This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode").
Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please follow this link to enable alert boxes for your profile.
This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode").
Alert box notification is currently enabled, please follow this link to disable alert boxes for your profile.
An official website of the United States government
Here's how you know
Official websites use .gov A .gov website belongs to an official government
organization in the United States.
Secure .gov websites use HTTPS A lock (
) or https:// means you’ve safely connected to
the .gov website. Share sensitive information only on official,
secure websites.
Healthcare
Premium Rates for the Federal Employees Health Benefits Program
HMO (Regional Plans with Specific Service Areas)
Plan - Option
Enrollment Code
2021 Total Biweekly Premium
2022 Biweekly Premium Rates - Total Premium
2022 Biweekly Premium Rates - Government Pays
2022 Biweekly Premium Rates - Employee Pays
2022 Biweekly Premium Rates - Change in Employee Payment
2021 Total Monthly Premium
2022 Monthly Premium Rates - Total Premium
2022 Monthly Premium Rates - Government Pays
2022 Monthly Premium Rates - Employee Pays
2022 Monthly Premium Rates - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Alabama Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Alabama Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Alabama Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Alabama Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Alabama Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
Alabama Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Alabama Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Alabama Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LS1
224.24
288.31
216.23
72.08
16.02
485.85
624.67
468.50
156.17
34.71
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LS2
515.77
663.12
497.34
165.78
36.84
1117.50
1436.76
1077.57
359.19
79.82
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LS3
482.12
619.88
464.91
154.97
34.44
1044.59
1343.07
1007.30
335.77
74.62
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KK1
354.94
391.06
244.86
146.20
32.84
769.04
847.30
530.53
316.77
71.15
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KK2
887.37
977.65
574.13
403.52
78.40
1922.64
2118.24
1243.95
874.29
169.86
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KK3
763.14
840.78
524.63
316.15
70.47
1653.47
1821.69
1136.70
684.99
152.68
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Alaska Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Alaska Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Alaska Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Alaska Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Alaska Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Alaska Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self
JS4
505.19
505.16
244.86
260.30
-3.31
1094.58
1094.51
530.53
563.98
-7.18
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
JS5
1153.29
1153.22
574.13
579.09
-11.95
2498.80
2498.64
1243.95
1254.69
-25.90
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
JS6
1141.88
1141.82
524.63
617.19
-7.23
2474.07
2473.94
1136.70
1337.24
-15.67
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
JS1
466.12
478.77
244.86
233.91
9.37
1009.93
1037.34
530.53
506.81
20.30
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
JS2
1062.53
1091.38
574.13
517.25
16.97
2302.15
2364.66
1243.95
1120.71
36.77
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
JS3
1052.00
1080.57
524.63
555.94
21.40
2279.33
2341.24
1136.70
1204.54
46.37
Alaska Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Alaska Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Alaska Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Arizona Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Arizona Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Arizona Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Arizona Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Arizona Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Arizona Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
Arizona Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Arizona Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Arizona Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Arizona Aetna Open Access - High Self
WQ1
621.08
664.00
244.86
419.14
39.64
1345.67
1438.67
530.53
908.14
85.89
Arizona Aetna Open Access - High Self & Family
WQ2
1507.96
1612.18
574.13
1038.05
92.34
3267.25
3493.06
1243.95
2249.11
200.07
Arizona Aetna Open Access - High Self Plus One
WQ3
1493.01
1596.20
524.63
1071.57
96.02
3234.86
3458.43
1136.70
2321.73
208.03
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self
R61
374.88
402.99
244.86
158.13
24.83
812.24
873.15
530.53
342.62
53.80
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
R62
843.46
906.72
574.13
332.59
51.38
1827.50
1964.56
1243.95
720.61
111.32
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
R63
805.98
866.42
524.63
341.79
53.27
1746.29
1877.24
1136.70
740.54
115.41
Arizona Humana CoverageFirst and Humana Value Plan - Value Self
R64
299.64
307.13
230.35
76.78
1.87
649.22
665.45
499.09
166.36
4.06
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family
R65
674.18
691.03
518.27
172.76
4.22
1460.72
1497.23
1122.92
374.31
9.13
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One
R66
644.22
660.33
495.25
165.08
4.03
1395.81
1430.72
1073.04
357.68
8.73
Arizona Humana CoverageFirst and Humana Value Plan - Value Self
R94
263.52
270.10
202.58
67.52
1.64
570.96
585.22
438.92
146.30
3.56
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family
R95
592.90
607.72
455.79
151.93
3.71
1284.62
1316.73
987.55
329.18
8.03
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One
R96
566.56
580.73
435.55
145.18
3.54
1227.55
1258.25
943.69
314.56
7.67
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self
R91
330.96
352.48
244.86
107.62
18.24
717.08
763.71
530.53
233.18
39.52
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
R92
744.65
793.05
574.13
218.92
32.76
1613.41
1718.28
1243.95
474.33
70.98
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
R93
711.55
757.80
524.63
233.17
39.08
1541.69
1641.90
1136.70
505.20
84.67
Arizona Humana HDHP - HDHP Self
BV1
New Plan
209.15
156.86
52.29
New Plan
New Plan
453.16
339.87
113.29
New Plan
Arizona Humana HDHP - HDHP Self & Family
BV2
New Plan
521.08
390.81
130.27
New Plan
New Plan
1129.01
846.76
282.25
New Plan
Arizona Humana HDHP - HDHP Self Plus One
BV3
New Plan
458.70
344.03
114.67
New Plan
New Plan
993.85
745.39
248.46
New Plan
Arizona Humana HDHP - HDHP Self
BY1
New Plan
183.59
137.69
45.90
New Plan
New Plan
397.78
298.34
99.44
New Plan
Arizona Humana HDHP - HDHP Self & Family
BY2
New Plan
457.16
342.87
114.29
New Plan
New Plan
990.51
742.88
247.63
New Plan
Arizona Humana HDHP - HDHP Self Plus One
BY3
New Plan
402.45
301.84
100.61
New Plan
New Plan
871.98
653.99
217.99
New Plan
Arizona Humana Health Plan, Inc. - Standard Self
C74
412.55
422.86
244.86
178.00
7.03
893.86
916.20
530.53
385.67
15.23
Arizona Humana Health Plan, Inc. - Standard Self & Family
C75
928.23
951.44
574.13
377.31
11.33
2011.17
2061.45
1243.95
817.50
24.54
Arizona Humana Health Plan, Inc. - Standard Self Plus One
C76
886.95
909.15
524.63
384.52
15.03
1921.73
1969.83
1136.70
833.13
32.56
Arizona Humana Health Plan, Inc. - Standard Self
BF4
575.35
575.35
244.86
330.49
-3.28
1246.59
1246.59
530.53
716.06
-7.11
Arizona Humana Health Plan, Inc. - Standard Self & Family
BF5
1294.54
1294.55
574.13
720.42
-11.87
2804.84
2804.86
1243.95
1560.91
-25.72
Arizona Humana Health Plan, Inc. - Standard Self Plus One
BF6
1237.02
1237.02
524.63
712.39
-7.17
2680.21
2680.21
1136.70
1543.51
-15.54
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
WF1
287.18
308.52
231.39
77.13
5.34
622.22
668.46
501.35
167.11
11.56
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
WF2
679.17
729.65
547.24
182.41
12.62
1471.54
1580.91
1185.68
395.23
27.35
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
WF3
617.43
663.31
497.48
165.83
11.47
1337.77
1437.17
1077.88
359.29
24.85
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LU1
243.77
310.20
232.65
77.55
16.61
528.17
672.10
504.08
168.02
35.98
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LU2
560.66
713.47
535.10
178.37
38.21
1214.76
1545.85
1159.39
386.46
82.77
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LU3
524.10
666.94
500.21
166.73
35.71
1135.55
1445.04
1083.78
361.26
77.37
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KT1
360.98
399.17
244.86
154.31
34.91
782.12
864.87
530.53
334.34
75.64
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KT2
902.47
997.92
574.13
423.79
83.57
1955.35
2162.16
1243.95
918.21
181.07
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KT3
776.11
858.21
524.63
333.58
74.93
1681.57
1859.46
1136.70
722.76
162.35
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
VD1
286.71
303.53
227.65
75.88
4.20
621.21
657.65
493.24
164.41
9.11
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
VD2
678.06
717.87
538.40
179.47
9.96
1469.13
1555.39
1166.54
388.85
21.57
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
VD3
616.42
652.60
489.45
163.15
9.05
1335.58
1413.97
1060.48
353.49
19.60
Arkansas Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Arkansas Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Arkansas Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Arkansas Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Arkansas Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Arkansas Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
Arkansas Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Arkansas Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Arkansas QualChoice - High Self
DH1
354.12
336.39
244.86
91.53
-21.01
767.26
728.85
530.53
198.32
-45.52
Arkansas QualChoice - High Self & Family
DH2
923.63
877.43
574.13
303.30
-58.08
2001.20
1901.10
1243.95
657.15
-125.84
Arkansas QualChoice - High Self Plus One
DH3
687.89
653.46
490.10
163.36
-8.61
1490.43
1415.83
1061.87
353.96
-18.65
Arkansas QualChoice - Standard Self
DH4
276.46
262.60
196.95
65.65
-3.46
599.00
568.97
426.73
142.24
-7.51
Arkansas QualChoice - Standard Self & Family
DH5
721.12
684.96
513.72
171.24
-9.04
1562.43
1484.08
1113.06
371.02
-19.59
Arkansas QualChoice - Standard Self Plus One
DH6
537.06
510.13
382.60
127.53
-6.73
1163.63
1105.28
828.96
276.32
-14.59
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LS1
224.24
288.31
216.23
72.08
16.02
485.85
624.67
468.50
156.17
34.71
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LS2
515.77
663.12
497.34
165.78
36.84
1117.50
1436.76
1077.57
359.19
79.82
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LS3
482.12
619.88
464.91
154.97
34.44
1044.59
1343.07
1007.30
335.77
74.62
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KK1
354.94
391.06
244.86
146.20
32.84
769.04
847.30
530.53
316.77
71.15
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KK2
887.37
977.65
574.13
403.52
78.40
1922.64
2118.24
1243.95
874.29
169.86
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KK3
763.14
840.78
524.63
316.15
70.47
1653.47
1821.69
1136.70
684.99
152.68
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
California Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
California Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
California Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
California Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
California Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
California Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self
JS4
505.19
505.16
244.86
260.30
-3.31
1094.58
1094.51
530.53
563.98
-7.18
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
JS5
1153.29
1153.22
574.13
579.09
-11.95
2498.80
2498.64
1243.95
1254.69
-25.90
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
JS6
1141.88
1141.82
524.63
617.19
-7.23
2474.07
2473.94
1136.70
1337.24
-15.67
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
JS1
466.12
478.77
244.86
233.91
9.37
1009.93
1037.34
530.53
506.81
20.30
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
JS2
1062.53
1091.38
574.13
517.25
16.97
2302.15
2364.66
1243.95
1120.71
36.77
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
JS3
1052.00
1080.57
524.63
555.94
21.40
2279.33
2341.24
1136.70
1204.54
46.37
California Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
California Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
California Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
California Aetna Open Access - High Self
2X1
432.31
479.69
244.86
234.83
44.10
936.67
1039.33
530.53
508.80
95.55
California Aetna Open Access - High Self & Family
2X2
1014.93
1126.17
574.13
552.04
99.36
2199.02
2440.04
1243.95
1196.09
215.28
California Aetna Open Access - High Self Plus One
2X3
995.03
1104.10
524.63
579.47
101.90
2155.90
2392.22
1136.70
1255.52
220.78
California Anthem Blue Cross Select HMO - High Self
B31
357.29
358.72
244.86
113.86
-1.85
774.13
777.23
530.53
246.70
-4.01
California Anthem Blue Cross Select HMO - High Self & Family
B32
816.42
822.95
574.13
248.82
-5.35
1768.91
1783.06
1243.95
539.11
-11.59
California Anthem Blue Cross Select HMO - High Self Plus One
B33
757.46
759.73
524.63
235.10
-4.90
1641.16
1646.08
1136.70
509.38
-10.62
California Blue Shield of California - Access + HMO Self
SI1
396.40
408.28
244.86
163.42
8.60
858.87
884.61
530.53
354.08
18.63
California Blue Shield of California - Access + HMO Self & Family
SI2
911.72
939.07
574.13
364.94
15.47
1975.39
2034.65
1243.95
790.70
33.52
California Blue Shield of California - Access + HMO Self Plus One
SI3
872.07
898.24
524.63
373.61
19.00
1889.49
1946.19
1136.70
809.49
41.16
California Health Net of California - Basic Self
P61
168.02
187.24
140.43
46.81
4.81
364.04
405.69
304.27
101.42
10.41
California Health Net of California - Basic Self & Family
P62
403.26
449.42
337.07
112.35
11.54
873.73
973.74
730.31
243.43
25.00
California Health Net of California - Basic Self Plus One
P63
369.66
411.95
308.96
102.99
10.58
800.93
892.56
669.42
223.14
22.91
California Health Net of California - High Self
LP1
467.53
497.23
244.86
252.37
26.42
1012.98
1077.33
530.53
546.80
57.24
California Health Net of California - High Self & Family
LP2
1122.08
1193.38
574.13
619.25
59.42
2431.17
2585.66
1243.95
1341.71
128.75
California Health Net of California - High Self Plus One
LP3
1028.57
1093.93
524.63
569.30
58.19
2228.57
2370.18
1136.70
1233.48
126.07
California Health Net of California - High Self
LB1
715.68
747.09
244.86
502.23
28.13
1550.64
1618.70
530.53
1088.17
60.95
California Health Net of California - High Self & Family
LB2
1717.61
1793.01
574.13
1218.88
63.52
3721.49
3884.86
1243.95
2640.91
137.63
California Health Net of California - High Self Plus One
LB3
1574.47
1643.60
524.63
1118.97
61.96
3411.35
3561.13
1136.70
2424.43
134.24
California Health Net of California - Basic Self
T41
412.70
439.92
244.86
195.06
23.94
894.18
953.16
530.53
422.63
51.87
California Health Net of California - Basic Self & Family
T42
990.48
1055.82
574.13
481.69
53.46
2146.04
2287.61
1243.95
1043.66
115.83
California Health Net of California - Basic Self Plus One
T43
907.94
967.82
524.63
443.19
52.71
1967.20
2096.94
1136.70
960.24
114.20
California Kaiser Permanente - Fresno California - Standard Self
NZ4
272.36
272.36
204.27
68.09
0.00
590.11
590.11
442.58
147.53
0.00
California Kaiser Permanente - Fresno California - Standard Self & Family
NZ5
629.48
629.48
472.11
157.37
0.00
1363.87
1363.87
1022.90
340.97
0.00
California Kaiser Permanente - Fresno California - Standard Self Plus One
NZ6
629.48
629.48
472.11
157.37
0.00
1363.87
1363.87
1022.90
340.97
0.00
California Kaiser Permanente - Fresno California - High Self
NZ1
370.61
375.44
244.86
130.58
1.55
802.99
813.45
530.53
282.92
3.35
California Kaiser Permanente - Fresno California - High Self & Family
NZ2
856.55
867.72
574.13
293.59
-0.71
1855.86
1880.06
1243.95
636.11
-1.54
California Kaiser Permanente - Fresno California - High Self Plus One
NZ3
856.55
867.72
524.63
343.09
4.00
1855.86
1880.06
1136.70
743.36
8.66
California Kaiser Permanente - Northern California - Prosper Self
KC1
300.96
303.95
227.96
75.99
0.75
652.08
658.56
493.92
164.64
1.62
California Kaiser Permanente - Northern California - Prosper Self & Family
KC2
704.24
711.24
533.43
177.81
1.75
1525.85
1541.02
1155.77
385.25
3.79
California Kaiser Permanente - Northern California - Prosper Self Plus One
KC3
704.24
711.24
524.63
186.61
-0.17
1525.85
1541.02
1136.70
404.32
-0.37
California Kaiser Permanente - Northern California - High Self
591
468.25
462.60
244.86
217.74
-8.93
1014.54
1002.30
530.53
471.77
-19.35
California Kaiser Permanente - Northern California - High Self & Family
592
1117.78
1104.27
574.13
530.14
-25.39
2421.86
2392.59
1243.95
1148.64
-55.01
California Kaiser Permanente - Northern California - High Self Plus One
593
1117.78
1104.27
524.63
579.64
-20.68
2421.86
2392.59
1136.70
1255.89
-44.81
California Kaiser Permanente - Northern California - Standard Self
594
379.70
376.10
244.86
131.24
-6.88
822.68
814.88
530.53
284.35
-14.91
California Kaiser Permanente - Northern California - Standard Self & Family
595
888.51
880.06
574.13
305.93
-20.33
1925.11
1906.80
1243.95
662.85
-44.05
California Kaiser Permanente - Northern California - Standard Self Plus One
596
888.51
880.06
524.63
355.43
-15.62
1925.11
1906.80
1136.70
770.10
-33.85
California Kaiser Permanente - Southern California - Prosper Self
FL1
New Plan
168.75
126.56
42.19
New Plan
New Plan
365.63
274.22
91.41
New Plan
California Kaiser Permanente - Southern California - Prosper Self & Family
FL2
New Plan
472.50
354.38
118.12
New Plan
New Plan
1023.75
767.81
255.94
New Plan
California Kaiser Permanente - Southern California - Prosper Self Plus One
FL3
New Plan
388.14
291.11
97.03
New Plan
New Plan
840.97
630.73
210.24
New Plan
California Kaiser Permanente - Southern California - Standard Self
624
218.51
225.39
169.04
56.35
1.72
473.44
488.35
366.26
122.09
3.73
California Kaiser Permanente - Southern California - Standard Self & Family
625
505.02
520.90
390.68
130.22
3.97
1094.21
1128.62
846.47
282.15
8.60
California Kaiser Permanente - Southern California - Standard Self Plus One
626
505.02
520.90
390.68
130.22
3.97
1094.21
1128.62
846.47
282.15
8.60
California Kaiser Permanente - Southern California - High Self
621
346.24
351.06
244.86
106.20
1.54
750.19
760.63
530.53
230.10
3.33
California Kaiser Permanente - Southern California - High Self & Family
622
800.23
811.37
574.13
237.24
-0.74
1733.83
1757.97
1243.95
514.02
-1.60
California Kaiser Permanente - Southern California - High Self Plus One
623
800.23
811.37
524.63
286.74
3.97
1733.83
1757.97
1136.70
621.27
8.60
Colorado Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Colorado Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Colorado Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Colorado Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Colorado Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Colorado Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
Colorado Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Colorado Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Colorado Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Colorado BlueAdvantageHMO - High Self
WW1
293.70
312.79
234.59
78.20
4.78
636.35
677.71
508.28
169.43
10.34
Colorado BlueAdvantageHMO - High Self & Family
WW2
715.15
780.23
574.13
206.10
27.31
1549.49
1690.50
1243.95
446.55
59.18
Colorado BlueAdvantageHMO - High Self Plus One
WW3
668.15
717.59
524.63
192.96
25.92
1447.66
1554.78
1136.70
418.08
56.17
Colorado BlueAdvantageHMO - HDHP Self
WW4
New Plan
295.27
221.45
73.82
New Plan
New Plan
639.75
479.81
159.94
New Plan
Colorado BlueAdvantageHMO - HDHP Self & Family
WW5
New Plan
718.97
539.23
179.74
New Plan
New Plan
1557.77
1168.33
389.44
New Plan
Colorado BlueAdvantageHMO - HDHP Self Plus One
WW6
New Plan
671.73
503.80
167.93
New Plan
New Plan
1455.42
1091.57
363.85
New Plan
Colorado Humana Health Plan, Inc. - High Self
NR1
443.62
448.06
244.86
203.20
1.16
961.18
970.80
530.53
440.27
2.51
Colorado Humana Health Plan, Inc. - High Self & Family
NR2
998.14
1008.13
574.13
434.00
-1.89
2162.64
2184.28
1243.95
940.33
-4.10
Colorado Humana Health Plan, Inc. - High Self Plus One
NR3
953.78
963.33
524.63
438.70
2.38
2066.52
2087.22
1136.70
950.52
5.16
Colorado Humana Health Plan, Inc. - Standard Self
NR4
307.42
307.42
230.57
76.85
0.00
666.08
666.08
499.56
166.52
0.00
Colorado Humana Health Plan, Inc. - Standard Self & Family
NR5
691.72
691.72
518.79
172.93
0.00
1498.73
1498.73
1124.05
374.68
0.00
Colorado Humana Health Plan, Inc. - Standard Self Plus One
NR6
660.96
660.96
495.72
165.24
0.00
1432.08
1432.08
1074.06
358.02
0.00
Colorado Humana Health Plan, Inc. - Basic Self
RZ1
245.65
239.51
179.63
59.88
-1.53
532.24
518.94
389.21
129.73
-3.33
Colorado Humana Health Plan, Inc. - Basic Self & Family
RZ2
552.70
538.88
404.16
134.72
-3.45
1197.52
1167.57
875.68
291.89
-7.49
Colorado Humana Health Plan, Inc. - Basic Self Plus One
RZ3
528.15
514.95
386.21
128.74
-3.30
1144.33
1115.73
836.80
278.93
-7.15
Colorado Humana Health Plan, Inc. - High Self
NT1
384.74
403.98
244.86
159.12
15.96
833.60
875.29
530.53
344.76
34.58
Colorado Humana Health Plan, Inc. - High Self & Family
NT2
865.69
908.97
574.13
334.84
31.40
1875.66
1969.44
1243.95
725.49
68.04
Colorado Humana Health Plan, Inc. - High Self Plus One
NT3
827.20
868.56
524.63
343.93
34.19
1792.27
1881.88
1136.70
745.18
74.07
Colorado Humana Health Plan, Inc. - Standard Self
NT4
272.43
272.43
204.32
68.11
0.00
590.27
590.27
442.70
147.57
0.00
Colorado Humana Health Plan, Inc. - Standard Self & Family
NT5
612.98
612.98
459.74
153.24
0.00
1328.12
1328.12
996.09
332.03
0.00
Colorado Humana Health Plan, Inc. - Standard Self Plus One
NT6
585.75
585.75
439.31
146.44
0.00
1269.13
1269.13
951.85
317.28
0.00
Colorado Humana Health Plan, Inc. - Basic Self
R21
286.80
279.64
209.73
69.91
-1.79
621.40
605.89
454.42
151.47
-3.88
Colorado Humana Health Plan, Inc. - Basic Self & Family
R22
645.31
629.18
471.89
157.29
-4.04
1398.17
1363.22
1022.42
340.80
-8.74
Colorado Humana Health Plan, Inc. - Basic Self Plus One
R23
616.63
601.21
450.91
150.30
-3.86
1336.03
1302.62
976.97
325.65
-8.36
Colorado Kaiser Permanente - Colorado - Standard Self
654
305.00
304.23
228.17
76.06
-0.19
660.83
659.17
494.38
164.79
-0.42
Colorado Kaiser Permanente - Colorado - Standard Self & Family
655
689.29
687.56
515.67
171.89
-0.43
1493.46
1489.71
1117.28
372.43
-0.93
Colorado Kaiser Permanente - Colorado - Standard Self Plus One
656
689.29
687.56
515.67
171.89
-0.43
1493.46
1489.71
1117.28
372.43
-0.93
Colorado Kaiser Permanente - Colorado - High Self
651
356.72
356.72
244.86
111.86
-3.28
772.89
772.89
530.53
242.36
-7.11
Colorado Kaiser Permanente - Colorado - High Self & Family
652
806.19
806.19
574.13
232.06
-11.88
1746.75
1746.75
1243.95
502.80
-25.74
Colorado Kaiser Permanente - Colorado - High Self Plus One
653
806.19
806.19
524.63
281.56
-7.17
1746.75
1746.75
1136.70
610.05
-15.54
Colorado Kaiser Permanente - Colorado - Prosper Self
N41
205.62
180.07
135.05
45.02
-6.38
445.51
390.15
292.61
97.54
-13.84
Colorado Kaiser Permanente - Colorado - Prosper Self & Family
N42
505.82
442.97
332.23
110.74
-15.71
1095.94
959.77
719.83
239.94
-34.04
Colorado Kaiser Permanente - Colorado - Prosper Self Plus One
N43
464.70
406.95
305.21
101.74
-14.43
1006.85
881.73
661.30
220.43
-31.28
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LU1
243.77
310.20
232.65
77.55
16.61
528.17
672.10
504.08
168.02
35.98
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LU2
560.66
713.47
535.10
178.37
38.21
1214.76
1545.85
1159.39
386.46
82.77
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LU3
524.10
666.94
500.21
166.73
35.71
1135.55
1445.04
1083.78
361.26
77.37
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KT1
360.98
399.17
244.86
154.31
34.91
782.12
864.87
530.53
334.34
75.64
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KT2
902.47
997.92
574.13
423.79
83.57
1955.35
2162.16
1243.95
918.21
181.07
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KT3
776.11
858.21
524.63
333.58
74.93
1681.57
1859.46
1136.70
722.76
162.35
Connecticut Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Connecticut Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Connecticut Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Connecticut Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Connecticut Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Connecticut Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self
EP4
387.52
428.20
244.86
183.34
37.40
839.63
927.77
530.53
397.24
81.03
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
EP5
887.39
980.54
574.13
406.41
81.27
1922.68
2124.50
1243.95
880.55
176.08
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
EP6
869.98
961.31
524.63
436.68
84.16
1884.96
2082.84
1136.70
946.14
182.34
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
EP1
519.07
533.71
244.86
288.85
11.36
1124.65
1156.37
530.53
625.84
24.61
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
EP2
1183.79
1217.13
574.13
643.00
21.46
2564.88
2637.12
1243.95
1393.17
46.50
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
EP3
1172.06
1205.08
524.63
680.45
25.85
2539.46
2611.01
1136.70
1474.31
56.01
Connecticut Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Connecticut Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Delaware Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Delaware Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Delaware Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Delaware Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Delaware Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Delaware Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self
EP4
387.52
428.20
244.86
183.34
37.40
839.63
927.77
530.53
397.24
81.03
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
EP5
887.39
980.54
574.13
406.41
81.27
1922.68
2124.50
1243.95
880.55
176.08
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
EP6
869.98
961.31
524.63
436.68
84.16
1884.96
2082.84
1136.70
946.14
182.34
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
EP1
519.07
533.71
244.86
288.85
11.36
1124.65
1156.37
530.53
625.84
24.61
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
EP2
1183.79
1217.13
574.13
643.00
21.46
2564.88
2637.12
1243.95
1393.17
46.50
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
EP3
1172.06
1205.08
524.63
680.45
25.85
2539.46
2611.01
1136.70
1474.31
56.01
Delaware Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Delaware Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Delaware Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Delaware Aetna Open Access - Basic Self
P34
694.86
794.66
244.86
549.80
96.52
1505.53
1721.76
530.53
1191.23
209.12
Delaware Aetna Open Access - Basic Self & Family
P35
1612.77
1844.44
574.13
1270.31
219.79
3494.34
3996.29
1243.95
2752.34
476.21
Delaware Aetna Open Access - Basic Self Plus One
P36
1596.80
1826.17
524.63
1301.54
222.20
3459.73
3956.70
1136.70
2820.00
481.43
Delaware Aetna Open Access - High Self
P31
733.03
813.48
244.86
568.62
77.17
1588.23
1762.54
530.53
1232.01
167.20
Delaware Aetna Open Access - High Self & Family
P32
1777.25
1972.28
574.13
1398.15
183.15
3850.71
4273.27
1243.95
3029.32
396.82
Delaware Aetna Open Access - High Self Plus One
P33
1759.65
1952.76
524.63
1428.13
185.94
3812.58
4230.98
1136.70
3094.28
402.86
District Of Columbia Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
District Of Columbia Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
District Of Columbia Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
District Of Columbia Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
District Of Columbia Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
District Of Columbia Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
District Of Columbia Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
District Of Columbia Aetna Open Access - High Self
JN1
543.03
577.64
244.86
332.78
31.33
1176.57
1251.55
530.53
721.02
67.87
District Of Columbia Aetna Open Access - High Self & Family
JN2
1220.79
1298.62
574.13
724.49
65.95
2645.05
2813.68
1243.95
1569.73
142.89
District Of Columbia Aetna Open Access - High Self Plus One
JN3
1208.70
1285.75
524.63
761.12
69.88
2618.85
2785.79
1136.70
1649.09
151.40
District Of Columbia Aetna Open Access - Basic Self
JN4
329.73
341.29
244.86
96.43
8.28
714.42
739.46
530.53
208.93
17.93
District Of Columbia Aetna Open Access - Basic Self & Family
JN5
754.58
781.03
574.13
206.90
14.57
1634.92
1692.23
1243.95
448.28
31.57
District Of Columbia Aetna Open Access - Basic Self Plus One
JN6
692.92
717.20
524.63
192.57
17.11
1501.33
1553.93
1136.70
417.23
37.06
District Of Columbia Aetna Saver (Open Access) - Saver Self
QQ4
274.71
274.71
206.03
68.68
0.00
595.21
595.21
446.41
148.80
0.00
District Of Columbia Aetna Saver (Open Access) - Saver Self & Family
QQ5
628.67
628.67
471.50
157.17
0.00
1362.12
1362.12
1021.59
340.53
0.00
District Of Columbia Aetna Saver (Open Access) - Saver Self Plus One
QQ6
577.30
577.30
432.98
144.32
0.00
1250.82
1250.82
938.12
312.70
0.00
District Of Columbia CareFirst BlueChoice - Standard Self
2G4
409.76
417.96
244.86
173.10
4.92
887.81
905.58
530.53
375.05
10.66
District Of Columbia CareFirst BlueChoice - Standard Self & Family
2G5
973.58
993.04
574.13
418.91
7.58
2109.42
2151.59
1243.95
907.64
16.43
District Of Columbia CareFirst BlueChoice - Standard Self Plus One
2G6
819.51
835.90
524.63
311.27
9.22
1775.61
1811.12
1136.70
674.42
19.97
District Of Columbia CareFirst BlueChoice - HDHP Self
B61
263.12
278.91
209.18
69.73
3.95
570.09
604.31
453.23
151.08
8.56
District Of Columbia CareFirst BlueChoice - HDHP Self & Family
B62
625.16
662.67
497.00
165.67
9.38
1354.51
1435.79
1076.84
358.95
20.32
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One
B63
526.23
557.80
418.35
139.45
7.89
1140.17
1208.57
906.43
302.14
17.10
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self
B64
334.00
334.00
244.86
89.14
-3.28
723.67
723.67
530.53
193.14
-7.11
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family
B65
793.56
793.56
574.13
219.43
-11.88
1719.38
1719.38
1243.95
475.43
-25.74
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One
B66
667.98
667.98
500.99
166.99
0.00
1447.29
1447.29
1085.47
361.82
0.00
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self
T71
197.41
170.26
127.70
42.56
-6.79
427.72
368.90
276.68
92.22
-14.71
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family
T72
507.47
485.23
363.92
121.31
-5.56
1099.52
1051.33
788.50
262.83
-12.05
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One
T73
439.31
400.11
300.08
100.03
-9.80
951.84
866.91
650.18
216.73
-21.23
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self
E34
276.13
280.27
210.20
70.07
1.04
598.28
607.25
455.44
151.81
2.24
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family
E35
635.10
644.60
483.45
161.15
2.38
1376.05
1396.63
1047.47
349.16
5.15
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One
E36
635.10
644.60
483.45
161.15
2.38
1376.05
1396.63
1047.47
349.16
5.15
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self
E31
344.42
349.20
244.86
104.34
1.50
746.24
756.60
530.53
226.07
3.25
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self & Family
E32
792.16
803.17
574.13
229.04
-0.87
1716.35
1740.20
1243.95
496.25
-1.89
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self Plus One
E33
792.16
803.17
524.63
278.54
3.84
1716.35
1740.20
1136.70
603.50
8.31
District Of Columbia M.D. IPA - High Self
JP1
438.87
467.07
244.86
222.21
24.92
950.89
1011.99
530.53
481.46
53.99
District Of Columbia M.D. IPA - High Self & Family
JP2
1230.59
1309.69
574.13
735.56
67.22
2666.28
2837.66
1243.95
1593.71
145.64
District Of Columbia M.D. IPA - High Self Plus One
JP3
857.12
912.20
524.63
387.57
47.91
1857.09
1976.43
1136.70
839.73
103.80
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
V41
239.96
305.45
229.09
76.36
16.37
519.91
661.81
496.36
165.45
35.47
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
V42
551.91
698.86
524.15
174.71
36.73
1195.81
1514.20
1135.65
378.55
79.60
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
V43
515.91
656.73
492.55
164.18
35.20
1117.81
1422.92
1067.19
355.73
76.28
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
LR1
355.57
379.46
244.86
134.60
20.61
770.40
822.16
530.53
291.63
44.65
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
LR2
842.69
899.33
574.13
325.20
44.76
1825.83
1948.55
1243.95
704.60
96.98
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
LR3
764.46
815.85
524.63
291.22
44.22
1656.33
1767.68
1136.70
630.98
95.81
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self
L91
255.98
306.35
229.76
76.59
12.60
554.62
663.76
497.82
165.94
27.29
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family
L92
717.76
732.19
549.14
183.05
3.61
1555.15
1586.41
1189.81
396.60
7.81
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One
L93
499.93
612.71
459.53
153.18
28.20
1083.18
1327.54
995.66
331.88
61.09
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Florida Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Florida Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Florida Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Florida Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Florida Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Florida Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
Florida Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Florida Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Florida Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Florida AvMed - HDHP Self
WZ1
351.73
342.58
244.86
97.72
-12.43
762.08
742.26
530.53
211.73
-26.93
Florida AvMed - HDHP Self & Family
WZ2
813.23
791.08
574.13
216.95
-34.03
1762.00
1714.01
1243.95
470.06
-73.73
Florida AvMed - HDHP Self Plus One
WZ3
705.54
686.42
514.82
171.60
-16.48
1528.67
1487.24
1115.43
371.81
-35.70
Florida AvMed - Standard Self
ML4
378.91
370.10
244.86
125.24
-12.09
820.97
801.88
530.53
271.35
-26.20
Florida AvMed - Standard Self & Family
ML5
922.58
901.13
574.13
327.00
-33.33
1998.92
1952.45
1243.95
708.50
-72.21
Florida AvMed - Standard Self Plus One
ML6
795.72
777.22
524.63
252.59
-25.67
1724.06
1683.98
1136.70
547.28
-55.62
Florida Capital Health Plan - High Self
EA1
318.68
337.15
244.86
92.29
12.62
690.47
730.49
530.53
199.96
27.34
Florida Capital Health Plan - High Self & Family
EA2
738.55
781.35
574.13
207.22
22.58
1600.19
1692.93
1243.95
448.98
48.93
Florida Capital Health Plan - High Self Plus One
EA3
696.92
737.33
524.63
212.70
33.24
1509.99
1597.55
1136.70
460.85
72.02
Florida Humana CoverageFirst and Humana Value Plan - Value Self
W94
270.22
276.98
207.74
69.24
1.69
585.48
600.12
450.09
150.03
3.66
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family
W95
608.00
623.21
467.41
155.80
3.80
1317.33
1350.29
1012.72
337.57
8.24
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One
W96
580.98
595.50
446.63
148.87
3.63
1258.79
1290.25
967.69
322.56
7.86
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self
W91
319.43
335.40
244.86
90.54
10.68
692.10
726.70
530.53
196.17
23.15
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
W92
718.70
754.63
565.97
188.66
8.99
1557.18
1635.03
1226.27
408.76
19.47
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
W93
686.76
721.10
524.63
196.47
24.78
1487.98
1562.38
1136.70
425.68
53.69
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self
QP1
354.72
381.33
244.86
136.47
23.33
768.56
826.22
530.53
295.69
50.55
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
QP2
799.18
859.10
574.13
284.97
48.04
1731.56
1861.38
1243.95
617.43
104.08
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
QP3
763.65
820.92
524.63
296.29
50.10
1654.58
1778.66
1136.70
641.96
108.54
Florida Humana CoverageFirst and Humana Value Plan - Value Self
QP4
254.08
254.08
190.56
63.52
0.00
550.51
550.51
412.88
137.63
0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family
QP5
571.66
571.66
428.75
142.91
0.00
1238.60
1238.60
928.95
309.65
0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One
QP6
546.26
546.26
409.70
136.56
0.00
1183.56
1183.56
887.67
295.89
0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self
MJ4
259.01
259.01
194.26
64.75
0.00
561.19
561.19
420.89
140.30
0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family
MJ5
582.77
621.63
466.22
155.41
9.72
1262.67
1346.87
1010.15
336.72
21.05
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One
MJ6
556.87
556.87
417.65
139.22
0.00
1206.55
1206.55
904.91
301.64
0.00
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self
MJ1
472.58
491.48
244.86
246.62
15.62
1023.92
1064.87
530.53
534.34
33.84
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
MJ2
1063.29
1105.81
574.13
531.68
30.64
2303.80
2395.92
1243.95
1151.97
66.38
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
MJ3
1016.05
1056.68
524.63
532.05
33.46
2201.44
2289.47
1136.70
1152.77
72.49
Florida Humana CoverageFirst and Humana Value Plan - Value Self
X24
236.72
252.12
189.09
63.03
3.85
512.89
546.26
409.70
136.56
8.34
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family
X25
532.64
617.69
463.27
154.42
21.26
1154.05
1338.33
1003.75
334.58
46.07
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One
X26
508.97
542.05
406.54
135.51
8.27
1102.77
1174.44
880.83
293.61
17.92
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self
X21
279.83
291.02
218.27
72.75
2.79
606.30
630.54
472.91
157.63
6.06
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
X22
629.64
654.83
491.12
163.71
6.30
1364.22
1418.80
1064.10
354.70
13.65
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
X23
601.65
625.72
469.29
156.43
6.02
1303.58
1355.73
1016.80
338.93
13.04
Florida Humana HDHP - HDHP Self
BR1
New Plan
196.82
147.62
49.20
New Plan
New Plan
426.44
319.83
106.61
New Plan
Florida Humana HDHP - HDHP Self & Family
BR2
New Plan
490.26
367.70
122.56
New Plan
New Plan
1062.23
796.67
265.56
New Plan
Florida Humana HDHP - HDHP Self Plus One
BR3
New Plan
431.57
323.68
107.89
New Plan
New Plan
935.07
701.30
233.77
New Plan
Florida Humana HDHP - HDHP Self
A41
New Plan
220.80
165.60
55.20
New Plan
New Plan
478.40
358.80
119.60
New Plan
Florida Humana HDHP - HDHP Self & Family
A42
New Plan
550.21
412.66
137.55
New Plan
New Plan
1192.12
894.09
298.03
New Plan
Florida Humana HDHP - HDHP Self Plus One
A43
New Plan
484.33
363.25
121.08
New Plan
New Plan
1049.38
787.04
262.34
New Plan
Florida Humana HDHP - HDHP Self
FF1
New Plan
187.62
140.72
46.90
New Plan
New Plan
406.51
304.88
101.63
New Plan
Florida Humana HDHP - HDHP Self & Family
FF2
New Plan
467.23
350.42
116.81
New Plan
New Plan
1012.33
759.25
253.08
New Plan
Florida Humana HDHP - HDHP Self Plus One
FF3
New Plan
411.31
308.48
102.83
New Plan
New Plan
891.17
668.38
222.79
New Plan
Florida Humana HDHP - HDHP Self
AP1
New Plan
222.96
167.22
55.74
New Plan
New Plan
483.08
362.31
120.77
New Plan
Florida Humana HDHP - HDHP Self & Family
AP2
New Plan
555.58
416.69
138.89
New Plan
New Plan
1203.76
902.82
300.94
New Plan
Florida Humana HDHP - HDHP Self Plus One
AP3
New Plan
489.06
366.80
122.26
New Plan
New Plan
1059.63
794.72
264.91
New Plan
Florida Humana Medical Plan, Inc. - Standard Self
LL4
550.71
592.01
244.86
347.15
38.02
1193.21
1282.69
530.53
752.16
82.37
Florida Humana Medical Plan, Inc. - Standard Self & Family
LL5
1239.07
1332.00
574.13
757.87
81.05
2684.65
2886.00
1243.95
1642.05
175.61
Florida Humana Medical Plan, Inc. - Standard Self Plus One
LL6
1184.00
1272.80
524.63
748.17
81.63
2565.33
2757.73
1136.70
1621.03
176.86
Florida Humana Medical Plan, Inc. - High Self
LL1
788.74
828.17
244.86
583.31
36.15
1708.94
1794.37
530.53
1263.84
78.32
Florida Humana Medical Plan, Inc. - High Self & Family
LL2
1774.64
1863.37
574.13
1289.24
76.85
3845.05
4037.30
1243.95
2793.35
166.51
Florida Humana Medical Plan, Inc. - High Self Plus One
LL3
1695.76
1780.55
524.63
1255.92
77.62
3674.15
3857.86
1136.70
2721.16
168.17
Florida Humana Medical Plan, Inc. - High Self
EE1
576.43
611.02
244.86
366.16
31.31
1248.93
1323.88
530.53
793.35
67.84
Florida Humana Medical Plan, Inc. - High Self & Family
EE2
1296.99
1374.82
574.13
800.69
65.95
2810.15
2978.78
1243.95
1734.83
142.89
Florida Humana Medical Plan, Inc. - High Self Plus One
EE3
1239.37
1313.74
524.63
789.11
67.20
2685.30
2846.44
1136.70
1709.74
145.60
Florida Humana Medical Plan, Inc. - Standard Self
EE4
515.43
546.36
244.86
301.50
27.65
1116.77
1183.78
530.53
653.25
59.90
Florida Humana Medical Plan, Inc. - Standard Self & Family
EE5
1159.71
1229.30
574.13
655.17
57.71
2512.71
2663.48
1243.95
1419.53
125.03
Florida Humana Medical Plan, Inc. - Standard Self Plus One
EE6
1108.17
1174.67
524.63
650.04
59.33
2401.04
2545.12
1136.70
1408.42
128.54
Florida Humana Medical Plan, Inc. - Standard Self
E24
353.60
371.28
244.86
126.42
14.40
766.13
804.44
530.53
273.91
31.20
Florida Humana Medical Plan, Inc. - Standard Self & Family
E25
795.59
835.37
574.13
261.24
27.90
1723.78
1809.97
1243.95
566.02
60.45
Florida Humana Medical Plan, Inc. - Standard Self Plus One
E26
760.22
798.23
524.63
273.60
30.84
1647.14
1729.50
1136.70
592.80
66.82
Florida Humana Medical Plan, Inc. - High Self
E21
593.92
623.62
244.86
378.76
26.42
1286.83
1351.18
530.53
820.65
57.24
Florida Humana Medical Plan, Inc. - High Self & Family
E22
1336.28
1403.10
574.13
828.97
54.94
2895.27
3040.05
1243.95
1796.10
119.04
Florida Humana Medical Plan, Inc. - High Self Plus One
E23
1276.89
1340.74
524.63
816.11
56.68
2766.60
2904.94
1136.70
1768.24
122.80
Florida Humana Medical Plan, Inc. - High Self
EX1
470.07
493.57
244.86
248.71
20.22
1018.49
1069.40
530.53
538.87
43.80
Florida Humana Medical Plan, Inc. - High Self & Family
EX2
1057.63
1110.51
574.13
536.38
41.00
2291.53
2406.11
1243.95
1162.16
88.84
Florida Humana Medical Plan, Inc. - High Self Plus One
EX3
1010.62
1061.15
524.63
536.52
43.36
2189.68
2299.16
1136.70
1162.46
93.94
Florida Humana Medical Plan, Inc. - Standard Self
EX4
385.26
414.15
244.86
169.29
25.61
834.73
897.33
530.53
366.80
55.49
Florida Humana Medical Plan, Inc. - Standard Self & Family
EX5
866.84
931.85
574.13
357.72
53.13
1878.15
2019.01
1243.95
775.06
115.12
Florida Humana Medical Plan, Inc. - Standard Self Plus One
EX6
828.31
890.43
524.63
365.80
54.95
1794.67
1929.27
1136.70
792.57
119.06
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LS1
224.24
288.31
216.23
72.08
16.02
485.85
624.67
468.50
156.17
34.71
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LS2
515.77
663.12
497.34
165.78
36.84
1117.50
1436.76
1077.57
359.19
79.82
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LS3
482.12
619.88
464.91
154.97
34.44
1044.59
1343.07
1007.30
335.77
74.62
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KK1
354.94
391.06
244.86
146.20
32.84
769.04
847.30
530.53
316.77
71.15
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KK2
887.37
977.65
574.13
403.52
78.40
1922.64
2118.24
1243.95
874.29
169.86
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KK3
763.14
840.78
524.63
316.15
70.47
1653.47
1821.69
1136.70
684.99
152.68
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self
LV1
346.44
414.41
244.86
169.55
64.69
750.62
897.89
530.53
367.36
140.16
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family
LV2
1039.34
1243.22
574.13
669.09
192.00
2251.90
2693.64
1243.95
1449.69
416.00
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One
LV3
744.87
890.98
524.63
366.35
138.94
1613.89
1930.46
1136.70
793.76
301.03
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Georgia Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Georgia Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Georgia Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Georgia Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Georgia Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Georgia Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
Georgia Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Georgia Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Georgia Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Georgia Aetna Open Access - High Self
2U1
833.47
798.29
244.86
553.43
-38.46
1805.85
1729.63
530.53
1199.10
-83.33
Georgia Aetna Open Access - High Self & Family
2U2
1919.87
1838.83
574.13
1264.70
-92.92
4159.72
3984.13
1243.95
2740.18
-201.33
Georgia Aetna Open Access - High Self Plus One
2U3
1900.86
1820.62
524.63
1295.99
-87.41
4118.53
3944.68
1136.70
2807.98
-189.39
Georgia Blue Open Access POS - High Self
QM1
302.96
323.87
242.90
80.97
5.23
656.41
701.72
526.29
175.43
11.33
Georgia Blue Open Access POS - High Self & Family
QM2
779.85
850.82
574.13
276.69
59.09
1689.68
1843.44
1243.95
599.49
128.02
Georgia Blue Open Access POS - High Self Plus One
QM3
667.67
731.76
524.63
207.13
40.21
1446.62
1585.48
1136.70
448.78
87.13
Georgia Humana CoverageFirst and Humana Value Plan - Value Self
S94
282.74
303.95
227.96
75.99
5.31
612.60
658.56
493.92
164.64
11.49
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family
S95
636.16
683.87
512.90
170.97
11.93
1378.35
1481.72
1111.29
370.43
25.84
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One
S96
607.89
653.48
490.11
163.37
11.40
1317.10
1415.87
1061.90
353.97
24.70
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self
S91
355.11
381.74
244.86
136.88
23.35
769.41
827.10
530.53
296.57
50.58
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
S92
798.99
858.92
574.13
284.79
48.05
1731.15
1860.99
1243.95
617.04
104.10
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
S93
763.48
820.75
524.63
296.12
50.10
1654.21
1778.29
1136.70
641.59
108.54
Georgia Humana CoverageFirst and Humana Value Plan - Value Self
AD4
381.25
381.25
244.86
136.39
-3.28
826.04
826.04
530.53
295.51
-7.11
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family
AD5
857.78
857.77
574.13
283.64
-11.89
1858.52
1858.50
1243.95
614.55
-25.76
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One
AD6
819.67
819.66
524.63
295.03
-7.18
1775.95
1775.93
1136.70
639.23
-15.56
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self
AD1
503.16
538.39
244.86
293.53
31.95
1090.18
1166.51
530.53
635.98
69.22
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
AD2
1132.09
1211.36
574.13
637.23
67.39
2452.86
2624.61
1243.95
1380.66
146.01
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
AD3
1081.78
1157.53
524.63
632.90
68.58
2343.86
2507.98
1136.70
1371.28
148.58
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self
LM1
344.83
362.08
244.86
117.22
13.97
747.13
784.51
530.53
253.98
30.27
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
LM2
775.90
814.68
574.13
240.55
26.90
1681.12
1765.14
1243.95
521.19
58.28
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
LM3
741.42
778.47
524.63
253.84
29.88
1606.41
1686.69
1136.70
549.99
64.74
Georgia Humana CoverageFirst and Humana Value Plan - Value Self
LM4
326.22
342.52
244.86
97.66
13.02
706.81
742.13
530.53
211.60
28.21
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family
LM5
733.98
770.68
574.13
196.55
13.06
1590.29
1669.81
1243.95
425.86
28.29
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One
LM6
701.37
736.43
524.63
211.80
27.89
1519.64
1595.60
1136.70
458.90
60.42
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self
RM1
332.25
365.48
244.86
120.62
29.95
719.88
791.87
530.53
261.34
64.88
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family
RM2
747.57
822.33
574.13
248.20
61.31
1619.74
1781.72
1243.95
537.77
132.84
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One
RM3
714.34
785.78
524.63
261.15
64.27
1547.74
1702.52
1136.70
565.82
139.24
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self
DN4
375.30
403.46
244.86
158.60
24.88
813.15
874.16
530.53
343.63
53.90
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family
DN5
844.40
907.74
574.13
333.61
51.46
1829.53
1966.77
1243.95
722.82
111.50
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One
DN6
806.88
867.41
524.63
342.78
53.36
1748.24
1879.39
1136.70
742.69
115.61
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self
RJ1
309.16
324.62
243.47
81.15
3.86
669.85
703.34
527.51
175.83
8.37
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family
RJ2
695.64
730.40
547.80
182.60
8.69
1507.22
1582.53
1186.90
395.63
18.83
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One
RJ3
664.72
697.93
523.45
174.48
8.30
1440.23
1512.18
1134.14
378.04
17.98
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self
Q71
390.79
402.51
244.86
157.65
8.44
846.71
872.11
530.53
341.58
18.29
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family
Q72
879.28
905.66
574.13
331.53
14.50
1905.11
1962.26
1243.95
718.31
31.41
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One
Q73
840.20
865.40
524.63
340.77
18.03
1820.43
1875.03
1136.70
738.33
39.06
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self
CB4
525.18
577.70
244.86
332.84
49.24
1137.89
1251.68
530.53
721.15
106.68
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family
CB5
1181.68
1299.83
574.13
725.70
106.27
2560.31
2816.30
1243.95
1572.35
230.25
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One
CB6
1129.16
1242.06
524.63
717.43
105.73
2446.51
2691.13
1136.70
1554.43
229.08
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self
DG4
600.35
660.39
244.86
415.53
56.76
1300.76
1430.85
530.53
900.32
122.98
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family
DG5
1350.79
1485.89
574.13
911.76
123.22
2926.71
3219.43
1243.95
1975.48
266.98
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One
DG6
1290.79
1419.88
524.63
895.25
121.92
2796.71
3076.41
1136.70
1939.71
264.16
Georgia Humana HDHP - HDHP Self
AZ1
New Plan
218.03
163.52
54.51
New Plan
New Plan
472.40
354.30
118.10
New Plan
Georgia Humana HDHP - HDHP Self & Family
AZ2
New Plan
543.26
407.45
135.81
New Plan
New Plan
1177.06
882.80
294.26
New Plan
Georgia Humana HDHP - HDHP Self Plus One
AZ3
New Plan
478.22
358.67
119.55
New Plan
New Plan
1036.14
777.11
259.03
New Plan
Georgia Humana HDHP - HDHP Self
B21
New Plan
224.78
168.59
56.19
New Plan
New Plan
487.02
365.27
121.75
New Plan
Georgia Humana HDHP - HDHP Self & Family
B22
New Plan
560.13
420.10
140.03
New Plan
New Plan
1213.62
910.22
303.40
New Plan
Georgia Humana HDHP - HDHP Self Plus One
B23
New Plan
493.06
369.80
123.26
New Plan
New Plan
1068.30
801.23
267.07
New Plan
Georgia Humana HDHP - HDHP Self
AR1
New Plan
220.36
165.27
55.09
New Plan
New Plan
477.45
358.09
119.36
New Plan
Georgia Humana HDHP - HDHP Self & Family
AR2
New Plan
549.10
411.83
137.27
New Plan
New Plan
1189.72
892.29
297.43
New Plan
Georgia Humana HDHP - HDHP Self Plus One
AR3
New Plan
483.35
362.51
120.84
New Plan
New Plan
1047.26
785.45
261.81
New Plan
Georgia Kaiser Permanente - Georgia - High Self
F81
346.66
355.25
244.86
110.39
5.31
751.10
769.71
530.53
239.18
11.50
Georgia Kaiser Permanente - Georgia - High Self & Family
F82
783.46
802.88
574.13
228.75
7.54
1697.50
1739.57
1243.95
495.62
16.33
Georgia Kaiser Permanente - Georgia - High Self Plus One
F83
783.46
802.88
524.63
278.25
12.25
1697.50
1739.57
1136.70
602.87
26.53
Georgia Kaiser Permanente - Georgia - Standard Self
F84
268.20
277.25
207.94
69.31
2.26
581.10
600.71
450.53
150.18
4.91
Georgia Kaiser Permanente - Georgia - Standard Self & Family
F85
606.12
626.58
469.94
156.64
5.11
1313.26
1357.59
1018.19
339.40
11.09
Georgia Kaiser Permanente - Georgia - Standard Self Plus One
F86
606.12
626.58
469.94
156.64
5.11
1313.26
1357.59
1018.19
339.40
11.09
Georgia Kaiser Permanente - Georgia - Prosper Self
LA1
193.34
183.99
137.99
46.00
-2.33
418.90
398.65
298.99
99.66
-5.06
Georgia Kaiser Permanente - Georgia - Prosper Self & Family
LA2
436.92
477.68
358.26
119.42
10.19
946.66
1034.97
776.23
258.74
22.08
Georgia Kaiser Permanente - Georgia - Prosper Self Plus One
LA3
436.92
415.81
311.86
103.95
-5.28
946.66
900.92
675.69
225.23
-11.43
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self
LV1
346.44
414.41
244.86
169.55
64.69
750.62
897.89
530.53
367.36
140.16
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family
LV2
1039.34
1243.22
574.13
669.09
192.00
2251.90
2693.64
1243.95
1449.69
416.00
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One
LV3
744.87
890.98
524.63
366.35
138.94
1613.89
1930.46
1136.70
793.76
301.03
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Guam Calvo's SelectCare - Standard Self
B44
198.36
174.88
131.16
43.72
-5.87
429.78
378.91
284.18
94.73
-12.71
Guam Calvo's SelectCare - Standard Self & Family
B45
576.33
508.11
381.08
127.03
-17.05
1248.72
1100.91
825.68
275.23
-36.95
Guam Calvo's SelectCare - Standard Self Plus One
B46
391.02
344.73
258.55
86.18
-11.57
847.21
746.92
560.19
186.73
-25.07
Guam Calvo's SelectCare - High Self
B41
240.78
247.36
185.52
61.84
1.65
521.69
535.95
401.96
133.99
3.57
Guam Calvo's SelectCare - High Self & Family
B42
637.74
655.17
491.38
163.79
4.36
1381.77
1419.54
1064.66
354.88
9.44
Guam Calvo's SelectCare - High Self Plus One
B43
469.88
482.72
362.04
120.68
3.21
1018.07
1045.89
784.42
261.47
6.95
Guam TakeCare - HDHP Self
KX1
55.63
56.45
42.34
14.11
0.20
120.53
122.31
91.73
30.58
0.45
Guam TakeCare - HDHP Self & Family
KX2
149.15
151.37
113.53
37.84
0.55
323.16
327.97
245.98
81.99
1.20
Guam TakeCare - HDHP Self Plus One
KX3
134.28
136.26
102.20
34.06
0.49
290.94
295.23
221.42
73.81
1.08
Guam TakeCare - Standard Self
JK4
186.67
187.28
140.46
46.82
0.15
404.45
405.77
304.33
101.44
0.33
Guam TakeCare - Standard Self & Family
JK5
528.64
530.39
397.79
132.60
0.44
1145.39
1149.18
861.89
287.29
0.94
Guam TakeCare - Standard Self Plus One
JK6
367.91
369.13
276.85
92.28
0.30
797.14
799.78
599.84
199.94
0.66
Guam TakeCare - High Self
JK1
229.76
238.09
178.57
59.52
2.08
497.81
515.86
386.90
128.96
4.51
Guam TakeCare - High Self & Family
JK2
548.02
567.89
425.92
141.97
4.97
1187.38
1230.43
922.82
307.61
10.77
Guam TakeCare - High Self Plus One
JK3
453.92
470.38
352.79
117.59
4.11
983.49
1019.16
764.37
254.79
8.92
Hawaii Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Hawaii Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Hawaii Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Hawaii Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Hawaii Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Hawaii Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self
JS4
505.19
505.16
244.86
260.30
-3.31
1094.58
1094.51
530.53
563.98
-7.18
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
JS5
1153.29
1153.22
574.13
579.09
-11.95
2498.80
2498.64
1243.95
1254.69
-25.90
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
JS6
1141.88
1141.82
524.63
617.19
-7.23
2474.07
2473.94
1136.70
1337.24
-15.67
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
JS1
466.12
478.77
244.86
233.91
9.37
1009.93
1037.34
530.53
506.81
20.30
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
JS2
1062.53
1091.38
574.13
517.25
16.97
2302.15
2364.66
1243.95
1120.71
36.77
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
JS3
1052.00
1080.57
524.63
555.94
21.40
2279.33
2341.24
1136.70
1204.54
46.37
Hawaii Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Hawaii Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Hawaii HMSA Plan - High Self
871
291.34
291.34
218.51
72.83
0.00
631.24
631.24
473.43
157.81
0.00
Hawaii HMSA Plan - High Self & Family
872
654.93
654.93
491.20
163.73
0.00
1419.02
1419.02
1064.27
354.75
0.00
Hawaii HMSA Plan - High Self Plus One
873
638.34
638.34
478.76
159.58
0.00
1383.07
1383.07
1037.30
345.77
0.00
Hawaii HMSA Plan - Standard Self
874
209.46
209.46
157.10
52.36
0.00
453.83
453.83
340.37
113.46
0.00
Hawaii HMSA Plan - Standard Self & Family
875
470.85
470.85
353.14
117.71
0.00
1020.18
1020.18
765.14
255.04
0.00
Hawaii HMSA Plan - Standard Self Plus One
876
458.90
458.90
344.18
114.72
0.00
994.28
994.28
745.71
248.57
0.00
Hawaii Kaiser Permanente - Hawaii - High Self
631
311.79
311.79
233.84
77.95
0.00
675.55
675.55
506.66
168.89
0.00
Hawaii Kaiser Permanente - Hawaii - High Self & Family
632
695.31
695.31
521.48
173.83
0.00
1506.51
1506.51
1129.88
376.63
0.00
Hawaii Kaiser Permanente - Hawaii - High Self Plus One
633
695.31
695.31
521.48
173.83
-4.02
1506.51
1506.51
1129.88
376.63
-8.72
Hawaii Kaiser Permanente - Hawaii - Standard Self
634
233.16
224.02
168.02
56.00
-2.29
505.18
485.38
364.04
121.34
-4.95
Hawaii Kaiser Permanente - Hawaii - Standard Self & Family
635
519.93
499.56
374.67
124.89
-5.09
1126.52
1082.38
811.79
270.59
-11.04
Hawaii Kaiser Permanente - Hawaii - Standard Self Plus One
636
519.93
499.56
374.67
124.89
-5.09
1126.52
1082.38
811.79
270.59
-11.04
Idaho Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Idaho Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Idaho Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Idaho Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Idaho Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Idaho Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Idaho Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Idaho Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Idaho Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Idaho Altius Health Plan - High Self
9K1
483.86
531.16
244.86
286.30
44.02
1048.36
1150.85
530.53
620.32
95.38
Idaho Altius Health Plan - High Self & Family
9K2
1070.06
1174.66
574.13
600.53
92.72
2318.46
2545.10
1243.95
1301.15
200.90
Idaho Altius Health Plan - High Self Plus One
9K3
1059.46
1163.04
524.63
638.41
96.41
2295.50
2519.92
1136.70
1383.22
208.88
Idaho Altius Health Plan - HDHP Self
9K4
310.38
350.41
244.86
105.55
27.96
672.49
759.22
530.53
228.69
60.57
Idaho Altius Health Plan - HDHP Self & Family
9K5
648.66
732.33
549.25
183.08
20.92
1405.43
1586.72
1190.04
396.68
45.32
Idaho Altius Health Plan - HDHP Self Plus One
9K6
635.93
717.95
524.63
193.32
34.34
1377.85
1555.56
1136.70
418.86
74.40
Idaho Altius Health Plan - Standard Self
DK4
407.59
435.02
244.86
190.16
24.15
883.11
942.54
530.53
412.01
52.32
Idaho Altius Health Plan - Standard Self & Family
DK5
900.09
960.66
574.13
386.53
48.69
1950.20
2081.43
1243.95
837.48
105.49
Idaho Altius Health Plan - Standard Self Plus One
DK6
891.17
951.14
524.63
426.51
52.80
1930.87
2060.80
1136.70
924.10
114.39
Idaho Kaiser Permanente - Washington Core - Standard Self
544
285.24
288.56
216.42
72.14
0.83
618.02
625.21
468.91
156.30
1.80
Idaho Kaiser Permanente - Washington Core - Standard Self & Family
545
656.05
663.69
497.77
165.92
1.91
1421.44
1438.00
1078.50
359.50
4.14
Idaho Kaiser Permanente - Washington Core - Standard Self Plus One
546
656.05
663.69
497.77
165.92
1.91
1421.44
1438.00
1078.50
359.50
4.14
Idaho Kaiser Permanente - Washington Core - High Self
541
398.66
401.32
244.86
156.46
-0.62
863.76
869.53
530.53
339.00
-1.34
Idaho Kaiser Permanente - Washington Core - High Self & Family
542
877.04
882.89
574.13
308.76
-6.03
1900.25
1912.93
1243.95
668.98
-13.06
Idaho Kaiser Permanente - Washington Core - High Self Plus One
543
877.04
882.89
524.63
358.26
-1.32
1900.25
1912.93
1136.70
776.23
-2.86
Idaho Kaiser Permanente - Washington Core - Prosper Self
PT4
180.00
180.00
135.00
45.00
0.00
390.00
390.00
292.50
97.50
0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self & Family
PT5
503.99
503.99
377.99
126.00
0.00
1091.98
1091.98
818.99
272.99
0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self Plus One
PT6
436.00
436.00
327.00
109.00
0.00
944.67
944.67
708.50
236.17
0.00
Illinois Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Illinois Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Illinois Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Illinois Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Illinois Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Illinois Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Illinois Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Illinois Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Illinois Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Illinois Blue Preferred - High Self
9G1
403.49
418.02
244.86
173.16
11.25
874.23
905.71
530.53
375.18
24.37
Illinois Blue Preferred - High Self & Family
9G2
915.93
987.38
574.13
413.25
59.57
1984.52
2139.32
1243.95
895.37
129.06
Illinois Blue Preferred - High Self Plus One
9G3
859.44
925.62
524.63
400.99
59.01
1862.12
2005.51
1136.70
868.81
127.85
Illinois Blue Preferred - Standard Self
9G4
292.46
283.39
212.54
70.85
-2.26
633.66
614.01
460.51
153.50
-4.91
Illinois Blue Preferred - Standard Self & Family
9G5
811.49
826.90
574.13
252.77
3.53
1758.23
1791.62
1243.95
547.67
7.65
Illinois Blue Preferred - Standard Self Plus One
9G6
726.73
737.63
524.63
213.00
3.73
1574.58
1598.20
1136.70
461.50
8.08
Illinois Health Alliance HMO - Standard Self
K84
315.49
324.96
243.72
81.24
2.37
683.56
704.08
528.06
176.02
5.13
Illinois Health Alliance HMO - Standard Self & Family
K85
731.24
753.18
564.89
188.29
5.48
1584.35
1631.89
1223.92
407.97
11.88
Illinois Health Alliance HMO - Standard Self Plus One
K86
674.59
694.82
521.12
173.70
5.05
1461.61
1505.44
1129.08
376.36
10.96
Illinois Humana CoverageFirst and Humana Value Plan - Value Self
GB4
363.91
382.11
244.86
137.25
14.92
788.47
827.91
530.53
297.38
32.33
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family
GB5
818.77
859.71
574.13
285.58
29.06
1774.00
1862.71
1243.95
618.76
62.97
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One
GB6
782.38
821.50
524.63
296.87
31.95
1695.16
1779.92
1136.70
643.22
69.22
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self
GB1
566.65
609.15
244.86
364.29
39.22
1227.74
1319.83
530.53
789.30
84.98
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
GB2
1274.95
1370.56
574.13
796.43
83.73
2762.39
2969.55
1243.95
1725.60
181.42
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
GB3
1218.30
1309.67
524.63
785.04
84.20
2639.65
2837.62
1136.70
1700.92
182.43
Illinois Humana CoverageFirst and Humana Value Plan - Value Self
MW4
372.81
369.09
244.86
124.23
-7.00
807.76
799.70
530.53
269.17
-15.17
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family
MW5
838.80
830.43
574.13
256.30
-20.25
1817.40
1799.27
1243.95
555.32
-43.87
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One
MW6
801.54
793.53
524.63
268.90
-15.18
1736.67
1719.32
1136.70
582.62
-32.89
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self
MW1
473.52
487.73
244.86
242.87
10.93
1025.96
1056.75
530.53
526.22
23.68
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
MW2
1065.45
1097.45
574.13
523.32
20.12
2308.48
2377.81
1243.95
1133.86
43.59
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
MW3
1018.09
1048.65
524.63
524.02
23.39
2205.86
2272.08
1136.70
1135.38
50.68
Illinois Humana HDHP - HDHP Self
BB1
New Plan
205.52
154.14
51.38
New Plan
New Plan
445.29
333.97
111.32
New Plan
Illinois Humana HDHP - HDHP Self & Family
BB2
New Plan
512.00
384.00
128.00
New Plan
New Plan
1109.33
832.00
277.33
New Plan
Illinois Humana HDHP - HDHP Self Plus One
BB3
New Plan
450.70
338.03
112.67
New Plan
New Plan
976.52
732.39
244.13
New Plan
Illinois Humana HDHP - HDHP Self
AW1
New Plan
194.17
145.63
48.54
New Plan
New Plan
420.70
315.53
105.17
New Plan
Illinois Humana HDHP - HDHP Self & Family
AW2
New Plan
483.61
362.71
120.90
New Plan
New Plan
1047.82
785.87
261.95
New Plan
Illinois Humana HDHP - HDHP Self Plus One
AW3
New Plan
425.72
319.29
106.43
New Plan
New Plan
922.39
691.79
230.60
New Plan
Illinois Humana Health Plan, Inc. - Standard Self
754
482.47
487.29
244.86
242.43
1.54
1045.35
1055.80
530.53
525.27
3.34
Illinois Humana Health Plan, Inc. - Standard Self & Family
755
1085.55
1096.41
574.13
522.28
-1.02
2352.03
2375.56
1243.95
1131.61
-2.21
Illinois Humana Health Plan, Inc. - Standard Self Plus One
756
1037.32
1047.69
524.63
523.06
3.20
2247.53
2270.00
1136.70
1133.30
6.93
Illinois Humana Health Plan, Inc. - High Self
751
631.85
647.65
244.86
402.79
12.52
1369.01
1403.24
530.53
872.71
27.12
Illinois Humana Health Plan, Inc. - High Self & Family
752
1421.69
1457.21
574.13
883.08
23.64
3080.33
3157.29
1243.95
1913.34
51.22
Illinois Humana Health Plan, Inc. - High Self Plus One
753
1358.50
1392.45
524.63
867.82
26.78
2943.42
3016.98
1136.70
1880.28
58.02
Illinois Humana Health Plan, Inc. - High Self
9F1
930.39
976.91
244.86
732.05
43.24
2015.85
2116.64
530.53
1586.11
93.68
Illinois Humana Health Plan, Inc. - High Self & Family
9F2
2093.37
2198.05
574.13
1623.92
92.80
4535.64
4762.44
1243.95
3518.49
201.06
Illinois Humana Health Plan, Inc. - High Self Plus One
9F3
2000.32
2100.34
524.63
1575.71
92.85
4334.03
4550.74
1136.70
3414.04
201.17
Illinois Humana Health Plan, Inc. - Standard Self
AB4
573.09
668.06
244.86
423.20
91.69
1241.70
1447.46
530.53
916.93
198.65
Illinois Humana Health Plan, Inc. - Standard Self & Family
AB5
1289.49
1503.16
574.13
929.03
201.79
2793.90
3256.85
1243.95
2012.90
437.21
Illinois Humana Health Plan, Inc. - Standard Self Plus One
AB6
1232.18
1436.36
524.63
911.73
197.01
2669.72
3112.11
1136.70
1975.41
426.85
Illinois Humana Health Plan, Inc. - Basic Self
AB1
363.19
390.43
244.86
145.57
23.96
786.91
845.93
530.53
315.40
51.91
Illinois Humana Health Plan, Inc. - Basic Self & Family
AB2
817.20
878.49
574.13
304.36
49.41
1770.60
1903.40
1243.95
659.45
107.06
Illinois Humana Health Plan, Inc. - Basic Self Plus One
AB3
780.88
839.45
524.63
314.82
51.40
1691.91
1818.81
1136.70
682.11
111.36
Illinois Humana Health Plan, Inc. - Basic Self
RW1
378.02
387.46
244.86
142.60
6.16
819.04
839.50
530.53
308.97
13.35
Illinois Humana Health Plan, Inc. - Basic Self & Family
RW2
850.55
871.79
574.13
297.66
9.36
1842.86
1888.88
1243.95
644.93
20.28
Illinois Humana Health Plan, Inc. - Basic Self Plus One
RW3
812.75
833.04
524.63
308.41
13.12
1760.96
1804.92
1136.70
668.22
28.42
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self
L91
255.98
306.35
229.76
76.59
12.60
554.62
663.76
497.82
165.94
27.29
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family
L92
717.76
732.19
549.14
183.05
3.61
1555.15
1586.41
1189.81
396.60
7.81
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One
L93
499.93
612.71
459.53
153.18
28.20
1083.18
1327.54
995.66
331.88
61.09
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Indiana Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Indiana Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Indiana Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Indiana Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Indiana Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Indiana Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self
JS4
505.19
505.16
244.86
260.30
-3.31
1094.58
1094.51
530.53
563.98
-7.18
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
JS5
1153.29
1153.22
574.13
579.09
-11.95
2498.80
2498.64
1243.95
1254.69
-25.90
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
JS6
1141.88
1141.82
524.63
617.19
-7.23
2474.07
2473.94
1136.70
1337.24
-15.67
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
JS1
466.12
478.77
244.86
233.91
9.37
1009.93
1037.34
530.53
506.81
20.30
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
JS2
1062.53
1091.38
574.13
517.25
16.97
2302.15
2364.66
1243.95
1120.71
36.77
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
JS3
1052.00
1080.57
524.63
555.94
21.40
2279.33
2341.24
1136.70
1204.54
46.37
Indiana Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Indiana Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Indiana Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Indiana Health Alliance HMO - Standard Self
K84
315.49
324.96
243.72
81.24
2.37
683.56
704.08
528.06
176.02
5.13
Indiana Health Alliance HMO - Standard Self & Family
K85
731.24
753.18
564.89
188.29
5.48
1584.35
1631.89
1223.92
407.97
11.88
Indiana Health Alliance HMO - Standard Self Plus One
K86
674.59
694.82
521.12
173.70
5.05
1461.61
1505.44
1129.08
376.36
10.96
Indiana Humana CoverageFirst and Humana Value Plan - Value Self
MW4
372.81
369.09
244.86
124.23
-7.00
807.76
799.70
530.53
269.17
-15.17
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family
MW5
838.80
830.43
574.13
256.30
-20.25
1817.40
1799.27
1243.95
555.32
-43.87
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One
MW6
801.54
793.53
524.63
268.90
-15.18
1736.67
1719.32
1136.70
582.62
-32.89
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self
MW1
473.52
487.73
244.86
242.87
10.93
1025.96
1056.75
530.53
526.22
23.68
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
MW2
1065.45
1097.45
574.13
523.32
20.12
2308.48
2377.81
1243.95
1133.86
43.59
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
MW3
1018.09
1048.65
524.63
524.02
23.39
2205.86
2272.08
1136.70
1135.38
50.68
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self
TC1
340.88
349.41
244.86
104.55
5.25
738.57
757.06
530.53
226.53
11.38
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
TC2
766.98
786.15
574.13
212.02
7.29
1661.79
1703.33
1243.95
459.38
15.80
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
TC3
732.90
751.22
524.63
226.59
11.15
1587.95
1627.64
1136.70
490.94
24.15
Indiana Humana CoverageFirst and Humana Value Plan - Value Self
TC4
New Plan
267.57
200.68
66.89
New Plan
New Plan
579.74
434.81
144.93
New Plan
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family
TC5
New Plan
602.04
451.53
150.51
New Plan
New Plan
1304.42
978.32
326.10
New Plan
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One
TC6
New Plan
575.28
431.46
143.82
New Plan
New Plan
1246.44
934.83
311.61
New Plan
Indiana Humana CoverageFirst and Humana Value Plan - Value Self
X34
298.10
320.46
240.35
80.11
5.59
645.88
694.33
520.75
173.58
12.11
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family
X35
670.73
721.03
540.77
180.26
12.58
1453.25
1562.23
1171.67
390.56
27.25
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One
X36
640.92
688.99
516.74
172.25
12.02
1388.66
1492.81
1119.61
373.20
26.04
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self
X31
387.42
416.48
244.86
171.62
25.78
839.41
902.37
530.53
371.84
55.85
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
X32
871.71
937.08
574.13
362.95
53.49
1888.71
2030.34
1243.95
786.39
115.89
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
X33
832.97
895.44
524.63
370.81
55.30
1804.77
1940.12
1136.70
803.42
119.81
Indiana Humana HDHP - HDHP Self
BB1
New Plan
205.52
154.14
51.38
New Plan
New Plan
445.29
333.97
111.32
New Plan
Indiana Humana HDHP - HDHP Self & Family
BB2
New Plan
512.00
384.00
128.00
New Plan
New Plan
1109.33
832.00
277.33
New Plan
Indiana Humana HDHP - HDHP Self Plus One
BB3
New Plan
450.70
338.03
112.67
New Plan
New Plan
976.52
732.39
244.13
New Plan
Indiana Humana HDHP - HDHP Self
DT1
New Plan
228.80
171.60
57.20
New Plan
New Plan
495.73
371.80
123.93
New Plan
Indiana Humana HDHP - HDHP Self & Family
DT2
New Plan
570.19
427.64
142.55
New Plan
New Plan
1235.41
926.56
308.85
New Plan
Indiana Humana HDHP - HDHP Self Plus One
DT3
New Plan
501.91
376.43
125.48
New Plan
New Plan
1087.47
815.60
271.87
New Plan
Indiana Humana Health Plan of Ohio, Inc. - Standard Self
A64
568.05
573.73
244.86
328.87
2.40
1230.78
1243.08
530.53
712.55
5.19
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family
A65
1278.14
1290.90
574.13
716.77
0.88
2769.30
2796.95
1243.95
1553.00
1.91
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One
A66
1221.32
1233.52
524.63
708.89
5.03
2646.19
2672.63
1136.70
1535.93
10.90
Indiana Humana Health Plan, Inc. - Standard Self
754
482.47
487.29
244.86
242.43
1.54
1045.35
1055.80
530.53
525.27
3.34
Indiana Humana Health Plan, Inc. - Standard Self & Family
755
1085.55
1096.41
574.13
522.28
-1.02
2352.03
2375.56
1243.95
1131.61
-2.21
Indiana Humana Health Plan, Inc. - Standard Self Plus One
756
1037.32
1047.69
524.63
523.06
3.20
2247.53
2270.00
1136.70
1133.30
6.93
Indiana Humana Health Plan, Inc. - High Self
751
631.85
647.65
244.86
402.79
12.52
1369.01
1403.24
530.53
872.71
27.12
Indiana Humana Health Plan, Inc. - High Self & Family
752
1421.69
1457.21
574.13
883.08
23.64
3080.33
3157.29
1243.95
1913.34
51.22
Indiana Humana Health Plan, Inc. - High Self Plus One
753
1358.50
1392.45
524.63
867.82
26.78
2943.42
3016.98
1136.70
1880.28
58.02
Indiana Humana Health Plan, Inc. - Standard Self
MH4
436.44
458.26
244.86
213.40
18.54
945.62
992.90
530.53
462.37
40.17
Indiana Humana Health Plan, Inc. - Standard Self & Family
MH5
981.98
1031.06
574.13
456.93
37.20
2127.62
2233.96
1243.95
990.01
80.60
Indiana Humana Health Plan, Inc. - Standard Self Plus One
MH6
938.33
985.23
524.63
460.60
39.73
2033.05
2134.67
1136.70
997.97
86.08
Iowa Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Iowa Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Iowa Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Iowa Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Iowa Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Iowa Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Iowa Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Iowa Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Iowa Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Iowa Health Alliance HMO - Standard Self
K84
315.49
324.96
243.72
81.24
2.37
683.56
704.08
528.06
176.02
5.13
Iowa Health Alliance HMO - Standard Self & Family
K85
731.24
753.18
564.89
188.29
5.48
1584.35
1631.89
1223.92
407.97
11.88
Iowa Health Alliance HMO - Standard Self Plus One
K86
674.59
694.82
521.12
173.70
5.05
1461.61
1505.44
1129.08
376.36
10.96
Iowa HealthPartners - Standard Self
V34
235.11
255.36
191.52
63.84
5.06
509.41
553.28
414.96
138.32
10.97
Iowa HealthPartners - Standard Self & Family
V35
572.74
622.08
466.56
155.52
12.34
1240.94
1347.84
1010.88
336.96
26.73
Iowa HealthPartners - Standard Self Plus One
V36
519.60
564.36
423.27
141.09
11.19
1125.80
1222.78
917.09
305.69
24.24
Iowa HealthPartners - High Self
V31
308.34
319.45
239.59
79.86
2.78
668.07
692.14
519.11
173.03
6.01
Iowa HealthPartners - High Self & Family
V32
751.10
778.16
574.13
204.03
15.18
1627.38
1686.01
1243.95
442.06
32.89
Iowa HealthPartners - High Self Plus One
V33
681.42
705.96
524.63
181.33
10.98
1476.41
1529.58
1136.70
392.88
23.78
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
N71
319.78
343.64
244.86
98.78
18.84
692.86
744.55
530.53
214.02
40.81
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
N72
735.49
790.36
574.13
216.23
32.36
1593.56
1712.45
1243.95
468.50
70.11
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
N73
687.52
738.81
524.63
214.18
42.30
1489.63
1600.76
1136.70
464.06
91.65
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
LJ1
358.54
403.36
244.86
158.50
41.54
776.84
873.95
530.53
343.42
90.00
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
LJ2
896.36
1008.43
574.13
434.30
100.19
1942.11
2184.93
1243.95
940.98
217.08
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
LJ3
770.87
867.25
524.63
342.62
89.21
1670.22
1879.04
1136.70
742.34
193.28
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Kansas Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Kansas Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Kansas Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Kansas Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Kansas Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Kansas Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
Kansas Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Kansas Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Kansas Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Kansas Aetna Open Access - High Self
HA1
533.78
548.76
244.86
303.90
11.70
1156.52
1188.98
530.53
658.45
25.35
Kansas Aetna Open Access - High Self & Family
HA2
1260.88
1296.25
574.13
722.12
23.49
2731.91
2808.54
1243.95
1564.59
50.89
Kansas Aetna Open Access - High Self Plus One
HA3
1248.41
1283.43
524.63
758.80
27.85
2704.89
2780.77
1136.70
1644.07
60.34
Kansas Aetna Open Access - Standard Self
HA4
416.01
419.71
244.86
174.85
0.42
901.36
909.37
530.53
378.84
0.90
Kansas Aetna Open Access - Standard Self & Family
HA5
981.94
990.68
574.13
416.55
-3.14
2127.54
2146.47
1243.95
902.52
-6.81
Kansas Aetna Open Access - Standard Self Plus One
HA6
972.22
980.89
524.63
456.26
1.50
2106.48
2125.26
1136.70
988.56
3.24
Kansas Humana CoverageFirst and Humana Value Plan - Value Self
PH4
243.51
261.77
196.33
65.44
4.56
527.61
567.17
425.38
141.79
9.89
Kansas Humana CoverageFirst and Humana Value Plan - Value Self & Family
PH5
547.90
588.99
441.74
147.25
10.28
1187.12
1276.15
957.11
319.04
22.26
Kansas Humana CoverageFirst and Humana Value Plan - Value Self Plus One
PH6
523.55
562.82
422.12
140.70
9.81
1134.36
1219.44
914.58
304.86
21.27
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self
PH1
349.86
349.86
244.86
105.00
-3.28
758.03
758.03
530.53
227.50
-7.11
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
PH2
787.19
787.20
574.13
213.07
-11.87
1705.58
1705.60
1243.95
461.65
-25.72
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
PH3
752.20
752.21
524.63
227.58
-7.16
1629.77
1629.79
1136.70
493.09
-15.52
Kansas Humana HDHP - HDHP Self
BK1
New Plan
186.06
139.55
46.51
New Plan
New Plan
403.13
302.35
100.78
New Plan
Kansas Humana HDHP - HDHP Self & Family
BK2
New Plan
463.35
347.51
115.84
New Plan
New Plan
1003.93
752.95
250.98
New Plan
Kansas Humana HDHP - HDHP Self Plus One
BK3
New Plan
407.90
305.93
101.97
New Plan
New Plan
883.78
662.84
220.94
New Plan
Kansas Humana Health Plan, Inc. - Standard Self
MS4
554.12
595.68
244.86
350.82
38.28
1200.59
1290.64
530.53
760.11
82.94
Kansas Humana Health Plan, Inc. - Standard Self & Family
MS5
1246.77
1340.30
574.13
766.17
81.65
2701.34
2903.98
1243.95
1660.03
176.90
Kansas Humana Health Plan, Inc. - Standard Self Plus One
MS6
1191.38
1280.74
524.63
756.11
82.19
2581.32
2774.94
1136.70
1638.24
178.08
Kentucky Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Kentucky Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Kentucky Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Kentucky Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Kentucky Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Kentucky Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Kentucky Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Kentucky Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Kentucky Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self
TC1
340.88
349.41
244.86
104.55
5.25
738.57
757.06
530.53
226.53
11.38
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
TC2
766.98
786.15
574.13
212.02
7.29
1661.79
1703.33
1243.95
459.38
15.80
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
TC3
732.90
751.22
524.63
226.59
11.15
1587.95
1627.64
1136.70
490.94
24.15
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self
TC4
New Plan
267.57
200.68
66.89
New Plan
New Plan
579.74
434.81
144.93
New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family
TC5
New Plan
602.04
451.53
150.51
New Plan
New Plan
1304.42
978.32
326.10
New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One
TC6
New Plan
575.28
431.46
143.82
New Plan
New Plan
1246.44
934.83
311.61
New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self
6N1
382.17
391.73
244.86
146.87
6.28
828.04
848.75
530.53
318.22
13.60
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
6N2
859.88
881.39
574.13
307.26
9.63
1863.07
1909.68
1243.95
665.73
20.87
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
6N3
821.67
842.22
524.63
317.59
13.38
1780.29
1824.81
1136.70
688.11
28.98
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self
6N4
New Plan
292.53
219.40
73.13
New Plan
New Plan
633.82
475.37
158.45
New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family
6N5
New Plan
658.18
493.64
164.54
New Plan
New Plan
1426.06
1069.55
356.51
New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One
6N6
New Plan
628.94
471.71
157.23
New Plan
New Plan
1362.70
1022.03
340.67
New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self
X34
298.10
320.46
240.35
80.11
5.59
645.88
694.33
520.75
173.58
12.11
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family
X35
670.73
721.03
540.77
180.26
12.58
1453.25
1562.23
1171.67
390.56
27.25
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One
X36
640.92
688.99
516.74
172.25
12.02
1388.66
1492.81
1119.61
373.20
26.04
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self
X31
387.42
416.48
244.86
171.62
25.78
839.41
902.37
530.53
371.84
55.85
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
X32
871.71
937.08
574.13
362.95
53.49
1888.71
2030.34
1243.95
786.39
115.89
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
X33
832.97
895.44
524.63
370.81
55.30
1804.77
1940.12
1136.70
803.42
119.81
Kentucky Humana HDHP - HDHP Self
DT1
New Plan
228.80
171.60
57.20
New Plan
New Plan
495.73
371.80
123.93
New Plan
Kentucky Humana HDHP - HDHP Self & Family
DT2
New Plan
570.19
427.64
142.55
New Plan
New Plan
1235.41
926.56
308.85
New Plan
Kentucky Humana HDHP - HDHP Self Plus One
DT3
New Plan
501.91
376.43
125.48
New Plan
New Plan
1087.47
815.60
271.87
New Plan
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self
A64
568.05
573.73
244.86
328.87
2.40
1230.78
1243.08
530.53
712.55
5.19
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self & Family
A65
1278.14
1290.90
574.13
716.77
0.88
2769.30
2796.95
1243.95
1553.00
1.91
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self Plus One
A66
1221.32
1233.52
524.63
708.89
5.03
2646.19
2672.63
1136.70
1535.93
10.90
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self
W61
294.95
309.70
232.28
77.42
3.68
639.06
671.02
503.27
167.75
7.99
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self & Family
W62
663.66
696.84
522.63
174.21
8.30
1437.93
1509.82
1132.37
377.45
17.97
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self Plus One
W63
634.16
665.87
499.40
166.47
7.93
1374.01
1442.72
1082.04
360.68
17.18
Kentucky Humana Health Plan, Inc. - Standard Self
MI4
424.80
429.04
244.86
184.18
0.96
920.40
929.59
530.53
399.06
2.08
Kentucky Humana Health Plan, Inc. - Standard Self & Family
MI5
955.78
965.33
574.13
391.20
-2.33
2070.86
2091.55
1243.95
847.60
-5.05
Kentucky Humana Health Plan, Inc. - Standard Self Plus One
MI6
913.31
922.44
524.63
397.81
1.96
1978.84
1998.62
1136.70
861.92
4.24
Kentucky Humana Health Plan, Inc. - Standard Self
MH4
436.44
458.26
244.86
213.40
18.54
945.62
992.90
530.53
462.37
40.17
Kentucky Humana Health Plan, Inc. - Standard Self & Family
MH5
981.98
1031.06
574.13
456.93
37.20
2127.62
2233.96
1243.95
990.01
80.60
Kentucky Humana Health Plan, Inc. - Standard Self Plus One
MH6
938.33
985.23
524.63
460.60
39.73
2033.05
2134.67
1136.70
997.97
86.08
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
N71
319.78
343.64
244.86
98.78
18.84
692.86
744.55
530.53
214.02
40.81
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
N72
735.49
790.36
574.13
216.23
32.36
1593.56
1712.45
1243.95
468.50
70.11
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
N73
687.52
738.81
524.63
214.18
42.30
1489.63
1600.76
1136.70
464.06
91.65
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
LJ1
358.54
403.36
244.86
158.50
41.54
776.84
873.95
530.53
343.42
90.00
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
LJ2
896.36
1008.43
574.13
434.30
100.19
1942.11
2184.93
1243.95
940.98
217.08
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
LJ3
770.87
867.25
524.63
342.62
89.21
1670.22
1879.04
1136.70
742.34
193.28
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Louisiana Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Louisiana Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Louisiana Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Louisiana Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Louisiana Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Louisiana Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
Louisiana Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Louisiana Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Louisiana Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self
BC4
342.25
350.81
244.86
105.95
5.28
741.54
760.09
530.53
229.56
11.44
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family
BC5
770.06
789.33
574.13
215.20
7.39
1668.46
1710.22
1243.95
466.27
16.02
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One
BC6
735.83
754.24
524.63
229.61
11.24
1594.30
1634.19
1136.70
497.49
24.35
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self
BC1
457.60
475.90
244.86
231.04
15.02
991.47
1031.12
530.53
500.59
32.54
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family
BC2
1029.61
1070.80
574.13
496.67
29.31
2230.82
2320.07
1243.95
1076.12
63.51
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One
BC3
983.85
1023.21
524.63
498.58
32.19
2131.68
2216.96
1136.70
1080.26
69.74
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self
AE1
558.78
586.73
244.86
341.87
24.67
1210.69
1271.25
530.53
740.72
53.45
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family
AE2
1257.25
1320.10
574.13
745.97
50.97
2724.04
2860.22
1243.95
1616.27
110.44
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One
AE3
1201.38
1261.44
524.63
736.81
52.89
2602.99
2733.12
1136.70
1596.42
114.59
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self
AE4
421.12
433.75
244.86
188.89
9.35
912.43
939.79
530.53
409.26
20.25
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family
AE5
947.53
975.96
574.13
401.83
16.55
2052.98
2114.58
1243.95
870.63
35.86
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One
AE6
905.41
932.58
524.63
407.95
20.00
1961.72
2020.59
1136.70
883.89
43.33
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LS1
224.24
288.31
216.23
72.08
16.02
485.85
624.67
468.50
156.17
34.71
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LS2
515.77
663.12
497.34
165.78
36.84
1117.50
1436.76
1077.57
359.19
79.82
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LS3
482.12
619.88
464.91
154.97
34.44
1044.59
1343.07
1007.30
335.77
74.62
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KK1
354.94
391.06
244.86
146.20
32.84
769.04
847.30
530.53
316.77
71.15
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KK2
887.37
977.65
574.13
403.52
78.40
1922.64
2118.24
1243.95
874.29
169.86
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KK3
763.14
840.78
524.63
316.15
70.47
1653.47
1821.69
1136.70
684.99
152.68
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Maine Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Maine Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Maine Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Maine Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Maine Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Maine Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self
EP4
387.52
428.20
244.86
183.34
37.40
839.63
927.77
530.53
397.24
81.03
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
EP5
887.39
980.54
574.13
406.41
81.27
1922.68
2124.50
1243.95
880.55
176.08
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
EP6
869.98
961.31
524.63
436.68
84.16
1884.96
2082.84
1136.70
946.14
182.34
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
EP1
519.07
533.71
244.86
288.85
11.36
1124.65
1156.37
530.53
625.84
24.61
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
EP2
1183.79
1217.13
574.13
643.00
21.46
2564.88
2637.12
1243.95
1393.17
46.50
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
EP3
1172.06
1205.08
524.63
680.45
25.85
2539.46
2611.01
1136.70
1474.31
56.01
Maine Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Maine Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Maine Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Maryland Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Maryland Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Maryland Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Maryland Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Maryland Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Maryland Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
Maryland Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Maryland Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Maryland Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Maryland Aetna Open Access - High Self
JN1
543.03
577.64
244.86
332.78
31.33
1176.57
1251.55
530.53
721.02
67.87
Maryland Aetna Open Access - High Self & Family
JN2
1220.79
1298.62
574.13
724.49
65.95
2645.05
2813.68
1243.95
1569.73
142.89
Maryland Aetna Open Access - High Self Plus One
JN3
1208.70
1285.75
524.63
761.12
69.88
2618.85
2785.79
1136.70
1649.09
151.40
Maryland Aetna Open Access - Basic Self
JN4
329.73
341.29
244.86
96.43
8.28
714.42
739.46
530.53
208.93
17.93
Maryland Aetna Open Access - Basic Self & Family
JN5
754.58
781.03
574.13
206.90
14.57
1634.92
1692.23
1243.95
448.28
31.57
Maryland Aetna Open Access - Basic Self Plus One
JN6
692.92
717.20
524.63
192.57
17.11
1501.33
1553.93
1136.70
417.23
37.06
Maryland Aetna Saver (Open Access) - Saver Self
QQ4
274.71
274.71
206.03
68.68
0.00
595.21
595.21
446.41
148.80
0.00
Maryland Aetna Saver (Open Access) - Saver Self & Family
QQ5
628.67
628.67
471.50
157.17
0.00
1362.12
1362.12
1021.59
340.53
0.00
Maryland Aetna Saver (Open Access) - Saver Self Plus One
QQ6
577.30
577.30
432.98
144.32
0.00
1250.82
1250.82
938.12
312.70
0.00
Maryland CareFirst BlueChoice - Standard Self
2G4
409.76
417.96
244.86
173.10
4.92
887.81
905.58
530.53
375.05
10.66
Maryland CareFirst BlueChoice - Standard Self & Family
2G5
973.58
993.04
574.13
418.91
7.58
2109.42
2151.59
1243.95
907.64
16.43
Maryland CareFirst BlueChoice - Standard Self Plus One
2G6
819.51
835.90
524.63
311.27
9.22
1775.61
1811.12
1136.70
674.42
19.97
Maryland CareFirst BlueChoice - HDHP Self
B61
263.12
278.91
209.18
69.73
3.95
570.09
604.31
453.23
151.08
8.56
Maryland CareFirst BlueChoice - HDHP Self & Family
B62
625.16
662.67
497.00
165.67
9.38
1354.51
1435.79
1076.84
358.95
20.32
Maryland CareFirst BlueChoice - HDHP Self Plus One
B63
526.23
557.80
418.35
139.45
7.89
1140.17
1208.57
906.43
302.14
17.10
Maryland CareFirst BlueChoice - Blue Value Plus Self
B64
334.00
334.00
244.86
89.14
-3.28
723.67
723.67
530.53
193.14
-7.11
Maryland CareFirst BlueChoice - Blue Value Plus Self & Family
B65
793.56
793.56
574.13
219.43
-11.88
1719.38
1719.38
1243.95
475.43
-25.74
Maryland CareFirst BlueChoice - Blue Value Plus Self Plus One
B66
667.98
667.98
500.99
166.99
0.00
1447.29
1447.29
1085.47
361.82
0.00
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self
T71
197.41
170.26
127.70
42.56
-6.79
427.72
368.90
276.68
92.22
-14.71
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family
T72
507.47
485.23
363.92
121.31
-5.56
1099.52
1051.33
788.50
262.83
-12.05
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One
T73
439.31
400.11
300.08
100.03
-9.80
951.84
866.91
650.18
216.73
-21.23
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self
E34
276.13
280.27
210.20
70.07
1.04
598.28
607.25
455.44
151.81
2.24
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self & Family
E35
635.10
644.60
483.45
161.15
2.38
1376.05
1396.63
1047.47
349.16
5.15
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One
E36
635.10
644.60
483.45
161.15
2.38
1376.05
1396.63
1047.47
349.16
5.15
Maryland Kaiser Permanente - Mid-Atlantic States - High Self
E31
344.42
349.20
244.86
104.34
1.50
746.24
756.60
530.53
226.07
3.25
Maryland Kaiser Permanente - Mid-Atlantic States - High Self & Family
E32
792.16
803.17
574.13
229.04
-0.87
1716.35
1740.20
1243.95
496.25
-1.89
Maryland Kaiser Permanente - Mid-Atlantic States - High Self Plus One
E33
792.16
803.17
524.63
278.54
3.84
1716.35
1740.20
1136.70
603.50
8.31
Maryland M.D. IPA - High Self
JP1
438.87
467.07
244.86
222.21
24.92
950.89
1011.99
530.53
481.46
53.99
Maryland M.D. IPA - High Self & Family
JP2
1230.59
1309.69
574.13
735.56
67.22
2666.28
2837.66
1243.95
1593.71
145.64
Maryland M.D. IPA - High Self Plus One
JP3
857.12
912.20
524.63
387.57
47.91
1857.09
1976.43
1136.70
839.73
103.80
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
V41
239.96
305.45
229.09
76.36
16.37
519.91
661.81
496.36
165.45
35.47
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
V42
551.91
698.86
524.15
174.71
36.73
1195.81
1514.20
1135.65
378.55
79.60
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
V43
515.91
656.73
492.55
164.18
35.20
1117.81
1422.92
1067.19
355.73
76.28
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
LR1
355.57
379.46
244.86
134.60
20.61
770.40
822.16
530.53
291.63
44.65
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
LR2
842.69
899.33
574.13
325.20
44.76
1825.83
1948.55
1243.95
704.60
96.98
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
LR3
764.46
815.85
524.63
291.22
44.22
1656.33
1767.68
1136.70
630.98
95.81
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self
L91
255.98
306.35
229.76
76.59
12.60
554.62
663.76
497.82
165.94
27.29
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family
L92
717.76
732.19
549.14
183.05
3.61
1555.15
1586.41
1189.81
396.60
7.81
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One
L93
499.93
612.71
459.53
153.18
28.20
1083.18
1327.54
995.66
331.88
61.09
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Massachusetts Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Massachusetts Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Massachusetts Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Massachusetts Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Massachusetts Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Massachusetts Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self
EP4
387.52
428.20
244.86
183.34
37.40
839.63
927.77
530.53
397.24
81.03
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
EP5
887.39
980.54
574.13
406.41
81.27
1922.68
2124.50
1243.95
880.55
176.08
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
EP6
869.98
961.31
524.63
436.68
84.16
1884.96
2082.84
1136.70
946.14
182.34
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
EP1
519.07
533.71
244.86
288.85
11.36
1124.65
1156.37
530.53
625.84
24.61
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
EP2
1183.79
1217.13
574.13
643.00
21.46
2564.88
2637.12
1243.95
1393.17
46.50
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
EP3
1172.06
1205.08
524.63
680.45
25.85
2539.46
2611.01
1136.70
1474.31
56.01
Massachusetts Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Massachusetts Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Massachusetts Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Michigan Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Michigan Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Michigan Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Michigan Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Michigan Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Michigan Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
Michigan Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Michigan Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Michigan Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Michigan Blue Care Network of Michigan - High Self
LX1
353.45
364.82
244.86
119.96
8.09
765.81
790.44
530.53
259.91
17.52
Michigan Blue Care Network of Michigan - High Self & Family
LX2
862.42
890.17
574.13
316.04
15.87
1868.58
1928.70
1243.95
684.75
34.38
Michigan Blue Care Network of Michigan - High Self Plus One
LX3
812.95
839.09
524.63
314.46
18.97
1761.39
1818.03
1136.70
681.33
41.10
Michigan Blue Care Network of Michigan - High Self
K51
459.92
480.98
244.86
236.12
17.78
996.49
1042.12
530.53
511.59
38.52
Michigan Blue Care Network of Michigan - High Self & Family
K52
1122.21
1173.58
574.13
599.45
39.49
2431.46
2542.76
1243.95
1298.81
85.56
Michigan Blue Care Network of Michigan - High Self Plus One
K53
1057.83
1106.24
524.63
581.61
41.24
2291.97
2396.85
1136.70
1260.15
89.34
Michigan Health Alliance Plan - High Self
521
388.70
420.05
244.86
175.19
28.07
842.18
910.11
530.53
379.58
60.82
Michigan Health Alliance Plan - High Self & Family
522
948.43
1024.90
574.13
450.77
64.59
2054.93
2220.62
1243.95
976.67
139.95
Michigan Health Alliance Plan - High Self Plus One
523
894.00
966.10
524.63
441.47
64.93
1937.00
2093.22
1136.70
956.52
140.68
Michigan Health Alliance Plan - Standard Self
GY4
257.33
244.69
183.52
61.17
-3.16
557.55
530.16
397.62
132.54
-6.85
Michigan Health Alliance Plan - Standard Self & Family
GY5
627.88
597.03
447.77
149.26
-7.71
1360.41
1293.57
970.18
323.39
-16.71
Michigan Health Alliance Plan - Standard Self Plus One
GY6
591.85
562.79
422.09
140.70
-7.26
1282.34
1219.38
914.54
304.84
-15.74
Michigan Priority Health - High Self
LE1
478.75
510.79
244.86
265.93
28.76
1037.29
1106.71
530.53
576.18
62.31
Michigan Priority Health - High Self & Family
LE2
1125.06
1200.34
574.13
626.21
63.40
2437.63
2600.74
1243.95
1356.79
137.37
Michigan Priority Health - High Self Plus One
LE3
1053.25
1123.72
524.63
599.09
63.30
2282.04
2434.73
1136.70
1298.03
137.15
Michigan Priority Health - Standard Self
LE4
271.10
284.87
213.65
71.22
3.45
587.38
617.22
462.92
154.30
7.46
Michigan Priority Health - Standard Self & Family
LE5
637.07
669.44
502.08
167.36
8.09
1380.32
1450.45
1087.84
362.61
17.53
Michigan Priority Health - Standard Self Plus One
LE6
596.41
626.70
470.03
156.67
7.57
1292.22
1357.85
1018.39
339.46
16.41
Michigan Priority Health - Value Self
Y41
218.42
218.42
163.82
54.60
0.00
473.24
473.24
354.93
118.31
0.00
Michigan Priority Health - Value Self & Family
Y42
513.29
513.29
384.97
128.32
0.00
1112.13
1112.13
834.10
278.03
0.00
Michigan Priority Health - Value Self Plus One
Y43
480.52
480.52
360.39
120.13
0.00
1041.13
1041.13
780.85
260.28
0.00
Minnesota Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Minnesota Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Minnesota Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Minnesota Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Minnesota Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Minnesota Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Minnesota Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Minnesota Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Minnesota Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Minnesota HealthPartners - Standard Self
V34
235.11
255.36
191.52
63.84
5.06
509.41
553.28
414.96
138.32
10.97
Minnesota HealthPartners - Standard Self & Family
V35
572.74
622.08
466.56
155.52
12.34
1240.94
1347.84
1010.88
336.96
26.73
Minnesota HealthPartners - Standard Self Plus One
V36
519.60
564.36
423.27
141.09
11.19
1125.80
1222.78
917.09
305.69
24.24
Minnesota HealthPartners - High Self
V31
308.34
319.45
239.59
79.86
2.78
668.07
692.14
519.11
173.03
6.01
Minnesota HealthPartners - High Self & Family
V32
751.10
778.16
574.13
204.03
15.18
1627.38
1686.01
1243.95
442.06
32.89
Minnesota HealthPartners - High Self Plus One
V33
681.42
705.96
524.63
181.33
10.98
1476.41
1529.58
1136.70
392.88
23.78
Mississippi Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Mississippi Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Mississippi Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Mississippi Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Mississippi Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Mississippi Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Mississippi Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Mississippi Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Mississippi Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LS1
224.24
288.31
216.23
72.08
16.02
485.85
624.67
468.50
156.17
34.71
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LS2
515.77
663.12
497.34
165.78
36.84
1117.50
1436.76
1077.57
359.19
79.82
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LS3
482.12
619.88
464.91
154.97
34.44
1044.59
1343.07
1007.30
335.77
74.62
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KK1
354.94
391.06
244.86
146.20
32.84
769.04
847.30
530.53
316.77
71.15
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KK2
887.37
977.65
574.13
403.52
78.40
1922.64
2118.24
1243.95
874.29
169.86
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KK3
763.14
840.78
524.63
316.15
70.47
1653.47
1821.69
1136.70
684.99
152.68
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Missouri Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Missouri Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Missouri Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Missouri Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Missouri Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Missouri Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
Missouri Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Missouri Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Missouri Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Missouri Aetna Open Access - High Self
HA1
533.78
548.76
244.86
303.90
11.70
1156.52
1188.98
530.53
658.45
25.35
Missouri Aetna Open Access - High Self & Family
HA2
1260.88
1296.25
574.13
722.12
23.49
2731.91
2808.54
1243.95
1564.59
50.89
Missouri Aetna Open Access - High Self Plus One
HA3
1248.41
1283.43
524.63
758.80
27.85
2704.89
2780.77
1136.70
1644.07
60.34
Missouri Aetna Open Access - Standard Self
HA4
416.01
419.71
244.86
174.85
0.42
901.36
909.37
530.53
378.84
0.90
Missouri Aetna Open Access - Standard Self & Family
HA5
981.94
990.68
574.13
416.55
-3.14
2127.54
2146.47
1243.95
902.52
-6.81
Missouri Aetna Open Access - Standard Self Plus One
HA6
972.22
980.89
524.63
456.26
1.50
2106.48
2125.26
1136.70
988.56
3.24
Missouri Blue Preferred - High Self
9G1
403.49
418.02
244.86
173.16
11.25
874.23
905.71
530.53
375.18
24.37
Missouri Blue Preferred - High Self & Family
9G2
915.93
987.38
574.13
413.25
59.57
1984.52
2139.32
1243.95
895.37
129.06
Missouri Blue Preferred - High Self Plus One
9G3
859.44
925.62
524.63
400.99
59.01
1862.12
2005.51
1136.70
868.81
127.85
Missouri Blue Preferred - Standard Self
9G4
292.46
283.39
212.54
70.85
-2.26
633.66
614.01
460.51
153.50
-4.91
Missouri Blue Preferred - Standard Self & Family
9G5
811.49
826.90
574.13
252.77
3.53
1758.23
1791.62
1243.95
547.67
7.65
Missouri Blue Preferred - Standard Self Plus One
9G6
726.73
737.63
524.63
213.00
3.73
1574.58
1598.20
1136.70
461.50
8.08
Missouri Humana CoverageFirst and Humana Value Plan - Value Self
PH4
243.51
261.77
196.33
65.44
4.56
527.61
567.17
425.38
141.79
9.89
Missouri Humana CoverageFirst and Humana Value Plan - Value Self & Family
PH5
547.90
588.99
441.74
147.25
10.28
1187.12
1276.15
957.11
319.04
22.26
Missouri Humana CoverageFirst and Humana Value Plan - Value Self Plus One
PH6
523.55
562.82
422.12
140.70
9.81
1134.36
1219.44
914.58
304.86
21.27
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self
PH1
349.86
349.86
244.86
105.00
-3.28
758.03
758.03
530.53
227.50
-7.11
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
PH2
787.19
787.20
574.13
213.07
-11.87
1705.58
1705.60
1243.95
461.65
-25.72
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
PH3
752.20
752.21
524.63
227.58
-7.16
1629.77
1629.79
1136.70
493.09
-15.52
Missouri Humana HDHP - HDHP Self
BK1
New Plan
186.06
139.55
46.51
New Plan
New Plan
403.13
302.35
100.78
New Plan
Missouri Humana HDHP - HDHP Self & Family
BK2
New Plan
463.35
347.51
115.84
New Plan
New Plan
1003.93
752.95
250.98
New Plan
Missouri Humana HDHP - HDHP Self Plus One
BK3
New Plan
407.90
305.93
101.97
New Plan
New Plan
883.78
662.84
220.94
New Plan
Missouri Humana Health Plan, Inc. - Standard Self
MS4
554.12
595.68
244.86
350.82
38.28
1200.59
1290.64
530.53
760.11
82.94
Missouri Humana Health Plan, Inc. - Standard Self & Family
MS5
1246.77
1340.30
574.13
766.17
81.65
2701.34
2903.98
1243.95
1660.03
176.90
Missouri Humana Health Plan, Inc. - Standard Self Plus One
MS6
1191.38
1280.74
524.63
756.11
82.19
2581.32
2774.94
1136.70
1638.24
178.08
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Montana Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Montana Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Montana Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Montana Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Montana Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Montana Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Montana Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Montana Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Montana Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Nebraska Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Nebraska Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Nebraska Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Nebraska Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Nebraska Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Nebraska Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Nebraska Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Nebraska Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Nebraska Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Nevada Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Nevada Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Nevada Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Nevada Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Nevada Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Nevada Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
Nevada Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Nevada Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Nevada Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Nevada Health Plan of Nevada, Inc. - High Self
NM1
342.08
383.15
244.86
138.29
37.79
741.17
830.16
530.53
299.63
81.88
Nevada Health Plan of Nevada, Inc. - High Self & Family
NM2
810.69
908.03
574.13
333.90
85.46
1756.50
1967.40
1243.95
723.45
185.16
Nevada Health Plan of Nevada, Inc. - High Self Plus One
NM3
649.95
727.99
524.63
203.36
40.87
1408.23
1577.31
1136.70
440.61
88.55
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
WF1
287.18
308.52
231.39
77.13
5.34
622.22
668.46
501.35
167.11
11.56
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
WF2
679.17
729.65
547.24
182.41
12.62
1471.54
1580.91
1185.68
395.23
27.35
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
WF3
617.43
663.31
497.48
165.83
11.47
1337.77
1437.17
1077.88
359.29
24.85
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LU1
243.77
310.20
232.65
77.55
16.61
528.17
672.10
504.08
168.02
35.98
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LU2
560.66
713.47
535.10
178.37
38.21
1214.76
1545.85
1159.39
386.46
82.77
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LU3
524.10
666.94
500.21
166.73
35.71
1135.55
1445.04
1083.78
361.26
77.37
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KT1
360.98
399.17
244.86
154.31
34.91
782.12
864.87
530.53
334.34
75.64
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KT2
902.47
997.92
574.13
423.79
83.57
1955.35
2162.16
1243.95
918.21
181.07
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KT3
776.11
858.21
524.63
333.58
74.93
1681.57
1859.46
1136.70
722.76
162.35
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
VD1
286.71
303.53
227.65
75.88
4.20
621.21
657.65
493.24
164.41
9.11
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
VD2
678.06
717.87
538.40
179.47
9.96
1469.13
1555.39
1166.54
388.85
21.57
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
VD3
616.42
652.60
489.45
163.15
9.05
1335.58
1413.97
1060.48
353.49
19.60
New Hampshire Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
New Hampshire Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
New Hampshire Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
New Hampshire Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
New Hampshire Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
New Hampshire Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self
EP4
387.52
428.20
244.86
183.34
37.40
839.63
927.77
530.53
397.24
81.03
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
EP5
887.39
980.54
574.13
406.41
81.27
1922.68
2124.50
1243.95
880.55
176.08
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
EP6
869.98
961.31
524.63
436.68
84.16
1884.96
2082.84
1136.70
946.14
182.34
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
EP1
519.07
533.71
244.86
288.85
11.36
1124.65
1156.37
530.53
625.84
24.61
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
EP2
1183.79
1217.13
574.13
643.00
21.46
2564.88
2637.12
1243.95
1393.17
46.50
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
EP3
1172.06
1205.08
524.63
680.45
25.85
2539.46
2611.01
1136.70
1474.31
56.01
New Hampshire Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
New Hampshire Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
New Hampshire Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
New Jersey Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
New Jersey Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
New Jersey Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
New Jersey Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
New Jersey Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
New Jersey Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self
EP4
387.52
428.20
244.86
183.34
37.40
839.63
927.77
530.53
397.24
81.03
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
EP5
887.39
980.54
574.13
406.41
81.27
1922.68
2124.50
1243.95
880.55
176.08
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
EP6
869.98
961.31
524.63
436.68
84.16
1884.96
2082.84
1136.70
946.14
182.34
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
EP1
519.07
533.71
244.86
288.85
11.36
1124.65
1156.37
530.53
625.84
24.61
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
EP2
1183.79
1217.13
574.13
643.00
21.46
2564.88
2637.12
1243.95
1393.17
46.50
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
EP3
1172.06
1205.08
524.63
680.45
25.85
2539.46
2611.01
1136.70
1474.31
56.01
New Jersey Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
New Jersey Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
New Jersey Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
New Jersey Aetna Open Access - High Self
JR1
764.68
763.93
244.86
519.07
-4.03
1656.81
1655.18
530.53
1124.65
-8.74
New Jersey Aetna Open Access - High Self & Family
JR2
1766.32
1764.57
574.13
1190.44
-13.63
3827.03
3823.24
1243.95
2579.29
-29.53
New Jersey Aetna Open Access - High Self Plus One
JR3
1748.82
1747.11
524.63
1222.48
-8.88
3789.11
3785.41
1136.70
2648.71
-19.24
New Jersey Aetna Open Access - Basic Self
JR4
659.70
659.20
244.86
414.34
-3.78
1429.35
1428.27
530.53
897.74
-8.19
New Jersey Aetna Open Access - Basic Self & Family
JR5
1528.94
1527.78
574.13
953.65
-13.04
3312.70
3310.19
1243.95
2066.24
-28.25
New Jersey Aetna Open Access - Basic Self Plus One
JR6
1513.79
1512.65
524.63
988.02
-8.31
3279.88
3277.41
1136.70
2140.71
-18.01
New Jersey Aetna Open Access - Basic Self
P34
694.86
794.66
244.86
549.80
96.52
1505.53
1721.76
530.53
1191.23
209.12
New Jersey Aetna Open Access - Basic Self & Family
P35
1612.77
1844.44
574.13
1270.31
219.79
3494.34
3996.29
1243.95
2752.34
476.21
New Jersey Aetna Open Access - Basic Self Plus One
P36
1596.80
1826.17
524.63
1301.54
222.20
3459.73
3956.70
1136.70
2820.00
481.43
New Jersey Aetna Open Access - High Self
P31
733.03
813.48
244.86
568.62
77.17
1588.23
1762.54
530.53
1232.01
167.20
New Jersey Aetna Open Access - High Self & Family
P32
1777.25
1972.28
574.13
1398.15
183.15
3850.71
4273.27
1243.95
3029.32
396.82
New Jersey Aetna Open Access - High Self Plus One
P33
1759.65
1952.76
524.63
1428.13
185.94
3812.58
4230.98
1136.70
3094.28
402.86
New Jersey Emblemhealth Plan, Inc. - Standard Self
804
479.93
479.93
244.86
235.07
-3.28
1039.85
1039.85
530.53
509.32
-7.11
New Jersey Emblemhealth Plan, Inc. - Standard Self & Family
805
1164.33
1164.33
574.13
590.20
-11.88
2522.72
2522.72
1243.95
1278.77
-25.74
New Jersey Emblemhealth Plan, Inc. - Standard Self Plus One
806
1116.34
1116.34
524.63
591.71
-7.17
2418.74
2418.74
1136.70
1282.04
-15.54
New Mexico Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
New Mexico Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
New Mexico Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
New Mexico Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
New Mexico Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
New Mexico Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
New Mexico Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
New Mexico Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
New Mexico Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
New Mexico Presbyterian Health Plan - High Self
P21
390.89
403.60
244.86
158.74
9.43
846.93
874.47
530.53
343.94
20.43
New Mexico Presbyterian Health Plan - High Self & Family
P22
918.62
948.50
574.13
374.37
18.00
1990.34
2055.08
1243.95
811.13
39.00
New Mexico Presbyterian Health Plan - High Self Plus One
P23
887.35
916.21
524.63
391.58
21.69
1922.59
1985.12
1136.70
848.42
46.99
New Mexico Presbyterian Health Plan - Standard Self
PS4
325.99
334.72
244.86
89.86
5.45
706.31
725.23
530.53
194.70
11.81
New Mexico Presbyterian Health Plan - Standard Self & Family
PS5
766.08
786.62
574.13
212.49
8.66
1659.84
1704.34
1243.95
460.39
18.76
New Mexico Presbyterian Health Plan - Standard Self Plus One
PS6
740.02
759.86
524.63
235.23
12.67
1603.38
1646.36
1136.70
509.66
27.44
New Mexico Presbyterian Health Plan - Wellness Self
PS1
291.72
301.76
226.32
75.44
2.51
632.06
653.81
490.36
163.45
5.44
New Mexico Presbyterian Health Plan - Wellness Self & Family
PS2
685.55
709.12
531.84
177.28
5.89
1485.36
1536.43
1152.32
384.11
12.77
New Mexico Presbyterian Health Plan - Wellness Self Plus One
PS3
662.21
685.00
513.75
171.25
5.70
1434.79
1484.17
1113.13
371.04
12.34
New York Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
New York Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
New York Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
New York Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
New York Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
New York Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self
EP4
387.52
428.20
244.86
183.34
37.40
839.63
927.77
530.53
397.24
81.03
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
EP5
887.39
980.54
574.13
406.41
81.27
1922.68
2124.50
1243.95
880.55
176.08
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
EP6
869.98
961.31
524.63
436.68
84.16
1884.96
2082.84
1136.70
946.14
182.34
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
EP1
519.07
533.71
244.86
288.85
11.36
1124.65
1156.37
530.53
625.84
24.61
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
EP2
1183.79
1217.13
574.13
643.00
21.46
2564.88
2637.12
1243.95
1393.17
46.50
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
EP3
1172.06
1205.08
524.63
680.45
25.85
2539.46
2611.01
1136.70
1474.31
56.01
New York Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
New York Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
New York Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
New York Aetna Open Access - High Self
JC1
673.65
797.96
244.86
553.10
121.03
1459.58
1728.91
530.53
1198.38
262.22
New York Aetna Open Access - High Self & Family
JC2
1664.57
1971.75
574.13
1397.62
295.30
3606.57
4272.13
1243.95
3028.18
639.82
New York Aetna Open Access - High Self Plus One
JC3
1648.10
1952.23
524.63
1427.60
296.96
3570.88
4229.83
1136.70
3093.13
643.41
New York Aetna Open Access - Basic Self
JC4
563.01
675.15
244.86
430.29
108.86
1219.86
1462.83
530.53
932.30
235.86
New York Aetna Open Access - Basic Self & Family
JC5
1373.31
1646.81
574.13
1072.68
261.62
2975.51
3568.09
1243.95
2324.14
566.84
New York Aetna Open Access - Basic Self Plus One
JC6
1359.72
1630.51
524.63
1105.88
263.62
2946.06
3532.77
1136.70
2396.07
571.17
New York CDPHP - Standard Self
SG4
325.18
357.12
244.86
112.26
28.66
704.56
773.76
530.53
243.23
62.09
New York CDPHP - Standard Self & Family
SG5
780.40
857.08
574.13
282.95
64.80
1690.87
1857.01
1243.95
613.06
140.40
New York CDPHP - Standard Self Plus One
SG6
721.90
792.80
524.63
268.17
63.73
1564.12
1717.73
1136.70
581.03
138.07
New York Emblemhealth Plan, Inc. - Standard Self
804
479.93
479.93
244.86
235.07
-3.28
1039.85
1039.85
530.53
509.32
-7.11
New York Emblemhealth Plan, Inc. - Standard Self & Family
805
1164.33
1164.33
574.13
590.20
-11.88
2522.72
2522.72
1243.95
1278.77
-25.74
New York Emblemhealth Plan, Inc. - Standard Self Plus One
806
1116.34
1116.34
524.63
591.71
-7.17
2418.74
2418.74
1136.70
1282.04
-15.54
New York HIP of Greater NY - Standard Self
YL4
415.70
450.14
244.86
205.28
31.16
900.68
975.30
530.53
444.77
67.51
New York HIP of Greater NY - Standard Self & Family
YL5
1208.42
1308.52
574.13
734.39
88.22
2618.24
2835.13
1243.95
1591.18
191.15
New York HIP of Greater NY - Standard Self Plus One
YL6
759.04
821.94
524.63
297.31
55.73
1644.59
1780.87
1136.70
644.17
120.74
New York HIP of Greater NY - High Self
511
484.96
484.96
244.86
240.10
-3.28
1050.75
1050.75
530.53
520.22
-7.11
New York HIP of Greater NY - High Self & Family
512
1409.72
1409.81
574.13
835.68
-11.79
3054.39
3054.59
1243.95
1810.64
-25.54
New York HIP of Greater NY - High Self Plus One
513
885.52
885.57
524.63
360.94
-7.12
1918.63
1918.74
1136.70
782.04
-15.43
New York Independent Health - Standard Self
C54
333.30
340.51
244.86
95.65
3.93
722.15
737.77
530.53
207.24
8.51
New York Independent Health - Standard Self & Family
C55
899.91
919.38
574.13
345.25
7.59
1949.81
1991.99
1243.95
748.04
16.44
New York Independent Health - Standard Self Plus One
C56
849.92
868.32
524.63
343.69
11.23
1841.49
1881.36
1136.70
744.66
24.33
New York Independent Health - High Self
QA1
365.05
369.53
244.86
124.67
1.20
790.94
800.65
530.53
270.12
2.60
New York Independent Health - High Self & Family
QA2
985.64
997.73
574.13
423.60
0.21
2135.55
2161.75
1243.95
917.80
0.46
New York Independent Health - High Self Plus One
QA3
930.88
942.30
524.63
417.67
4.25
2016.91
2041.65
1136.70
904.95
9.20
New York Independent Health - HDHP Self
QA4
276.60
277.47
208.10
69.37
0.22
599.30
601.19
450.89
150.30
0.48
New York Independent Health - HDHP Self & Family
QA5
716.01
716.66
537.50
179.16
0.16
1551.36
1552.76
1164.57
388.19
0.35
New York Independent Health - HDHP Self Plus One
QA6
681.12
681.86
511.40
170.46
0.18
1475.76
1477.36
1108.02
369.34
0.40
North Carolina Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
North Carolina Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
North Carolina Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
North Carolina Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
North Carolina Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
North Carolina Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
North Carolina Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
North Carolina Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
North Carolina Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LS1
224.24
288.31
216.23
72.08
16.02
485.85
624.67
468.50
156.17
34.71
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LS2
515.77
663.12
497.34
165.78
36.84
1117.50
1436.76
1077.57
359.19
79.82
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LS3
482.12
619.88
464.91
154.97
34.44
1044.59
1343.07
1007.30
335.77
74.62
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KK1
354.94
391.06
244.86
146.20
32.84
769.04
847.30
530.53
316.77
71.15
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KK2
887.37
977.65
574.13
403.52
78.40
1922.64
2118.24
1243.95
874.29
169.86
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KK3
763.14
840.78
524.63
316.15
70.47
1653.47
1821.69
1136.70
684.99
152.68
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
North Dakota Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
North Dakota Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
North Dakota Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
North Dakota Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
North Dakota Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
North Dakota Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
North Dakota Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
North Dakota Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
North Dakota Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
North Dakota HealthPartners - Standard Self
V34
235.11
255.36
191.52
63.84
5.06
509.41
553.28
414.96
138.32
10.97
North Dakota HealthPartners - Standard Self & Family
V35
572.74
622.08
466.56
155.52
12.34
1240.94
1347.84
1010.88
336.96
26.73
North Dakota HealthPartners - Standard Self Plus One
V36
519.60
564.36
423.27
141.09
11.19
1125.80
1222.78
917.09
305.69
24.24
North Dakota HealthPartners - High Self
V31
308.34
319.45
239.59
79.86
2.78
668.07
692.14
519.11
173.03
6.01
North Dakota HealthPartners - High Self & Family
V32
751.10
778.16
574.13
204.03
15.18
1627.38
1686.01
1243.95
442.06
32.89
North Dakota HealthPartners - High Self Plus One
V33
681.42
705.96
524.63
181.33
10.98
1476.41
1529.58
1136.70
392.88
23.78
Northern Mariana Islands Calvo's SelectCare - Standard Self
B44
198.36
174.88
131.16
43.72
-5.87
429.78
378.91
284.18
94.73
-12.71
Northern Mariana Islands Calvo's SelectCare - Standard Self & Family
B45
576.33
508.11
381.08
127.03
-17.05
1248.72
1100.91
825.68
275.23
-36.95
Northern Mariana Islands Calvo's SelectCare - Standard Self Plus One
B46
391.02
344.73
258.55
86.18
-11.57
847.21
746.92
560.19
186.73
-25.07
Northern Mariana Islands Calvo's SelectCare - High Self
B41
240.78
247.36
185.52
61.84
1.65
521.69
535.95
401.96
133.99
3.57
Northern Mariana Islands Calvo's SelectCare - High Self & Family
B42
637.74
655.17
491.38
163.79
4.36
1381.77
1419.54
1064.66
354.88
9.44
Northern Mariana Islands Calvo's SelectCare - High Self Plus One
B43
469.88
482.72
362.04
120.68
3.21
1018.07
1045.89
784.42
261.47
6.95
Northern Mariana Islands TakeCare - HDHP Self
KX1
55.63
56.45
42.34
14.11
0.20
120.53
122.31
91.73
30.58
0.45
Northern Mariana Islands TakeCare - HDHP Self & Family
KX2
149.15
151.37
113.53
37.84
0.55
323.16
327.97
245.98
81.99
1.20
Northern Mariana Islands TakeCare - HDHP Self Plus One
KX3
134.28
136.26
102.20
34.06
0.49
290.94
295.23
221.42
73.81
1.08
Northern Mariana Islands TakeCare - Standard Self
JK4
186.67
187.28
140.46
46.82
0.15
404.45
405.77
304.33
101.44
0.33
Northern Mariana Islands TakeCare - Standard Self & Family
JK5
528.64
530.39
397.79
132.60
0.44
1145.39
1149.18
861.89
287.29
0.94
Northern Mariana Islands TakeCare - Standard Self Plus One
JK6
367.91
369.13
276.85
92.28
0.30
797.14
799.78
599.84
199.94
0.66
Northern Mariana Islands TakeCare - High Self
JK1
229.76
238.09
178.57
59.52
2.08
497.81
515.86
386.90
128.96
4.51
Northern Mariana Islands TakeCare - High Self & Family
JK2
548.02
567.89
425.92
141.97
4.97
1187.38
1230.43
922.82
307.61
10.77
Northern Mariana Islands TakeCare - High Self Plus One
JK3
453.92
470.38
352.79
117.59
4.11
983.49
1019.16
764.37
254.79
8.92
Ohio Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Ohio Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Ohio Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Ohio Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Ohio Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Ohio Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self
JS4
505.19
505.16
244.86
260.30
-3.31
1094.58
1094.51
530.53
563.98
-7.18
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
JS5
1153.29
1153.22
574.13
579.09
-11.95
2498.80
2498.64
1243.95
1254.69
-25.90
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
JS6
1141.88
1141.82
524.63
617.19
-7.23
2474.07
2473.94
1136.70
1337.24
-15.67
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
JS1
466.12
478.77
244.86
233.91
9.37
1009.93
1037.34
530.53
506.81
20.30
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
JS2
1062.53
1091.38
574.13
517.25
16.97
2302.15
2364.66
1243.95
1120.71
36.77
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
JS3
1052.00
1080.57
524.63
555.94
21.40
2279.33
2341.24
1136.70
1204.54
46.37
Ohio Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Ohio Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Ohio Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Ohio AultCare Insurance Company - High Self
3A1
404.25
429.35
244.86
184.49
21.82
875.88
930.26
530.53
399.73
47.27
Ohio AultCare Insurance Company - High Self & Family
3A2
998.44
1060.53
574.13
486.40
50.21
2163.29
2297.82
1243.95
1053.87
108.79
Ohio AultCare Insurance Company - High Self Plus One
3A3
848.88
901.67
524.63
377.04
45.62
1839.24
1953.62
1136.70
816.92
98.84
Ohio AultCare Insurance Company - HDHP Self
3A4
215.02
204.38
153.29
51.09
-2.66
465.88
442.82
332.12
110.70
-5.77
Ohio AultCare Insurance Company - HDHP Self & Family
3A5
688.51
654.43
490.82
163.61
-8.52
1491.77
1417.93
1063.45
354.48
-18.46
Ohio AultCare Insurance Company - HDHP Self Plus One
3A6
408.78
388.54
291.41
97.13
-5.06
885.69
841.84
631.38
210.46
-10.96
Ohio Humana CoverageFirst and Humana Value Plan - Value Self
X34
298.10
320.46
240.35
80.11
5.59
645.88
694.33
520.75
173.58
12.11
Ohio Humana CoverageFirst and Humana Value Plan - Value Self & Family
X35
670.73
721.03
540.77
180.26
12.58
1453.25
1562.23
1171.67
390.56
27.25
Ohio Humana CoverageFirst and Humana Value Plan - Value Self Plus One
X36
640.92
688.99
516.74
172.25
12.02
1388.66
1492.81
1119.61
373.20
26.04
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self
X31
387.42
416.48
244.86
171.62
25.78
839.41
902.37
530.53
371.84
55.85
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
X32
871.71
937.08
574.13
362.95
53.49
1888.71
2030.34
1243.95
786.39
115.89
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
X33
832.97
895.44
524.63
370.81
55.30
1804.77
1940.12
1136.70
803.42
119.81
Ohio Humana HDHP - HDHP Self
DT1
New Plan
228.80
171.60
57.20
New Plan
New Plan
495.73
371.80
123.93
New Plan
Ohio Humana HDHP - HDHP Self & Family
DT2
New Plan
570.19
427.64
142.55
New Plan
New Plan
1235.41
926.56
308.85
New Plan
Ohio Humana HDHP - HDHP Self Plus One
DT3
New Plan
501.91
376.43
125.48
New Plan
New Plan
1087.47
815.60
271.87
New Plan
Ohio Humana Health Plan of Ohio, Inc. - Standard Self
A64
568.05
573.73
244.86
328.87
2.40
1230.78
1243.08
530.53
712.55
5.19
Ohio Humana Health Plan of Ohio, Inc. - Standard Self & Family
A65
1278.14
1290.90
574.13
716.77
0.88
2769.30
2796.95
1243.95
1553.00
1.91
Ohio Humana Health Plan of Ohio, Inc. - Standard Self Plus One
A66
1221.32
1233.52
524.63
708.89
5.03
2646.19
2672.63
1136.70
1535.93
10.90
Ohio Humana Health Plan of Ohio, Inc. - Basic Self
W61
294.95
309.70
232.28
77.42
3.68
639.06
671.02
503.27
167.75
7.99
Ohio Humana Health Plan of Ohio, Inc. - Basic Self & Family
W62
663.66
696.84
522.63
174.21
8.30
1437.93
1509.82
1132.37
377.45
17.97
Ohio Humana Health Plan of Ohio, Inc. - Basic Self Plus One
W63
634.16
665.87
499.40
166.47
7.93
1374.01
1442.72
1082.04
360.68
17.18
Ohio Medical Mutual of Ohio - Basic Self
YF1
191.56
192.34
144.26
48.08
0.19
415.05
416.74
312.56
104.18
0.42
Ohio Medical Mutual of Ohio - Basic Self & Family
YF2
459.74
461.61
346.21
115.40
0.47
996.10
1000.16
750.12
250.04
1.02
Ohio Medical Mutual of Ohio - Basic Self Plus One
YF3
421.43
423.14
317.36
105.78
0.42
913.10
916.80
687.60
229.20
0.93
Ohio Medical Mutual of Ohio - Standard Self
YF4
455.01
550.89
244.86
306.03
92.60
985.86
1193.60
530.53
663.07
200.63
Ohio Medical Mutual of Ohio - Standard Self & Family
YF5
1092.02
1322.13
574.13
748.00
218.23
2366.04
2864.62
1243.95
1620.67
472.84
Ohio Medical Mutual of Ohio - Standard Self Plus One
YF6
1001.02
1211.95
524.63
687.32
203.76
2168.88
2625.89
1136.70
1489.19
441.47
Ohio Medical Mutual of Ohio - Standard Self
644
434.29
483.62
244.86
238.76
46.05
940.96
1047.84
530.53
517.31
99.77
Ohio Medical Mutual of Ohio - Standard Self & Family
645
1042.30
1160.67
574.13
586.54
106.49
2258.32
2514.79
1243.95
1270.84
230.73
Ohio Medical Mutual of Ohio - Standard Self Plus One
646
955.44
1063.95
524.63
539.32
101.34
2070.12
2305.23
1136.70
1168.53
219.57
Ohio Medical Mutual of Ohio - Standard Self
X64
397.54
512.30
244.86
267.44
111.48
861.34
1109.98
530.53
579.45
241.53
Ohio Medical Mutual of Ohio - Standard Self & Family
X65
954.10
1229.53
574.13
655.40
263.55
2067.22
2663.98
1243.95
1420.03
571.02
Ohio Medical Mutual of Ohio - Standard Self Plus One
X66
874.59
1127.07
524.63
602.44
245.31
1894.95
2441.99
1136.70
1305.29
531.50
Ohio Medical Mutual of Ohio - Basic Self
X61
187.05
187.82
140.87
46.95
0.19
405.28
406.94
305.21
101.73
0.41
Ohio Medical Mutual of Ohio - Basic Self & Family
X62
448.93
450.78
338.09
112.69
0.46
972.68
976.69
732.52
244.17
1.00
Ohio Medical Mutual of Ohio - Basic Self Plus One
X63
411.52
413.21
309.91
103.30
0.42
891.63
895.29
671.47
223.82
0.91
Ohio Medical Mutual of Ohio - Basic Self
UX1
189.79
190.57
142.93
47.64
0.19
411.21
412.90
309.68
103.22
0.42
Ohio Medical Mutual of Ohio - Basic Self & Family
UX2
455.50
457.37
343.03
114.34
0.47
986.92
990.97
743.23
247.74
1.01
Ohio Medical Mutual of Ohio - Basic Self Plus One
UX3
417.54
419.26
314.45
104.81
0.43
904.67
908.40
681.30
227.10
0.93
Oklahoma Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Oklahoma Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Oklahoma Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Oklahoma Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Oklahoma Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Oklahoma Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self
JS4
505.19
505.16
244.86
260.30
-3.31
1094.58
1094.51
530.53
563.98
-7.18
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
JS5
1153.29
1153.22
574.13
579.09
-11.95
2498.80
2498.64
1243.95
1254.69
-25.90
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
JS6
1141.88
1141.82
524.63
617.19
-7.23
2474.07
2473.94
1136.70
1337.24
-15.67
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
JS1
466.12
478.77
244.86
233.91
9.37
1009.93
1037.34
530.53
506.81
20.30
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
JS2
1062.53
1091.38
574.13
517.25
16.97
2302.15
2364.66
1243.95
1120.71
36.77
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
JS3
1052.00
1080.57
524.63
555.94
21.40
2279.33
2341.24
1136.70
1204.54
46.37
Oklahoma Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Oklahoma Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Oklahoma Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Oregon Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Oregon Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Oregon Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Oregon Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Oregon Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Oregon Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Oregon Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Oregon Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Oregon Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Oregon Kaiser Permanente - Northwest - Standard Self
574
317.70
308.72
231.54
77.18
-2.24
688.35
668.89
501.67
167.22
-4.87
Oregon Kaiser Permanente - Northwest - Standard Self & Family
575
729.85
709.22
531.92
177.30
-5.16
1581.34
1536.64
1152.48
384.16
-11.17
Oregon Kaiser Permanente - Northwest - Standard Self Plus One
576
729.85
709.22
524.63
184.59
-27.80
1581.34
1536.64
1136.70
399.94
-60.24
Oregon Kaiser Permanente - Northwest - High Self
571
346.93
349.69
244.86
104.83
-0.52
751.68
757.66
530.53
227.13
-1.13
Oregon Kaiser Permanente - Northwest - High Self & Family
572
783.61
789.85
574.13
215.72
-5.64
1697.82
1711.34
1243.95
467.39
-12.22
Oregon Kaiser Permanente - Northwest - High Self Plus One
573
783.61
789.85
524.63
265.22
-0.93
1697.82
1711.34
1136.70
574.64
-2.02
Oregon Kaiser Permanente - Northwest - Prosper Self
AM1
180.82
180.82
135.62
45.20
0.00
391.78
391.78
293.84
97.94
0.00
Oregon Kaiser Permanente - Northwest - Prosper Self & Family
AM2
427.60
448.46
336.35
112.11
5.21
926.47
971.66
728.75
242.91
11.29
Oregon Kaiser Permanente - Northwest - Prosper Self Plus One
AM3
388.75
388.75
291.56
97.19
0.00
842.29
842.29
631.72
210.57
0.00
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
WF1
287.18
308.52
231.39
77.13
5.34
622.22
668.46
501.35
167.11
11.56
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
WF2
679.17
729.65
547.24
182.41
12.62
1471.54
1580.91
1185.68
395.23
27.35
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
WF3
617.43
663.31
497.48
165.83
11.47
1337.77
1437.17
1077.88
359.29
24.85
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LU1
243.77
310.20
232.65
77.55
16.61
528.17
672.10
504.08
168.02
35.98
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LU2
560.66
713.47
535.10
178.37
38.21
1214.76
1545.85
1159.39
386.46
82.77
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LU3
524.10
666.94
500.21
166.73
35.71
1135.55
1445.04
1083.78
361.26
77.37
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KT1
360.98
399.17
244.86
154.31
34.91
782.12
864.87
530.53
334.34
75.64
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KT2
902.47
997.92
574.13
423.79
83.57
1955.35
2162.16
1243.95
918.21
181.07
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KT3
776.11
858.21
524.63
333.58
74.93
1681.57
1859.46
1136.70
722.76
162.35
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
VD1
286.71
303.53
227.65
75.88
4.20
621.21
657.65
493.24
164.41
9.11
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
VD2
678.06
717.87
538.40
179.47
9.96
1469.13
1555.39
1166.54
388.85
21.57
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
VD3
616.42
652.60
489.45
163.15
9.05
1335.58
1413.97
1060.48
353.49
19.60
Palau Calvo's SelectCare - Standard Self
B44
198.36
174.88
131.16
43.72
-5.87
429.78
378.91
284.18
94.73
-12.71
Palau Calvo's SelectCare - Standard Self & Family
B45
576.33
508.11
381.08
127.03
-17.05
1248.72
1100.91
825.68
275.23
-36.95
Palau Calvo's SelectCare - Standard Self Plus One
B46
391.02
344.73
258.55
86.18
-11.57
847.21
746.92
560.19
186.73
-25.07
Palau Calvo's SelectCare - High Self
B41
240.78
247.36
185.52
61.84
1.65
521.69
535.95
401.96
133.99
3.57
Palau Calvo's SelectCare - High Self & Family
B42
637.74
655.17
491.38
163.79
4.36
1381.77
1419.54
1064.66
354.88
9.44
Palau Calvo's SelectCare - High Self Plus One
B43
469.88
482.72
362.04
120.68
3.21
1018.07
1045.89
784.42
261.47
6.95
Palau TakeCare - HDHP Self
KX1
55.63
56.45
42.34
14.11
0.20
120.53
122.31
91.73
30.58
0.45
Palau TakeCare - HDHP Self & Family
KX2
149.15
151.37
113.53
37.84
0.55
323.16
327.97
245.98
81.99
1.20
Palau TakeCare - HDHP Self Plus One
KX3
134.28
136.26
102.20
34.06
0.49
290.94
295.23
221.42
73.81
1.08
Palau TakeCare - Standard Self
JK4
186.67
187.28
140.46
46.82
0.15
404.45
405.77
304.33
101.44
0.33
Palau TakeCare - Standard Self & Family
JK5
528.64
530.39
397.79
132.60
0.44
1145.39
1149.18
861.89
287.29
0.94
Palau TakeCare - Standard Self Plus One
JK6
367.91
369.13
276.85
92.28
0.30
797.14
799.78
599.84
199.94
0.66
Palau TakeCare - High Self
JK1
229.76
238.09
178.57
59.52
2.08
497.81
515.86
386.90
128.96
4.51
Palau TakeCare - High Self & Family
JK2
548.02
567.89
425.92
141.97
4.97
1187.38
1230.43
922.82
307.61
10.77
Palau TakeCare - High Self Plus One
JK3
453.92
470.38
352.79
117.59
4.11
983.49
1019.16
764.37
254.79
8.92
Pennsylvania Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Pennsylvania Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Pennsylvania Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Pennsylvania Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Pennsylvania Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Pennsylvania Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Pennsylvania Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Pennsylvania Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Pennsylvania Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Pennsylvania Aetna Open Access - High Self
YE1
556.87
545.39
244.86
300.53
-14.76
1206.55
1181.68
530.53
651.15
-31.98
Pennsylvania Aetna Open Access - High Self & Family
YE2
1398.29
1369.47
574.13
795.34
-40.70
3029.63
2967.19
1243.95
1723.24
-88.18
Pennsylvania Aetna Open Access - High Self Plus One
YE3
1384.45
1355.92
524.63
831.29
-35.70
2999.64
2937.83
1136.70
1801.13
-77.35
Pennsylvania Aetna Open Access - Basic Self
P34
694.86
794.66
244.86
549.80
96.52
1505.53
1721.76
530.53
1191.23
209.12
Pennsylvania Aetna Open Access - Basic Self & Family
P35
1612.77
1844.44
574.13
1270.31
219.79
3494.34
3996.29
1243.95
2752.34
476.21
Pennsylvania Aetna Open Access - Basic Self Plus One
P36
1596.80
1826.17
524.63
1301.54
222.20
3459.73
3956.70
1136.70
2820.00
481.43
Pennsylvania Aetna Open Access - High Self
P31
733.03
813.48
244.86
568.62
77.17
1588.23
1762.54
530.53
1232.01
167.20
Pennsylvania Aetna Open Access - High Self & Family
P32
1777.25
1972.28
574.13
1398.15
183.15
3850.71
4273.27
1243.95
3029.32
396.82
Pennsylvania Aetna Open Access - High Self Plus One
P33
1759.65
1952.76
524.63
1428.13
185.94
3812.58
4230.98
1136.70
3094.28
402.86
Pennsylvania Geisinger Health Plan - Standard Self
GG4
421.24
458.09
244.86
213.23
33.57
912.69
992.53
530.53
462.00
72.73
Pennsylvania Geisinger Health Plan - Standard Self & Family
GG5
964.44
1048.81
574.13
474.68
72.49
2089.62
2272.42
1243.95
1028.47
157.06
Pennsylvania Geisinger Health Plan - Standard Self Plus One
GG6
910.19
989.80
524.63
465.17
72.44
1972.08
2144.57
1136.70
1007.87
156.95
Pennsylvania Geisinger Health Plan - Basic Self
AJ1
370.18
411.23
244.86
166.37
37.77
802.06
891.00
530.53
360.47
81.83
Pennsylvania Geisinger Health Plan - Basic Self & Family
AJ2
847.53
941.52
574.13
367.39
82.11
1836.32
2039.96
1243.95
796.01
177.90
Pennsylvania Geisinger Health Plan - Basic Self Plus One
AJ3
799.84
888.56
524.63
363.93
81.55
1732.99
1925.21
1136.70
788.51
176.68
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
V41
239.96
305.45
229.09
76.36
16.37
519.91
661.81
496.36
165.45
35.47
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
V42
551.91
698.86
524.15
174.71
36.73
1195.81
1514.20
1135.65
378.55
79.60
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
V43
515.91
656.73
492.55
164.18
35.20
1117.81
1422.92
1067.19
355.73
76.28
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
LR1
355.57
379.46
244.86
134.60
20.61
770.40
822.16
530.53
291.63
44.65
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
LR2
842.69
899.33
574.13
325.20
44.76
1825.83
1948.55
1243.95
704.60
96.98
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
LR3
764.46
815.85
524.63
291.22
44.22
1656.33
1767.68
1136.70
630.98
95.81
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Pennsylvania UPMC Health Plan - HDHP Self
8W4
296.15
308.30
231.23
77.07
3.03
641.66
667.98
500.99
166.99
6.58
Pennsylvania UPMC Health Plan - HDHP Self & Family
8W5
681.63
710.40
532.80
177.60
7.19
1476.87
1539.20
1154.40
384.80
15.58
Pennsylvania UPMC Health Plan - HDHP Self Plus One
8W6
655.71
682.84
512.13
170.71
6.78
1420.71
1479.49
1109.62
369.87
14.69
Pennsylvania UPMC Health Plan - Standard Self
UW4
314.87
333.79
244.86
88.93
10.21
682.22
723.21
530.53
192.68
22.13
Pennsylvania UPMC Health Plan - Standard Self & Family
UW5
739.04
784.11
574.13
209.98
25.22
1601.25
1698.91
1243.95
454.96
54.65
Pennsylvania UPMC Health Plan - Standard Self Plus One
UW6
707.88
750.55
524.63
225.92
35.50
1533.74
1626.19
1136.70
489.49
76.91
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self
ZJ1
211.33
221.89
166.42
55.47
2.64
457.88
480.76
360.57
120.19
5.72
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self & Family
ZJ2
475.49
499.26
374.45
124.81
5.94
1030.23
1081.73
811.30
270.43
12.87
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self Plus One
ZJ3
454.36
477.07
357.80
119.27
5.68
984.45
1033.65
775.24
258.41
12.30
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self
891
180.02
180.02
135.02
45.00
0.00
390.04
390.04
292.53
97.51
0.00
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self & Family
892
412.25
412.25
309.19
103.06
0.00
893.21
893.21
669.91
223.30
0.00
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self Plus One
893
404.21
404.21
303.16
101.05
0.00
875.79
875.79
656.84
218.95
0.00
Rhode Island Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Rhode Island Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Rhode Island Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Rhode Island Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Rhode Island Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Rhode Island Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self
EP4
387.52
428.20
244.86
183.34
37.40
839.63
927.77
530.53
397.24
81.03
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
EP5
887.39
980.54
574.13
406.41
81.27
1922.68
2124.50
1243.95
880.55
176.08
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
EP6
869.98
961.31
524.63
436.68
84.16
1884.96
2082.84
1136.70
946.14
182.34
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
EP1
519.07
533.71
244.86
288.85
11.36
1124.65
1156.37
530.53
625.84
24.61
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
EP2
1183.79
1217.13
574.13
643.00
21.46
2564.88
2637.12
1243.95
1393.17
46.50
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
EP3
1172.06
1205.08
524.63
680.45
25.85
2539.46
2611.01
1136.70
1474.31
56.01
Rhode Island Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Rhode Island Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Rhode Island Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
South Carolina Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
South Carolina Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
South Carolina Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
South Carolina Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
South Carolina Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
South Carolina Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self
JS4
505.19
505.16
244.86
260.30
-3.31
1094.58
1094.51
530.53
563.98
-7.18
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
JS5
1153.29
1153.22
574.13
579.09
-11.95
2498.80
2498.64
1243.95
1254.69
-25.90
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
JS6
1141.88
1141.82
524.63
617.19
-7.23
2474.07
2473.94
1136.70
1337.24
-15.67
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
JS1
466.12
478.77
244.86
233.91
9.37
1009.93
1037.34
530.53
506.81
20.30
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
JS2
1062.53
1091.38
574.13
517.25
16.97
2302.15
2364.66
1243.95
1120.71
36.77
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
JS3
1052.00
1080.57
524.63
555.94
21.40
2279.33
2341.24
1136.70
1204.54
46.37
South Carolina Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
South Carolina Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
South Carolina Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
South Dakota Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
South Dakota Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
South Dakota Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
South Dakota Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
South Dakota Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
South Dakota Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
South Dakota Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
South Dakota Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
South Dakota Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
South Dakota HealthPartners - Standard Self
V34
235.11
255.36
191.52
63.84
5.06
509.41
553.28
414.96
138.32
10.97
South Dakota HealthPartners - Standard Self & Family
V35
572.74
622.08
466.56
155.52
12.34
1240.94
1347.84
1010.88
336.96
26.73
South Dakota HealthPartners - Standard Self Plus One
V36
519.60
564.36
423.27
141.09
11.19
1125.80
1222.78
917.09
305.69
24.24
South Dakota HealthPartners - High Self
V31
308.34
319.45
239.59
79.86
2.78
668.07
692.14
519.11
173.03
6.01
South Dakota HealthPartners - High Self & Family
V32
751.10
778.16
574.13
204.03
15.18
1627.38
1686.01
1243.95
442.06
32.89
South Dakota HealthPartners - High Self Plus One
V33
681.42
705.96
524.63
181.33
10.98
1476.41
1529.58
1136.70
392.88
23.78
Tennessee Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Tennessee Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Tennessee Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Tennessee Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Tennessee Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Tennessee Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
Tennessee Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Tennessee Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Tennessee Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self
TT1
364.62
391.98
244.86
147.12
24.08
790.01
849.29
530.53
318.76
52.17
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
TT2
820.42
881.96
574.13
307.83
49.66
1777.58
1910.91
1243.95
666.96
107.59
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
TT3
783.96
842.76
524.63
318.13
51.63
1698.58
1825.98
1136.70
689.28
111.86
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self
TT4
334.12
342.47
244.86
97.61
5.07
723.93
742.02
530.53
211.49
10.98
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self & Family
TT5
751.75
770.55
574.13
196.42
6.92
1628.79
1669.53
1243.95
425.58
15.00
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self Plus One
TT6
718.35
736.31
524.63
211.68
10.79
1556.43
1595.34
1136.70
458.64
23.37
Tennessee Humana HDHP - HDHP Self
ER1
New Plan
183.59
137.69
45.90
New Plan
New Plan
397.78
298.34
99.44
New Plan
Tennessee Humana HDHP - HDHP Self & Family
ER2
New Plan
457.16
342.87
114.29
New Plan
New Plan
990.51
742.88
247.63
New Plan
Tennessee Humana HDHP - HDHP Self Plus One
ER3
New Plan
402.45
301.84
100.61
New Plan
New Plan
871.98
653.99
217.99
New Plan
Tennessee Humana Health Plan, Inc. - Standard Self
GJ4
417.65
428.10
244.86
183.24
7.17
904.91
927.55
530.53
397.02
15.53
Tennessee Humana Health Plan, Inc. - Standard Self & Family
GJ5
939.73
963.22
574.13
389.09
11.61
2036.08
2086.98
1243.95
843.03
25.16
Tennessee Humana Health Plan, Inc. - Standard Self Plus One
GJ6
897.97
920.40
524.63
395.77
15.26
1945.60
1994.20
1136.70
857.50
33.06
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LS1
224.24
288.31
216.23
72.08
16.02
485.85
624.67
468.50
156.17
34.71
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LS2
515.77
663.12
497.34
165.78
36.84
1117.50
1436.76
1077.57
359.19
79.82
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LS3
482.12
619.88
464.91
154.97
34.44
1044.59
1343.07
1007.30
335.77
74.62
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KK1
354.94
391.06
244.86
146.20
32.84
769.04
847.30
530.53
316.77
71.15
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KK2
887.37
977.65
574.13
403.52
78.40
1922.64
2118.24
1243.95
874.29
169.86
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KK3
763.14
840.78
524.63
316.15
70.47
1653.47
1821.69
1136.70
684.99
152.68
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Texas Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Texas Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Texas Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Texas Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Texas Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Texas Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self
JS4
505.19
505.16
244.86
260.30
-3.31
1094.58
1094.51
530.53
563.98
-7.18
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
JS5
1153.29
1153.22
574.13
579.09
-11.95
2498.80
2498.64
1243.95
1254.69
-25.90
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
JS6
1141.88
1141.82
524.63
617.19
-7.23
2474.07
2473.94
1136.70
1337.24
-15.67
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
JS1
466.12
478.77
244.86
233.91
9.37
1009.93
1037.34
530.53
506.81
20.30
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
JS2
1062.53
1091.38
574.13
517.25
16.97
2302.15
2364.66
1243.95
1120.71
36.77
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
JS3
1052.00
1080.57
524.63
555.94
21.40
2279.33
2341.24
1136.70
1204.54
46.37
Texas Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Texas Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Texas Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Texas Baylor Scott and White Health Plan - Basic Self
A81
270.41
255.56
191.67
63.89
-3.71
585.89
553.71
415.28
138.43
-8.04
Texas Baylor Scott and White Health Plan - Basic Self & Family
A82
634.40
599.49
449.62
149.87
-8.73
1374.53
1298.90
974.18
324.72
-18.91
Texas Baylor Scott and White Health Plan - Basic Self Plus One
A83
599.35
566.37
424.78
141.59
-8.25
1298.59
1227.14
920.36
306.78
-17.87
Texas Baylor Scott and White Health Plan - Standard Self
A84
397.49
467.39
244.86
222.53
66.62
861.23
1012.68
530.53
482.15
144.34
Texas Baylor Scott and White Health Plan - Standard Self & Family
A85
933.13
1097.28
574.13
523.15
152.27
2021.78
2377.44
1243.95
1133.49
329.92
Texas Baylor Scott and White Health Plan - Standard Self Plus One
A86
881.56
1036.63
524.63
512.00
147.90
1910.05
2246.03
1136.70
1109.33
320.44
Texas Baylor Scott and White Health Plan - Basic Self
P81
278.74
263.42
197.57
65.85
-3.83
603.94
570.74
428.06
142.68
-8.30
Texas Baylor Scott and White Health Plan - Basic Self & Family
P82
653.98
618.00
463.50
154.50
-8.99
1416.96
1339.00
1004.25
334.75
-19.49
Texas Baylor Scott and White Health Plan - Basic Self Plus One
P83
617.85
583.85
437.89
145.96
-8.50
1338.68
1265.01
948.76
316.25
-18.42
Texas Baylor Scott and White Health Plan - Standard Self
P84
446.16
480.54
244.86
235.68
31.10
966.68
1041.17
530.53
510.64
67.38
Texas Baylor Scott and White Health Plan - Standard Self & Family
P85
1047.43
1128.21
574.13
554.08
68.90
2269.43
2444.46
1243.95
1200.51
149.29
Texas Baylor Scott and White Health Plan - Standard Self Plus One
P86
989.52
1065.83
524.63
541.20
69.14
2143.96
2309.30
1136.70
1172.60
149.80
Texas Humana CoverageFirst and Humana Value Plan - Value Self
T34
260.82
273.86
205.40
68.46
3.26
565.11
593.36
445.02
148.34
7.06
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family
T35
586.86
657.27
492.95
164.32
17.61
1271.53
1424.09
1068.07
356.02
38.14
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One
T36
560.78
588.82
441.62
147.20
7.01
1215.02
1275.78
956.84
318.94
15.19
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self
T31
374.71
402.81
244.86
157.95
24.82
811.87
872.76
530.53
342.23
53.78
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
T32
843.08
906.31
574.13
332.18
51.35
1826.67
1963.67
1243.95
719.72
111.26
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
T33
805.62
866.04
524.63
341.41
53.25
1745.51
1876.42
1136.70
739.72
115.37
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self
TV1
419.72
419.72
244.86
174.86
-3.28
909.39
909.39
530.53
378.86
-7.11
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
TV2
944.38
944.39
574.13
370.26
-11.87
2046.16
2046.18
1243.95
802.23
-25.72
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
TV3
902.42
902.42
524.63
377.79
-7.17
1955.24
1955.24
1136.70
818.54
-15.54
Texas Humana CoverageFirst and Humana Value Plan - Value Self
TV4
331.97
331.97
244.86
87.11
-3.28
719.27
719.27
530.53
188.74
-7.11
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family
TV5
746.95
746.95
560.21
186.74
0.00
1618.39
1618.39
1213.79
404.60
0.00
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One
TV6
713.76
713.76
524.63
189.13
-7.17
1546.48
1546.48
1136.70
409.78
-15.54
Texas Humana CoverageFirst and Humana Value Plan - Value Self
TU4
277.21
284.14
213.11
71.03
1.73
600.62
615.64
461.73
153.91
3.76
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family
TU5
623.73
639.32
479.49
159.83
3.90
1351.42
1385.19
1038.89
346.30
8.45
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One
TU6
596.02
610.93
458.20
152.73
3.73
1291.38
1323.68
992.76
330.92
8.08
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self
TU1
336.80
357.01
244.86
112.15
16.93
729.73
773.52
530.53
242.99
36.68
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
TU2
757.81
803.29
574.13
229.16
33.60
1641.92
1740.46
1243.95
496.51
72.80
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
TU3
724.12
767.59
524.63
242.96
36.30
1568.93
1663.11
1136.70
526.41
78.64
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self
TP1
356.37
356.37
244.86
111.51
-3.28
772.14
772.14
530.53
241.61
-7.11
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family
TP2
801.82
801.82
574.13
227.69
-11.88
1737.28
1737.28
1243.95
493.33
-25.74
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One
TP3
766.19
766.20
524.63
241.57
-7.16
1660.08
1660.10
1136.70
523.40
-15.52
Texas Humana CoverageFirst and Humana Value Plan - Value Self
TP4
208.83
224.49
168.37
56.12
3.91
452.47
486.40
364.80
121.60
8.48
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family
TP5
469.87
538.78
404.09
134.69
17.22
1018.05
1167.36
875.52
291.84
37.33
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One
TP6
448.99
482.66
362.00
120.66
8.41
972.81
1045.76
784.32
261.44
18.24
Texas Humana HDHP - HDHP Self
FD1
New Plan
183.59
137.69
45.90
New Plan
New Plan
397.78
298.34
99.44
New Plan
Texas Humana HDHP - HDHP Self & Family
FD2
New Plan
457.16
342.87
114.29
New Plan
New Plan
990.51
742.88
247.63
New Plan
Texas Humana HDHP - HDHP Self Plus One
FD3
New Plan
402.45
301.84
100.61
New Plan
New Plan
871.98
653.99
217.99
New Plan
Texas Humana HDHP - HDHP Self
AN1
New Plan
211.67
158.75
52.92
New Plan
New Plan
458.62
343.97
114.65
New Plan
Texas Humana HDHP - HDHP Self & Family
AN2
New Plan
527.37
395.53
131.84
New Plan
New Plan
1142.64
856.98
285.66
New Plan
Texas Humana HDHP - HDHP Self Plus One
AN3
New Plan
464.24
348.18
116.06
New Plan
New Plan
1005.85
754.39
251.46
New Plan
Texas Humana HDHP - HDHP Self
DX1
New Plan
186.72
140.04
46.68
New Plan
New Plan
404.56
303.42
101.14
New Plan
Texas Humana HDHP - HDHP Self & Family
DX2
New Plan
465.00
348.75
116.25
New Plan
New Plan
1007.50
755.63
251.87
New Plan
Texas Humana HDHP - HDHP Self Plus One
DX3
New Plan
409.35
307.01
102.34
New Plan
New Plan
886.93
665.20
221.73
New Plan
Texas Humana HDHP - HDHP Self
CG1
New Plan
236.56
177.42
59.14
New Plan
New Plan
512.55
384.41
128.14
New Plan
Texas Humana HDHP - HDHP Self & Family
CG2
New Plan
589.59
442.19
147.40
New Plan
New Plan
1277.45
958.09
319.36
New Plan
Texas Humana HDHP - HDHP Self Plus One
CG3
New Plan
518.98
389.24
129.74
New Plan
New Plan
1124.46
843.35
281.11
New Plan
Texas Humana Health Plan of Texas - Standard Self
UC4
414.76
414.76
244.86
169.90
-3.28
898.65
898.65
530.53
368.12
-7.11
Texas Humana Health Plan of Texas - Standard Self & Family
UC5
933.21
933.21
574.13
359.08
-11.88
2021.96
2021.96
1243.95
778.01
-25.74
Texas Humana Health Plan of Texas - Standard Self Plus One
UC6
891.73
891.73
524.63
367.10
-7.17
1932.08
1932.08
1136.70
795.38
-15.54
Texas Humana Health Plan of Texas - Basic Self
QX1
377.25
401.40
244.86
156.54
20.87
817.38
869.70
530.53
339.17
45.21
Texas Humana Health Plan of Texas - Basic Self & Family
QX2
848.81
903.14
574.13
329.01
42.45
1839.09
1956.80
1243.95
712.85
91.97
Texas Humana Health Plan of Texas - Basic Self Plus One
QX3
811.09
863.00
524.63
338.37
44.74
1757.36
1869.83
1136.70
733.13
96.93
Texas Humana Health Plan of Texas - Standard Self
EW4
432.11
438.59
244.86
193.73
3.20
936.24
950.28
530.53
419.75
6.93
Texas Humana Health Plan of Texas - Standard Self & Family
EW5
972.23
986.80
574.13
412.67
2.69
2106.50
2138.07
1243.95
894.12
5.83
Texas Humana Health Plan of Texas - Standard Self Plus One
EW6
929.02
942.95
524.63
418.32
6.76
2012.88
2043.06
1136.70
906.36
14.64
Texas Humana Health Plan of Texas - Basic Self
QY1
389.84
389.84
244.86
144.98
-3.28
844.65
844.65
530.53
314.12
-7.11
Texas Humana Health Plan of Texas - Basic Self & Family
QY2
877.14
877.15
574.13
303.02
-11.87
1900.47
1900.49
1243.95
656.54
-25.72
Texas Humana Health Plan of Texas - Basic Self Plus One
QY3
838.17
838.18
524.63
313.55
-7.16
1816.04
1816.06
1136.70
679.36
-15.52
Texas Humana Health Plan of Texas - Basic Self
Q21
362.94
381.09
244.86
136.23
14.87
786.37
825.70
530.53
295.17
32.22
Texas Humana Health Plan of Texas - Basic Self & Family
Q22
816.61
857.45
574.13
283.32
28.96
1769.32
1857.81
1243.95
613.86
62.75
Texas Humana Health Plan of Texas - Basic Self Plus One
Q23
780.29
819.31
524.63
294.68
31.85
1690.63
1775.17
1136.70
638.47
69.00
Texas Humana Health Plan of Texas - Basic Self
Q61
322.69
330.76
244.86
85.90
4.79
699.16
716.65
530.53
186.12
10.38
Texas Humana Health Plan of Texas - Basic Self & Family
Q62
726.08
744.22
558.17
186.05
4.53
1573.17
1612.48
1209.36
403.12
9.83
Texas Humana Health Plan of Texas - Basic Self Plus One
Q63
693.80
711.15
524.63
186.52
10.18
1503.23
1540.83
1136.70
404.13
22.06
Texas Humana Health Plan of Texas - Standard Self
UU4
742.24
742.24
244.86
497.38
-3.28
1608.19
1608.19
530.53
1077.66
-7.11
Texas Humana Health Plan of Texas - Standard Self & Family
UU5
1670.03
1670.01
574.13
1095.88
-11.90
3618.40
3618.36
1243.95
2374.41
-25.78
Texas Humana Health Plan of Texas - Standard Self Plus One
UU6
1595.80
1595.79
524.63
1071.16
-7.18
3457.57
3457.55
1136.70
2320.85
-15.56
Texas Humana Health Plan of Texas - Standard Self
UR4
493.64
493.64
244.86
248.78
-3.28
1069.55
1069.55
530.53
539.02
-7.11
Texas Humana Health Plan of Texas - Standard Self & Family
UR5
1110.67
1110.68
574.13
536.55
-11.87
2406.45
2406.47
1243.95
1162.52
-25.72
Texas Humana Health Plan of Texas - Standard Self Plus One
UR6
1061.30
1061.31
524.63
536.68
-7.16
2299.48
2299.51
1136.70
1162.81
-15.51
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self
L91
255.98
306.35
229.76
76.59
12.60
554.62
663.76
497.82
165.94
27.29
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family
L92
717.76
732.19
549.14
183.05
3.61
1555.15
1586.41
1189.81
396.60
7.81
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One
L93
499.93
612.71
459.53
153.18
28.20
1083.18
1327.54
995.66
331.88
61.09
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Utah Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Utah Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Utah Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Utah Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Utah Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Utah Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
Utah Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Utah Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Utah Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Utah Altius Health Plan - High Self
9K1
483.86
531.16
244.86
286.30
44.02
1048.36
1150.85
530.53
620.32
95.38
Utah Altius Health Plan - High Self & Family
9K2
1070.06
1174.66
574.13
600.53
92.72
2318.46
2545.10
1243.95
1301.15
200.90
Utah Altius Health Plan - High Self Plus One
9K3
1059.46
1163.04
524.63
638.41
96.41
2295.50
2519.92
1136.70
1383.22
208.88
Utah Altius Health Plan - HDHP Self
9K4
310.38
350.41
244.86
105.55
27.96
672.49
759.22
530.53
228.69
60.57
Utah Altius Health Plan - HDHP Self & Family
9K5
648.66
732.33
549.25
183.08
20.92
1405.43
1586.72
1190.04
396.68
45.32
Utah Altius Health Plan - HDHP Self Plus One
9K6
635.93
717.95
524.63
193.32
34.34
1377.85
1555.56
1136.70
418.86
74.40
Utah Altius Health Plan - Standard Self
DK4
407.59
435.02
244.86
190.16
24.15
883.11
942.54
530.53
412.01
52.32
Utah Altius Health Plan - Standard Self & Family
DK5
900.09
960.66
574.13
386.53
48.69
1950.20
2081.43
1243.95
837.48
105.49
Utah Altius Health Plan - Standard Self Plus One
DK6
891.17
951.14
524.63
426.51
52.80
1930.87
2060.80
1136.70
924.10
114.39
Utah SelectHealth Plan - Standard Self
SF4
290.13
296.81
222.61
74.20
1.67
628.62
643.09
482.32
160.77
3.62
Utah SelectHealth Plan - Standard Self & Family
SF5
725.33
742.02
556.52
185.50
4.17
1571.55
1607.71
1205.78
401.93
9.04
Utah SelectHealth Plan - Standard Self Plus One
SF6
638.29
652.97
489.73
163.24
3.67
1382.96
1414.77
1061.08
353.69
7.95
Utah SelectHealth Plan - HDHP Self
WX1
248.99
264.17
198.13
66.04
3.79
539.48
572.37
429.28
143.09
8.22
Utah SelectHealth Plan - HDHP Self & Family
WX2
622.47
660.43
495.32
165.11
9.49
1348.69
1430.93
1073.20
357.73
20.56
Utah SelectHealth Plan - HDHP Self Plus One
WX3
547.77
581.17
435.88
145.29
8.35
1186.84
1259.20
944.40
314.80
18.09
Vermont Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Vermont Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Vermont Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Vermont Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Vermont Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Vermont Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self
EP4
387.52
428.20
244.86
183.34
37.40
839.63
927.77
530.53
397.24
81.03
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
EP5
887.39
980.54
574.13
406.41
81.27
1922.68
2124.50
1243.95
880.55
176.08
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
EP6
869.98
961.31
524.63
436.68
84.16
1884.96
2082.84
1136.70
946.14
182.34
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
EP1
519.07
533.71
244.86
288.85
11.36
1124.65
1156.37
530.53
625.84
24.61
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
EP2
1183.79
1217.13
574.13
643.00
21.46
2564.88
2637.12
1243.95
1393.17
46.50
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
EP3
1172.06
1205.08
524.63
680.45
25.85
2539.46
2611.01
1136.70
1474.31
56.01
Vermont Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Vermont Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Vermont Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self
851
313.40
313.40
235.05
78.35
0.00
679.03
679.03
509.27
169.76
0.00
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self & Family
852
717.70
717.70
538.28
179.42
0.00
1555.02
1555.02
1166.27
388.75
0.00
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self Plus One
853
703.70
703.70
524.63
179.07
-7.17
1524.68
1524.68
1136.70
387.98
-15.54
Virginia Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Virginia Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Virginia Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Virginia Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Virginia Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Virginia Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
Virginia Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Virginia Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Virginia Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Virginia Aetna Open Access - High Self
JN1
543.03
577.64
244.86
332.78
31.33
1176.57
1251.55
530.53
721.02
67.87
Virginia Aetna Open Access - High Self & Family
JN2
1220.79
1298.62
574.13
724.49
65.95
2645.05
2813.68
1243.95
1569.73
142.89
Virginia Aetna Open Access - High Self Plus One
JN3
1208.70
1285.75
524.63
761.12
69.88
2618.85
2785.79
1136.70
1649.09
151.40
Virginia Aetna Open Access - Basic Self
JN4
329.73
341.29
244.86
96.43
8.28
714.42
739.46
530.53
208.93
17.93
Virginia Aetna Open Access - Basic Self & Family
JN5
754.58
781.03
574.13
206.90
14.57
1634.92
1692.23
1243.95
448.28
31.57
Virginia Aetna Open Access - Basic Self Plus One
JN6
692.92
717.20
524.63
192.57
17.11
1501.33
1553.93
1136.70
417.23
37.06
Virginia Aetna Saver (Open Access) - Saver Self
QQ4
274.71
274.71
206.03
68.68
0.00
595.21
595.21
446.41
148.80
0.00
Virginia Aetna Saver (Open Access) - Saver Self & Family
QQ5
628.67
628.67
471.50
157.17
0.00
1362.12
1362.12
1021.59
340.53
0.00
Virginia Aetna Saver (Open Access) - Saver Self Plus One
QQ6
577.30
577.30
432.98
144.32
0.00
1250.82
1250.82
938.12
312.70
0.00
Virginia CareFirst BlueChoice - Standard Self
2G4
409.76
417.96
244.86
173.10
4.92
887.81
905.58
530.53
375.05
10.66
Virginia CareFirst BlueChoice - Standard Self & Family
2G5
973.58
993.04
574.13
418.91
7.58
2109.42
2151.59
1243.95
907.64
16.43
Virginia CareFirst BlueChoice - Standard Self Plus One
2G6
819.51
835.90
524.63
311.27
9.22
1775.61
1811.12
1136.70
674.42
19.97
Virginia CareFirst BlueChoice - HDHP Self
B61
263.12
278.91
209.18
69.73
3.95
570.09
604.31
453.23
151.08
8.56
Virginia CareFirst BlueChoice - HDHP Self & Family
B62
625.16
662.67
497.00
165.67
9.38
1354.51
1435.79
1076.84
358.95
20.32
Virginia CareFirst BlueChoice - HDHP Self Plus One
B63
526.23
557.80
418.35
139.45
7.89
1140.17
1208.57
906.43
302.14
17.10
Virginia CareFirst BlueChoice - Blue Value Plus Self
B64
334.00
334.00
244.86
89.14
-3.28
723.67
723.67
530.53
193.14
-7.11
Virginia CareFirst BlueChoice - Blue Value Plus Self & Family
B65
793.56
793.56
574.13
219.43
-11.88
1719.38
1719.38
1243.95
475.43
-25.74
Virginia CareFirst BlueChoice - Blue Value Plus Self Plus One
B66
667.98
667.98
500.99
166.99
0.00
1447.29
1447.29
1085.47
361.82
0.00
Virginia Healthkeepers, Inc. HDHP - HDHP Self
9V1
New Plan
247.94
185.96
61.98
New Plan
New Plan
537.20
402.90
134.30
New Plan
Virginia Healthkeepers, Inc. HDHP - HDHP Self & Family
9V2
New Plan
603.72
452.79
150.93
New Plan
New Plan
1308.06
981.05
327.01
New Plan
Virginia Healthkeepers, Inc. HDHP - HDHP Self Plus One
9V3
New Plan
564.04
423.03
141.01
New Plan
New Plan
1222.09
916.57
305.52
New Plan
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self
T71
197.41
170.26
127.70
42.56
-6.79
427.72
368.90
276.68
92.22
-14.71
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family
T72
507.47
485.23
363.92
121.31
-5.56
1099.52
1051.33
788.50
262.83
-12.05
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One
T73
439.31
400.11
300.08
100.03
-9.80
951.84
866.91
650.18
216.73
-21.23
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self
E34
276.13
280.27
210.20
70.07
1.04
598.28
607.25
455.44
151.81
2.24
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family
E35
635.10
644.60
483.45
161.15
2.38
1376.05
1396.63
1047.47
349.16
5.15
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One
E36
635.10
644.60
483.45
161.15
2.38
1376.05
1396.63
1047.47
349.16
5.15
Virginia Kaiser Permanente - Mid-Atlantic States - High Self
E31
344.42
349.20
244.86
104.34
1.50
746.24
756.60
530.53
226.07
3.25
Virginia Kaiser Permanente - Mid-Atlantic States - High Self & Family
E32
792.16
803.17
574.13
229.04
-0.87
1716.35
1740.20
1243.95
496.25
-1.89
Virginia Kaiser Permanente - Mid-Atlantic States - High Self Plus One
E33
792.16
803.17
524.63
278.54
3.84
1716.35
1740.20
1136.70
603.50
8.31
Virginia M.D. IPA - High Self
JP1
438.87
467.07
244.86
222.21
24.92
950.89
1011.99
530.53
481.46
53.99
Virginia M.D. IPA - High Self & Family
JP2
1230.59
1309.69
574.13
735.56
67.22
2666.28
2837.66
1243.95
1593.71
145.64
Virginia M.D. IPA - High Self Plus One
JP3
857.12
912.20
524.63
387.57
47.91
1857.09
1976.43
1136.70
839.73
103.80
Virginia Optima Health - HDHP Self
PG4
279.27
262.52
196.89
65.63
-4.19
605.09
568.79
426.59
142.20
-9.07
Virginia Optima Health - HDHP Self & Family
PG5
616.05
579.08
434.31
144.77
-9.24
1334.78
1254.67
941.00
313.67
-20.02
Virginia Optima Health - HDHP Self Plus One
PG6
603.97
567.74
425.81
141.93
-9.06
1308.60
1230.10
922.58
307.52
-19.63
Virginia Optima Health - High Self
PG1
332.10
332.10
244.86
87.24
-3.28
719.55
719.55
530.53
189.02
-7.11
Virginia Optima Health - High Self & Family
PG2
802.47
802.47
574.13
228.34
-11.88
1738.69
1738.69
1243.95
494.74
-25.74
Virginia Optima Health - High Self Plus One
PG3
802.41
802.41
524.63
277.78
-7.17
1738.56
1738.56
1136.70
601.86
-15.54
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
AS1
276.68
300.42
225.32
75.10
5.93
599.47
650.91
488.18
162.73
12.86
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
AS2
654.35
710.52
532.89
177.63
14.04
1417.76
1539.46
1154.60
384.86
30.42
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
AS3
594.87
645.92
484.44
161.48
12.76
1288.89
1399.49
1049.62
349.87
27.65
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
V41
239.96
305.45
229.09
76.36
16.37
519.91
661.81
496.36
165.45
35.47
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
V42
551.91
698.86
524.15
174.71
36.73
1195.81
1514.20
1135.65
378.55
79.60
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
V43
515.91
656.73
492.55
164.18
35.20
1117.81
1422.92
1067.19
355.73
76.28
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
LR1
355.57
379.46
244.86
134.60
20.61
770.40
822.16
530.53
291.63
44.65
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
LR2
842.69
899.33
574.13
325.20
44.76
1825.83
1948.55
1243.95
704.60
96.98
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
LR3
764.46
815.85
524.63
291.22
44.22
1656.33
1767.68
1136.70
630.98
95.81
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self
L91
255.98
306.35
229.76
76.59
12.60
554.62
663.76
497.82
165.94
27.29
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family
L92
717.76
732.19
549.14
183.05
3.61
1555.15
1586.41
1189.81
396.60
7.81
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One
L93
499.93
612.71
459.53
153.18
28.20
1083.18
1327.54
995.66
331.88
61.09
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
Y81
266.18
268.27
201.20
67.07
0.53
576.72
581.25
435.94
145.31
1.13
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
Y82
629.51
634.47
475.85
158.62
1.24
1363.94
1374.69
1031.02
343.67
2.69
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
Y83
572.28
576.79
432.59
144.20
1.13
1239.94
1249.71
937.28
312.43
2.45
Washington Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Washington Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Washington Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Washington Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Washington Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Washington Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self
G54
330.94
385.10
244.86
140.24
50.88
717.04
834.38
530.53
303.85
110.23
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
G55
757.97
882.03
574.13
307.90
112.18
1642.27
1911.07
1243.95
667.12
243.06
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
G56
743.12
864.75
524.63
340.12
114.46
1610.09
1873.63
1136.70
736.93
248.00
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
G51
488.66
523.89
244.86
279.03
31.95
1058.76
1135.10
530.53
604.57
69.23
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
G52
1114.65
1195.02
574.13
620.89
68.49
2415.08
2589.21
1243.95
1345.26
148.39
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
G53
1103.63
1183.20
524.63
658.57
72.40
2391.20
2563.60
1136.70
1426.90
156.86
Washington Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Washington Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Washington Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Washington Kaiser Permanente - Northwest - Standard Self
574
317.70
308.72
231.54
77.18
-2.24
688.35
668.89
501.67
167.22
-4.87
Washington Kaiser Permanente - Northwest - Standard Self & Family
575
729.85
709.22
531.92
177.30
-5.16
1581.34
1536.64
1152.48
384.16
-11.17
Washington Kaiser Permanente - Northwest - Standard Self Plus One
576
729.85
709.22
524.63
184.59
-27.80
1581.34
1536.64
1136.70
399.94
-60.24
Washington Kaiser Permanente - Northwest - High Self
571
346.93
349.69
244.86
104.83
-0.52
751.68
757.66
530.53
227.13
-1.13
Washington Kaiser Permanente - Northwest - High Self & Family
572
783.61
789.85
574.13
215.72
-5.64
1697.82
1711.34
1243.95
467.39
-12.22
Washington Kaiser Permanente - Northwest - High Self Plus One
573
783.61
789.85
524.63
265.22
-0.93
1697.82
1711.34
1136.70
574.64
-2.02
Washington Kaiser Permanente - Northwest - Prosper Self
AM1
180.82
180.82
135.62
45.20
0.00
391.78
391.78
293.84
97.94
0.00
Washington Kaiser Permanente - Northwest - Prosper Self & Family
AM2
427.60
448.46
336.35
112.11
5.21
926.47
971.66
728.75
242.91
11.29
Washington Kaiser Permanente - Northwest - Prosper Self Plus One
AM3
388.75
388.75
291.56
97.19
0.00
842.29
842.29
631.72
210.57
0.00
Washington Kaiser Permanente - Washington Core - Standard Self
544
285.24
288.56
216.42
72.14
0.83
618.02
625.21
468.91
156.30
1.80
Washington Kaiser Permanente - Washington Core - Standard Self & Family
545
656.05
663.69
497.77
165.92
1.91
1421.44
1438.00
1078.50
359.50
4.14
Washington Kaiser Permanente - Washington Core - Standard Self Plus One
546
656.05
663.69
497.77
165.92
1.91
1421.44
1438.00
1078.50
359.50
4.14
Washington Kaiser Permanente - Washington Core - High Self
541
398.66
401.32
244.86
156.46
-0.62
863.76
869.53
530.53
339.00
-1.34
Washington Kaiser Permanente - Washington Core - High Self & Family
542
877.04
882.89
574.13
308.76
-6.03
1900.25
1912.93
1243.95
668.98
-13.06
Washington Kaiser Permanente - Washington Core - High Self Plus One
543
877.04
882.89
524.63
358.26
-1.32
1900.25
1912.93
1136.70
776.23
-2.86
Washington Kaiser Permanente - Washington Core - Prosper Self
PT4
180.00
180.00
135.00
45.00
0.00
390.00
390.00
292.50
97.50
0.00
Washington Kaiser Permanente - Washington Core - Prosper Self & Family
PT5
503.99
503.99
377.99
126.00
0.00
1091.98
1091.98
818.99
272.99
0.00
Washington Kaiser Permanente - Washington Core - Prosper Self Plus One
PT6
436.00
436.00
327.00
109.00
0.00
944.67
944.67
708.50
236.17
0.00
Washington Kaiser Permanente Washington Options Federal - Standard Self
L11
343.00
349.87
244.86
105.01
3.59
743.17
758.05
530.53
227.52
7.77
Washington Kaiser Permanente Washington Options Federal - Standard Self & Family
L12
761.46
776.69
574.13
202.56
3.35
1649.83
1682.83
1243.95
438.88
7.26
Washington Kaiser Permanente Washington Options Federal - Standard Self Plus One
L13
761.46
776.69
524.63
252.06
8.06
1649.83
1682.83
1136.70
546.13
17.46
Washington Kaiser Permanente Washington Options Federal - HDHP Self
L14
305.41
311.62
233.72
77.90
1.55
661.72
675.18
506.39
168.79
3.36
Washington Kaiser Permanente Washington Options Federal - HDHP Self & Family
L15
677.99
691.77
518.83
172.94
3.44
1468.98
1498.84
1124.13
374.71
7.47
Washington Kaiser Permanente Washington Options Federal - HDHP Self Plus One
L16
677.99
691.77
518.83
172.94
3.44
1468.98
1498.84
1124.13
374.71
7.47
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self
WF1
287.18
308.52
231.39
77.13
5.34
622.22
668.46
501.35
167.11
11.56
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family
WF2
679.17
729.65
547.24
182.41
12.62
1471.54
1580.91
1185.68
395.23
27.35
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One
WF3
617.43
663.31
497.48
165.83
11.47
1337.77
1437.17
1077.88
359.29
24.85
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self
LU1
243.77
310.20
232.65
77.55
16.61
528.17
672.10
504.08
168.02
35.98
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family
LU2
560.66
713.47
535.10
178.37
38.21
1214.76
1545.85
1159.39
386.46
82.77
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One
LU3
524.10
666.94
500.21
166.73
35.71
1135.55
1445.04
1083.78
361.26
77.37
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self
KT1
360.98
399.17
244.86
154.31
34.91
782.12
864.87
530.53
334.34
75.64
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family
KT2
902.47
997.92
574.13
423.79
83.57
1955.35
2162.16
1243.95
918.21
181.07
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One
KT3
776.11
858.21
524.63
333.58
74.93
1681.57
1859.46
1136.70
722.76
162.35
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self
VD1
286.71
303.53
227.65
75.88
4.20
621.21
657.65
493.24
164.41
9.11
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family
VD2
678.06
717.87
538.40
179.47
9.96
1469.13
1555.39
1166.54
388.85
21.57
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One
VD3
616.42
652.60
489.45
163.15
9.05
1335.58
1413.97
1060.48
353.49
19.60
West Virginia Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
West Virginia Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
West Virginia Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
West Virginia Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
West Virginia Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
West Virginia Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
F51
393.11
401.84
244.86
156.98
5.45
851.74
870.65
530.53
340.12
11.80
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
F52
896.32
916.20
574.13
342.07
8.00
1942.03
1985.10
1243.95
741.15
17.33
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
F53
887.45
907.13
524.63
382.50
12.51
1922.81
1965.45
1136.70
828.75
27.10
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self
F54
379.30
413.32
244.86
168.46
30.74
821.82
895.53
530.53
365.00
66.60
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
F55
868.56
946.45
574.13
372.32
66.01
1881.88
2050.64
1243.95
806.69
143.02
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
F56
851.52
927.90
524.63
403.27
69.21
1844.96
2010.45
1136.70
873.75
149.95
West Virginia Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
West Virginia Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
West Virginia Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Wisconsin Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Wisconsin Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Wisconsin Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Wisconsin Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Wisconsin Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Wisconsin Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self
JS4
505.19
505.16
244.86
260.30
-3.31
1094.58
1094.51
530.53
563.98
-7.18
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
JS5
1153.29
1153.22
574.13
579.09
-11.95
2498.80
2498.64
1243.95
1254.69
-25.90
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
JS6
1141.88
1141.82
524.63
617.19
-7.23
2474.07
2473.94
1136.70
1337.24
-15.67
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
JS1
466.12
478.77
244.86
233.91
9.37
1009.93
1037.34
530.53
506.81
20.30
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
JS2
1062.53
1091.38
574.13
517.25
16.97
2302.15
2364.66
1243.95
1120.71
36.77
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
JS3
1052.00
1080.57
524.63
555.94
21.40
2279.33
2341.24
1136.70
1204.54
46.37
Wisconsin Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Wisconsin Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Wisconsin Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Wisconsin Dean Health Plan, Inc. - High Self
WD1
581.94
592.88
244.86
348.02
7.66
1260.87
1284.57
530.53
754.04
16.59
Wisconsin Dean Health Plan, Inc. - High Self & Family
WD2
1338.48
1363.63
574.13
789.50
13.27
2900.04
2954.53
1243.95
1710.58
28.75
Wisconsin Dean Health Plan, Inc. - High Self Plus One
WD3
1222.09
1245.05
524.63
720.42
15.79
2647.86
2697.61
1136.70
1560.91
34.21
Wisconsin Dean Health Plan, Inc. - Standard Self
WD4
316.21
328.81
244.86
83.95
4.90
685.12
712.42
530.53
181.89
10.61
Wisconsin Dean Health Plan, Inc. - Standard Self & Family
WD5
758.89
789.14
574.13
215.01
18.37
1644.26
1709.80
1243.95
465.85
39.80
Wisconsin Dean Health Plan, Inc. - Standard Self Plus One
WD6
695.66
723.38
524.63
198.75
20.55
1507.26
1567.32
1136.70
430.62
44.52
Wisconsin Dean Health Plan, Inc. - Basic Self
AG1
210.03
210.03
157.52
52.51
0.00
455.07
455.07
341.30
113.77
0.00
Wisconsin Dean Health Plan, Inc. - Basic Self & Family
AG2
472.57
472.57
354.43
118.14
0.00
1023.90
1023.90
767.93
255.97
0.00
Wisconsin Dean Health Plan, Inc. - Basic Self Plus One
AG3
441.06
441.06
330.80
110.26
0.00
955.63
955.63
716.72
238.91
0.00
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self
WJ1
410.32
502.63
244.86
257.77
89.03
889.03
1089.03
530.53
558.50
192.89
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self & Family
WJ2
1066.85
1306.90
574.13
732.77
228.17
2311.51
2831.62
1243.95
1587.67
494.37
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self Plus One
WJ3
902.72
1105.82
524.63
581.19
195.93
1955.89
2395.94
1136.70
1259.24
424.51
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self
WJ4
285.62
271.13
203.35
67.78
-3.62
618.84
587.45
440.59
146.86
-7.85
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self & Family
WJ5
742.62
704.97
528.73
176.24
-9.41
1609.01
1527.44
1145.58
381.86
-20.39
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self Plus One
WJ6
628.37
596.51
447.38
149.13
-7.96
1361.47
1292.44
969.33
323.11
-17.26
Wisconsin HealthPartners - Standard Self
V34
235.11
255.36
191.52
63.84
5.06
509.41
553.28
414.96
138.32
10.97
Wisconsin HealthPartners - Standard Self & Family
V35
572.74
622.08
466.56
155.52
12.34
1240.94
1347.84
1010.88
336.96
26.73
Wisconsin HealthPartners - Standard Self Plus One
V36
519.60
564.36
423.27
141.09
11.19
1125.80
1222.78
917.09
305.69
24.24
Wisconsin HealthPartners - High Self
V31
308.34
319.45
239.59
79.86
2.78
668.07
692.14
519.11
173.03
6.01
Wisconsin HealthPartners - High Self & Family
V32
751.10
778.16
574.13
204.03
15.18
1627.38
1686.01
1243.95
442.06
32.89
Wisconsin HealthPartners - High Self Plus One
V33
681.42
705.96
524.63
181.33
10.98
1476.41
1529.58
1136.70
392.88
23.78
Wyoming Aetna Advantage - Advantage Self
Z24
230.78
230.78
173.09
57.69
0.00
500.02
500.02
375.02
125.00
0.00
Wyoming Aetna Advantage - Advantage Self & Family
Z25
611.54
611.54
458.66
152.88
0.00
1325.00
1325.00
993.75
331.25
0.00
Wyoming Aetna Advantage - Advantage Self Plus One
Z26
507.70
507.70
380.78
126.92
0.00
1100.02
1100.02
825.02
275.00
0.00
Wyoming Aetna Direct - CDHP Self
N61
284.23
289.97
217.48
72.49
1.43
615.83
628.27
471.20
157.07
3.11
Wyoming Aetna Direct - CDHP Self & Family
N62
716.80
731.30
548.48
182.82
3.62
1553.07
1584.48
1188.36
396.12
7.85
Wyoming Aetna Direct - CDHP Self Plus One
N63
623.33
635.94
476.96
158.98
3.15
1350.55
1377.87
1033.40
344.47
6.83
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self
H41
381.62
381.32
244.86
136.46
-3.58
826.84
826.19
530.53
295.66
-7.76
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family
H42
869.88
869.18
574.13
295.05
-12.58
1884.74
1883.22
1243.95
639.27
-27.26
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One
H43
861.43
860.75
524.63
336.12
-7.85
1866.43
1864.96
1136.70
728.26
-17.01
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self
H44
377.30
384.80
244.86
139.94
4.22
817.48
833.73
530.53
303.20
9.14
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family
H45
865.92
883.13
574.13
309.00
5.33
1876.16
1913.45
1243.95
669.50
11.55
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One
H46
848.95
865.82
524.63
341.19
9.70
1839.39
1875.94
1136.70
739.24
21.01
Wyoming Aetna HealthFund HDHP - HDHP Self
224
362.78
380.45
244.86
135.59
14.39
786.02
824.31
530.53
293.78
31.18
Wyoming Aetna HealthFund HDHP - HDHP Self & Family
225
800.23
839.19
574.13
265.06
27.08
1733.83
1818.25
1243.95
574.30
58.68
Wyoming Aetna HealthFund HDHP - HDHP Self Plus One
226
784.56
822.75
524.63
298.12
31.02
1699.88
1782.63
1136.70
645.93
67.21
Wyoming Altius Health Plan - High Self
9K1
483.86
531.16
244.86
286.30
44.02
1048.36
1150.85
530.53
620.32
95.38
Wyoming Altius Health Plan - High Self & Family
9K2
1070.06
1174.66
574.13
600.53
92.72
2318.46
2545.10
1243.95
1301.15
200.90
Wyoming Altius Health Plan - High Self Plus One
9K3
1059.46
1163.04
524.63
638.41
96.41
2295.50
2519.92
1136.70
1383.22
208.88
Wyoming Altius Health Plan - HDHP Self
9K4
310.38
350.41
244.86
105.55
27.96
672.49
759.22
530.53
228.69
60.57
Wyoming Altius Health Plan - HDHP Self & Family
9K5
648.66
732.33
549.25
183.08
20.92
1405.43
1586.72
1190.04
396.68
45.32
Wyoming Altius Health Plan - HDHP Self Plus One
9K6
635.93
717.95
524.63
193.32
34.34
1377.85
1555.56
1136.70
418.86
74.40
Wyoming Altius Health Plan - Standard Self
DK4
407.59
435.02
244.86
190.16
24.15
883.11
942.54
530.53
412.01
52.32
Wyoming Altius Health Plan - Standard Self & Family
DK5
900.09
960.66
574.13
386.53
48.69
1950.20
2081.43
1243.95
837.48
105.49
Wyoming Altius Health Plan - Standard Self Plus One
