.00 846.93 5.94
New Mexico Presbyterian Health Plan - High Self & Family P22 2015.83 2030.15 0.00 2030.15 14.32 1976.30 1990.34 0.00 1990.34 14.04
New Mexico Presbyterian Health Plan - High Self Plus One P23 1947.21 1961.04 0.00 1961.04 13.83 1909.03 1922.59 0.00 1922.59 13.56
New Mexico Presbyterian Health Plan - Standard Self PS4 724.49 720.44 0.00 720.44 -4.05 710.28 706.31 0.00 706.31 -3.97
New Mexico Presbyterian Health Plan - Standard Self & Family PS5 1702.54 1693.04 0.00 1693.04 -9.50 1669.16 1659.84 0.00 1659.84 -9.32
New Mexico Presbyterian Health Plan - Standard Self Plus One PS6 1644.60 1635.45 0.00 1635.45 -9.15 1612.35 1603.38 0.00 1603.38 -8.97
New Mexico Presbyterian Health Plan - Wellness Self PS1 632.28 644.70 0.00 644.70 12.42 619.88 632.06 0.00 632.06 12.18
New Mexico Presbyterian Health Plan - Wellness Self & Family PS2 1485.90 1515.07 0.00 1515.07 29.17 1456.76 1485.36 0.00 1485.36 28.60
New Mexico Presbyterian Health Plan - Wellness Self Plus One PS3 1435.33 1463.49 0.00 1463.49 28.16 1407.19 1434.79 0.00 1434.79 27.60
New Mexico True Health New Mexico - High Self EL1 632.57 651.86 0.00 651.86 19.29 620.17 639.08 0.00 639.08 18.91
New Mexico True Health New Mexico - High Self & Family EL2 1493.76 1539.31 0.00 1539.31 45.55 1464.47 1509.13 0.00 1509.13 44.66
New Mexico True Health New Mexico - High Self Plus One EL3 1415.79 1458.96 0.00 1458.96 43.17 1388.03 1430.35 0.00 1430.35 42.32
New Mexico UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
New Mexico UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
New Mexico UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
New York Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
New York Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
New York Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
New York Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
New York Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
New York Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 774.80 856.42 0.00 856.42 81.62 759.61 839.63 0.00 839.63 80.02
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1774.30 1961.13 0.00 1961.13 186.83 1739.51 1922.68 0.00 1922.68 183.17
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1739.49 1922.66 0.00 1922.66 183.17 1705.38 1884.96 0.00 1884.96 179.58
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1097.27 1147.14 0.00 1147.14 49.87 1075.75 1124.65 0.00 1124.65 48.90
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2502.39 2616.18 0.00 2616.18 113.79 2453.32 2564.88 0.00 2564.88 111.56
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2477.61 2590.25 0.00 2590.25 112.64 2429.03 2539.46 0.00 2539.46 110.43
New York Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
New York Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
New York Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
New York Aetna Open Access - High Self JC1 1346.78 1488.77 0.00 1488.77 141.99 1320.37 1459.58 0.00 1459.58 139.21
New York Aetna Open Access - High Self & Family JC2 3327.82 3678.70 0.00 3678.70 350.88 3262.57 3606.57 0.00 3606.57 344.00
New York Aetna Open Access - High Self Plus One JC3 3294.87 3642.30 0.00 3642.30 347.43 3230.26 3570.88 0.00 3570.88 340.62
New York Aetna Open Access - Basic Self JC4 1124.47 1244.26 0.00 1244.26 119.79 1102.42 1219.86 0.00 1219.86 117.44
New York Aetna Open Access - Basic Self & Family JC5 2742.81 3035.02 0.00 3035.02 292.21 2689.03 2975.51 0.00 2975.51 286.48
New York Aetna Open Access - Basic Self Plus One JC6 2715.69 3004.98 0.00 3004.98 289.29 2662.44 2946.06 0.00 2946.06 283.62
New York CDPHP - Standard Self SG4 642.20 718.65 0.00 718.65 76.45 629.61 704.56 0.00 704.56 74.95
New York CDPHP - Standard Self & Family SG5 1828.49 1724.69 0.00 1724.69 -103.80 1792.64 1690.87 0.00 1690.87 -101.77
New York CDPHP - Standard Self Plus One SG6 1329.32 1595.40 0.00 1595.40 266.08 1303.25 1564.12 0.00 1564.12 260.87
New York GHI Health Plan - Standard Self 804 1024.75 1060.65 0.00 1060.65 35.90 1004.66 1039.85 0.00 1039.85 35.19
New York GHI Health Plan - Standard Self & Family 805 2486.16 2573.17 0.00 2573.17 87.01 2437.41 2522.72 0.00 2522.72 85.31
New York GHI Health Plan - Standard Self Plus One 806 2383.66 2467.11 0.00 2467.11 83.45 2336.92 2418.74 0.00 2418.74 81.82
New York HIP of Greater NY - Standard Self YL4 830.15 918.69 0.00 918.69 88.54 813.87 900.68 0.00 900.68 86.81
New York HIP of Greater NY - Standard Self & Family YL5 2386.78 2670.60 0.00 2670.60 283.82 2339.98 2618.24 0.00 2618.24 278.26
New York HIP of Greater NY - Standard Self Plus One YL6 1509.86 1677.48 0.00 1677.48 167.62 1480.25 1644.59 0.00 1644.59 164.34
New York HIP of Greater NY - High Self 511 1092.47 1071.77 0.00 1071.77 -20.70 1071.05 1050.75 0.00 1050.75 -20.30
New York HIP of Greater NY - High Self & Family 512 3143.62 3115.48 0.00 3115.48 -28.14 3081.98 3054.39 0.00 3054.39 -27.59
New York HIP of Greater NY - High Self Plus One 513 1987.52 1957.00 0.00 1957.00 -30.52 1948.55 1918.63 0.00 1918.63 -29.92
New York Independent Health - Standard Self C54 725.85 736.59 0.00 736.59 10.74 711.62 722.15 0.00 722.15 10.53
New York Independent Health - Standard Self & Family C55 1959.81 1988.81 0.00 1988.81 29.00 1921.38 1949.81 0.00 1949.81 28.43
New York Independent Health - Standard Self Plus One C56 1850.90 1878.32 0.00 1878.32 27.42 1814.61 1841.49 0.00 1841.49 26.88
New York Independent Health - High Self QA1 777.92 806.76 0.00 806.76 28.84 762.67 790.94 0.00 790.94 28.27
New York Independent Health - High Self & Family QA2 2100.36 2178.26 0.00 2178.26 77.90 2059.18 2135.55 0.00 2135.55 76.37
New York Independent Health - High Self Plus One QA3 1983.70 2057.25 0.00 2057.25 73.55 1944.80 2016.91 0.00 2016.91 72.11
New York Independent Health - HDHP Self QA4 604.73 611.29 0.00 611.29 6.56 592.87 599.30 0.00 599.30 6.43
New York Independent Health - HDHP Self & Family QA5 1563.79 1582.39 0.00 1582.39 18.60 1533.13 1551.36 0.00 1551.36 18.23
New York Independent Health - HDHP Self Plus One QA6 1458.20 1505.28 0.00 1505.28 47.08 1429.61 1475.76 0.00 1475.76 46.15
New York UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
New York UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
New York UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
North Carolina Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
North Carolina Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
North Carolina Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
North Carolina Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
North Carolina Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
North Carolina Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
North Carolina Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
North Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
North Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 463.83 495.57 0.00 495.57 31.74 454.74 485.85 0.00 485.85 31.11
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1066.84 1139.85 0.00 1139.85 73.01 1045.92 1117.50 0.00 1117.50 71.58
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 997.26 1065.48 0.00 1065.48 68.22 977.71 1044.59 0.00 1044.59 66.88
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 728.15 784.42 0.00 784.42 56.27 713.87 769.04 0.00 769.04 55.17
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1820.40 1961.09 0.00 1961.09 140.69 1784.71 1922.64 0.00 1922.64 137.93
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1565.57 1686.54 0.00 1686.54 120.97 1534.87 1653.47 0.00 1653.47 118.60
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
North Carolina UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
North Dakota Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
North Dakota Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
North Dakota Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
North Dakota Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
North Dakota Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
North Dakota Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
North Dakota Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
North Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
North Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
North Dakota HealthPartners - Standard Self V34 469.12 519.60 0.00 519.60 50.48 459.92 509.41 0.00 509.41 49.49
North Dakota HealthPartners - Standard Self & Family V35 1142.82 1265.76 0.00 1265.76 122.94 1120.41 1240.94 0.00 1240.94 120.53
North Dakota HealthPartners - Standard Self Plus One V36 1036.78 1148.32 0.00 1148.32 111.54 1016.45 1125.80 0.00 1125.80 109.35
North Dakota HealthPartners - High Self V31 726.56 681.43 0.00 681.43 -45.13 712.31 668.07 0.00 668.07 -44.24
North Dakota HealthPartners - High Self & Family V32 1769.90 1659.93 0.00 1659.93 -109.97 1735.20 1627.38 0.00 1627.38 -107.82
North Dakota HealthPartners - High Self Plus One V33 1605.69 1505.94 0.00 1505.94 -99.75 1574.21 1476.41 0.00 1476.41 -97.80
North Dakota UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
North Dakota UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
North Dakota UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Northern Mariana Islands Calvo's SelectCare - Standard Self B44 404.67 438.38 0.00 438.38 33.71 396.74 429.78 0.00 429.78 33.04
Northern Mariana Islands Calvo's SelectCare - Standard Self & Family B45 1175.78 1273.69 0.00 1273.69 97.91 1152.73 1248.72 0.00 1248.72 95.99
Northern Mariana Islands Calvo's SelectCare - Standard Self Plus One B46 797.74 864.15 0.00 864.15 66.41 782.10 847.21 0.00 847.21 65.11
Northern Mariana Islands Calvo's SelectCare - High Self B41 501.38 532.12 0.00 532.12 30.74 491.55 521.69 0.00 521.69 30.14
Northern Mariana Islands Calvo's SelectCare - High Self & Family B42 1327.93 1409.41 0.00 1409.41 81.48 1301.89 1381.77 0.00 1381.77 79.88
Northern Mariana Islands Calvo's SelectCare - High Self Plus One B43 978.41 1038.43 0.00 1038.43 60.02 959.23 1018.07 0.00 1018.07 58.84
Northern Mariana Islands TakeCare - HDHP Self KX1 126.72 122.94 0.00 122.94 -3.78 124.24 120.53 0.00 120.53 -3.71
Northern Mariana Islands TakeCare - HDHP Self & Family KX2 346.11 329.62 0.00 329.62 -16.49 339.32 323.16 0.00 323.16 -16.16
Northern Mariana Islands TakeCare - HDHP Self Plus One KX3 312.23 296.76 0.00 296.76 -15.47 306.11 290.94 0.00 290.94 -15.17
Northern Mariana Islands TakeCare - Standard Self JK4 397.02 412.54 0.00 412.54 15.52 389.24 404.45 0.00 404.45 15.21
Northern Mariana Islands TakeCare - Standard Self & Family JK5 1124.36 1168.30 0.00 1168.30 43.94 1102.31 1145.39 0.00 1145.39 43.08
Northern Mariana Islands TakeCare - Standard Self Plus One JK6 782.49 813.08 0.00 813.08 30.59 767.15 797.14 0.00 797.14 29.99
Northern Mariana Islands TakeCare - High Self JK1 502.20 507.77 0.00 507.77 5.57 492.35 497.81 0.00 497.81 5.46
Northern Mariana Islands TakeCare - High Self & Family JK2 1197.89 1211.13 0.00 1211.13 13.24 1174.40 1187.38 0.00 1187.38 12.98
Northern Mariana Islands TakeCare - High Self Plus One JK3 992.18 1003.16 0.00 1003.16 10.98 972.73 983.49 0.00 983.49 10.76
Ohio Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Ohio Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Ohio Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Ohio Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Ohio Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Ohio Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1094.95 1116.47 0.00 1116.47 21.52 1073.48 1094.58 0.00 1094.58 21.10
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2499.60 2548.78 0.00 2548.78 49.18 2450.59 2498.80 0.00 2498.80 48.21
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2474.85 2523.55 0.00 2523.55 48.70 2426.32 2474.07 0.00 2474.07 47.75
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1024.07 1030.13 0.00 1030.13 6.06 1003.99 1009.93 0.00 1009.93 5.94
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2334.42 2348.19 0.00 2348.19 13.77 2288.65 2302.15 0.00 2302.15 13.50
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2311.31 2324.92 0.00 2324.92 13.61 2265.99 2279.33 0.00 2279.33 13.34
Ohio Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Ohio Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Ohio Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Ohio AultCare Insurance Company - High Self 3A1 858.87 893.40 0.00 893.40 34.53 842.03 875.88 0.00 875.88 33.85
Ohio AultCare Insurance Company - High Self & Family 3A2 2121.38 2206.56 0.00 2206.56 85.18 2079.78 2163.29 0.00 2163.29 83.51
Ohio AultCare Insurance Company - High Self Plus One 3A3 1803.60 1876.02 0.00 1876.02 72.42 1768.24 1839.24 0.00 1839.24 71.00
Ohio AultCare Insurance Company - HDHP Self 3A4 446.37 475.20 0.00 475.20 28.83 437.62 465.88 0.00 465.88 28.26
Ohio AultCare Insurance Company - HDHP Self & Family 3A5 1429.28 1521.61 0.00 1521.61 92.33 1401.25 1491.77 0.00 1491.77 90.52
Ohio AultCare Insurance Company - HDHP Self Plus One 3A6 848.60 903.40 0.00 903.40 54.80 831.96 885.69 0.00 885.69 53.73
Ohio Humana CoverageFirst and Humana Value Plan - Value Self X34 627.42 658.80 0.00 658.80 31.38 615.12 645.88 0.00 645.88 30.76
Ohio Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1411.73 1482.32 0.00 1482.32 70.59 1384.05 1453.25 0.00 1453.25 69.20
Ohio Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1348.98 1416.43 0.00 1416.43 67.45 1322.53 1388.66 0.00 1388.66 66.13
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self X31 815.43 856.20 0.00 856.20 40.77 799.44 839.41 0.00 839.41 39.97
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1834.75 1926.48 0.00 1926.48 91.73 1798.77 1888.71 0.00 1888.71 89.94
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1753.20 1840.87 0.00 1840.87 87.67 1718.82 1804.77 0.00 1804.77 85.95
Ohio Humana Health Plan of Ohio, Inc. - High Self A61 1531.00 1607.55 0.00 1607.55 76.55 1500.98 1576.03 0.00 1576.03 75.05
Ohio Humana Health Plan of Ohio, Inc. - High Self & Family A62 3444.77 3617.02 0.00 3617.02 172.25 3377.23 3546.10 0.00 3546.10 168.87
Ohio Humana Health Plan of Ohio, Inc. - High Self Plus One A63 3291.68 3456.26 0.00 3456.26 164.58 3227.14 3388.49 0.00 3388.49 161.35
Ohio Humana Health Plan of Ohio, Inc. - Standard Self A64 1195.61 1255.40 0.00 1255.40 59.79 1172.17 1230.78 0.00 1230.78 58.61
Ohio Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2690.17 2824.69 0.00 2824.69 134.52 2637.42 2769.30 0.00 2769.30 131.88
Ohio Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2570.60 2699.11 0.00 2699.11 128.51 2520.20 2646.19 0.00 2646.19 125.99
Ohio Humana Health Plan of Ohio, Inc. - Basic Self W61 620.79 651.84 0.00 651.84 31.05 608.62 639.06 0.00 639.06 30.44
Ohio Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 1396.83 1466.69 0.00 1466.69 69.86 1369.44 1437.93 0.00 1437.93 68.49
Ohio Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 1334.75 1401.49 0.00 1401.49 66.74 1308.58 1374.01 0.00 1374.01 65.43
Ohio Medical Mutual of Ohio - Basic Self YF1 448.94 423.35 0.00 423.35 -25.59 440.14 415.05 0.00 415.05 -25.09
Ohio Medical Mutual of Ohio - Basic Self & Family YF2 1077.47 1016.02 0.00 1016.02 -61.45 1056.34 996.10 0.00 996.10 -60.24
Ohio Medical Mutual of Ohio - Basic Self Plus One YF3 987.70 931.36 0.00 931.36 -56.34 968.33 913.10 0.00 913.10 -55.23
Ohio Medical Mutual of Ohio - Standard Self YF4 988.36 1005.58 0.00 1005.58 17.22 968.98 985.86 0.00 985.86 16.88
Ohio Medical Mutual of Ohio - Standard Self & Family YF5 2372.06 2413.36 0.00 2413.36 41.30 2325.55 2366.04 0.00 2366.04 40.49
Ohio Medical Mutual of Ohio - Standard Self Plus One YF6 2174.37 2212.26 0.00 2212.26 37.89 2131.74 2168.88 0.00 2168.88 37.14
Ohio Medical Mutual of Ohio - Standard Self 644 1048.34 959.78 0.00 959.78 -88.56 1027.78 940.96 0.00 940.96 -86.82
Ohio Medical Mutual of Ohio - Standard Self & Family 645 2516.04 2303.49 0.00 2303.49 -212.55 2466.71 2258.32 0.00 2258.32 -208.39
Ohio Medical Mutual of Ohio - Standard Self Plus One 646 2306.38 2111.52 0.00 2111.52 -194.86 2261.16 2070.12 0.00 2070.12 -191.04
Ohio Medical Mutual of Ohio - Standard Self X64 866.41 878.57 0.00 878.57 12.16 849.42 861.34 0.00 861.34 11.92
Ohio Medical Mutual of Ohio - Standard Self & Family X65 2079.37 2108.56 0.00 2108.56 29.19 2038.60 2067.22 0.00 2067.22 28.62
Ohio Medical Mutual of Ohio - Standard Self Plus One X66 1906.08 1932.85 0.00 1932.85 26.77 1868.71 1894.95 0.00 1894.95 26.24
Ohio Medical Mutual of Ohio - Basic Self X61 448.79 413.39 0.00 413.39 -35.40 439.99 405.28 0.00 405.28 -34.71
Ohio Medical Mutual of Ohio - Basic Self & Family X62 1077.07 992.13 0.00 992.13 -84.94 1055.95 972.68 0.00 972.68 -83.27
Ohio Medical Mutual of Ohio - Basic Self Plus One X63 987.32 909.46 0.00 909.46 -77.86 967.96 891.63 0.00 891.63 -76.33
Ohio Medical Mutual of Ohio - Basic Self UX1 448.94 419.43 0.00 419.43 -29.51 440.14 411.21 0.00 411.21 -28.93
Ohio Medical Mutual of Ohio - Basic Self & Family UX2 1077.47 1006.66 0.00 1006.66 -70.81 1056.34 986.92 0.00 986.92 -69.42
Ohio Medical Mutual of Ohio - Basic Self Plus One UX3 987.70 922.76 0.00 922.76 -64.94 968.33 904.67 0.00 904.67 -63.66
Ohio UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Ohio UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Ohio UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Oklahoma Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Oklahoma Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Oklahoma Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Oklahoma Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Oklahoma Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Oklahoma Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1094.95 1116.47 0.00 1116.47 21.52 1073.48 1094.58 0.00 1094.58 21.10
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2499.60 2548.78 0.00 2548.78 49.18 2450.59 2498.80 0.00 2498.80 48.21
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2474.85 2523.55 0.00 2523.55 48.70 2426.32 2474.07 0.00 2474.07 47.75
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1024.07 1030.13 0.00 1030.13 6.06 1003.99 1009.93 0.00 1009.93 5.94
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2334.42 2348.19 0.00 2348.19 13.77 2288.65 2302.15 0.00 2302.15 13.50
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2311.31 2324.92 0.00 2324.92 13.61 2265.99 2279.33 0.00 2279.33 13.34
Oklahoma Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Oklahoma Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Oklahoma Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Oklahoma GlobalHealth - Standard Self IM4 635.40 673.12 0.00 673.12 37.72 622.94 659.92 0.00 659.92 36.98
Oklahoma GlobalHealth - Standard Self & Family IM5 1588.53 1682.85 0.00 1682.85 94.32 1557.38 1649.85 0.00 1649.85 92.47
Oklahoma GlobalHealth - Standard Self Plus One IM6 1270.82 1346.27 0.00 1346.27 75.45 1245.90 1319.87 0.00 1319.87 73.97
Oklahoma GlobalHealth - High Self IM1 672.46 712.24 0.00 712.24 39.78 659.27 698.27 0.00 698.27 39.00
Oklahoma GlobalHealth - High Self & Family IM2 1681.12 1780.57 0.00 1780.57 99.45 1648.16 1745.66 0.00 1745.66 97.50
Oklahoma GlobalHealth - High Self Plus One IM3 1344.90 1424.48 0.00 1424.48 79.58 1318.53 1396.55 0.00 1396.55 78.02
Oklahoma UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Oklahoma UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Oklahoma UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Oregon Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Oregon Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Oregon Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Oregon Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Oregon Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Oregon Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Oregon Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Oregon Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Oregon Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Oregon Kaiser Permanente - Northwest - Standard Self 574 660.92 702.12 0.00 702.12 41.20 647.96 688.35 0.00 688.35 40.39
Oregon Kaiser Permanente - Northwest - Standard Self & Family 575 1518.31 1612.97 0.00 1612.97 94.66 1488.54 1581.34 0.00 1581.34 92.80
Oregon Kaiser Permanente - Northwest - Standard Self Plus One 576 1518.31 1612.97 0.00 1612.97 94.66 1488.54 1581.34 0.00 1581.34 92.80
Oregon Kaiser Permanente - Northwest - High Self 571 744.53 766.71 0.00 766.71 22.18 729.93 751.68 0.00 751.68 21.75
Oregon Kaiser Permanente - Northwest - High Self & Family 572 1681.67 1731.78 0.00 1731.78 50.11 1648.70 1697.82 0.00 1697.82 49.12
Oregon Kaiser Permanente - Northwest - High Self Plus One 573 1681.67 1731.78 0.00 1731.78 50.11 1648.70 1697.82 0.00 1697.82 49.12
Oregon Kaiser Permanente - Northwest - Prosper Self AM1 New Plan 399.62 0.00 399.62 New Plan New Plan 391.78 0.00 391.78 New Plan
Oregon Kaiser Permanente - Northwest - Prosper Self & Family AM2 New Plan 945.00 0.00 945.00 New Plan New Plan 926.47 0.00 926.47 New Plan
Oregon Kaiser Permanente - Northwest - Prosper Self Plus One AM3 New Plan 859.14 0.00 859.14 New Plan New Plan 842.29 0.00 842.29 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 533.32 634.66 0.00 634.66 101.34 522.86 622.22 0.00 622.22 99.36
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1261.12 1500.97 0.00 1500.97 239.85 1236.39 1471.54 0.00 1471.54 235.15
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1146.53 1364.53 0.00 1364.53 218.00 1124.05 1337.77 0.00 1337.77 213.72
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 452.72 538.73 0.00 538.73 86.01 443.84 528.17 0.00 528.17 84.33
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1041.27 1239.06 0.00 1239.06 197.79 1020.85 1214.76 0.00 1214.76 193.91
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 973.36 1158.26 0.00 1158.26 184.90 954.27 1135.55 0.00 1135.55 181.28
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 739.27 797.76 0.00 797.76 58.49 724.77 782.12 0.00 782.12 57.35
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1848.14 1994.46 0.00 1994.46 146.32 1811.90 1955.35 0.00 1955.35 143.45
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1589.42 1715.20 0.00 1715.20 125.78 1558.25 1681.57 0.00 1681.57 123.32
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 532.46 633.63 0.00 633.63 101.17 522.02 621.21 0.00 621.21 99.19
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1259.06 1498.51 0.00 1498.51 239.45 1234.37 1469.13 0.00 1469.13 234.76
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1144.67 1362.29 0.00 1362.29 217.62 1122.23 1335.58 0.00 1335.58 213.35
Oregon UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Palau Calvo's SelectCare - Standard Self B44 404.67 438.38 0.00 438.38 33.71 396.74 429.78 0.00 429.78 33.04
Palau Calvo's SelectCare - Standard Self & Family B45 1175.78 1273.69 0.00 1273.69 97.91 1152.73 1248.72 0.00 1248.72 95.99
Palau Calvo's SelectCare - Standard Self Plus One B46 797.74 864.15 0.00 864.15 66.41 782.10 847.21 0.00 847.21 65.11
Palau Calvo's SelectCare - High Self B41 501.38 532.12 0.00 532.12 30.74 491.55 521.69 0.00 521.69 30.14
Palau Calvo's SelectCare - High Self & Family B42 1327.93 1409.41 0.00 1409.41 81.48 1301.89 1381.77 0.00 1381.77 79.88
Palau Calvo's SelectCare - High Self Plus One B43 978.41 1038.43 0.00 1038.43 60.02 959.23 1018.07 0.00 1018.07 58.84
Palau TakeCare - HDHP Self KX1 126.72 122.94 0.00 122.94 -3.78 124.24 120.53 0.00 120.53 -3.71
Palau TakeCare - HDHP Self & Family KX2 346.11 329.62 0.00 329.62 -16.49 339.32 323.16 0.00 323.16 -16.16
Palau TakeCare - HDHP Self Plus One KX3 312.23 296.76 0.00 296.76 -15.47 306.11 290.94 0.00 290.94 -15.17
Palau TakeCare - Standard Self JK4 397.02 412.54 0.00 412.54 15.52 389.24 404.45 0.00 404.45 15.21
Palau TakeCare - Standard Self & Family JK5 1124.36 1168.30 0.00 1168.30 43.94 1102.31 1145.39 0.00 1145.39 43.08
Palau TakeCare - Standard Self Plus One JK6 782.49 813.08 0.00 813.08 30.59 767.15 797.14 0.00 797.14 29.99
Palau TakeCare - High Self JK1 502.20 507.77 0.00 507.77 5.57 492.35 497.81 0.00 497.81 5.46
Palau TakeCare - High Self & Family JK2 1197.89 1211.13 0.00 1211.13 13.24 1174.40 1187.38 0.00 1187.38 12.98
Palau TakeCare - High Self Plus One JK3 992.18 1003.16 0.00 1003.16 10.98 972.73 983.49 0.00 983.49 10.76
Pennsylvania Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Pennsylvania Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Pennsylvania Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Pennsylvania Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Pennsylvania Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Pennsylvania Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Pennsylvania Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Pennsylvania Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Pennsylvania Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Pennsylvania Aetna Open Access - Basic Self P34 1336.28 1535.64 0.00 1535.64 199.36 1310.08 1505.53 0.00 1505.53 195.45
Pennsylvania Aetna Open Access - Basic Self & Family P35 3101.49 3564.23 0.00 3564.23 462.74 3040.68 3494.34 0.00 3494.34 453.66
Pennsylvania Aetna Open Access - Basic Self Plus One P36 3070.75 3528.92 0.00 3528.92 458.17 3010.54 3459.73 0.00 3459.73 449.19
Pennsylvania Aetna Open Access - High Self P31 1485.74 1619.99 0.00 1619.99 134.25 1456.61 1588.23 0.00 1588.23 131.62
Pennsylvania Aetna Open Access - High Self & Family P32 3602.17 3927.72 0.00 3927.72 325.55 3531.54 3850.71 0.00 3850.71 319.17
Pennsylvania Aetna Open Access - High Self Plus One P33 3566.48 3888.83 0.00 3888.83 322.35 3496.55 3812.58 0.00 3812.58 316.03
Pennsylvania Aetna Open Access - High Self YE1 1239.43 1230.68 0.00 1230.68 -8.75 1215.13 1206.55 0.00 1206.55 -8.58
Pennsylvania Aetna Open Access - High Self & Family YE2 3112.21 3090.22 0.00 3090.22 -21.99 3051.19 3029.63 0.00 3029.63 -21.56
Pennsylvania Aetna Open Access - High Self Plus One YE3 3081.40 3059.63 0.00 3059.63 -21.77 3020.98 2999.64 0.00 2999.64 -21.34
Pennsylvania Geisinger Health Plan - Standard Self GG4 839.18 930.94 0.00 930.94 91.76 822.73 912.69 0.00 912.69 89.96
Pennsylvania Geisinger Health Plan - Standard Self & Family GG5 1921.35 2131.41 0.00 2131.41 210.06 1883.68 2089.62 0.00 2089.62 205.94
Pennsylvania Geisinger Health Plan - Standard Self Plus One GG6 1813.26 2011.52 0.00 2011.52 198.26 1777.71 1972.08 0.00 1972.08 194.37
Pennsylvania Geisinger Health Plan - Basic Self AJ1 New Plan 818.10 0.00 818.10 New Plan New Plan 802.06 0.00 802.06 New Plan
Pennsylvania Geisinger Health Plan - Basic Self & Family AJ2 New Plan 1873.05 0.00 1873.05 New Plan New Plan 1836.32 0.00 1836.32 New Plan
Pennsylvania Geisinger Health Plan - Basic Self Plus One AJ3 New Plan 1767.65 0.00 1767.65 New Plan New Plan 1732.99 0.00 1732.99 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 496.30 530.31 0.00 530.31 34.01 486.57 519.91 0.00 519.91 33.34
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1141.49 1219.73 0.00 1219.73 78.24 1119.11 1195.81 0.00 1195.81 76.70
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1067.05 1140.17 0.00 1140.17 73.12 1046.13 1117.81 0.00 1117.81 71.68
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 729.19 785.81 0.00 785.81 56.62 714.89 770.40 0.00 770.40 55.51
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1728.18 1862.35 0.00 1862.35 134.17 1694.29 1825.83 0.00 1825.83 131.54
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1567.73 1689.46 0.00 1689.46 121.73 1536.99 1656.33 0.00 1656.33 119.34
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Pennsylvania UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Pennsylvania UPMC Health Plan - Standard Self YT4 922.17 985.64 0.00 985.64 63.47 904.09 966.31 0.00 966.31 62.22
Pennsylvania UPMC Health Plan - Standard Self & Family YT5 2164.41 2314.00 0.00 2314.00 149.59 2121.97 2268.63 0.00 2268.63 146.66
Pennsylvania UPMC Health Plan - Standard Self Plus One YT6 2073.11 2216.24 0.00 2216.24 143.13 2032.46 2172.78 0.00 2172.78 140.32
Pennsylvania UPMC Health Plan - HDHP Self YS4 791.32 824.62 0.00 824.62 33.30 775.80 808.45 0.00 808.45 32.65
Pennsylvania UPMC Health Plan - HDHP Self & Family YS5 1826.87 1905.27 0.00 1905.27 78.40 1791.05 1867.91 0.00 1867.91 76.86
Pennsylvania UPMC Health Plan - HDHP Self Plus One YS6 1756.15 1831.21 0.00 1831.21 75.06 1721.72 1795.30 0.00 1795.30 73.58
Pennsylvania UPMC Health Plan - HDHP Self 8W4 622.84 654.49 0.00 654.49 31.65 610.63 641.66 0.00 641.66 31.03
Pennsylvania UPMC Health Plan - HDHP Self & Family 8W5 1433.10 1506.41 0.00 1506.41 73.31 1405.00 1476.87 0.00 1476.87 71.87
Pennsylvania UPMC Health Plan - HDHP Self Plus One 8W6 1378.66 1449.12 0.00 1449.12 70.46 1351.63 1420.71 0.00 1420.71 69.08
Pennsylvania UPMC Health Plan - Standard Self UW4 687.15 695.86 0.00 695.86 8.71 673.68 682.22 0.00 682.22 8.54
Pennsylvania UPMC Health Plan - Standard Self & Family UW5 1612.35 1633.28 0.00 1633.28 20.93 1580.74 1601.25 0.00 1601.25 20.51
Pennsylvania UPMC Health Plan - Standard Self Plus One UW6 1544.48 1564.41 0.00 1564.41 19.93 1514.20 1533.74 0.00 1533.74 19.54
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self ZJ1 398.04 467.04 0.00 467.04 69.00 390.24 457.88 0.00 457.88 67.64
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self & Family ZJ2 895.62 1050.83 0.00 1050.83 155.21 878.06 1030.23 0.00 1030.23 152.17
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self Plus One ZJ3 855.80 1004.14 0.00 1004.14 148.34 839.02 984.45 0.00 984.45 145.43
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self 891 397.84 397.84 0.00 397.84 0.00 390.04 390.04 0.00 390.04 0.00
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self & Family 892 911.07 911.07 0.00 911.07 0.00 893.21 893.21 0.00 893.21 0.00
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self Plus One 893 893.31 893.31 0.00 893.31 0.00 875.79 875.79 0.00 875.79 0.00
Rhode Island Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Rhode Island Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Rhode Island Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Rhode Island Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Rhode Island Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Rhode Island Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 774.80 856.42 0.00 856.42 81.62 759.61 839.63 0.00 839.63 80.02
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1774.30 1961.13 0.00 1961.13 186.83 1739.51 1922.68 0.00 1922.68 183.17
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1739.49 1922.66 0.00 1922.66 183.17 1705.38 1884.96 0.00 1884.96 179.58
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1097.27 1147.14 0.00 1147.14 49.87 1075.75 1124.65 0.00 1124.65 48.90
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2502.39 2616.18 0.00 2616.18 113.79 2453.32 2564.88 0.00 2564.88 111.56
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2477.61 2590.25 0.00 2590.25 112.64 2429.03 2539.46 0.00 2539.46 110.43
Rhode Island Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Rhode Island Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Rhode Island Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Rhode Island UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Rhode Island UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Rhode Island UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
South Carolina Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
South Carolina Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
South Carolina Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
South Carolina Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
South Carolina Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
South Carolina Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1094.95 1116.47 0.00 1116.47 21.52 1073.48 1094.58 0.00 1094.58 21.10
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2499.60 2548.78 0.00 2548.78 49.18 2450.59 2498.80 0.00 2498.80 48.21
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2474.85 2523.55 0.00 2523.55 48.70 2426.32 2474.07 0.00 2474.07 47.75
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1024.07 1030.13 0.00 1030.13 6.06 1003.99 1009.93 0.00 1009.93 5.94
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2334.42 2348.19 0.00 2348.19 13.77 2288.65 2302.15 0.00 2302.15 13.50
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2311.31 2324.92 0.00 2324.92 13.61 2265.99 2279.33 0.00 2279.33 13.34
South Carolina Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
South Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
South Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
South Carolina UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
South Carolina UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
South Carolina UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
South Dakota Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
South Dakota Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
South Dakota Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
South Dakota Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
South Dakota Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
South Dakota Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
South Dakota Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
South Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
South Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
South Dakota HealthPartners - Standard Self V34 469.12 519.60 0.00 519.60 50.48 459.92 509.41 0.00 509.41 49.49
South Dakota HealthPartners - Standard Self & Family V35 1142.82 1265.76 0.00 1265.76 122.94 1120.41 1240.94 0.00 1240.94 120.53
South Dakota HealthPartners - Standard Self Plus One V36 1036.78 1148.32 0.00 1148.32 111.54 1016.45 1125.80 0.00 1125.80 109.35
South Dakota HealthPartners - High Self V31 726.56 681.43 0.00 681.43 -45.13 712.31 668.07 0.00 668.07 -44.24
South Dakota HealthPartners - High Self & Family V32 1769.90 1659.93 0.00 1659.93 -109.97 1735.20 1627.38 0.00 1627.38 -107.82
South Dakota HealthPartners - High Self Plus One V33 1605.69 1505.94 0.00 1505.94 -99.75 1574.21 1476.41 0.00 1476.41 -97.80
South Dakota UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
South Dakota UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
South Dakota UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Tennessee Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Tennessee Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Tennessee Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Tennessee Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Tennessee Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Tennessee Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
Tennessee Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Tennessee Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Tennessee Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self TT1 760.22 805.81 0.00 805.81 45.59 745.31 790.01 0.00 790.01 44.70
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TT2 1710.52 1813.13 0.00 1813.13 102.61 1676.98 1777.58 0.00 1777.58 100.60
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TT3 1634.50 1732.55 0.00 1732.55 98.05 1602.45 1698.58 0.00 1698.58 96.13
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self TT4 696.62 738.41 0.00 738.41 41.79 682.96 723.93 0.00 723.93 40.97
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self & Family TT5 1567.35 1661.37 0.00 1661.37 94.02 1536.62 1628.79 0.00 1628.79 92.17
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self Plus One TT6 1497.68 1587.56 0.00 1587.56 89.88 1468.31 1556.43 0.00 1556.43 88.12
Tennessee Humana Health Plan, Inc. - High Self GJ1 1199.31 1247.28 0.00 1247.28 47.97 1175.79 1222.82 0.00 1222.82 47.03
Tennessee Humana Health Plan, Inc. - High Self & Family GJ2 2698.35 2806.29 0.00 2806.29 107.94 2645.44 2751.26 0.00 2751.26 105.82
Tennessee Humana Health Plan, Inc. - High Self Plus One GJ3 2578.41 2681.55 0.00 2681.55 103.14 2527.85 2628.97 0.00 2628.97 101.12
Tennessee Humana Health Plan, Inc. - Standard Self GJ4 887.53 923.01 0.00 923.01 35.48 870.13 904.91 0.00 904.91 34.78
Tennessee Humana Health Plan, Inc. - Standard Self & Family GJ5 1996.94 2076.80 0.00 2076.80 79.86 1957.78 2036.08 0.00 2036.08 78.30
Tennessee Humana Health Plan, Inc. - Standard Self Plus One GJ6 1908.19 1984.51 0.00 1984.51 76.32 1870.77 1945.60 0.00 1945.60 74.83
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 463.83 495.57 0.00 495.57 31.74 454.74 485.85 0.00 485.85 31.11
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1066.84 1139.85 0.00 1139.85 73.01 1045.92 1117.50 0.00 1117.50 71.58
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 997.26 1065.48 0.00 1065.48 68.22 977.71 1044.59 0.00 1044.59 66.88
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 728.15 784.42 0.00 784.42 56.27 713.87 769.04 0.00 769.04 55.17
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1820.40 1961.09 0.00 1961.09 140.69 1784.71 1922.64 0.00 1922.64 137.93
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1565.57 1686.54 0.00 1686.54 120.97 1534.87 1653.47 0.00 1653.47 118.60
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Tennessee UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Texas Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Texas Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Texas Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Texas Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Texas Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Texas Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1094.95 1116.47 0.00 1116.47 21.52 1073.48 1094.58 0.00 1094.58 21.10
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2499.60 2548.78 0.00 2548.78 49.18 2450.59 2498.80 0.00 2498.80 48.21
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2474.85 2523.55 0.00 2523.55 48.70 2426.32 2474.07 0.00 2474.07 47.75
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1024.07 1030.13 0.00 1030.13 6.06 1003.99 1009.93 0.00 1009.93 5.94
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2334.42 2348.19 0.00 2348.19 13.77 2288.65 2302.15 0.00 2302.15 13.50
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2311.31 2324.92 0.00 2324.92 13.61 2265.99 2279.33 0.00 2279.33 13.34
Texas Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Texas Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Texas Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Texas Humana CoverageFirst and Humana Value Plan - Value Self T34 538.73 576.41 0.00 576.41 37.68 528.17 565.11 0.00 565.11 36.94
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family T35 1212.10 1296.96 0.00 1296.96 84.86 1188.33 1271.53 0.00 1271.53 83.20
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One T36 1158.24 1239.32 0.00 1239.32 81.08 1135.53 1215.02 0.00 1215.02 79.49
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self T31 773.93 828.11 0.00 828.11 54.18 758.75 811.87 0.00 811.87 53.12
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family T32 1741.30 1863.20 0.00 1863.20 121.90 1707.16 1826.67 0.00 1826.67 119.51
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One T33 1663.96 1780.42 0.00 1780.42 116.46 1631.33 1745.51 0.00 1745.51 114.18
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TV1 858.87 927.58 0.00 927.58 68.71 842.03 909.39 0.00 909.39 67.36
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TV2 1932.49 2087.08 0.00 2087.08 154.59 1894.60 2046.16 0.00 2046.16 151.56
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TV3 1846.61 1994.34 0.00 1994.34 147.73 1810.40 1955.24 0.00 1955.24 144.84
Texas Humana CoverageFirst and Humana Value Plan - Value Self TV4 679.31 733.66 0.00 733.66 54.35 665.99 719.27 0.00 719.27 53.28
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TV5 1528.48 1650.76 0.00 1650.76 122.28 1498.51 1618.39 0.00 1618.39 119.88
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TV6 1460.57 1577.41 0.00 1577.41 116.84 1431.93 1546.48 0.00 1546.48 114.55
Texas Humana CoverageFirst and Humana Value Plan - Value Self TU4 538.26 612.63 0.00 612.63 74.37 527.71 600.62 0.00 600.62 72.91
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TU5 1211.13 1378.45 0.00 1378.45 167.32 1187.38 1351.42 0.00 1351.42 164.04
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TU6 1157.31 1317.21 0.00 1317.21 159.90 1134.62 1291.38 0.00 1291.38 156.76
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TU1 658.70 744.32 0.00 744.32 85.62 645.78 729.73 0.00 729.73 83.95
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TU2 1482.07 1674.76 0.00 1674.76 192.69 1453.01 1641.92 0.00 1641.92 188.91
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TU3 1416.21 1600.31 0.00 1600.31 184.10 1388.44 1568.93 0.00 1568.93 180.49
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TP1 736.04 787.58 0.00 787.58 51.54 721.61 772.14 0.00 772.14 50.53
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TP2 1656.08 1772.03 0.00 1772.03 115.95 1623.61 1737.28 0.00 1737.28 113.67
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TP3 1582.52 1693.28 0.00 1693.28 110.76 1551.49 1660.08 0.00 1660.08 108.59
Texas Humana CoverageFirst and Humana Value Plan - Value Self TP4 431.33 461.52 0.00 461.52 30.19 422.87 452.47 0.00 452.47 29.60
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TP5 970.48 1038.41 0.00 1038.41 67.93 951.45 1018.05 0.00 1018.05 66.60
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TP6 927.36 992.27 0.00 992.27 64.91 909.18 972.81 0.00 972.81 63.63
Texas Humana Health Plan of Texas - Standard Self UC4 856.67 916.62 0.00 916.62 59.95 839.87 898.65 0.00 898.65 58.78
Texas Humana Health Plan of Texas - Standard Self & Family UC5 1927.45 2062.40 0.00 2062.40 134.95 1889.66 2021.96 0.00 2021.96 132.30
Texas Humana Health Plan of Texas - Standard Self Plus One UC6 1841.79 1970.72 0.00 1970.72 128.93 1805.68 1932.08 0.00 1932.08 126.40
Texas Humana Health Plan of Texas - High Self UC1 1117.18 1195.39 0.00 1195.39 78.21 1095.27 1171.95 0.00 1171.95 76.68
Texas Humana Health Plan of Texas - High Self & Family UC2 2513.70 2689.66 0.00 2689.66 175.96 2464.41 2636.92 0.00 2636.92 172.51
Texas Humana Health Plan of Texas - High Self Plus One UC3 2401.96 2570.12 0.00 2570.12 168.16 2354.86 2519.73 0.00 2519.73 164.87
Texas Humana Health Plan of Texas - Basic Self QX1 764.25 833.73 0.00 833.73 69.48 749.26 817.38 0.00 817.38 68.12
Texas Humana Health Plan of Texas - Basic Self & Family QX2 1719.56 1875.87 0.00 1875.87 156.31 1685.84 1839.09 0.00 1839.09 153.25
Texas Humana Health Plan of Texas - Basic Self Plus One QX3 1643.14 1792.51 0.00 1792.51 149.37 1610.92 1757.36 0.00 1757.36 146.44
Texas Humana Health Plan of Texas - Standard Self EW4 852.64 954.96 0.00 954.96 102.32 835.92 936.24 0.00 936.24 100.32
Texas Humana Health Plan of Texas - Standard Self & Family EW5 1918.44 2148.63 0.00 2148.63 230.19 1880.82 2106.50 0.00 2106.50 225.68
Texas Humana Health Plan of Texas - Standard Self Plus One EW6 1833.15 2053.14 0.00 2053.14 219.99 1797.21 2012.88 0.00 2012.88 215.67
Texas Humana Health Plan of Texas - High Self EW1 1154.59 1293.19 0.00 1293.19 138.60 1131.95 1267.83 0.00 1267.83 135.88
Texas Humana Health Plan of Texas - High Self & Family EW2 2597.88 2909.64 0.00 2909.64 311.76 2546.94 2852.59 0.00 2852.59 305.65
Texas Humana Health Plan of Texas - High Self Plus One EW3 2482.43 2780.34 0.00 2780.34 297.91 2433.75 2725.82 0.00 2725.82 292.07
Texas Humana Health Plan of Texas - Basic Self QY1 776.18 861.54 0.00 861.54 85.36 760.96 844.65 0.00 844.65 83.69
Texas Humana Health Plan of Texas - Basic Self & Family QY2 1746.36 1938.48 0.00 1938.48 192.12 1712.12 1900.47 0.00 1900.47 188.35
Texas Humana Health Plan of Texas - Basic Self Plus One QY3 1668.77 1852.36 0.00 1852.36 183.59 1636.05 1816.04 0.00 1816.04 179.99
Texas Humana Health Plan of Texas - Basic Self Q21 749.63 802.10 0.00 802.10 52.47 734.93 786.37 0.00 786.37 51.44
Texas Humana Health Plan of Texas - Basic Self & Family Q22 1686.63 1804.71 0.00 1804.71 118.08 1653.56 1769.32 0.00 1769.32 115.76
Texas Humana Health Plan of Texas - Basic Self Plus One Q23 1611.64 1724.44 0.00 1724.44 112.80 1580.04 1690.63 0.00 1690.63 110.59
Texas Humana Health Plan of Texas - Basic Self Q61 636.75 713.14 0.00 713.14 76.39 624.26 699.16 0.00 699.16 74.90
Texas Humana Health Plan of Texas - Basic Self & Family Q62 1432.70 1604.63 0.00 1604.63 171.93 1404.61 1573.17 0.00 1573.17 168.56
Texas Humana Health Plan of Texas - Basic Self Plus One Q63 1369.03 1533.29 0.00 1533.29 164.26 1342.19 1503.23 0.00 1503.23 161.04
Texas Humana Health Plan of Texas - Standard Self UU4 1693.99 1640.35 0.00 1640.35 -53.64 1660.77 1608.19 0.00 1608.19 -52.58
Texas Humana Health Plan of Texas - Standard Self & Family UU5 3811.45 3690.77 0.00 3690.77 -120.68 3736.72 3618.40 0.00 3618.40 -118.32
Texas Humana Health Plan of Texas - Standard Self Plus One UU6 3642.03 3526.72 0.00 3526.72 -115.31 3570.62 3457.57 0.00 3457.57 -113.05
Texas Humana Health Plan of Texas - High Self UU1 1575.65 1654.43 0.00 1654.43 78.78 1544.75 1621.99 0.00 1621.99 77.24
Texas Humana Health Plan of Texas - High Self & Family UU2 3545.17 3722.42 0.00 3722.42 177.25 3475.66 3649.43 0.00 3649.43 173.77
Texas Humana Health Plan of Texas - High Self Plus One UU3 3387.62 3557.00 0.00 3557.00 169.38 3321.20 3487.25 0.00 3487.25 166.05
Texas Humana Health Plan of Texas - Standard Self UR4 999.61 1090.94 0.00 1090.94 91.33 980.01 1069.55 0.00 1069.55 89.54
Texas Humana Health Plan of Texas - Standard Self & Family UR5 2249.10 2454.58 0.00 2454.58 205.48 2205.00 2406.45 0.00 2406.45 201.45
Texas Humana Health Plan of Texas - Standard Self Plus One UR6 2149.14 2345.47 0.00 2345.47 196.33 2107.00 2299.48 0.00 2299.48 192.48
Texas Humana Health Plan of Texas - High Self UR1 1409.94 1595.03 0.00 1595.03 185.09 1382.29 1563.75 0.00 1563.75 181.46
Texas Humana Health Plan of Texas - High Self & Family UR2 3172.32 3588.82 0.00 3588.82 416.50 3110.12 3518.45 0.00 3518.45 408.33
Texas Humana Health Plan of Texas - High Self Plus One UR3 3031.35 3429.30 0.00 3429.30 397.95 2971.91 3362.06 0.00 3362.06 390.15
Texas Scott and White Health Plan - Basic Self A81 671.26 597.61 0.00 597.61 -73.65 658.10 585.89 0.00 585.89 -72.21
Texas Scott and White Health Plan - Basic Self & Family A82 1575.09 1402.02 0.00 1402.02 -173.07 1544.21 1374.53 0.00 1374.53 -169.68
Texas Scott and White Health Plan - Basic Self Plus One A83 1488.06 1324.56 0.00 1324.56 -163.50 1458.88 1298.59 0.00 1298.59 -160.29
Texas Scott and White Health Plan - Standard Self A84 801.13 878.45 0.00 878.45 77.32 785.42 861.23 0.00 861.23 75.81
Texas Scott and White Health Plan - Standard Self & Family A85 1880.36 2062.22 0.00 2062.22 181.86 1843.49 2021.78 0.00 2021.78 178.29
Texas Scott and White Health Plan - Standard Self Plus One A86 1776.42 1948.25 0.00 1948.25 171.83 1741.59 1910.05 0.00 1910.05 168.46
Texas Scott and White Health Plan - Basic Self P81 691.93 616.02 0.00 616.02 -75.91 678.36 603.94 0.00 603.94 -74.42
Texas Scott and White Health Plan - Basic Self & Family P82 1623.73 1445.30 0.00 1445.30 -178.43 1591.89 1416.96 0.00 1416.96 -174.93
Texas Scott and White Health Plan - Basic Self Plus One P83 1534.01 1365.45 0.00 1365.45 -168.56 1503.93 1338.68 0.00 1338.68 -165.25
Texas Scott and White Health Plan - Standard Self P84 841.44 986.01 0.00 986.01 144.57 824.94 966.68 0.00 966.68 141.74
Texas Scott and White Health Plan - Standard Self & Family P85 1975.04 2314.82 0.00 2314.82 339.78 1936.31 2269.43 0.00 2269.43 333.12
Texas Scott and White Health Plan - Standard Self Plus One P86 1865.89 2186.84 0.00 2186.84 320.95 1829.30 2143.96 0.00 2143.96 314.66
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 531.93 565.71 0.00 565.71 33.78 521.50 554.62 0.00 554.62 33.12
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1491.51 1586.25 0.00 1586.25 94.74 1462.26 1555.15 0.00 1555.15 92.89
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1038.83 1104.84 0.00 1104.84 66.01 1018.46 1083.18 0.00 1083.18 64.72
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Texas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Texas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Texas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Utah Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Utah Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Utah Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Utah Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Utah Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Utah Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
Utah Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Utah Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Utah Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Utah Altius Health Plan - High Self 9K1 1029.24 1069.33 0.00 1069.33 40.09 1009.06 1048.36 0.00 1048.36 39.30
Utah Altius Health Plan - High Self & Family 9K2 2276.15 2364.83 0.00 2364.83 88.68 2231.52 2318.46 0.00 2318.46 86.94
Utah Altius Health Plan - High Self Plus One 9K3 2253.61 2341.41 0.00 2341.41 87.80 2209.42 2295.50 0.00 2295.50 86.08
Utah Altius Health Plan - HDHP Self 9K4 539.81 685.94 0.00 685.94 146.13 529.23 672.49 0.00 672.49 143.26
Utah Altius Health Plan - HDHP Self & Family 9K5 1128.16 1433.54 0.00 1433.54 305.38 1106.04 1405.43 0.00 1405.43 299.39
Utah Altius Health Plan - HDHP Self Plus One 9K6 1106.06 1405.41 0.00 1405.41 299.35 1084.37 1377.85 0.00 1377.85 293.48
Utah Altius Health Plan - Standard Self DK4 776.53 900.77 0.00 900.77 124.24 761.30 883.11 0.00 883.11 121.81
Utah Altius Health Plan - Standard Self & Family DK5 1714.85 1989.20 0.00 1989.20 274.35 1681.23 1950.20 0.00 1950.20 268.97
Utah Altius Health Plan - Standard Self Plus One DK6 1697.85 1969.49 0.00 1969.49 271.64 1664.56 1930.87 0.00 1930.87 266.31
Utah SelectHealth Plan - Standard Self SF4 617.10 641.19 0.00 641.19 24.09 605.00 628.62 0.00 628.62 23.62
Utah SelectHealth Plan - Standard Self & Family SF5 1406.45 1602.98 0.00 1602.98 196.53 1378.87 1571.55 0.00 1571.55 192.68
Utah SelectHealth Plan - Standard Self Plus One SF6 1406.45 1410.62 0.00 1410.62 4.17 1378.87 1382.96 0.00 1382.96 4.09
Utah SelectHealth Plan - HDHP Self WX1 537.73 550.27 0.00 550.27 12.54 527.19 539.48 0.00 539.48 12.29
Utah SelectHealth Plan - HDHP Self & Family WX2 1225.56 1375.66 0.00 1375.66 150.10 1201.53 1348.69 0.00 1348.69 147.16
Utah SelectHealth Plan - HDHP Self Plus One WX3 1225.56 1210.58 0.00 1210.58 -14.98 1201.53 1186.84 0.00 1186.84 -14.69
Utah UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Utah UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Utah UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Vermont Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Vermont Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Vermont Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Vermont Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Vermont Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Vermont Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 774.80 856.42 0.00 856.42 81.62 759.61 839.63 0.00 839.63 80.02
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1774.30 1961.13 0.00 1961.13 186.83 1739.51 1922.68 0.00 1922.68 183.17
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1739.49 1922.66 0.00 1922.66 183.17 1705.38 1884.96 0.00 1884.96 179.58
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1097.27 1147.14 0.00 1147.14 49.87 1075.75 1124.65 0.00 1124.65 48.90
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2502.39 2616.18 0.00 2616.18 113.79 2453.32 2564.88 0.00 2564.88 111.56
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2477.61 2590.25 0.00 2590.25 112.64 2429.03 2539.46 0.00 2539.46 110.43
Vermont Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Vermont Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Vermont Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Vermont UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Vermont UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Vermont UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self 851 692.61 692.61 0.00 692.61 0.00 679.03 679.03 0.00 679.03 0.00
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self & Family 852 1586.12 1586.12 0.00 1586.12 0.00 1555.02 1555.02 0.00 1555.02 0.00
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self Plus One 853 1555.17 1555.17 0.00 1555.17 0.00 1524.68 1524.68 0.00 1524.68 0.00
Virginia Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Virginia Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Virginia Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Virginia Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Virginia Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Virginia Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
Virginia Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Virginia Aetna Open Access - High Self JN1 1160.32 1200.10 0.00 1200.10 39.78 1137.57 1176.57 0.00 1176.57 39.00
Virginia Aetna Open Access - High Self & Family JN2 2608.58 2697.95 0.00 2697.95 89.37 2557.43 2645.05 0.00 2645.05 87.62
Virginia Aetna Open Access - High Self Plus One JN3 2582.74 2671.23 0.00 2671.23 88.49 2532.10 2618.85 0.00 2618.85 86.75
Virginia Aetna Open Access - Basic Self JN4 711.04 728.71 0.00 728.71 17.67 697.10 714.42 0.00 714.42 17.32
Virginia Aetna Open Access - Basic Self & Family JN5 1627.25 1667.62 0.00 1667.62 40.37 1595.34 1634.92 0.00 1634.92 39.58
Virginia Aetna Open Access - Basic Self Plus One JN6 1494.29 1531.36 0.00 1531.36 37.07 1464.99 1501.33 0.00 1501.33 36.34
Virginia Aetna Saver (Open Access) - Saver Self QQ4 607.11 607.11 0.00 607.11 0.00 595.21 595.21 0.00 595.21 0.00
Virginia Aetna Saver (Open Access) - Saver Self & Family QQ5 1389.38 1389.36 0.00 1389.36 -0.02 1362.14 1362.12 0.00 1362.12 -0.02
Virginia Aetna Saver (Open Access) - Saver Self Plus One QQ6 1275.84 1275.84 0.00 1275.84 0.00 1250.82 1250.82 0.00 1250.82 0.00
Virginia CareFirst BlueChoice - Standard Self 2G4 862.45 905.57 0.00 905.57 43.12 845.54 887.81 0.00 887.81 42.27
Virginia CareFirst BlueChoice - Standard Self & Family 2G5 2049.14 2151.61 0.00 2151.61 102.47 2008.96 2109.42 0.00 2109.42 100.46
Virginia CareFirst BlueChoice - Standard Self Plus One 2G6 1724.88 1811.12 0.00 1811.12 86.24 1691.06 1775.61 0.00 1775.61 84.55
Virginia CareFirst BlueChoice - HDHP Self B61 581.49 581.49 0.00 581.49 0.00 570.09 570.09 0.00 570.09 0.00
Virginia CareFirst BlueChoice - HDHP Self & Family B62 1381.60 1381.60 0.00 1381.60 0.00 1354.51 1354.51 0.00 1354.51 0.00
Virginia CareFirst BlueChoice - HDHP Self Plus One B63 1162.97 1162.97 0.00 1162.97 0.00 1140.17 1140.17 0.00 1140.17 0.00
Virginia CareFirst BlueChoice - Blue Value Plus Self B64 720.11 738.14 0.00 738.14 18.03 705.99 723.67 0.00 723.67 17.68
Virginia CareFirst BlueChoice - Blue Value Plus Self & Family B65 1711.01 1753.77 0.00 1753.77 42.76 1677.46 1719.38 0.00 1719.38 41.92
Virginia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 1440.26 1476.24 0.00 1476.24 35.98 1412.02 1447.29 0.00 1447.29 35.27
Virginia Kaiser Permanente - Mid-Atlantic States - Basic Self T71 428.52 436.27 0.00 436.27 7.75 420.12 427.72 0.00 427.72 7.60
Virginia Kaiser Permanente - Mid-Atlantic States - Basic Self & Family T72 1046.68 1121.51 0.00 1121.51 74.83 1026.16 1099.52 0.00 1099.52 73.36
Virginia Kaiser Permanente - Mid-Atlantic States - Basic Self Plus One T73 953.60 970.88 0.00 970.88 17.28 934.90 951.84 0.00 951.84 16.94
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 582.98 610.25 0.00 610.25 27.27 571.55 598.28 0.00 598.28 26.73
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 1340.79 1403.57 0.00 1403.57 62.78 1314.50 1376.05 0.00 1376.05 61.55
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 1340.79 1403.57 0.00 1403.57 62.78 1314.50 1376.05 0.00 1376.05 61.55
Virginia Kaiser Permanente - Mid-Atlantic States - High Self E31 737.28 761.16 0.00 761.16 23.88 722.82 746.24 0.00 746.24 23.42
Virginia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 1695.78 1750.68 0.00 1750.68 54.90 1662.53 1716.35 0.00 1716.35 53.82
Virginia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 1695.78 1750.68 0.00 1750.68 54.90 1662.53 1716.35 0.00 1716.35 53.82
Virginia M.D. IPA - High Self JP1 894.14 969.91 0.00 969.91 75.77 876.61 950.89 0.00 950.89 74.28
Virginia M.D. IPA - High Self & Family JP2 2507.20 2719.61 0.00 2719.61 212.41 2458.04 2666.28 0.00 2666.28 208.24
Virginia M.D. IPA - High Self Plus One JP3 1746.28 1894.23 0.00 1894.23 147.95 1712.04 1857.09 0.00 1857.09 145.05
Virginia Optima Health - HDHP Self PG4 657.30 617.19 0.00 617.19 -40.11 644.41 605.09 0.00 605.09 -39.32
Virginia Optima Health - HDHP Self & Family PG5 1449.92 1361.48 0.00 1361.48 -88.44 1421.49 1334.78 0.00 1334.78 -86.71
Virginia Optima Health - HDHP Self Plus One PG6 1421.49 1334.77 0.00 1334.77 -86.72 1393.62 1308.60 0.00 1308.60 -85.02
Virginia Optima Health - High Self PG1 705.94 733.94 0.00 733.94 28.00 692.10 719.55 0.00 719.55 27.45
Virginia Optima Health - High Self & Family PG2 1705.81 1773.46 0.00 1773.46 67.65 1672.36 1738.69 0.00 1738.69 66.33
Virginia Optima Health - High Self Plus One PG3 1705.67 1773.33 0.00 1773.33 67.66 1672.23 1738.56 0.00 1738.56 66.33
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 536.33 611.46 0.00 611.46 75.13 525.81 599.47 0.00 599.47 73.66
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1268.23 1446.12 0.00 1446.12 177.89 1243.36 1417.76 0.00 1417.76 174.40
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1153.03 1314.67 0.00 1314.67 161.64 1130.42 1288.89 0.00 1288.89 158.47
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 496.30 530.31 0.00 530.31 34.01 486.57 519.91 0.00 519.91 33.34
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1141.49 1219.73 0.00 1219.73 78.24 1119.11 1195.81 0.00 1195.81 76.70
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1067.05 1140.17 0.00 1140.17 73.12 1046.13 1117.81 0.00 1117.81 71.68
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 729.19 785.81 0.00 785.81 56.62 714.89 770.40 0.00 770.40 55.51
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1728.18 1862.35 0.00 1862.35 134.17 1694.29 1825.83 0.00 1825.83 131.54
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1567.73 1689.46 0.00 1689.46 121.73 1536.99 1656.33 0.00 1656.33 119.34
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 531.93 565.71 0.00 565.71 33.78 521.50 554.62 0.00 554.62 33.12
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1491.51 1586.25 0.00 1586.25 94.74 1462.26 1555.15 0.00 1555.15 92.89
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1038.83 1104.84 0.00 1104.84 66.01 1018.46 1083.18 0.00 1083.18 64.72
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 516.87 588.25 0.00 588.25 71.38 506.74 576.72 0.00 576.72 69.98
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1222.19 1391.22 0.00 1391.22 169.03 1198.23 1363.94 0.00 1363.94 165.71
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1111.17 1264.74 0.00 1264.74 153.57 1089.38 1239.94 0.00 1239.94 150.56
Virginia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Washington Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Washington Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Washington Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Washington Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Washington Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Washington Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 726.98 731.38 0.00 731.38 4.40 712.73 717.04 0.00 717.04 4.31
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1665.02 1675.12 0.00 1675.12 10.10 1632.37 1642.27 0.00 1642.27 9.90
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1632.38 1642.29 0.00 1642.29 9.91 1600.37 1610.09 0.00 1610.09 9.72
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 922.59 1079.94 0.00 1079.94 157.35 904.50 1058.76 0.00 1058.76 154.26
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2104.36 2463.38 0.00 2463.38 359.02 2063.10 2415.08 0.00 2415.08 351.98
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2083.56 2439.02 0.00 2439.02 355.46 2042.71 2391.20 0.00 2391.20 348.49
Washington Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Washington Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Washington Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Washington Kaiser Permanente - Northwest - Standard Self 574 660.92 702.12 0.00 702.12 41.20 647.96 688.35 0.00 688.35 40.39
Washington Kaiser Permanente - Northwest - Standard Self & Family 575 1518.31 1612.97 0.00 1612.97 94.66 1488.54 1581.34 0.00 1581.34 92.80
Washington Kaiser Permanente - Northwest - Standard Self Plus One 576 1518.31 1612.97 0.00 1612.97 94.66 1488.54 1581.34 0.00 1581.34 92.80
Washington Kaiser Permanente - Northwest - High Self 571 744.53 766.71 0.00 766.71 22.18 729.93 751.68 0.00 751.68 21.75
Washington Kaiser Permanente - Northwest - High Self & Family 572 1681.67 1731.78 0.00 1731.78 50.11 1648.70 1697.82 0.00 1697.82 49.12
Washington Kaiser Permanente - Northwest - High Self Plus One 573 1681.67 1731.78 0.00 1731.78 50.11 1648.70 1697.82 0.00 1697.82 49.12
Washington Kaiser Permanente - Northwest - Prosper Self AM1 New Plan 399.62 0.00 399.62 New Plan New Plan 391.78 0.00 391.78 New Plan
Washington Kaiser Permanente - Northwest - Prosper Self & Family AM2 New Plan 945.00 0.00 945.00 New Plan New Plan 926.47 0.00 926.47 New Plan
Washington Kaiser Permanente - Northwest - Prosper Self Plus One AM3 New Plan 859.14 0.00 859.14 New Plan New Plan 842.29 0.00 842.29 New Plan
Washington Kaiser Permanente - Washington Core - Standard Self 544 616.21 630.38 0.00 630.38 14.17 604.13 618.02 0.00 618.02 13.89
Washington Kaiser Permanente - Washington Core - Standard Self & Family 545 1417.32 1449.87 0.00 1449.87 32.55 1389.53 1421.44 0.00 1421.44 31.91
Washington Kaiser Permanente - Washington Core - Standard Self Plus One 546 1417.32 1449.87 0.00 1449.87 32.55 1389.53 1421.44 0.00 1421.44 31.91
Washington Kaiser Permanente - Washington Core - High Self 541 862.65 881.04 0.00 881.04 18.39 845.74 863.76 0.00 863.76 18.02
Washington Kaiser Permanente - Washington Core - High Self & Family 542 1897.86 1938.26 0.00 1938.26 40.40 1860.65 1900.25 0.00 1900.25 39.60
Washington Kaiser Permanente - Washington Core - High Self Plus One 543 1897.86 1938.26 0.00 1938.26 40.40 1860.65 1900.25 0.00 1900.25 39.60
Washington Kaiser Permanente - Washington Core - Prosper Self PT4 New Plan 397.80 0.00 397.80 New Plan New Plan 390.00 0.00 390.00 New Plan
Washington Kaiser Permanente - Washington Core - Prosper Self & Family PT5 New Plan 1113.82 0.00 1113.82 New Plan New Plan 1091.98 0.00 1091.98 New Plan
Washington Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 New Plan 963.56 0.00 963.56 New Plan New Plan 944.67 0.00 944.67 New Plan
Washington Kaiser Permanente Washington Options Federal - Standard Self L11 742.45 758.03 0.00 758.03 15.58 727.89 743.17 0.00 743.17 15.28
Washington Kaiser Permanente Washington Options Federal - Standard Self & Family L12 1648.22 1682.83 0.00 1682.83 34.61 1615.90 1649.83 0.00 1649.83 33.93
Washington Kaiser Permanente Washington Options Federal - Standard Self Plus One L13 1648.22 1682.83 0.00 1682.83 34.61 1615.90 1649.83 0.00 1649.83 33.93
Washington Kaiser Permanente Washington Options Federal - HDHP Self L14 658.49 674.95 0.00 674.95 16.46 645.58 661.72 0.00 661.72 16.14
Washington Kaiser Permanente Washington Options Federal - HDHP Self & Family L15 1461.80 1498.36 0.00 1498.36 36.56 1433.14 1468.98 0.00 1468.98 35.84
Washington Kaiser Permanente Washington Options Federal - HDHP Self Plus One L16 1461.80 1498.36 0.00 1498.36 36.56 1433.14 1468.98 0.00 1468.98 35.84
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 533.32 634.66 0.00 634.66 101.34 522.86 622.22 0.00 622.22 99.36
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1261.12 1500.97 0.00 1500.97 239.85 1236.39 1471.54 0.00 1471.54 235.15
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1146.53 1364.53 0.00 1364.53 218.00 1124.05 1337.77 0.00 1337.77 213.72
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 452.72 538.73 0.00 538.73 86.01 443.84 528.17 0.00 528.17 84.33
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1041.27 1239.06 0.00 1239.06 197.79 1020.85 1214.76 0.00 1214.76 193.91
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 973.36 1158.26 0.00 1158.26 184.90 954.27 1135.55 0.00 1135.55 181.28
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 739.27 797.76 0.00 797.76 58.49 724.77 782.12 0.00 782.12 57.35
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1848.14 1994.46 0.00 1994.46 146.32 1811.90 1955.35 0.00 1955.35 143.45
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1589.42 1715.20 0.00 1715.20 125.78 1558.25 1681.57 0.00 1681.57 123.32
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 532.46 633.63 0.00 633.63 101.17 522.02 621.21 0.00 621.21 99.19
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1259.06 1498.51 0.00 1498.51 239.45 1234.37 1469.13 0.00 1469.13 234.76
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1144.67 1362.29 0.00 1362.29 217.62 1122.23 1335.58 0.00 1335.58 213.35
Washington UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Washington UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Washington UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
West Virginia Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
West Virginia Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
West Virginia Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
West Virginia Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
West Virginia Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
West Virginia Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 845.81 868.77 0.00 868.77 22.96 829.23 851.74 0.00 851.74 22.51
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1928.53 1980.87 0.00 1980.87 52.34 1890.72 1942.03 0.00 1942.03 51.31
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1909.44 1961.27 0.00 1961.27 51.83 1872.00 1922.81 0.00 1922.81 50.81
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 836.38 838.26 0.00 838.26 1.88 819.98 821.82 0.00 821.82 1.84
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1915.16 1919.52 0.00 1919.52 4.36 1877.61 1881.88 0.00 1881.88 4.27
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1877.60 1881.86 0.00 1881.86 4.26 1840.78 1844.96 0.00 1844.96 4.18
West Virginia Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
West Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
West Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
West Virginia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
West Virginia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
West Virginia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Wisconsin Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Wisconsin Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Wisconsin Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Wisconsin Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Wisconsin Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Wisconsin Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1094.95 1116.47 0.00 1116.47 21.52 1073.48 1094.58 0.00 1094.58 21.10
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2499.60 2548.78 0.00 2548.78 49.18 2450.59 2498.80 0.00 2498.80 48.21
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2474.85 2523.55 0.00 2523.55 48.70 2426.32 2474.07 0.00 2474.07 47.75
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1024.07 1030.13 0.00 1030.13 6.06 1003.99 1009.93 0.00 1009.93 5.94
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2334.42 2348.19 0.00 2348.19 13.77 2288.65 2302.15 0.00 2302.15 13.50
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2311.31 2324.92 0.00 2324.92 13.61 2265.99 2279.33 0.00 2279.33 13.34
Wisconsin Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Wisconsin Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Wisconsin Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Wisconsin Dean Health Plan, Inc. - High Self WD1 1170.02 1286.09 0.00 1286.09 116.07 1147.08 1260.87 0.00 1260.87 113.79
Wisconsin Dean Health Plan, Inc. - High Self & Family WD2 2691.03 2958.04 0.00 2958.04 267.01 2638.26 2900.04 0.00 2900.04 261.78
Wisconsin Dean Health Plan, Inc. - High Self Plus One WD3 2457.04 2700.82 0.00 2700.82 243.78 2408.86 2647.86 0.00 2647.86 239.00
Wisconsin Dean Health Plan, Inc. - Standard Self WD4 695.20 698.82 0.00 698.82 3.62 681.57 685.12 0.00 685.12 3.55
Wisconsin Dean Health Plan, Inc. - Standard Self & Family WD5 1668.49 1677.15 0.00 1677.15 8.66 1635.77 1644.26 0.00 1644.26 8.49
Wisconsin Dean Health Plan, Inc. - Standard Self Plus One WD6 1529.45 1537.41 0.00 1537.41 7.96 1499.46 1507.26 0.00 1507.26 7.80
Wisconsin Dean Health Plan, Inc. - Basic Self AG1 New Plan 464.17 0.00 464.17 New Plan New Plan 455.07 0.00 455.07 New Plan
Wisconsin Dean Health Plan, Inc. - Basic Self & Family AG2 New Plan 1044.38 0.00 1044.38 New Plan New Plan 1023.90 0.00 1023.90 New Plan
Wisconsin Dean Health Plan, Inc. - Basic Self Plus One AG3 New Plan 974.74 0.00 974.74 New Plan New Plan 955.63 0.00 955.63 New Plan
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self WJ1 875.12 906.81 0.00 906.81 31.69 857.96 889.03 0.00 889.03 31.07
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self & Family WJ2 2275.38 2357.74 0.00 2357.74 82.36 2230.76 2311.51 0.00 2311.51 80.75
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self Plus One WJ3 1925.31 1995.01 0.00 1995.01 69.70 1887.56 1955.89 0.00 1955.89 68.33
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self WJ4 New Plan 631.22 0.00 631.22 New Plan New Plan 618.84 0.00 618.84 New Plan
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self & Family WJ5 New Plan 1641.19 0.00 1641.19 New Plan New Plan 1609.01 0.00 1609.01 New Plan
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self Plus One WJ6 New Plan 1388.70 0.00 1388.70 New Plan New Plan 1361.47 0.00 1361.47 New Plan
Wisconsin HealthPartners - Standard Self V34 469.12 519.60 0.00 519.60 50.48 459.92 509.41 0.00 509.41 49.49
Wisconsin HealthPartners - Standard Self & Family V35 1142.82 1265.76 0.00 1265.76 122.94 1120.41 1240.94 0.00 1240.94 120.53
Wisconsin HealthPartners - Standard Self Plus One V36 1036.78 1148.32 0.00 1148.32 111.54 1016.45 1125.80 0.00 1125.80 109.35
Wisconsin HealthPartners - High Self V31 726.56 681.43 0.00 681.43 -45.13 712.31 668.07 0.00 668.07 -44.24
Wisconsin HealthPartners - High Self & Family V32 1769.90 1659.93 0.00 1659.93 -109.97 1735.20 1627.38 0.00 1627.38 -107.82
Wisconsin HealthPartners - High Self Plus One V33 1605.69 1505.94 0.00 1505.94 -99.75 1574.21 1476.41 0.00 1476.41 -97.80
Wisconsin Quartz Health Benefit Plans Corporation - High Self TF1 1030.57 1125.89 0.00 1125.89 95.32 1010.36 1103.81 0.00 1103.81 93.45
Wisconsin Quartz Health Benefit Plans Corporation - High Self & Family TF2 2473.39 2702.16 0.00 2702.16 228.77 2424.89 2649.18 0.00 2649.18 224.29
Wisconsin Quartz Health Benefit Plans Corporation - High Self Plus One TF3 2318.82 2533.30 0.00 2533.30 214.48 2273.35 2483.63 0.00 2483.63 210.28
Wisconsin Quartz Health Benefit Plans Corporation - Standard Self TF4 626.56 653.21 0.00 653.21 26.65 614.27 640.40 0.00 640.40 26.13
Wisconsin Quartz Health Benefit Plans Corporation - Standard Self & Family TF5 1503.78 1567.69 0.00 1567.69 63.91 1474.29 1536.95 0.00 1536.95 62.66
Wisconsin Quartz Health Benefit Plans Corporation - Standard Self Plus One TF6 1378.47 1437.03 0.00 1437.03 58.56 1351.44 1408.85 0.00 1408.85 57.41
Wisconsin UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Wisconsin UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Wisconsin UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
Wyoming Aetna Advantage - Advantage Self Z24 473.12 510.02 0.00 510.02 36.90 463.84 500.02 0.00 500.02 36.18
Wyoming Aetna Advantage - Advantage Self & Family Z25 1253.75 1351.50 0.00 1351.50 97.75 1229.17 1325.00 0.00 1325.00 95.83
Wyoming Aetna Advantage - Advantage Self Plus One Z26 1040.85 1122.02 0.00 1122.02 81.17 1020.44 1100.02 0.00 1100.02 79.58
Wyoming Aetna Direct - CDHP Self N61 624.90 628.15 0.00 628.15 3.25 612.65 615.83 0.00 615.83 3.18
Wyoming Aetna Direct - CDHP Self & Family N62 1575.91 1584.13 0.00 1584.13 8.22 1545.01 1553.07 0.00 1553.07 8.06
Wyoming Aetna Direct - CDHP Self Plus One N63 1370.42 1377.56 0.00 1377.56 7.14 1343.55 1350.55 0.00 1350.55 7.00
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 845.04 843.38 0.00 843.38 -1.66 828.47 826.84 0.00 826.84 -1.63
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1926.22 1922.43 0.00 1922.43 -3.79 1888.45 1884.74 0.00 1884.74 -3.71
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1907.32 1903.76 0.00 1903.76 -3.56 1869.92 1866.43 0.00 1866.43 -3.49
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 823.18 833.83 0.00 833.83 10.65 807.04 817.48 0.00 817.48 10.44
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1889.22 1913.68 0.00 1913.68 24.46 1852.18 1876.16 0.00 1876.16 23.98
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1852.18 1876.18 0.00 1876.18 24.00 1815.86 1839.39 0.00 1839.39 23.53
Wyoming Aetna HealthFund HDHP - HDHP Self 224 743.38 801.74 0.00 801.74 58.36 728.80 786.02 0.00 786.02 57.22
Wyoming Aetna HealthFund HDHP - HDHP Self & Family 225 1639.75 1768.51 0.00 1768.51 128.76 1607.60 1733.83 0.00 1733.83 126.23
Wyoming Aetna HealthFund HDHP - HDHP Self Plus One 226 1607.62 1733.88 0.00 1733.88 126.26 1576.10 1699.88 0.00 1699.88 123.78
Wyoming Altius Health Plan - High Self 9K1 1029.24 1069.33 0.00 1069.33 40.09 1009.06 1048.36 0.00 1048.36 39.30
Wyoming Altius Health Plan - High Self & Family 9K2 2276.15 2364.83 0.00 2364.83 88.68 2231.52 2318.46 0.00 2318.46 86.94
Wyoming Altius Health Plan - High Self Plus One 9K3 2253.61 2341.41 0.00 2341.41 87.80 2209.42 2295.50 0.00 2295.50 86.08
Wyoming Altius Health Plan - HDHP Self 9K4 539.81 685.94 0.00 685.94 146.13 529.23 672.49 0.00 672.49 143.26
Wyoming Altius Health Plan - HDHP Self & Family 9K5 1128.16 1433.54 0.00 1433.54 305.38 1106.04 1405.43 0.00 1405.43 299.39
Wyoming Altius Health Plan - HDHP Self Plus One 9K6 1106.06 1405.41 0.00 1405.41 299.35 1084.37 1377.85 0.00 1377.85 293.48
Wyoming Altius Health Plan - Standard Self DK4 776.53 900.77 0.00 900.77 124.24 761.30 883.11 0.00 883.11 121.81
Wyoming Altius Health Plan - Standard Self & Family DK5 1714.85 1989.20 0.00 1989.20 274.35 1681.23 1950.20 0.00 1950.20 268.97
Wyoming Altius Health Plan - Standard Self Plus One DK6 1697.85 1969.49 0.00 1969.49 271.64 1664.56 1930.87 0.00 1930.87 266.31
Wyoming UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 419.96 0.00 419.96 New Plan New Plan 411.73 0.00 411.73 New Plan
Wyoming UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 1112.89 0.00 1112.89 New Plan New Plan 1091.07 0.00 1091.07 New Plan
Wyoming UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 923.92 0.00 923.92 New Plan New Plan 905.80 0.00 905.80 New Plan
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